Lecture 14-Complementary feeding -Baby led weaning

Question 1

what is the traditional approach for complementary feeding

Answer 1

parent led approach

Question 2

what are the texture recommendations from Ministry of Health with the parent led approach

Answer 2

• pureed (6-7 months)
• mashed (7-8 months)
• finger foods (7-8 months)
• chopped (8-12 months)
• family foods (>12 months)

Question 3

what is the not “new” but increasing popular approach

Answer 3

baby led weaning approach

Question 4

what is cut out of baby led weaning

Answer 4

texture progression is cut out, they are essentially fed family foods but the appropriate texture for infants

Question 5

does New Zealand currently recommend the baby led weaning approach

Answer 5

currently they do not recommend the baby led weaning, however they need more evidence

Question 6

key features of baby led weaning

Answer 6

• 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

Question 7

what are the potential risks of baby led weaning

Answer 7

• iron deficiency
• zinc deficiency
• growth faltering
• choking
• inadequate energy intake

Question 8

what are the potential benefits to baby led weaning

Answer 8

• energy self regulation
• lower risk of obesity
• better diet quality
• motor development : having to use those coordination patterns to feed themselves

Question 9

what are nutrients that are risks for baby led infants that they could be low in

Answer 9

iron

zinc

vitamin B12

Question 10

what is the study objective of the BLISS study

Answer 10

if baby led weaning can prevent the development of overweight in infants and toddlers without detrimental effects on their iron status

Question 11

what was the difference between the BLISS group and control group in the BLISS study

Answer 11

bliss group got a lot of different resources throughout the study

Question 12

Baby Led weaning modified to address concerns about:

Answer 12

-Growth faltering
-Iron deficiency
-Choking

Question 13

what two types of foods should be offered at each meal time

Answer 13

• high iron foods
• high energy foods

Question 14

did the BLISS study demonstrate propose concerns regarding growth faltering

Answer 14

no concerns with growth faltering

Question 15

did the BLISS study demonstrate proposed concerns regarding iron deficiency

Answer 15

no difference in iron intake or iron status

Question 16

does BLISS demonstrate proposed concerns regarding choking

Answer 16

no difference in risk of choking

Question 17

does the BLISS demonstrate other positive outcomes that may benefit infants

Answer 17

BMI and enjoyment

Question 18

Summary bliss does not increase concerns proposed:

Answer 18

Iron deficiency, growth faltering or choking

Question 19

Summary bliss appears to result in some positive outcomes

Answer 19

Lowering food fussiness and greater enjoyment of food

Question 20

BLISS RCT was not

Answer 20

Standard BLW=modified

Question 21

the first foods new zealand study show baby led weaning impacting growth

Answer 21

energy intake differs but no difference in growth

Question 22

Does BLW in the community increase the risk of iron deficiency?

Answer 22

No difference in iron status

Question 23

Is there an increased risk of chocking with BLW in the community?

Answer 23

Results to come!

Question 24

if a parent chooses to practice bay led weaning they should follow these guidelines ..

Answer 24

• 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