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First‐food systems transformations and the ultra‐processing of infant and young child diets: The determinants, dynamics and consequences of the global rise in commercial milk formula consumption
The inappropriate marketing and aggressive promotion of breastmilk substitutes (BMS) undermines breastfeeding and harms child and maternal health in all country contexts. Although a global milk formula ‘sales boom’ is reportedly underway, few studies have investigated its dynamics and determinants. This study takes two steps. First, it describes trends and patterns in global formula sales volumes (apparent consumption), by country income and region. Data are reported for 77 countries, for the years 2005–19, and for the standard (0–6 months), follow‐up (7‐12 m), toddler (13‐36 m), and special (0‐6 m) categories. Second, it draws from the literature to understand how transformations underway in first‐food systems – those that provision foods for children aged 0–36 months – explain the global transition to higher formula diets. Total world formula sales grew by 115% between 2005 and 2019, from 3.5 to 7.4 kg/child, led by highly‐populated middle‐income countries. Growth was rapid in South East and East Asia, especially in China, which now accounts for one third of world sales. This transition is linked with factors that generate demand for BMS, including rising incomes, urbanisation, the changing nature of woman's work, social norms, media influences and medicalisation. It also reflects the globalization of the baby food industry and its supply chains, including the increasing intensity and sophistication of its marketing practices. Policy and regulatory frameworks designed to protect, promote and support breastfeeding are partially or completely inadequate in the majority of countries, hence supporting industry expansion over child nutrition. The results raise serious concern for global child and maternal health.
Journal Article
The dance of nurture
Breastfeeding and child feeding at the center of nurturing practices, yet the work of nurture has escaped the scrutiny of medical and social scientists. Anthropology offers a powerful biocultural approach that examines how custom and culture interact to support nurturing practices. Our framework shows how the unique constitutions of mothers and infants regulate each other. The Dance of Nurture integrates ethnography, biology and the political economy of infant feeding into a holistic framework guided by the metaphor of dance. It includes a critique of efforts to improve infant feeding practices globally by UN agencies and advocacy groups concerned with solving global nutrition and health problems.
eBook
Baby-led weaning : the (not-so) revolutionary way to start solids and make a happy eater
\"Around 6 months, most babies are developmentally ready to self-feed. The philosophy behind baby-led weaning is to offer your baby healthy finger foods and let her determine how much or how little she wants to eat. The baby-led method has been proven to: Encourage healthy eating habits; Discourage pickiness; Help children learn to listen to their bodies; Build confident eaters... Baby-Led Weaning features at-a-glance nutrition and food tips as well as specific chapters on special diets and allergies.\"-- Provided by publisher.
BOOK
Globalization, first-foods systems transformations and corporate power: a synthesis of literature and data on the market and political practices of the transnational baby food industry
Background
The global milk formula market has ‘boomed’ in recent decades, raising serious concerns for breastfeeding, and child and maternal health. Despite these developments, few studies have investigated the global expansion of the baby food industry, nor the market and political practices corporations have used to grow and sustain their markets. In this paper, our aim is to understand the strategies used by the baby food industry to shape ‘first-foods systems’ across its diverse markets, and in doing so, drive milk formula consumption on a global scale. We used a theoretically guided synthesis review method, which integrated diverse qualitative and quantitative data sources.
Results
Global milk formula sales grew from ~US$1.5 billion in 1978 to US$55.6 billion in 2019. This remarkable expansion has occurred along two main historical axes. First, the widening geographical reach of the baby food industry and its marketing practices, both globally and within countries, as corporations have pursued new growth opportunities, especially in the Global South. Second, the broadening of product ranges beyond infant formula, to include an array of follow-up, toddler and specialized formulas for a wider range of age groups and conditions, thereby widening the scope of mother-child populations subject to commodification. Sophisticated marketing techniques have been used to grow and sustain milk formula consumption, including marketing through health systems, mass-media and digital advertising, and novel product innovations backed by corporate science. To enable and sustain this marketing, the industry has engaged in diverse political practices to foster favourable policy, regulatory and knowledge environments. This has included lobbying international and national policy-makers, generating and deploying favourable science, leveraging global trade rules and adopting corporate policies to counter regulatory action by governments.
Conclusion
The baby food industry uses integrated market and political strategies to shape first-foods systems in ways that drive and sustain milk formula market expansion, on a global scale. Such practices are a major impediment to global implementation of the International Code of Marketing of Breastmilk Substitutes, and other policy actions to protect, promote and support breastfeeding. New modalities of public health action are needed to negate the political practices of the industry in particular, and ultimately to constrain corporate power over the mother-child breastfeeding dyad.
Journal Article
Evaluation of safety and health risk characterization of some baby foods in Ghana
The presence of fungal species, fungal loads, mycotoxins, and toxic metals was assessed in commercial pureed baby food products in different markets in Ghana. Fungal studies was performed using standard protocols. The analyses of aflatoxins B1, B2, G1, G2, and M1 as well as Ochratoxin A (OTA) were undertaken using high-performance liquid chromatography connected to a fluorescence detector (HPLC-FLD). Toxic metals such as copper (Cu), lead (Pb), arsenic (As), cadmium (Cd), mercury (Hg) and chromium (Cr) were also determined by an atomic absorption spectrophotometer. The results showed the presence of fungal contaminants in all tested baby food samples, with counts ranging from 3.2 to 4.52 log CFU/g. Yeasts,
Aspergillus
,
and Fusarium
species were the most frequently isolated. The quantities of aflatoxins, ochratoxins were in the ranges of 0.315–11.446 and 1.991–2.510 µg/kg respectively. There were trace amounts of lead, cadmium, mercury, arsenic, and copper. The health risk assessments indicated no adverse health effects, since the calculated estimated daily intake (EDI) was lower than the Provisional Tolerable Daily Intake (PTDI), and also all Incremental Life Cancer Risk (ILCR) values were < 10
6
. Regular monitoring of these food contaminants in baby foods is essential to ensure the public health safety of babies.
Journal Article
Factors influencing perceptions of processed baby foods and feeding practices among Indian mothers: a qualitative investigation
Objective
To explore how professionally qualified, working Indian mothers conceptualize healthy foods in general, perceive processed infant and baby foods available commercially and what feeding practices they actually follow with their children at home.
Design
Five focus groups with 8–12 participants were conducted around the participants’ conceptualization of healthy food, their perceptions about commercially available processed baby and infant foods and their actual feeding practices that they routinely follow with their children. Discussion transcripts were analyzed using an inductive coding approach.
Setting
India.
Participants
Fifty-one professionally qualified, working women with at least one child under 5 years of age.
Results
Participants agreed that fresh food is healthiest. They also had favorable opinions about processed infant and baby foods with regards to healthfulness, hygiene and safety. Healthy foods were largely conceptualized in relation to nutrient claims, ingredients and discernible health outcomes. They use cues, such as health claims, brand, price, package design and others to determine healthfulness of the product. Perception was heavily influenced by these extrinsic cues rather than by participants’ own nutrition knowledge. Despite having the knowledge, most participants admitted to using these foods on account of factors such as their own inability to lactate, social pressure, lack of time and convenience.
Conclusions
Most educated and well off people continue to use these products. While they rue the lack of stringent regulatory measures in India, they feel there is an urgent need to address this huge policy gap by way of legislation and regulation.
Journal Article