Evidence map›Paper›PMID 27211798›Full record

ArticlePublic health nutrition2016

Global trends and patterns of commercial milk-based formula sales: is an unprecedented infant and young child feeding transition underway?

Phillip Baker, Julie Smith, Libby Salmon, Sharon Friel, George Kent, Alessandro Iellamo, J P Dadhich, Mary J Renfrew

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03208114 (Does the Information on Breast Milk Substitutes at Hospital Discharge Affect Breastfeeding Behavior at Six Months? A Randomized Controlled Trial), which is not on this map. Cited by 93 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 4 pooled it
11.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03208114 nacompletednot on this map

Does the Information on Breast Milk Substitutes at Hospital Discharge Affect Breastfeeding Behavior at Six Months? A Randomized Controlled Trial

TypeinterventionalSponsorFondazione IRCCS Ca' Granda, Ospedale Maggiore PoliclinicoRan2012 to 2016Enrolled802ConditionsBreastfeedingArmsReceiving written information on breast milk substitute
3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 4 syntheses or guidelines pooled it, 177 citations in OpenAlex.

  1. Pooled it
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  5. Improving Breastfeeding by Empowering Mothers in Vietnam: A Randomised Controlled Trial of a Mobile App.International journal of environmental research and public health · 2020
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33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 5 countries.

Phillip Baker1Health Equity and Governance Group,RegNet School of Regulation and Global Governance,H.C. Coombs Extension Building #8,Fellows Road,Australian National University,Canberra,ACT 0200,Australia.ORCID 0000-0002-0802-2349
Julie Smith1Health Equity and Governance Group,RegNet School of Regulation and Global Governance,H.C. Coombs Extension Building #8,Fellows Road,Australian National University,Canberra,ACT 0200,Australia.
Libby Salmon1Health Equity and Governance Group,RegNet School of Regulation and Global Governance,H.C. Coombs Extension Building #8,Fellows Road,Australian National University,Canberra,ACT 0200,Australia.
Sharon Friel1Health Equity and Governance Group,RegNet School of Regulation and Global Governance,H.C. Coombs Extension Building #8,Fellows Road,Australian National University,Canberra,ACT 0200,Australia.
George Kent2Department of Political Science,University of Hawai'i, Honolulu,HI,USA.
Alessandro Iellamo3Independent,Manilla,Philippines.
J P Dadhich4Breastfeeding Promotion Network of India,Delhi,India.
Mary J Renfrew5Mother and Infant Research Unit,School of Nursing and Health Sciences,University of Dundee,Dundee,UK.
Australian National University · AUGlobal Development Network · INManuel L. Quezon University · PHUniversity of Dundee · GBUniversity of Hawaii System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe marketing of infant/child milk-based formulas (MF) contributes to suboptimal breast-feeding and adversely affects child and maternal health outcomes globally. However, little is known about recent changes in MF markets. The present study describes contemporary trends and patterns of MF sales at the global, regional and country levels.

designDescriptive statistics of trends and patterns in MF sales volume per infant/child for the years 2008-2013 and projections to 2018, using industry-sourced data.

settingEighty countries categorized by country income bracket, for developing countries by region, and in countries with the largest infant/child populations. SUBJECTS: MF categories included total (for ages 0-36 months), infant (0-6 months), follow-up (7-12 months), toddler (13-36 months) and special (0-6 months).

resultsIn 2008-2013 world total MF sales grew by 40·8 % from 5·5 to 7·8 kg per infant/child/year, a figure predicted to increase to 10·8 kg by 2018. Growth was most rapid in East Asia particularly in China, Indonesia, Thailand and Vietnam and was led by the infant and follow-up formula categories. Sales volume per infant/child was positively associated with country income level although with wide variability between countries.

conclusionsA global infant and young child feeding (IYCF) transition towards diets higher in MF is underway and is expected to continue apace. The observed increase in MF sales raises serious concern for global child and maternal health, particularly in East Asia, and calls into question the efficacy of current regulatory regimes designed to protect and promote optimal IYCF. The observed changes have not been captured by existing IYCF monitoring systems.

Indexed as

Infant Nutritional Physiological PhenomenaAnimalsBreast FeedingChild, PreschoolDietGlobal HealthHumansInfantInfant FormulaInfant, NewbornMilkBreast-milk substitutesFormulaInfant and young child feedingNutrition transition

Identifiers

PMID27211798
PMCPMC10270963
OpenAlexW2399531860

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.