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Baby-led complementary feeding: Randomized controlled study

Erkan Dogan1, Gonca Yilmaz1, Nilgun Caylan2

  • 1Pediatrics Department, Karabuk University of Medicine, Karabuk, Turkey.

Pediatrics International : Official Journal of the Japan Pediatric Society
|August 4, 2018
PubMed

Insights

Baby-led weaning (BLW) is a safe infant feeding method. This study found BLW did not increase iron deficiency or choking risk compared to traditional spoon feeding (TSF).

Area of Science:

  • Pediatric Nutrition
  • Infant Development
  • Public Health

Background:

  • Baby-led weaning (BLW) is an infant-led approach to complementary feeding gaining parental interest.
  • Limited scientific research exists on BLW's impact on infant health outcomes.
  • This study investigates BLW versus traditional spoon feeding (TSF).

Purpose of the Study:

  • To assess growth parameters in infants following BLW compared to TSF.
  • To evaluate hematological status and iron intake in infants using different weaning methods.
  • To determine the safety of BLW regarding choking incidence.

Main Methods:

  • A randomized controlled trial involving 280 infants aged 5-6 months.
  • Infants were allocated to either BLW or TSF groups.
  • Growth, hematological parameters, and iron intake were measured at 12 months.

Main Results:

  • TSF infants were significantly heavier than BLW infants at 12 months.
  • No significant difference in iron intake from complementary foods was observed between groups.
  • Hematological parameters and choking incidence were similar in both BLW and TSF groups.

Conclusions:

  • Baby-led weaning is a viable complementary feeding option.
  • BLW does not elevate the risk of iron deficiency, impaired growth, or choking.
  • This is the first randomized controlled trial to demonstrate these findings in breastfed infants.
Abstract

Keywords:
baby-led feedingchokingcomplementary feedinginfant weightiron intake

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