Baby-led approaches to complementary feeding promote intake of family foods rather than infant specific foods, from the start of the complementary feeding period, which advocates suggest should be less expensive. However, this has never been formally examined. We recently completed a 2-year randomised controlled trial comparing baby-led (BLISS) and traditional spoon-feeding (Control) approaches to complementary feeding in 206 infants. Perceived expense was assessed at infant 7, 8, 9 and 12 months of age. The actual cost of intake (food offered, consumed and left over) was calculated from 3-day weighed diet records at 7 and 12 months of age. BLISS was perceived as less expensive than traditional feeding (P = 0.002), but comparisons of actual costs showed only small differences in total daily cost for food offered (NZ$0.20 and NZ$0.10 at 7 and 12 months, respectively), consumed (NZ$0.30, NZ$0.20) or left over (NZ$0.10, NZ$0.20). Baby-led approaches are not cheaper for families than traditional spoon-feeding.
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Ministry of Health. Food and nutrition guidelines for healthy eating for infants and toddlers (aged 0–2): a background paper - partially revised December 2012. Wellington, NZ: Ministry of Health; 2008.
United States Department of Agriculture. Infant feeding and nutrition. In: Complementary foods. Washington, D.C: USDA; 2009. p. 101–28.
Scientific Advisory Committee on Nutrition. Feeding in the first year of life. London, UK: Public Health England, Ministry of Health; 2018.
Rapley G, Murkett T. Baby-led weaning. London: Vermilion; 2008.
Brown A, Lee M. An exploration of experiences of mothers following a baby-led weaning style: developmental readiness for complementary foods. Matern Child Nutr. 2013;9:233–43.
Cameron SL, Heath A-LM, Taylor RW. Healthcare professionals’ and mothers’ knowledge of, attitudes to, and experiences with, baby-led weaning: a content analysis study. BMJ Open. 2012;2:e001542.
Daniels L, Heath A-LM, Williams SM, Cameron SL, Fleming EA, Taylor BJ, et al. Baby-Led Introduction to SolidS (BLISS) study: a randomised controlled trial of a baby-led approach to complementary feeding. BMC Pediatrics. 2015;15:179.
Taylor RW, Williams SM, Fangupo LJ, Wheeler BJ, Taylor BJ, Daniels L, et al. Baby-led and conventional approaches to complementary feeding for obesity prevention: a randomised controlled trial. JAMA Pediatr. 2017;171:838–46.
Erickson EEW, Taylor RW, Haszard JJ, Fleming EA, Daniels L, Morison BJ, et al. Impact of a modified version of Baby-Led Weaning on infant food and nutrient intakes: the BLISS randomized controlled trial. Nutrients. 2018;10:740.
Bowman SA, Martin CL, Carlson JL, Clemens JC, Lin B-H, Moshfegh AJ. Food intakes converted to retail commodities databases 2003-08: Methodology and user guide. Beltsville, MD: U.S. Department of Agriculture, Agricultural Research Service; 2013.
We are grateful to all the families who participated in the BLISS study, and to the BLISS research staff in the Departments of Medicine and Human Nutrition at the University of Otago.
The BLISS Study was funded by Lottery Health Research, Meat & Livestock Australia, Karitane Products Society, Perpetual Trustees, The New Zealand Federation of Women’s Institutes, and the University of Otago, with ‘in kind’ contributions from Heinz Watties Ltd. RWT is supported by a Fellowship from Karitane Products Society. LD was in receipt of a University of Otago Doctoral Scholarship, and LWE was in receipt of a University of Otago Masters Scholarship. The funding sources had no role in the design and conduct of the study; collection, management, analysis or interpretation of the data; preparation, review or approval of the paper; or the decision to submit the paper for publication.
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Bacchus, S., Taylor, R.W., Fleming, E.A. et al. The cost of baby-led vs. parent-led approaches to introducing complementary foods in New Zealand. Eur J Clin Nutr 74, 1474–1477 (2020). https://doi.org/10.1038/s41430-020-0606-7