Complementary feeding practices in preterm infants: an observational study in a cohort of Italian infants

Journal of Pediatric Gastroenterology and Nutrition
Silvia FanaroVittorio Vigi

Abstract

There are no evidence-based guidelines for weaning preterm infants, and the timing of weaning and the diet offered tend to reflect tradition and marketing rather than medical advice. In a survey of complementary feeding practices in preterm infants conducted at the University Hospital of Ferrara, Italy, we evaluated the effect of sex, gestational age (GA), birth weight (BW), and milk feeding, and of the mother's age, education, and professional status, on weaning. Complete data were available for 156 infants. Solid food was introduced, on average, 22.2 weeks after birth and 15.1 weeks after term; 6.5% of infants (considering chronological age) and 60.9% (considering corrected age) were weaned before 4 months; 18% of infants weighed <5 kg at weaning (most had low GA and BW). Among maternal factors, only age significantly influenced the weaning schedule. Milk feeding did not affect initiation of weaning; however, formula-fed infants, most of whom had lower GA and BW, were lighter and younger (from term) than were their counterparts. The first solid food was mashed fruit in 46.8% of cases. Meat and gluten were offered 5 and 7 weeks (average) after the initiation of weaning. A matter of concern emerging from our study is that in al...Continue Reading

References

May 16, 1998·The American Journal of Clinical Nutrition·C Garza, E A Frongillo
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Jun 24, 2003·Archives of Disease in Childhood. Fetal and Neonatal Edition·M S FewtrellJ B Morgan
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Dec 1, 2007·Journal of Pediatric Gastroenterology and Nutrition·Silvia Fanaro, Vittorio Vigi

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Citations

Jan 8, 2015·Journal of Pediatric Gastroenterology and Nutrition·Susan BraidNana Matoba
Oct 21, 2017·Maternal & Child Nutrition·Marie BournezSophie Nicklaus
May 11, 2012·Annals of Nutrition & Metabolism·D J Palmer, M Makrides
Jun 15, 2018·Journal of Pediatric Gastroenterology and Nutrition·Jane FrancisUNKNOWN GTA-DoMINO Feeding Group
Feb 23, 2019·The Cochrane Database of Systematic Reviews·Zenab ElfzzaniJon Dorling
Jun 25, 2020·Nutrients·Nadia Liotto On Behalf Of The Study Group On Neonatal Nutrition And Gastroenterology-Italian Society Of Neonatology
Dec 6, 2018·Nutrients·Maria L GiannìFabio Mosca
Jan 28, 2021·BMC Pediatrics·Edda HofstätterMartin Wald
Dec 4, 2020·Nutrients·Guglielmo SalvatoriOn Behalf Of The Study Group On Neonatal Nutrition And Gastroenterology-Italian Society Of Neonatology
Mar 22, 2021·International Breastfeeding Journal·Yitbarek Kidane WoldetensayVeronika Scherbaum

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