Romero-Velarde Enrique, Villalpando-Carrión Salvador, Pérez-Lizaur Ana Berta, Iracheta-Gerez Ma de la Luz, Alonso-Rivera Carlos Gilberto, López-Navarrete Gloria Elena, García-Contreras Andrea, Ochoa-Ortiz Erika, Zarate-Mondragón Flora, López-Pérez Gerardo Tiburcio, Chávez-Palencia Clío, Guajardo-Jáquez Manuel, Vázquez-Ortiz Salvador, Pinzón-Navarro Beatriz Adriana, Torres-Duarte Karely Noemy, Vidal-Guzmán José Domingo, Michel-Gómez Pedro Luis, López-Contreras Iris Nallely, Arroyo-Cruz Liliana Verenice, Almada-Velasco Pamela, Saltigeral-Simental Patricia, Ríos-Aguirre Alejandro, Domínguez-Pineda Lorena, Rodríguez-González Perla, Crabtree-Ramírez Úrsula, Hernández-Rosiles Vanessa, Pinacho-Velázquez José Luis
Instituto de Nutrición Humana, Universidad de Guadalajara, Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, México.
Hospital Infantil de México Federico Gómez, Ciudad de México, México.
Bol Med Hosp Infant Mex. 2016 Sep-Oct;73(5):338-356. doi: 10.1016/j.bmhimx.2016.06.007. Epub 2016 Sep 23.
A proper nutrition during the first two years of life is critical to reach the full potential of every human being; now, this period is recognized as a critical window for promoting optimal growth, development, and good health. Therefore, adequate feeding at this stage of life has an impact on health, nutritional status, growth and development of children; not only in the short term, but in the medium and long term. This paper provides recommendations on complementary feeding (CF) presented as questions or statements that are important for those who take care for children during this stage of life. For example: When to start complementary feedings: 4 or 6 months of age?; Exposure to potentially allergenic foods; Introduction of sweetened beverages; Use of artificial sweeteners and light products; Food introduction sequence; Food consistency changes according to neurological maturation; Number of days to test acceptance and tolerance to new foods; Amounts for each meal; Inadequate complementary feeding practices; Myths and realities of complementary feeding; Developmental milestones; Practice of "Baby Led Weaning" and practice of vegetarianism.
生命的头两年提供适当营养对于充分发挥每个人的潜力至关重要；现在，这一时期被认为是促进最佳生长、发育和良好健康的关键窗口期。因此，生命这个阶段的充足喂养对儿童的健康、营养状况、生长和发育都有影响；不仅在短期，而且在中长期。本文就辅食添加（CF）提出了一些建议，这些建议以问题或陈述的形式呈现，对在生命这个阶段照顾儿童的人来说很重要。例如：何时开始添加辅食：4个月还是6个月？；接触潜在致敏食物；引入甜味饮料；使用人工甜味剂和清淡产品；食物引入顺序；根据神经成熟度改变食物稠度；测试对新食物接受度和耐受性的天数；每餐的量；不适当的辅食添加做法；辅食添加的误区与事实；发育里程碑；“婴儿主导断奶”做法和素食主义做法。
