Anderson Joy, Malley Kathryn, Snell Robynne
Breastfeed Rev. 2009 Jul;17(2):23-31.
Health professionals advising mothers on the introduction of solid foods to infants need evidence-based guidelines. A literature review on this topic was undertaken to examine the current international recommendations of expert bodies and evidence-based research published since 2003. Particular reference in this review is made to the timing of introducing food allergens and the risk of development of allergy in the child. Recommendations in developed countries of reducing this risk by avoidance of allergenic foods until the child is of varying ages past 6 months have been challenged by recent population studies. Where the risk of allergy is a key consideration, currently-available research suggests that introducing solids at 4-6 months may result in the lowest allergy risk. When all aspects of health are taken into account, the recommended duration of exclusive breastfeeding and age of introduction of solids were confirmed to be 6 months, but no later.
为母亲们提供婴儿辅食添加建议的健康专业人士需要基于证据的指导方针。针对这一主题进行了文献综述,以研究专家机构当前的国际建议以及2003年以来发表的基于证据的研究。本综述特别提及了引入食物过敏原的时机以及儿童发生过敏的风险。发达国家建议在儿童6个月以上的不同年龄段之前避免食用致敏食物以降低这种风险,但最近的人群研究对此提出了质疑。在过敏风险是关键考虑因素的情况下,目前可得的研究表明,在4至6个月时引入固体食物可能导致最低的过敏风险。当考虑到健康的各个方面时,纯母乳喂养的推荐持续时间和引入固体食物的年龄被确认为6个月,但不宜更晚。