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Published on: January 7, 2020
Complementary Feeding Practices in a Cohort of Italian Late Preterm Infants
Maria L Giannì1,2, Elena Bezze3, Lorenzo Colombo4
1Neonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, via Commenda 12, 20122 Milan, Italy. maria.gianni@unimi.it.
Insights
Complementary feeding for late preterm infants often begins around 5.7 months with low-energy foods. Introducing fruit first may advance this timing, highlighting the need for specific infant feeding guidelines.
Area of Science:
- Pediatrics
- Neonatology
- Nutritional Science
Background:
- Preterm infants have unique nutritional needs and are susceptible to growth alterations.
- Limited data exist on complementary feeding practices in this population.
- Late preterm infants (34-36 weeks gestation) require specific attention.
Purpose of the Study:
- To investigate the timing and content of complementary feeding in late preterm infants.
- To identify factors influencing the introduction of solid foods.
- To inform evidence-based feeding recommendations for this vulnerable group.
Main Methods:
- Prospective, observational study of mothers with late preterm infants.
- Data collected via phone interviews at 3, 6, and 12 months postpartum.
- Inquired about infant feeding mode, timing, and types of solid foods introduced.
Main Results:
- Mean age for complementary feeding introduction was 5.7 ± 0.7 months.
- Most infants were first introduced to low energy and/or low protein-dense foods.
- Early introduction of fruit was associated with a 1.6-month earlier start to complementary feeding.
Conclusions:
- Complementary feeding practices in late preterm infants often involve low-nutrient-density foods initially.
- Fruit introduction may accelerate the initiation of complementary feeding.
- Specific guidelines are needed to optimize nutrition for late preterm infants.
Abstract:
Limited data are available on complementary feeding in preterm infants, who show increased nutritional needs and are at risk of altered postnatal growth. The aim of this study was to investigate the timing and content of complementary feeding in a cohort of late preterm infants. We conducted a prospective, observational study, including mothers who had given birth to infants admitted to level I or II of care with a gestational age between 34 and 36 weeks. Mothers were contacted at 3, 6 and 12 months after delivery by phone calls and were asked about their infant's mode of feeding and the timing and schedule of the introduction of different solid foods types. A total of 49 mothers and 57 infants completed the study. The mean postnatal age of the introduction of complementary foods was 5.7 ± 0.7 months. Low energy and/or low protein-dense foods were first introduced in most infants. Fruit as the first type of complementary food in the infant's diet was associated with a 1.6-month advance in initiating complementary feeding. The present findings provide further insight into complementary feeding practices in late preterm infants and underline the need for specific recommendations addressing this vulnerable population.
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