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传统辅食喂养法还是自主进食法(婴儿主导断乳法)?——一项关于波兰婴儿辅食喂养的横断面研究

Traditional complementary feeding or BLW (Baby Led Weaning) method? - A cross-sectional study of Polish infants during complementary feeding.

作者信息

Białek-Dratwa Agnieszka, Kowalski Oskar, Szczepańska Elżbieta

机构信息

Department of Human Nutrition, Department of Dietetics, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Zabrze, Poland.

出版信息

Front Pediatr. 2022 Oct 21;10:992244. doi: 10.3389/fped.2022.992244. eCollection 2022.

Abstract

UNLABELLED

Baby-led weaning (BLW) is an increasingly well-known method of complementary feeding for infants. The BLW method is based on the fact that the baby becomes physically ready to eat on its own and can henceforth effectively supplement its diet, which was previously based on breast milk or formula milk. The aim of the study was to compare complementary feeding among mothers using and not using the BLW method. The study took into account, among other things, the frequency of spoon feeding, eating from the family table, and eating meals with a pulpy consistency. The study also determined the frequency of the risk of choking/gagging, food regurgitation or the occurrence of vomiting during a meal in the study groups. Material and method: a cross-sectional survey was conducted among mothers of children from 6 months to 36 months of age residing throughout Poland.

RESULTS

The study group was divided into three subgroups: mothers using BLW (M-BLW), mothers not familiar with the BLW method (M-NoBLW)), mothers not using the BLW method - mothers using the spoon-feeding method) (M-TS). Among the mothers surveyed, 413 women (63.93%) used the BLW method, 222 mothers (34.36%) did not use the BLW method of which 50 (7.73%) of these were unfamiliar with the method, and 172 (26.62%) simply did not use it. Among M-TS mothers, the child was most often entirely or mostly spoon-fed by an adult (73.84%), and the same was true for the M-NoBLW group (70.0%). In the M-BLW group, 58.60% of children were half-fed by an adult with a spoon. half ate independently.

CONCLUSIONS

Infants fed by the BLW method were more likely to have their diets expanded after 6 months of age, they were also more likely to be given products from the family table than children fed traditionally with a spoon. Full BLW was implemented by only 29% of children in the BLW group. The vomiting reflex, spitting food out of the mouth, and gagging, were more common among children fed by the BLW method. In contrast, choking occurred comparably often in both groups - in 5.4% of spoon-fed children and 6.9% of BLW-fed children.

摘要

未标注

婴儿主导式辅食添加(BLW)是一种越来越为人所知的婴儿辅食喂养方法。BLW方法基于这样一个事实,即婴儿在身体上已准备好自行进食,此后能够有效地补充其之前以母乳或配方奶为主的饮食。本研究的目的是比较采用和未采用BLW方法的母亲之间的辅食喂养情况。该研究除其他因素外,还考虑了用勺子喂食的频率、在家庭餐桌上进食以及进食糊状食物的频率。该研究还确定了研究组中进餐期间窒息/噎食风险、食物反流或呕吐发生的频率。材料与方法:对居住在波兰各地、孩子年龄在6个月至36个月之间的母亲进行了一项横断面调查。

结果

研究组分为三个亚组:采用BLW方法的母亲(M - BLW)、不熟悉BLW方法的母亲(M - NoBLW)、未采用BLW方法(采用勺子喂养方法的母亲)(M - TS)。在接受调查的母亲中,413名女性(63.93%)采用了BLW方法,222名母亲(34.36%)未采用BLW方法,其中50名(7.73%)不熟悉该方法,172名(26.62%)只是未采用该方法。在M - TS组母亲中,孩子最常由成人完全或大部分用勺子喂食(73.84%),M - NoBLW组情况相同(70.0%)。在M - BLW组中,58.60%的孩子由成人用勺子喂一半,一半独立进食。

结论

采用BLW方法喂养的婴儿在6个月龄后饮食更有可能得到拓展,与传统用勺子喂养的孩子相比,他们也更有可能被给予家庭餐桌上的食物。BLW组中只有29%的孩子完全采用BLW方法。呕吐反射、将食物吐出嘴外和噎食在采用BLW方法喂养的孩子中更为常见。相比之下,两组中窒息发生的频率相当——勺子喂养的孩子中有5.4%,BLW喂养的孩子中有6.9%。

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