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[关于给母乳喂养婴儿添加固体食物的一项可疑指南]

[A questionable guideline on introduction of solid food to breast-fed infants].

作者信息

Børresen H C

机构信息

Klinisk kjemisk avdeling, Rikshospitalet, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1994 Oct 30;114(26):3087-9.

PMID:7974431
Abstract

In 1993, the Norwegian National Nutrition Council recommended that solid food be introduced to breast-fed infants gradually between the age of four and six months, and not later than six months. A critical appraisal of the literature reveals that the alleged inadequacy of the volume of breast milk after 4-6 months is an artifact caused by the inevitable fall of milk yield induced by supplementation and unnatural time scheduling of breast-feeding. The council has overlooked evidence showing that voluntary exclusive breast feeding on demand provides enough energy and nutrients to most infants for at least nine months. There is no documented need for iron-rich solid food before the age of 7-9 months. Mothers who wish to breast-feed exclusively after the age of six months should therefore be encouraged to do so. Solid food should not be emphatically recommended until the infant is nine months old.

摘要

1993年,挪威国家营养委员会建议,在4至6个月大时逐步给母乳喂养的婴儿添加固体食物,且不迟于6个月。对相关文献的批判性评估表明,所谓4至6个月后母乳量不足是一种假象,这是由添加辅食导致的母乳产量必然下降以及不自然的母乳喂养时间安排造成的。该委员会忽视了证据,即按需自愿纯母乳喂养至少九个月可为大多数婴儿提供足够的能量和营养。在7至9个月大之前,没有记录表明需要富含铁的固体食物。因此,应鼓励希望在6个月后纯母乳喂养的母亲这样做。在婴儿9个月大之前,不应大力推荐固体食物。

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