Baby-Led Weaning: What Role Does It Play in Obesity Risk during the First Years? A Systematic Review

Nazareth Martinón-Torres1,2, Nathalie Carreira1,2, Rosaura Picáns-Leis3

  • 1Unit of Pediatric Gastroenterology, Hepatology and Nutrition, Pediatric Service, University Clinical Hospital of Santiago (CHUS), 15706 Santiago de Compostela, Spain.

Nutrients
|April 3, 2021
PubMed

Insights

Baby-led weaning (BLW) may influence infant weight gain, but current evidence is inconclusive. More research is needed to determine if BLW reduces obesity risk compared to traditional spoon-feeding methods.

Area of Science:

  • Pediatrics
  • Nutrition Science
  • Public Health

Background:

  • Childhood obesity is a growing pandemic, necessitating early intervention strategies.
  • The first 1000 days of life are critical for establishing healthy eating habits.
  • Baby-led weaning (BLW) is an emerging feeding method with potential health implications.

Purpose of the Study:

  • To compare infant weight gain between BLW and traditional spoon-feeding.
  • To assess the potential of BLW in reducing childhood obesity risk.

Main Methods:

  • Systematic review following PRISMA guidelines.
  • Searched major databases: Pubmed, Web of Science, Embase, and Cochrane Library.
  • Included eight studies with 2875 infants (2 RCTs, 6 observational).

Main Results:

  • Findings on BLW's effect on infant weight gain were indecisive.
  • Some studies suggested lower weight gain with BLW, while others were inconclusive.
  • Included studies had moderate to high risk of bias.

Conclusions:

  • Current evidence is insufficient to recommend BLW over spoon-feeding for obesity prevention.
  • Further high-quality clinical trials and prospective studies are required.
  • Optimal weaning practices for long-term health remain to be determined.

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