Netting Merryn J, Allen Katrina J
Healthy Mothers Babies and Children's Theme, South Australian Health Medical Research Institute, Adelaide, South Australia, Australia.
Discipline of Paediatrics, School of Medicine, University of Adelaide, Adelaide, South Australia, Australia.
J Paediatr Child Health. 2017 Sep;53(9):870-875. doi: 10.1111/jpc.13594. Epub 2017 Jun 12.
Early feeding plays an important role in programming the immune system, particularly the risk of food allergy. There are many infant feeding guides published for consumers available in Australia, with most based on the National Health and Medical Research Council (NHMRC) 2012 Infant Feeding Guidelines for Health Workers and the Australasian Society of Clinical Immunology and Allergy (ASCIA) Infant Feeding Advice for allergy prevention. We sought to compare allergy-specific content of infant feeding educational material written for parents with these two documents.
Australian websites of children's hospitals, early child health organisations and consumer groups providing information about diet during pregnancy, breastfeeding and early infancy were compared with NHMRC and ASCIA guidelines.
Twenty-five sets of infant feeding information were identified. Food allergy was discussed in 18 resources. Recommended length of exclusive breastfeeding and timing of commencing solid foods was consistently around 6 months, with some variation in wording. Advice regarding to include and not delay introduction of common allergens into babies' diets was generally consistent with NHMRC and ASCIA recommendations, however the audit identified some resources that still recommended delayed introduction of common allergens.
As consumers have access to a plethora of health information it is imperative that information about infant feeding from health-care authorities is simple, evidence-based and consistent to avoid confusion. Use of consensus wording related to infant feeding guidelines to prevent allergies will provide clear messages related to the timing of introduction to solid foods and inclusion of allergens in the early diet.
早期喂养在免疫系统编程中起着重要作用，尤其是在食物过敏风险方面。澳大利亚有许多面向消费者发布的婴儿喂养指南，其中大多数基于澳大利亚国家卫生与医学研究委员会（NHMRC）2012年发布的《卫生工作者婴儿喂养指南》以及澳大利亚临床免疫与过敏学会（ASCIA）发布的《预防过敏婴儿喂养建议》。我们试图将为家长编写的婴儿喂养教育材料中与过敏相关的内容与这两份文件进行比较。
将澳大利亚儿童医院、儿童早期健康组织以及提供孕期、母乳喂养和婴儿早期饮食信息的消费者团体的网站与NHMRC和ASCIA指南进行比较。
共识别出25套婴儿喂养信息。18份资料中讨论了食物过敏。纯母乳喂养的推荐时长和开始添加固体食物的时间一直约为6个月，措辞略有不同。关于在婴儿饮食中纳入常见过敏原且不延迟引入的建议总体上与NHMRC和ASCIA的建议一致，然而审核发现一些资料仍建议延迟引入常见过敏原。
由于消费者能够获取大量健康信息，医疗保健当局提供的有关婴儿喂养的信息必须简单、基于证据且一致，以避免混淆。使用与婴儿喂养指南相关的共识性措辞来预防过敏，将为引入固体食物的时间和在早期饮食中纳入过敏原提供明确信息。
