Abstract
Relevance of the research. Timing, order and sequence of complementary feeding remain the subject of discussion until now. The aim of the study. Estimate influence of different outlines of introduction of complementary foods on nutritional status and food behavior in children of first year of life.
 Materials and methods. Examined 96 children in age of 4-6 months during introduction of complementary foods. Main group – 50 children (27 breast-feed (BF) children and 23 on milk formulas (MF)), in whose diet were introduced only complementary foods, which were made in special factories. Comparison group – 46 children (33 – BF and 13 – MF) received complementary foods made at home and in special factories. Duration of follow-up was 3 months. Physical examination, mother’s diary analysis, evaluation of tolerance of complementary foods, bacteriological examination of feces.
 Results. On the background of introduction of complementary foods in the main group, increased the number of children with normal fatness (BF from 66.8% to 74.2%, MF from 82.7 to 88.4%), in comparison group, their number decreased (BF from 84.8% to 78.8%, MF from 69.3 to 62.3%). In the main group when a child refuses a product, mother continues offer it insistently. 61.5% of children began to eat unloved product at the end of first year of life. In comparison group, where mother changed unloved product at once, only 25% of children began to relate to it positively. In the main group dyspeptic disorders were mild in 4% of children. In in comparison group prevailed diarrheal syndrome, related to contamination with pathogenic strains of E. coli in 13% of children.
 Conclusions. Using of industrial made complimentary foods according to the optimal order, with determined mothers perseverance provides equalization of fatness, allows to form a correct food behavior and decreases risk of intestinal colonization by pathogenic microorganisms.
Highlights
Main group – 50 children (27 breast-feed (BF) children and 23 on milk formulas (MF)), in whose diet were introduced only complementary foods, which were made in special factories
Comparison group – 46 children (33 – BF and 13 – MF) received complementary foods made at home and in special factories
In comparison group, where mother changed unloved product at once, only 25% of children began to relate to it positively
Summary
Работа проводилась на базе СПбГУЗ «Городская поликлиника No 35» Московского района Санкт-Петербурга и представляла открытое, проспективное исследование, в которое были отобраны практически здоровые дети в возрасте 4–6 месяцев. В рацион питания детей данной группы вводили только продукты прикорма промышленного производства. Дети данной группы получали продукты прикорма как домашнего (преимущественно), так и промышленного производства. 1. В группе сравнения мясное пюре дети начина- блюдения показала, что большинство детей вне ли получать значительно позже, в возрасте от 6,5 зависимости от вида вскармливания как до введедо 8 месяцев. В большинстве случаев (68 %) перед ния продуктов прикорма, так и на их фоне имевключением в питание мясного пюре родители са- ло нормальный уровень упитанности. На фоне мостоятельно вводили детям фруктовое и ягодное введения продуктов прикорма в основной группе пюре домашнего приготовления. Продукты прикорма все дети получали мальным уровнем упитанности (на ГВ с 66,8 в 3–4 приема в суточном объеме (к моменту завер- до 74,1 %, а на ИВ с 82,7 до 88,4 %) при уменьшения исследования) — 4 00–450 г. Таблица 1 (Table 1) Динамика нутриционного статуса у детей на фоне введения продуктов прикорма Dynamics of nutritional status in children on the background of the introduction complementary foods
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