Instituto de Desarrollo e Investigaciones Pediátricas Prof. Dr. Fernando E Viteri, Hospital de Niños Sor María Ludovica, La Plata, Argentina.
Grupo Pediátrico Belgrano R, Ciudad Autónoma de Buenos Aires, Argentina.
Arch Argent Pediatr. 2021 Dec;119(6):e582-e588. doi: 10.5546/aap.2021.eng.e582.
Breast milk is the ideal food for infants and its benefits can be observed in the short and long term. In crisis situations, breastfeeding should be promoted the most because it is one of the most cost-effective interventions aimed at reducing infant morbidity and mortality. In addition to the multiple advantages of breast milk in the mother-child bond and biological and immune properties, the most relevant characteristic of breast milk is that it covers all nutritional needs. When breastfeeding is not possible, the World Health Organization recommends infant formula as the first option. The second option is diluted cow's milk, which entails the risk for nutritional deficiency that should be strictly monitored and timely resolved. When infants are fed with diluted cow's milk, they are mainly at risk for iron, zinc, vitamin A, D, C, and E, amino acid and essential fatty acid deficiency.
母乳是婴儿的理想食物,其益处可在短期和长期观察到。在危机情况下,应最优先促进母乳喂养,因为这是降低婴儿发病率和死亡率的最具成本效益的干预措施之一。除了母乳在母婴关系以及生物和免疫特性方面的多种优势外,母乳最相关的特征是它涵盖了所有营养需求。当无法进行母乳喂养时,世界卫生组织建议首选婴儿配方奶粉。其次是稀释牛奶,这存在营养缺乏的风险,应严格监测并及时解决。当婴儿喂食稀释牛奶时,他们主要面临铁、锌、维生素 A、D、C 和 E、氨基酸和必需脂肪酸缺乏的风险。