Lecture 14-Complementary feeding -Baby led weaning Flashcards
Complementary feeding -Baby led weaning
what is the traditional approach for complementary feeding
parent led approach
what are the texture recommendations from Ministry of Health with the parent led approach
- pureed (6-7 months)
- mashed (7-8 months)
- finger foods (7-8 months)
- chopped (8-12 months)
- family foods (>12 months)
what is the not “new” but increasing popular approach
baby led weaning approach
what is cut out of baby led weaning
texture progression is cut out, they are essentially fed family foods but the appropriate texture for infants
does New Zealand currently recommend the baby led weaning approach
currently they do not recommend the baby led weaning, however they need more evidence
key features of baby led weaning
- baby led = self feeding
- family foods
- mealtimes = family sits together, really important learning behaviour and how to eat following parents
- milk feeding = milk feeds continue on demand
what are the potential risks of baby led weaning
- iron deficiency
- zinc deficiency
- growth faltering
- choking
- inadequate energy intake
what are the potential benefits to baby led weaning
- energy self regulation
- lower risk of obesity
- better diet quality
- motor development : having to use those coordination patterns to feed themselves
what are nutrients that are risks for baby led infants that they could be low in
iron
zinc
vitamin B12
what is the study objective of the BLISS study
if baby led weaning can prevent the development of overweight in infants and toddlers without detrimental effects on their iron status
what was the difference between the BLISS group and control group in the BLISS study
bliss group got a lot of different resources throughout the study
Baby Led weaning modified to address concerns about:
-Growth faltering
-Iron deficiency
-Choking
what two types of foods should be offered at each meal time
- high iron foods
- high energy foods
did the BLISS study demonstrate propose concerns regarding growth faltering
no concerns with growth faltering
did the BLISS study demonstrate proposed concerns regarding iron deficiency
no difference in iron intake or iron status
does BLISS demonstrate proposed concerns regarding choking
no difference in risk of choking
does the BLISS demonstrate other positive outcomes that may benefit infants
BMI and enjoyment
Summary bliss does not increase concerns proposed:
Iron deficiency, growth faltering or choking
Summary bliss appears to result in some positive outcomes
Lowering food fussiness and greater enjoyment of food
BLISS RCT was not
Standard BLW=modified
the first foods new zealand study show baby led weaning impacting growth
energy intake differs but no difference in growth
Does BLW in the community increase the risk of iron deficiency?
No difference in iron status
Is there an increased risk of chocking with BLW in the community?
Results to come!
if a parent chooses to practice bay led weaning they should follow these guidelines ..
- the baby should be able to sit unassisted, pick up food and bring it to their mouth
- foods offered in the first month or two complementary feeding should be soft and able to be squashed on the roof
- follow the advice to reduce risk of choking
- offer iron rich foods daily