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Matern Child Nutr. reported that more BLW children were classified as significantly underweight, compared to spoon-fed children [24]. in a recent observational study on 1151 infants addressing the risk of choking and gagging. Background: AGREE II: advancing guideline development, reporting and evaluation in healthcare. A descriptive study investigating the use and nature of baby-led weaning in a UK sample of mothers. We also planned the pooling of results, with appropriate methods, if the same outcome was present in a sufficient number of not heterogeneous studies. PubMed  2013;3:e003946. Is baby-led weaning feasible? Does BLW improve family relationships during shared meals? How feasible is baby-led weaning as an approach to infant feeding? Cameron SL, Taylor RW, Heath AL. Morison BJ, Taylor RW, Haszard JJ, Schramm CJ, Williams Erickson L. FangupoLJ, et al. Google Scholar. BMJ. To the best of our knowledge, this is the first randomized -controlled study to have examined the impact of weaning method on iron intake, hematological parameters and growth in breast-fed infants. Global strategy on infant and young child feeding. Krebs NF, Sherlock LG, Westcott J, Culbertson D, Hambidge KM, Feazel LM, et al. Enferm Clin. reported that even though total energy intake was similar between a BLW and a traditional spoon-fed group of infants, BLW infants appeared to consume more total fat and saturated fat than traditional spoon-fed [31]. BMC Pediatr. A cross-sectional study of infants aged 6-8 months. Infants in the TSF were significantly heavier than those in the BLW group. Get the latest public health information from CDC: https://www.coronavirus.gov. Pooling of results from very different outcomes in the studies included was not possible. Baby-led weaning In this method, infants are encouraged to self-feed solid foods (non-pureed/whole) from the start. Privacy This may be due to the fact that the population group with higher education is more likely to have increased internet access, which is also one of the main information sources about BLW [25, 30]. PubMed Central  Google Scholar. 2016 May 6;6(5):e010665. The results of the study showed at least one episode of choking had occurred in 11.9% of the strict BLW group, in 15,5% of the loose BLW group and in 11.6% of the traditional weaning group, without significant differences among groups [26]. Fu X, Conlon CA, Haszard JJ, Beck KL, von Hurst PR, Taylor RW, Heath AM. Matern Child Nutr. Model chapter for textbooks for medical students and allied health professionals. Brouwers M, Kho ME, Browman GP, Cluzeau F, Feder G, Fervers B, et al. Concerning the method of recruitment, most studies recruited via internet sites, that can represent a selection bias [41]. BLW may also be defined as auto-weaning, which means offering chopped and minced family meals to the infants [10]. inadequate energy intake and choking risk, there are very few data on the role of the paediatrician’s support on this practice. Caroli M, Mele RM, Tomaselli MA, Cammisa M, Longo F, Attolini E. Complementary feeding patterns in Europe with a special focus on Italy. 2011;7:34–47. found no differences in food preferences between BLW and traditional weaned infants [31]. BMJ Open. It is a crucial time in an infant’s life as not only does it involve with a great deal of rapid change for the child, but it is also associated with the development of food preferences, eating behaviours and body weight in childhood and also in adolescence and adulthood. on behalf of the Italian Society of Pediatrics, http://www.who.int/nutrition/publications/infantfeeding/9241562218/en/, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s13052-018-0487-8. As regards the major concerns about the BLW approach, e.g. Article  Up to now, this issue has been formally addressed in the BLISS study by Cameron et al. Which effects has the BLW approach on satiety-responsiveness and weight? Springer Nature. In particular, they should be given advice on how to prepare foods in such a way they result safe, healthy and nutritious. Epub 2018 Aug 2. J Pediatr Gastroenterol Nutr. Nutrients. Noteworthy, none of the eight infants for whom diet record data were available were able to achieve the WHO recommendation for iron intake from complementary foods. The authors declare that they have no competing interests. Even with the above mentioned limitations, the BLISS Study suggests that this kind of approach, employing resources and methods to educate participants, may be suitable to be tested in further randomized controlled trials. Does BLW have positive effects on mother anxiety and attitude towards complementary feeding? AMS: participated in the design of the study and coordination. Experiences of baby-led weaning: trust, control and renegotiation. Curr Nutr Rep. 2017;6:148. Our inclusion criteria, with respect to the predefined aims of the review, were: evidence-based guidelines, systematic reviews, randomized controlled trials, controlled clinical trials and observational studies that compared outcomes related to growth and development, energy, macro- and micronutrient intake and feeding attitudes in children and families that are following BLW approach or standard/traditional complementary feeding; outcomes related to the impact of different weaning styles on mothers feelings and attitudes about their children are considered. 2004;59:93–104. Furthermore, most easily graspable foods, such as fruits and vapour cooked vegetables, which are the most commonly introduced during BLW, are known to be generally low in iron [25, 33].

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