Neves Renata Oliveira, Nunes Leandro Meirelles, Silveira Larissa de Oliveira, Lima Marcela Reckziegel, Moreira Paula Ruffoni, Bernardi Juliana Rombaldi
Programa de Postgrado en Salud Infantil y Adolescente, Facultad de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Río Grande del Sur, Brazil.
Departamento de Pediatría, Programa de Postgrado en Salud Infantil y Adolescente, Facultad de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Río Grande del Sur, Brazil.
An Pediatr (Engl Ed). 2023 Apr;98(4):267-275. doi: 10.1016/j.anpede.2023.01.011. Epub 2023 Mar 13.
The aim of the study was to investigate the impact of different complementary feeding methods on the prevalence of functional constipation symptoms in infants at 12 months of age.
Randomized clinical trial in mother-infant dyads that underwent the intervention at 5.5 months post birth, randomly allocated to one of three complementary food introduction methods: PLW (parent-led weaning), Baby-led Introduction to SolidS (BLISS) and a mixed approach. The symptoms of constipation were assessed at 12 months with an online questionnaire based on the Rome IV diagnostic criteria and adapted to our sample. The data were summarised as absolute frequencies and percentages and compared by means of the χ test. The project was approved by the ethics committee of the Hospital de Clínicas de Porto Alegre under number 2019-0230.
We analysed data corresponding to 135 infants, 45 allocated to PLW, 48 to BLISS and 42 to the mixed approach. The prevalence of constipation symptoms was 49.6% in the overall sample (n = 67), 60% (n = 27) in the PLW group, 47.9% (n = 23) in the BLISS group and 40.5% (n = 17) in the mixed approach group. We found no association between functional constipation symptoms and the method used to introduce complementary foods (P = .183).
The prevalence of functional constipation symptoms was high in the study population. The presence of constipation symptoms was not associated with the complementary feeding approach.
