Axelsson I, Gebre-Medhin M, Hernell O, Jakobsonn I, Michaelsen K F, Samuelson G
Barn- och ungdomscentrum, Universitetssjukhuset MAS, Malmö.
Lakartidningen. 1999 May 5;96(18):2206-8.
Breast-feeding is to be encouraged during the first six months of life. Iron deficiency is extremely rare in exclusively breast-fed infants during this period. Any cow-milk based formula used should be iron-fortified. During the second half of infancy, the iron content of weaning foods is important in preventing iron deficiency. Indeed, owing to the low iron content of dairy products, it is hard to compose a weaning diet sufficiently rich in iron to meet the demands of rapidly growing infants, if it is to include substantial amounts of cow milk, sour milk or yoghurt. Accordingly, the Paediatric Committee on Nutrition and Health, of the Swedish Paediatric Association and the National Food Administration, recommend delaying the introduction of cow's milk and cow-milk products until the infant is 10-12 months of age. Until then, breast-feeding, and the use of iron-fortified formula or gruel with modified protein and sodium content are encouraged; iron-fortified porridges of softer consistency can be prepared to circumvent the need of extra fluids, or porridge can be served with breast milk or iron-fortified formula; small amounts of milk may be used for cooking purposes.
出生后的前六个月应鼓励母乳喂养。在此期间,纯母乳喂养的婴儿极少出现缺铁情况。任何使用的以牛奶为基础的配方奶粉都应强化铁。在婴儿期的后半段,断奶食品的铁含量对于预防缺铁至关重要。实际上,由于乳制品中铁含量较低,如果断奶饮食中包含大量牛奶、酸奶或酸牛奶,就很难调配出铁含量足够丰富以满足快速生长婴儿需求的断奶饮食。因此,瑞典儿科学会和国家食品管理局的儿童营养与健康委员会建议,将牛奶及奶制品的引入推迟至婴儿10至12个月大。在此之前,鼓励母乳喂养,以及使用铁强化配方奶粉或蛋白质和钠含量经过调整的稀粥;可以准备质地较软的铁强化粥以避免额外补充液体的需求,或者粥可以与母乳或铁强化配方奶粉一起食用;少量牛奶可用于烹饪。