Department of Human Nutrition, University of Otago, Dunedin 9054, New Zealand.
Nutrients. 2012 Nov 2;4(11):1575-609. doi: 10.3390/nu4111575.
Baby-Led Weaning (BLW) is an alternative method for introducing complementary foods to infants in which the infant feeds themselves hand-held foods instead of being spoon-fed by an adult. The BLW infant also shares family food and mealtimes and is offered milk (ideally breast milk) on demand until they self-wean. Anecdotal evidence suggests that many parents are choosing this method instead of conventional spoon-feeding of purées. Observational studies suggest that BLW may encourage improved eating patterns and lead to a healthier body weight, although it is not yet clear whether these associations are causal. This review evaluates the literature with respect to the prerequisites for BLW, which we have defined as beginning complementary foods at six months (for safety reasons), and exclusive breastfeeding to six months (to align with WHO infant feeding guidelines); the gross and oral motor skills required for successful and safe self-feeding of whole foods from six months; and the practicalities of family meals and continued breastfeeding on demand. Baby-Led Weaning will not suit all infants and families, but it is probably achievable for most. However, ultimately, the feasibility of BLW as an approach to infant feeding can only be determined in a randomized controlled trial. Given the popularity of BLW amongst parents, such a study is urgently needed.
婴儿主导的离乳（BLW）是一种向婴儿引入补充食物的替代方法，在这种方法中，婴儿自己用手喂食固体食物，而不是由成人用勺子喂食。BLW 婴儿还与家人一起分享食物和用餐时间，并按需提供牛奶（理想情况下是母乳），直到他们自行离乳。一些传闻证据表明，许多父母选择这种方法而不是传统的泥状食物喂养。观察性研究表明，BLW 可能鼓励改善的饮食习惯，并导致更健康的体重，尽管目前尚不清楚这些关联是否具有因果关系。本综述评估了有关 BLW 的文献，我们将 BLW 的前提定义为在六个月时开始添加补充食物（出于安全原因），并在六个月时进行纯母乳喂养（与世界卫生组织婴儿喂养指南一致）；六个月时成功和安全地用整个食物进行自我喂养所需的粗大和口腔运动技能；以及家庭用餐和按需继续母乳喂养的实际情况。BLW 不一定适合所有婴儿和家庭，但对于大多数婴儿来说，这可能是可行的。然而，最终，BLW 作为一种婴儿喂养方法的可行性只能在随机对照试验中确定。鉴于 BLW 在父母中的流行程度，迫切需要进行这样的研究。
