Alvisi Patrizia, Brusa Sandra, Alboresi Stefano, Amarri Sergio, Bottau Paolo, Cavagni Giovanni, Corradini Barbara, Landi Linda, Loroni Leonardo, Marani Miris, Osti Irene M, Povesi-Dascola Carlotta, Caffarelli Carlo, Valeriani Luca, Agostoni Carlo
Department of Paediatrics, Ospedale Maggiore, Azienda USL, Bologna, Italy.
Department of Paediatrics and Neonatology, Ospedale di Imola, Azienda USL, Imola, Italy.
Ital J Pediatr. 2015 Apr 28;41:36. doi: 10.1186/s13052-015-0143-5.
Weaning (or introduction of complementary feeding) is a special and important moment in the growth of a child, both for the family and the infant itself, and it can play a major role in the child's future health. Throughout the years, various weaning modes have come in succession, the latest being baby-led weaning; the timing for introducing foods and the requirements of which sort of nutrient for weaning have also changed over time. Furthermore, the role played by nutrition, especially in the early stages of life, for the onset of later non-communicable disorders, such as diabetes, obesity or coeliac disease has also been increasingly highlighted.Members of Italian Society of Gastroenterology, Hepathology and Pediatric Nutrition (SIGENP) and the Italian Society of Allergology and Pediatric Immunology (SIAIP) Emilia Romagna here propose a practical approach for pediatricians to deal with daily practice. The four main areas for discussion were weaning in relation with the onset of allergic diseases, coeliac disease, diabetes and metabolic syndrome, the nutrition requirements to take into account for assessing the diet of infants under one year of age and about the practice of baby-led weaning focusing on limits and benefits, respectively.
断奶(或引入辅食)对孩子成长来说,对家庭和婴儿自身而言都是一个特殊且重要的阶段,它对孩子未来的健康有着重要作用。多年来,各种断奶模式相继出现,最新的是自主进食断奶法;引入食物的时机以及断奶所需营养素的要求也随时间而变化。此外,营养的作用,尤其是在生命早期,对诸如糖尿病、肥胖症或乳糜泻等后期非传染性疾病发病的影响也日益受到关注。意大利胃肠病学、肝病学和儿科营养学会(SIGENP)以及意大利艾米利亚 - 罗马涅地区变态反应学和儿科免疫学学会(SIAIP)的成员在此为儿科医生提供了一种应对日常实践的实用方法。讨论的四个主要领域分别是与过敏性疾病、乳糜泻、糖尿病和代谢综合征发病相关的断奶问题、评估一岁以下婴儿饮食时需考虑的营养需求以及聚焦自主进食断奶法的局限性和益处的实践。