Vázquez Belén, Barrow Michelle, Neil James, Seidler Karin
The Centre for Nutritional Education and Lifestyle Management (CNELM) and Middlesex University, Berkshire, PO Box 3739, Wokingham, RG40 9UA, United Kingdom.
Heliyon. 2024 Dec 28;11(1):e41562. doi: 10.1016/j.heliyon.2024.e41562. eCollection 2025 Jan 15.
This study aimed to explore the extent and impact of maternal dietary change for colic relief in a cohort of breastfeeding women.
A mixed-method non-sequential approach was devised, including a web-based survey (n = 66) and three semi-structured interviews.
Most women (70 %) changed their diet while breastfeeding a baby with colic and perceived a positive impact on their babies (63 %). The choice of foods eliminated was individual, based on a process of trial and error and on the perceived benefit to the baby. A sub-group of colicky babies, those with less intense colic symptoms, benefited significantly from the removal of cruciferous vegetables (p = 0.01) and were found to be 'less windy' (p = 0.10, ES0,20), a result trending towards statistical significance. Women felt unsupported while making changes to their diet. When dietary change brought relief to the baby, it turned into a coping tool for women facilitating extended breastfeeding.
Maternal dietary change can play a positive role in providing relief to breastfed babies with colic. Novel findings from this study revealed that different baby subtypes got relief from the elimination of different foods. This underscores the potential of personalised nutritional advice for colic relief in breastfed babies.
本研究旨在探讨母乳喂养女性群体中，母亲饮食改变对缓解婴儿腹绞痛的程度及影响。
设计了一种混合方法非序列研究方法，包括一项基于网络的调查（n = 66）和三次半结构化访谈。
大多数女性（70%）在母乳喂养腹绞痛婴儿时改变了饮食，并认为对婴儿有积极影响（63%）。排除的食物选择因人而异，基于反复试验过程以及对婴儿的预期益处。一小部分腹绞痛婴儿，即腹绞痛症状较轻的婴儿，从去除十字花科蔬菜中显著受益（p = 0.01），且被发现“肠胃气较少”（p = 0.10，ES0.20），这一结果有统计学意义的趋势。女性在改变饮食时感到缺乏支持。当饮食改变使婴儿症状缓解时，这成为女性延长母乳喂养的一种应对手段。
母亲的饮食改变对缓解母乳喂养腹绞痛婴儿的症状可起到积极作用。本研究的新发现表明，不同类型的婴儿通过排除不同食物得到缓解。这凸显了个性化营养建议对缓解母乳喂养婴儿腹绞痛的潜力。
