Introduction Of Solid Foods Research Articles

Auriculotemporal syndrome following forceps delivery.

An 8-month-old boy, born at term via vaginal delivery with forceps assistance, presented to our allergy clinic with symptoms concerning for fruit allergy. He was otherwise healthy, on no medications and without surgical history. After the introduction of solid foods at 4 months, the patient

Frequency of Anemia in Hospitalized Children Ages 0-12 Years and Associated Factors: A Cross-Sectional Study

Background: Anemia affects the psychological and physiologic well-being of children worldwide. In Pakistan, anemia among children and its associated factors is scarcely studied and the available knowledge is not up-to date. This study aims to better understand the anemic burden among pediatric population in our country. Methods: Cross-sectional study of 1 month was conducted from January to February 2020 comprising 299 children who were hospitalized in a tertiary care hospital with ages from 1 month to 12 years, located in Lahore. Analysis of different demographic data, breast feeding duration, age, nutritional status, gender, iron supplementation, solid food introduction, disease of diagnosis and other background parameters in association with hemoglobin level is done in this article. We performed chi-square analysis and logistic regression to assess anemia with related factors. Results: Overall percentage of non-anemic and anemic children were 56.9% and 43.1% respectively among whom male children were 62.4% and female were 37.6% anemic. Among anemic patients, 26.7% and 45.5% of children who were admitted suffered from mild and moderate anemia, respectively. The most affected age group was 6-59-month-old. There was a 9 times higher risk of anemia among well-nourished children as compared to over nourished children. Conclusion: The group mostly affected by anemia is of age between 6 to 59 months. To combat this crisis, certain measures are required as exclusive breast feeding for 6 months, weaning at age of 6 months and iron supplementation if iron requirements are not fulfilled by diet for children.

Promoting weaning practices and growth of Egyptian infants by using communication for behavioral development approach

BackgroundAccess to various affordable and nutritious foods is considered a challenging factor for households with limited resources affecting the proper weaning practices. In order to motivate communities to adhere to the right and proper weaning practices, the social aspect should be considered through close communication with the targeted communities. This study aimed to evaluate how impactful the use of the principles of Communication for Development (C4D) that respect parents’ beliefs and their cultural norms is in improving the weaning practices and growth of infants in an Egyptian village.MethodsAn interventional three-phase study was conducted for three years. The intervention targeted 464 mothers of infants up to 2 years of age. C4D interventions encouraged each mother to provide her baby with nutritious and varied options through age-appropriate introduction and diversification of nutrient-rich complementary foods under the slogan “ enjoy meals like a baby”. The effectiveness of the approach was measured by five essential weaning practices: Introduction of solid, semi-solid, or soft foods, Minimum dietary diversity, minimum meal frequency, Minimum acceptable diet, and consumption of iron-rich foods.ResultsThere was marked and significant improvement in the awareness and of the majority of the weaning practices’ indicators as a result of the interventions. This was noticed for the timely introduction of complementary foods which increased from 36.7% to 82.0%, the minimum meal frequency indicator (3–5) which increased from 25.3% to 67.3%, iron-rich or fortified food (68.0% to 82%) as well as a regular checkup for baby health at the health unit (71.3%). Indicators that were improved but failed to achieve the target were the “Minimum Dietary Diversity” (reached 32%) and the minimum acceptable diet (reached 22.0%). A significant effect on linear growth especially for females is evidenced by the remarkable decrease in wasting (from 31.5% to 11.1%) and obesity (from 12.0% to 0%) associated with a considerable decrease in underweight (from 40% to 16.7%).ConclusionTargeting caregivers through the C4D approach have succeeded in providing them with the support required for the provision of adequate nutrition for their infants that had significantly marked improvement in growth indices of their infants.

Revising the content and timing of parent education sessions on the introduction of solid foods to babies in Sydney Local Health District

Revising the content and timing of parent education sessions on the introduction of solid foods to babies in Sydney Local Health District

The development of human gut microbiota fermentation capacity during the first year of life.

Fermentation capacity of microbial ecosystems intrinsically depends on substrate supply and the ability of a microbial community to deliver monomers for fermentation. In established microbial ecosystems, the microbial community is adapted to efficiently degrade and ferment available biopolymers which is often concurrently reflected in the richness of the microbial community and its functional potential. During the first year of life, the human gut microbial environment is a rather dynamic system that is characterized by a change in physiological conditions (e.g. from aerobic to anaerobic conditions, physical growth of the gastrointestinal tract, development of the intestinal immune system) but also by a change in nutrient supply from a compositionally limited liquid to a diverse solid diet, which demands major compositional and functional changes of the intestinal microbiota. How these transitions link to intestinal microbial fermentation capacity has gained comparatively little interest so far. This mini-review aims to collect evidence that already after birth, there is seeding of a hidden population of various fermentation organisms which remain present at low abundance until the cessation of breastfeeding removes nutritional restrictions of a liquid milk-based diet. The introduction of solid food containing plant and animal material is accompanied by an altering microbiota. The concurrent increases in the abundance of degraders and fermenters lead to higher intestinal fermentation capacity indicated by increased faecal levels of the final fermentation metabolites propionate and butyrate. Recent reports indicate that the development of fermentation capacity is an important step during gut microbiota development, as chronic disorders such as allergy and atopic dermatitis have been linked to lower degradation and fermentation capacity indicated by reduced levels of final fermentation metabolites at 1 year of age.

