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多年来意大利在补充喂养方面的变化:最新进展。

What Has Changed over Years on Complementary Feeding in Italy: An Update.

机构信息

Residency School of Pediatrics, University of Bologna, 40138 Bologna, Italy.

Primary Care Pediatrician, 00183 Rome, Italy.

出版信息

Nutrients. 2023 Mar 4;15(5):1280. doi: 10.3390/nu15051280.

DOI:10.3390/nu15051280
PMID:36904279
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10004811/
Abstract

Current practice regarding complementary feeding (CF) is influenced by socio-cultural background. Our group already investigated the Italian approach to CF in the years 2015-2017. Our aim was to update those data by finding out: if the habits have changed nationwide, how the trends changed in each area, and if the differences between regions still exist. We devised and submitted to Italian primary care paediatricians (PCP) a questionnaire consisting of four items regarding the suggestions they gave to families about CF and compared the results to the ones from our previous survey. We collected 595 responses. Traditional weaning was the most recommended method, with a significant reduction compared to the period of 2015-2017 (41% vs. 60%); conversely, the proportion of PCP endorsing baby-led weaning (BLW) or traditional spoon-feeding with adult food tastings has increased, while the endorsement of commercial baby foods dropped. BLW is still more popular in the North and Centre compared to the South (24.9%, 22.3%, and 16.7%, respectively). The age to start CF and the habit of giving written information have not changed over time. Our results highlighted that Italian paediatricians encourage BLW and traditional CF with adult tastings more than in the past, at the expense of traditional spoon-feeding.

摘要

目前,补充喂养(CF)的实践受到社会文化背景的影响。我们的团队已经在 2015-2017 年期间调查了意大利的 CF 方法。我们的目的是通过了解以下方面来更新这些数据:习惯是否在全国范围内发生了变化,每个地区的趋势如何变化,以及地区之间是否仍然存在差异。我们设计并向意大利基层医疗儿科医生(PCP)提交了一份包含四个关于他们对 CF 建议的问题的问卷,并将结果与我们之前的调查进行了比较。我们共收集了 595 份回复。传统的断奶方法是最推荐的方法,与 2015-2017 年期间相比,这种方法的比例显著下降(41%对 60%);相反,支持婴儿主导喂养(BLW)或传统用勺子喂食并品尝成人食物的 PCP 的比例有所增加,而支持商业婴儿食品的比例有所下降。BLW 仍然在北方和中部比在南方更受欢迎(分别为 24.9%、22.3%和 16.7%)。开始 CF 的年龄和提供书面信息的习惯在时间上没有变化。我们的结果表明,意大利儿科医生比以往更鼓励 BLW 和传统的 CF 与成人品尝,而传统的勺子喂食则有所减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf39/10004811/14ef6003c382/nutrients-15-01280-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf39/10004811/14ef6003c382/nutrients-15-01280-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf39/10004811/14ef6003c382/nutrients-15-01280-g001.jpg

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本文引用的文献

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Starting complementary feeding with vegetables only increases vegetable acceptance at 9 months: a randomized controlled trial.仅用蔬菜作为起始辅食会增加 9 个月婴儿对蔬菜的接受度:一项随机对照试验。
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专业喂养指导提高了中国北京婴儿辅食添加期的自主进食比例:一项探索性研究。
Children (Basel). 2023 Oct 26;10(11):1740. doi: 10.3390/children10111740.
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Recommendations on Complementary Feeding as a Tool for Prevention of Non-Communicable Diseases (NCDs)-Paper Co-Drafted by the SIPPS, FIMP, SIDOHaD, and SINUPE Joint Working Group.补充喂养建议作为预防非传染性疾病(NCDs)的工具-由 SIPPS、FIMP、SIDOHaD 和 SINUPE 联合工作组共同起草的文件。
Nutrients. 2022 Jan 7;14(2):257. doi: 10.3390/nu14020257.
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Complementary Feeding in Italy: From Tradition to Innovation.意大利的辅食喂养:从传统到创新
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Baby-led weaning in Italy and potential implications for infant development.婴儿主导的离乳法在意大利的应用及其对婴儿发育的潜在影响。
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