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Complementary feeding introduction methods and pediatric feeding disorder in the first year of life: a randomized
Letícia Cristine Welke1, Adriela Azevedo Souza Mariath2, Juliana Rombaldi Bernardi3,4
1Curso de Graduação em Fonoaudiologia, Faculdade de Odontologia, Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil.
Insights
The method of introducing complementary feeding (CF) did not influence the occurrence of pediatric feeding disorders (PFD) in infants. This study found no significant differences in PFD rates across traditional, Baby-Led Introduction to Solids (BLISS), or mixed CF methods.
Area of Science:
- Pediatric Nutrition
- Infant Development
- Clinical Trials
Background:
- Complementary feeding (CF) introduction timing and methods are crucial for infant development.
- Pediatric feeding disorders (PFD) can impact a child's health and well-being.
- Understanding the relationship between CF methods and PFD is essential for early intervention.
Purpose of the Study:
- To determine if the method of complementary feeding (CF) introduction is associated with pediatric feeding disorders (PFD).
- To investigate PFD development in infants during the first year of life based on different CF approaches.
Main Methods:
- A randomized clinical trial involving 128 mother-child pairs.
- Intervention groups received traditional, Baby-Led Introduction to Solids (BLISS), or mixed CF methods starting at 5.5 months.
- Pediatric feeding disorders (PFD) were screened at 12 months using the Brazilian Child Feeding Scale (EBAI).
Main Results:
- Pediatric feeding disorders (PFD) were identified in 12.5% of infants across all groups.
- The prevalence of PFD was 3.9% for the traditional method, 7% for BLISS, and 1.6% for the mixed method.
- No statistically significant differences in PFD were observed between the different complementary feeding (CF) methods.
Conclusions:
- The method used for complementary feeding (CF) introduction did not significantly influence the development of pediatric feeding disorders (PFD).
- Infant feeding practices, regardless of method, showed generally adequate and favorable responses in the study sample.
Purpose:
To investigate whether the method of introducing complementary feeding (CF) is related to pediatric feeding disorders (PFD) in the first year of life.
Methods:
Clinical trial with 128 mother-child pairs randomized into intervention groups by CF methods: traditional, Baby-Led Introduction to Solids (BLISS), or mixed. The intervention was carried out at the infants' 5 and a half months of age in an experimental kitchen with meals prepared according to the randomized method. Follow-up was conducted at their 7 and 9 months of age. At 12 months, the Brazilian Child Feeding Scale (EBAI) was applied to screen for PFD. This study was registered in the Brazilian Clinical Trials Registry (ReBEC).
Results:
PFD was present in 16 (12.5%) children: 5 (3.9%) from the traditional method (3 with mild PFD and 2 with severe PFD), 9 (7%) from the BLISS method (5 with mild PFD, 2 with moderate PFD, and 2 with severe PFD), and 2 (1.6%) from the mixed method (both with mild PFD). In the analysis of the 14 EBAI questions, the responses tended towards the adequate and/or favorable aspects across all CF methods, with no statistically significant differences.
Conclusion:
PFD was not influenced by the CF method in the study sample.
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