45 Role of baby-led weaning in foreign body aspiration and iron-deficiency anemia in infants: A retrospective study
Notice bibliographique
Résumé
Abstract Background Baby-Led Weaning (BLW) is an alternative approach of introducing complementary foods in infants that is growing in popularity among parents. In contrast to traditional spoon-feeding (TSF), self-feeding of finger foods is encouraged from the start of complimentary feeding. Benefits have been described, but are mostly based on expert opinion. This approach raises concerns in some paediatricians, particularly regarding the potential risks of foreign body aspiration (FBA) and iron-deficiency anemia (IDA). To this date, there are no established guidelines on BLW. Objectives Our primary objective was to assess the prevalence of BLW in cases of FBA and IDA in children aged 6 to 24 months. Our secondary objectives included comparing the consumption of iron-rich foods, milk intake and safety considerations between children feeding with exclusive BLW, TSF or a mixed feeding approach. Design/Methods All patients aged 6 to 24 months, who received a diagnosis of food FBA and/or IDA at our tertiary care centre between January 2015 and October 2020 were included in our retrospective study. Medical history and circumstances surrounding the choking episode were retrieved from the patients’ electronic records. A parental questionnaire was subsequently conducted to document the complementary feeding approach, eating habits and demographic characteristics. Results 33 patients with FBA and 186 patients with IDA were included in our study. Of the 33 FBA, 6 adopted BLW (18.2%), 22 followed TSF (68.7%) and 5 used a mixed feeding approach (15.2%). Among the cases of IDA, 24 followed BLW (12.9%), 127 chose TSF (68.3%) and 35 used a mixed feeding approach (18.8%). The mean age at presentation in months was younger in the BLW group (11.8) compared to the TSF (15.4) and the mixed feeding (15.1) groups. Iron-fortified cereals were offered less frequently in the BLW (62.5%) group compared to the TSF (87.4%) and the mixed feeding (91.4%) groups. Across all groups, a considerable proportion of infants were not offered iron-fortified cereals past 12 months old. Iron-rich foods were not served at every meal for 1 in 3 infants and daily milk intake often exceeded current recommendations. Conclusion Our results suggest that BLW and the mixed feeding approach may be overrepresented in cases of FBA and IDA in infants. However, regardless of the approach of complimentary feeding, many of these cases appear to result from eating patterns that do not meet the existing recommendations. Our study highlights the necessity of improved patient education on safe and adequate nutrition for infants. Potential competing interests Dr Josée Anne Gagnon fait des présentations sur l'asthme occasionnellement rémunérées par COVIS Pharma.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».