Can J Diet Pract Res. 2012 Winter;73(4):204. doi: 10.3148/73.4.2012.204.
This joint statement provides health professionals in Canada with evidence-informed principles and recommendations to promote communication of accurate, consistent advice to parents and caregivers on infant nutrition in the first six months. Participating organizations in the Infant Feeding Joint Work Group collaborated to revise guidance from 1998 and 2005. Development of this statement involved an extensive review of scientific evidence in peer-reviewed literature, with content guidance from the Infant Feeding Expert Advisory Group and broad stakeholder consultation. Updated guidance on nutrition from six months to two years will be available in early 2014. Each section of this joint statement includes recommendations, rationale and references, organized under seven principles. The first five principles and recommendations are: Breastfeeding is the normal and unequalled method of feeding infants. · Recommend exclusive breastfeeding for the first six months. Breastfeeding initiation and duration rates increase with active protection, support, and promotion. · Implement the policies and practices of the Baby-Friendly Initiative (BFI) for hospitals and community health services. Supplemental vitamin D is recommended for breastfed infants. · Recommend a daily vitamin D supplement of 10 µg (400 IU) for breastfed infants. First complementary foods should be iron-rich. · Recommend meat, meat alternatives, and iron-fortified cereal as an infant's first complementary foods. Routine growth monitoring is important to assess infant health and nutrition. · Use the World Health Organization (WHO) Growth Charts for Canada for optimal monitoring of infant growth. Additional recommendations are provided under the last two principles regarding unnecessary feeding changes (e.g., responding to infant gastrointestinal issues) and rare contraindications for breastfeeding (e.g., advising mothers with infections, using medications or illicit drugs). A separate section addresses recommendations on the use of breastmilk substitutes, including commercial infant formula choices, safe preparation and storage, and supervision of a feeding infant. The statement concludes with "in practice" guidance for talking to families about infant nutrition.
本联合声明为加拿大的健康专业人士提供了循证原则和建议，以便就婴儿出生后头六个月的营养问题向家长和照料者传达准确、一致的建议。婴儿喂养联合工作组的参与组织共同对1998年和2005年的指导意见进行了修订。本声明的制定涉及对同行评审文献中的科学证据进行广泛审查，并得到了婴儿喂养专家咨询小组的内容指导以及广泛的利益相关方磋商。关于六个月至两岁的营养更新指导意见将于2014年初发布。本联合声明的每个部分都包括建议、理由和参考文献，按照七条原则进行组织。前五项原则和建议如下：母乳喂养是喂养婴儿的正常且无与伦比的方式。·建议头六个月纯母乳喂养。积极的保护、支持和推广可提高母乳喂养的开始率和持续时间。·在医院和社区卫生服务中实施爱婴医院倡议（BFI）的政策和做法。建议母乳喂养的婴儿补充维生素D。·建议母乳喂养的婴儿每日补充10微克（400国际单位）维生素D。第一种辅食应富含铁。·建议将肉类、肉类替代品和铁强化谷物作为婴儿的第一种辅食。定期生长监测对于评估婴儿健康和营养状况很重要。·使用适用于加拿大的世界卫生组织（WHO）生长曲线图来最佳地监测婴儿生长。关于不必要的喂养变化（例如应对婴儿胃肠道问题）和母乳喂养的罕见禁忌证（例如建议感染、使用药物或非法药物的母亲）的另外两项原则下提供了更多建议。单独的一节讨论了关于母乳代用品使用的建议，包括商业婴儿配方奶粉的选择、安全制备和储存以及对喂养婴儿的监督。声明最后给出了与家庭谈论婴儿营养问题的“实际操作”指导。
