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优化断奶策略:中东和北非地区基于共识的辅食喂养方法。

Optimizing Weaning Strategies: A Consensus-Based Approach for Complementary Feeding in the Middle East and North Africa Region.

作者信息

Indrio Flavia, El Beleidy Ahmed, Adel Ashraf, Al Enazi Badi, Bouziane Nedjadi Karim, Al Khalaf Hamad, Kamal Naglaa M, Ayesh Wafaa, El Gendy Yasmin Gamal Abdo, El Baroudy Eslam

机构信息

Department of Experimental Medicine Pediatric Section, University of Salento, Lecce, Italy.

Department of Pediatrics, University of Cairo (Cairo University Children's Hospital), Cairo, Egypt.

出版信息

Pediatr Gastroenterol Hepatol Nutr. 2025 Jul;28(4):201-214. doi: 10.5223/pghn.2025.28.4.201. Epub 2025 Jul 7.

DOI:10.5223/pghn.2025.28.4.201
PMID:40697765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12277859/
Abstract

Optimal nutrition during infancy and early childhood is crucial for promoting lifelong health and well-being. Complementary feeding is a crucial phase in the nutritional journey of growing babies, as their nutritional requirements begin to surpass those provided by breast milk at approximately 4-6 months of age. While a nutritional gap, notably iron deficiency, is prevalent in the Middle East and North Africa (MENA) region, optimal complementary feeding practices and fortified food items such as iron-fortified infant cereals can help bridge this gap and achieve nutritional targets. Healthcare professionals play a pivotal role in providing expert guidance and support to parents during this crucial stage of development. However, the MENA region, with its diverse populations and varied weaning practices in different cultures, lacks unified guidelines specific to the region. This consensus is intended to serve as a foundation for pediatricians and primary care physicians in the MENA region to advise parents and caregivers about optimal complementary feeding practices.

摘要

婴儿期和幼儿期的最佳营养对促进终身健康和幸福至关重要。辅食添加是成长中婴儿营养历程的关键阶段,因为大约在4至6个月大时,他们的营养需求开始超过母乳所能提供的量。虽然中东和北非(MENA)地区普遍存在营养缺口,尤其是缺铁现象,但最佳的辅食添加做法以及强化食品,如铁强化婴儿谷物,可以帮助弥补这一缺口并实现营养目标。在这一关键发育阶段,医疗保健专业人员在为家长提供专业指导和支持方面发挥着关键作用。然而,中东和北非地区人口多样,不同文化中的断奶做法各异,缺乏该地区特有的统一指南。本共识旨在为中东和北非地区的儿科医生和初级保健医生为家长和照顾者提供关于最佳辅食添加做法的建议奠定基础。

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本文引用的文献

1
Synthetic Colors in Food: A Warning for Children's Health.食品中的合成色素:儿童健康的警告。
Int J Environ Res Public Health. 2024 May 27;21(6):682. doi: 10.3390/ijerph21060682.
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Micronutrient Deficiency in Children and Adolescents with Obesity-A Narrative Review.肥胖儿童和青少年的微量营养素缺乏——一篇叙述性综述
Children (Basel). 2023 Apr 7;10(4):695. doi: 10.3390/children10040695.
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Main nutritional deficiencies.主要营养缺乏症。
J Prev Med Hyg. 2022 Oct 17;63(2 Suppl 3):E93-E101. doi: 10.15167/2421-4248/jpmh2022.63.2S3.2752. eCollection 2022 Jun.
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Iron Absorption: Factors, Limitations, and Improvement Methods.铁的吸收:影响因素、限制及改善方法。
ACS Omega. 2022 Jun 10;7(24):20441-20456. doi: 10.1021/acsomega.2c01833. eCollection 2022 Jun 21.
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Women's health: optimal nutrition throughout the lifecycle.女性健康:生命周期中的最佳营养。
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Total Usual Nutrient Intakes and Nutritional Status of United Arab Emirates Children (<4 Years): Findings from the Feeding Infants and Toddlers Study (FITS) 2021.阿拉伯联合酋长国4岁以下儿童的总常规营养素摄入量和营养状况:2021年婴幼儿喂养研究(FITS)的结果
Curr Dev Nutr. 2022 Apr 11;6(5):nzac080. doi: 10.1093/cdn/nzac080. eCollection 2022 May.
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Impact of Fortified Infant Cereals on the Burden of Iron Deficiency Anemia in 6- to 23-Month-Old Indonesian Infants and Young Children: A Health Economic Simulation Model.强化婴幼儿谷物对 6-23 月龄印度尼西亚婴幼儿缺铁性贫血负担的影响:健康经济模拟模型。
Int J Environ Res Public Health. 2022 Apr 29;19(9):5416. doi: 10.3390/ijerph19095416.
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Dietary Approaches to Iron Deficiency Prevention in Childhood-A Critical Public Health Issue.儿童缺铁预防的膳食方法——一个关键的公共卫生问题。
Nutrients. 2022 Apr 12;14(8):1604. doi: 10.3390/nu14081604.
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The role of sugar-sweetened beverages in the global epidemics of obesity and chronic diseases.含糖饮料在肥胖和慢性病全球流行中的作用。
Nat Rev Endocrinol. 2022 Apr;18(4):205-218. doi: 10.1038/s41574-021-00627-6. Epub 2022 Jan 21.