Baby‐led weaning: Where are we now?

Rapley, Gill

doi:10.1111/nbu.12338

Cited by 21 publications

(26 citation statements)

References 50 publications

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“…These differences might be explained by the different solid food introduction approaches that appeared to be used. The majority of Canadian caregivers appeared to use a baby-led weaning approach, where infants receive more table foods [ 42 , 43 ], while the Dutch caregivers appeared to use a more traditional approach of beginning with small quantities of fruits and vegetables.…”

Section: Resultsmentioning

confidence: 99%

Infants’ First Solid Foods: Impact on Gut Microbiota Development in Two Intercontinental Cohorts

et al. 2021

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The introduction of solid foods is an important dietary event during infancy that causes profound shifts in the gut microbial composition towards a more adult-like state. Infant gut bacterial dynamics, especially in relation to nutritional intake remain understudied. Over 2 weeks surrounding the time of solid food introduction, the day-to-day dynamics in the gut microbiomes of 24 healthy, full-term infants from the Baby, Food & Mi and LucKi-Gut cohort studies were investigated in relation to their dietary intake. Microbial richness (observed species) and diversity (Shannon index) increased over time and were positively associated with dietary diversity. Microbial community structure (Bray–Curtis dissimilarity) was determined predominantly by individual and age (days). The extent of change in community structure in the introductory period was negatively associated with daily dietary diversity. High daily dietary diversity stabilized the gut microbiome. Bifidobacterial taxa were positively associated, while taxa of the genus Veillonella, that may be the same species, were negatively associated with dietary diversity in both cohorts. This study furthers our understanding of the impact of solid food introduction on gut microbiome development in early life. Dietary diversity seems to have the greatest impact on the gut microbiome as solids are introduced.

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Section: Resultsmentioning

confidence: 99%

Infants’ First Solid Foods: Impact on Gut Microbiota Development in Two Intercontinental Cohorts

et al. 2021

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“…For example, softly scrambled egg, puréed if necessary, is easy to eat from a spoon. If baby-led weaning (BLW) is the preferred approach (Rapley, 2018;SACN, 2018), toast soldiers dipped into a lightly boiled egg can be given to the baby to hold if they are developmentally ready.…”

Section: Hard or Runny-how Should Eggs Be Cooked For Allergy Prevention?mentioning

confidence: 99%

“…One medium egg contains about 70 mg DHA and the adult daily intake recommended by the SACN is 450 mg (SACN, 2004). BLW, where the infant self-feeds from the beginning, has emerged as a distinct approach to the transition from milk feeds to family food in recent years, although not without controversy (Rapley, 2018). The evidence base for this is limited, with the results of only one RCT available to date; however, in the recent Feeding in the First Year of Life report, the SACN acknowledged that this single trial reported earlier self-feeding alongside less food fussiness and greater food enjoyment in infants fed using BLW (SACN, 2018).…”

Section: Nutritional Contribution Of Eggs In Pregnancy and For Babiesmentioning

confidence: 99%

Egg consumption in pregnancy and infancy: Advice has changed

Gray¹

2019

Journal of Health Visiting

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The UK government has now revised its advice on the safety of eggs for vulnerable groups, such as pregnant women, infants and young children, confirming that they are safe to eat 'runny' or even raw, provided they are British Lion eggs. The government's Scientific Advisory Committee on Nutrition (SACN) has also reconfirmed that eggs can be introduced from around 6 months when complementary feeding begins, despite their allergenic potential. Furthermore, it suggests that deliberate exclusion or delays in introducing eggs beyond 6-12 months may increase the risk of egg allergy. This article discusses the revised recommendations in more detail and sets the SACN recommendations in the context of developing research on egg allergy. It compares advice on egg consumption for non-atopic and high-risk infants in the UK, the US and Australia, and examines the evidence on the influence of maternal diet during lactation on the risks of infant egg allergy. Finally, it provides an update on the nutritional benefits of eggs for pregnant women, infants and young children, including new research on critical but lesser known nutrients such as iodine and choline, with consideration of the suitability of eggs in baby-led weaning.

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“…2020;15:e46047 INTRODUÇÃO O período da alimentação complementar (AC), o qual se recomenda iniciar a partir dos seis meses de vida, 1 vem sendo objeto de discussões em função da possibilidade de o lactente comer sozinho. 2 O baby-led weaning (BLW), proposto por profissionais e pesquisadores como uma possibilidade pertinente a esse período, 3,4 é uma abordagem caracterizada por alguns princípios, como a realização de refeições compartilhadas, oferta de alimentos em pedaços, controle da alimentação por parte do bebê (quando iniciará, o que comerá, quanto comerá e o ritmo da alimentação), que usará as mãos para se alimentar, e a progressão gradual da alimentação em função do desenvolvimento do bebê. Enquanto isso, tradicionalmente, a realização da AC é guiada pelo adulto, que decidirá o momento do seu início, além de alimentar o lactente com alimentos em consistência pastosa usando a colher e estabelecendo quais alimentos ele comerá, suas quantidades e a velocidade da oferta.…”

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Comparação entre práticas relatadas da abordagem do baby-led weaning e a tradicional para a realização da alimentação complementar

Vieira

Vanicolli

Rapley³

2020

DEMETRA

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Objetivo: Comparar as características da alimentação complementar de lactentes cujas mães referiram praticar o baby-led weaning com aquelas que relataram utilização da abordagem tradicional. Métodos: Estudo quantitativo descritivo com entrevistas online de mães de bebês de 1 a 2 anos, convidadas via redes sociais a preencherem formulário contendo dados socioeconômicos, de aleitamento materno e relativos à alimentação complementar. As diferenças entre os grupos foi verificada por meio dos teste t ou do qui-quadrado. Resultados: Foram identificadas 208 entrevistadas (57,9%) que relataram usar a abordagem tradicional e 151 (42,1%), o baby-led weaning. Dos bebês em baby-led weaning, 84,1% mantinham-se em aleitamento materno, contra 56,2% em abordagem tradicional, e foram menos expostos a fórmulas, espessantes, mamadeiras e chupetas (p<0,05). Quanto à alimentação complementar, 7,3% do grupo baby-led weaning iniciou antes dos 6 meses, comparados aos 23,1% do grupo abordagem tradicional (p<0,05). Observaram-se diferenças estatisticamente significantes para a idade de introdução da maioria dos grupos de alimentos, para utilização de produtos ultraprocessados, sucos, açúcar e sal. Aqueles em baby-led weaning chegaram, significativamente, aos 12 meses com diferenças quanto a compartilhar a comida da família (71,5% vs 11,5%), sentar-se adequadamente à mesa (89,4% vs 66,8%) e utilizando a consistência adequada dos alimentos (74,2% vs 62,0%). Conclusão: No presente estudo, lactentes cujas mães relataram realizar o baby-led weaning caracterizaram-se pela introdução de alimentos atendendo às recomendações nacionais comparados àqueles que foram expostos à abordagem tradicional.

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Baby‐led weaning: Where are we now?

Cited by 21 publications

References 50 publications

Infants’ First Solid Foods: Impact on Gut Microbiota Development in Two Intercontinental Cohorts

Infants’ First Solid Foods: Impact on Gut Microbiota Development in Two Intercontinental Cohorts

Egg consumption in pregnancy and infancy: Advice has changed

Comparação entre práticas relatadas da abordagem do baby-led weaning e a tradicional para a realização da alimentação complementar

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