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Evidence gaps and research needs in current guidance on feeding children from birth to 24 months
Stephanie A Atkinson1, Elizabeth Yakes Jimenez2, Rafael Pérez-Escamilla3
1Department of Pediatrics, McMaster University, Hamilton, ON L8S 4K1, Canada.
Insights
Developing infant and young child feeding guidelines requires new research and harmonized methods. Future guidance should integrate dissemination and implementation strategies for better outcomes.
Area of Science:
- Nutrition Science
- Public Health Policy
Background:
- Infant and young child feeding guidelines are crucial for public health.
- Existing guidelines from high-income countries have been synthesized.
Purpose of the Study:
- To summarize recommendations on infant and young child feeding.
- To identify consistencies and differences in existing guidelines.
- To propose future directions for guideline development.
Main Methods:
- A review of 43 eligible guideline documents was conducted.
- Recommendations from a United States National Academies report were summarized.
Main Results:
- Significant consistency was found across many feeding recommendations.
- Differences were noted in topic areas, age groupings, and methodologies.
- The review synthesized current best practices in infant nutrition.
Conclusions:
- Future infant and young child feeding guidelines need enhanced research.
- Harmonized, evidence-based review processes are essential for global consistency.
- Incorporating dissemination and implementation guidance is key for effective guideline application.
Abstract:
A United States National Academies report summarized recommendations on what and how to feed infants and young children in high-income countries from 43 eligible guideline documents. Consistency existed across many recommendations, but some differences occurred in topic areas, age groupings, and methodological approaches. Future development of guidelines on feeding of infants and young children requires new research and a rigorous evidence-based review process that is harmonized within and across countries and incorporates dissemination and implementation guidance. Novelty: New research and rigorous methods are recommended to develop future harmonized guidance on feeding of infants and young children that incorporates dissemination and implementation methods.
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