Baby-led weaning: what a systematic review of the literature adds on

D’Auria, Enza; Bergamini, Marcello; Staiano, Annamaria; Banderali, Giuseppe; Pendezza, Erica; Penagini, Francesca; Zuccotti, Gian Vincenzo; Peroni, Diego

doi:10.1186/s13052-018-0487-8

Cited by 73 publications

(80 citation statements)

References 34 publications

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“…First developed in 2007 (as AMSTAR) to only evaluate the methodological quality of SRs that synthesize evidence from randomized trials, this appraisal tool has been further developed, as AMSTAR 2, in 2017 to expand its use to SRs of randomized trials and non-randomized studies 23. Since its release, AMSTAR 2 has been used widely in many umbrella reviews 27–33. AMSTAR 2 comprises 16 domains, 7 of them are critical domains as they strongly undermine the confidence in the conclusions of the SRs: 1 domain is related to protocol registration, 2 are related to search strategy (adequacy and justifying studies’ exclusion), 2 are related to the assessment of risk of bias of the included studies and its effect on SR conclusions, 1 is related to the method of evidence synthesis, and 1 is related to the publication bias (table 1).…”

Section: Methodsmentioning

confidence: 99%

An umbrella review comparing computer-assisted and conventional total joint arthroplasty: quality assessment and summary of evidence

Hasan

Zhang

Beal

et al. 2020

BMJ Surg Interv Health Technologies

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BackgroundSystematic reviews (SRs) of computer-assisted (CA) total knee arthroplasty (TKA) and total hip arthroplasty (THA) report conflicting evidence on its superiority over conventional surgery. Little is known about the quality of these SRs; variability in their methodological quality may be a contributing factor. We evaluated the methodological quality of all published SRs to date, summarized and examined the consistency of the evidence generated by these SRs.MethodsWe searched four databases through December 31, 2018. A MeaSurement Tool to Assess systematic Reviews 2 (AMSTAR 2) was applied to assess the methodological quality. Evidence from included meta-analyses on functional, radiological and patient-safety outcomes was summarized. The corrected covered area was calculated to assess the overlap between SRs in including the primary studies.ResultsBased on AMSTAR 2, confidence was critically low in 39 of the 42 included SRs and low in 3 SRs. Low rating was mainly due to failure in developing a review protocol (90.5%); providing a list of excluded studies (81%); accounting for risk of bias when discussing the results (67%); using a comprehensive search strategy (50%); and investigating publication bias (50%). Despite inconsistency between SR findings comparing functional, radiological and patient safety outcomes for CA and conventional procedures, most TKA meta-analyses favored CA TKA, whereas most THA meta-analyses showed no difference. Moderate overlap was observed among TKA SRs and high overlap among THA SRs.ConclusionsDespite conclusions of meta-analyses favoring CA arthroplasty, decision makers adopting this technology should be aware of the low confidence in the results of the included SRs. To improve confidence in future SRs, journals should consider using a methodological assessment tool to evaluate the SRs prior to making a publication decision.

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Section: Methodsmentioning

confidence: 99%

An umbrella review comparing computer-assisted and conventional total joint arthroplasty: quality assessment and summary of evidence

Hasan

Zhang

Beal

et al. 2020

BMJ Surg Interv Health Technologies

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“…Within BLW, parents wait to introduce complementary foods and beverages until their infant exhibits developmental signs of readiness to self‐feed (ie, ability to sit‐up unsupported, with good head and neck control), which generally occurs around 6 months of age. While BLW is increasing in popularity, research on this approach is limited and is confounded by the fact that many children who primarily self‐feed may also be spoon‐fed to some extent by caregivers 39 . Some evidence for potential benefits of BLW on infant eating outcomes (such as improved satiety responsiveness in later toddlerhood 40 ) exists, as well as evidence that BLW may have other benefits for the family, such as lower maternal anxiety related to feeding 41 .…”

Section: Infancymentioning

confidence: 99%

Positive parenting approaches and their association with child eating and weight: A narrative review from infancy to adolescence

et al. 2020

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Summary Parents play a critical role in the development of children's eating behaviours and weight status, serving as providers, models and regulators of the food environment. Many research reviews have focused on the robust body of evidence on coercive control in feeding: how parenting practices such as restriction and pressure to eat increase children's risk for developing undesirable eating behaviours and unhealthy weight outcomes. Fewer reviews adopt a strengths‐based perspective focusing on the ways that parents can actively support the development of healthy eating behaviours and weight trajectories. Emerging research on such positive parenting styles and practices offers solutions beyond the avoidance of coercive control, as well as opportunities to highlight parallels between research on food parenting and the broader, well‐established developmental literature on positive parenting. The focus of this review is to summarize what is known regarding benefits of positive parenting styles and practices for child eating and weight outcomes and discuss recommendations for future research. Current evidence supports starting with responsive feeding and parenting during infancy and incorporating structure and limit setting in early childhood, with monitoring and mealtime structure remaining important during middle childhood and adolescence. Areas for future research include: (1) further examination of the implications of identified food parenting practices and styles among diverse groups and caregivers; (2) increased consideration of child factors (eg, temperament) as moderators or mediators; and (3) further clarification of the relationship between general parenting and food parenting.

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“…Nevertheless, fish contains important nutrients and omega-3 fatty acids play an important role in development of the central nervous system (47,48). We feel reasonable to recommend fish introduction during the second semester of life, timing based on local tradition, weaning approach, and family preferences (49,50).…”

Section: Single Allergenic Foodsmentioning

confidence: 99%

The Role of Diet Diversity and Diet Indices on Allergy Outcomes

et al. 2020

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Nutrients in foods are not eaten in isolation and food intake interacts in a complex manner, affecting health and disease outcomes. For this reason, focusing on the whole "pattern" of dietary intake instead of the single nutrients or groups of nutrients when studying diseases outcomes is increasingly appealing and growing. Diet diversity refers to the variety of foods being eaten, and the terms, diversity or variety, are often used interchangeably. When the overall diet is characterized by healthy foods, diet diversity will reflect a diversity/variety of healthy foods eaten over a period of time. The introduction of solid foods in the 1st year of life is considered a measure of increased diet diversity. Consuming a diverse range of foods and food allergens in the first year of life may increase intake of important nutrients and positively affect the gut microbiome structure and function. Intake of omega-3 fatty acids and fibers/prebiotics may be particularly important but more information is required about dose and which individuals are most likely to benefit. Increased diet diversity in the first year of life is also associated with reduced food allergy outcomes. In addition to diet diversity, diet indices are considered measures of overall diet quality and can be used as a simple assessment of dietary intake. The focus of this paper is to review and critically address the current knowledge of the association between diet diversity and diet indices and allergy outcomes. Based on the current evidence, we recommend the introduction of solid foods, including common allergenic solids, during the 1st year of life, according to the infant's neuro-developmental abilities and familial or cultural habits. For infants with severe AD and/or FA, medical assessment may be advisable before introducing common food allergens into the diet. Limited evidence exist about the role of diet indices in pregnancy and allergic disease in the offspring, and the most promising results indicate a reduction in childhood wheeze and/or asthma intake.

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Baby-led weaning: what a systematic review of the literature adds on

Cited by 73 publications

References 34 publications

An umbrella review comparing computer-assisted and conventional total joint arthroplasty: quality assessment and summary of evidence

An umbrella review comparing computer-assisted and conventional total joint arthroplasty: quality assessment and summary of evidence

Positive parenting approaches and their association with child eating and weight: A narrative review from infancy to adolescence

The Role of Diet Diversity and Diet Indices on Allergy Outcomes

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