A distinct clade of Bifidobacterium longum in the gut of Bangladeshi children thrives during weaning

The gut microbiome has an important role in infant health and development. We characterized the fecal microbiome and metabolome of 222 young children in Dhaka, Bangladesh during the first two years of life. A distinct Bifidobacterium longum clade expanded with introduction of solid foods and harbored enzymes for utilizing both breast milk and solid food substrates. The clade was highly prevalent in Bangladesh, present globally (at lower prevalence), and correlated with many other gut taxa and metabolites, indicating an important role in gut ecology. We also found that the B.longum clades and associated metabolites were implicated in childhood diarrhea and early growth, including positive associations between growth measures and B.longum subsp. infantis, indolelactate and N-acetylglutamate. Our data demonstrate geographic, cultural, seasonal, and ecological heterogeneity that should be accounted for when identifying microbiome factors implicated in and potentially benefiting infant development.

Patterns in Mothers’ Recollection of Health Care Providers’ Young Child Feeding Recommendations

ObjectiveCharacterize feeding guidance mothers recall receiving from their child's health care provider (HCP). DesignCross-sectional study of mothers participating in the 2017–2019 National Survey of Family Growth. ParticipantsUS mothers reporting (n = 1,302) information about their youngest child (aged 6 months to 5 years). Variables MeasuredWeighted percentage of mothers who recalled their child's HCP discussing 6 different feeding topics by demographic characteristics. AnalysisLogistic regression assessing the relationship between recall of feeding guidance and demographics. ResultsIn this sample, 36.9% of mothers (95% confidence interval, 32.3–41.4) recalled HCPs recommending solid food before 6 months old (34.6% at 4–5 months, and 2.3% before 4 months). Mothers who were older or had a higher education level were more likely than their counterparts to recall their HCP discussing several of the feeding topics examined. Conclusion and ImplicationsMothers reported high recollection of early childhood nutrition guidance from their HCP; however, certain topics (eg, appropriate timing of solid food introduction) could be prioritized, and some subpopulations may need additional focus to improve receipt of messages. A better understanding of variability in recall of feeding guidance could provide information for interventions to address barriers to receiving and retaining guidance.

Prevalence and Predictors of Complementary Feeding Practices Among Children Aged 6-23 Months in Indonesia.

Poor complementary feeding practices have consistently contributed to the burden of child undernutrition in Indonesia. This study aimed to estimate the prevalence and predictors of the time of the introduction of solid, semi-solid, and soft foods (ISSSF), minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD). We analyzed 4804 last-born infants aged 6-23 months from the 2017 Indonesia Demographic and Health Survey, which employed multistage cluster random sampling. The outcomes were calculated based on the 2021 World Health Organization/United Nations Children's Fund guidelines. The predictors of the 4 complementary feeding indicators were assessed using multivariate Poisson regression with robust variance adjusting for potential confounders and study design. The prevalence of ISSSF, MDD, MMF, and MAD was 86.1%, 54.3%, 71.8%, and 37.6%, respectively, with younger children less likely to meet 3 out of the 4 outcomes. Parental education, the presence of a birth attendant, and maternal media consumption were among the predictors of MDD and MAD. Children from families with higher income were more likely to meet MDD than those from low-income households (adjusted prevalence ratio [aPR], 1.16; 95% confidence interval [CI], 1.05 to 1.28). Living in an urban area was positively associated with MMF (aPR, 1.09; 95% CI, 1.04 to 1.15) and MAD (aPR, 1.12; 95% CI 1.02 to 1.24). In eastern regions, the prevalence of children achieving MDD and MAD was lower than in those living in Java and Bali. It is crucial that more attention and efforts are made to improve the recommended practices throughout Indonesia, since the prevalence of adequate complementary feeding practices remains low.

Ethnic‐specific infant care practices and infant mortality in late Imperial Russia

AbstractThe Russian Empire had the highest infant mortality rate in Europe at the beginning of the twentieth century. Using a variety of official statistical sources and qualitative evidence, this paper documents uniquely high infant mortality among ethnic Russians. In contrast, among other ethnic groups of the empire, infant mortality rates did not exceed those of the European countries by much. The evidence suggests that the explanation for the Russian infant mortality pattern was ethnic‐specific infant care practices, such as the early introduction of solid food, which increased the incidence of lethal gastrointestinal diseases. Our findings highlight the importance of traditional infant feeding practices in mortality in pre‐industrial societies.

Breastfeeding Practices, Infant Formula Use, Complementary Feeding and Childhood Malnutrition: An Updated Overview of the Eastern Mediterranean Landscape.

Background: With increasing global rates of overweight, obesity and non-communicable diseases (NCDs) along with undernutrition and micronutrient deficiencies, the Eastern Mediterranean Region (EMR) is no exception. This review focuses on specific nutrition parameters among under five years children, namely ever breastfed, exclusive breastfeeding, mixed milk feeding, continued breastfeeding, bottle feeding, introduction of solid, semi-solid, or soft foods and malnutrition. Methodology: PubMed, Google Scholar, United Nations International Children’s Emergency Fund (UNICEF) databases, World Health Organization (WHO) databases, the World Bank databases and the Global Nutrition Report databases were explored between 10 January and 6 June 2022, to review the nutrition situation among under five years children in the EMR. Results: The regional average prevalence of ever breastfed, exclusive breastfeeding, mixed milk feeding, continued breastfeeding, bottle feeding, introduction of solid, semi-solid, or soft foods was estimated at 84.3%, 30.9%, 42.9%, 41.5%, 32.1% and 69.3%, respectively. Iran, Iraq, Libya and Palestine have seen a decline over time in the prevalence of exclusive breastfeeding. Lebanon, Egypt, Kuwait and Saudi Arabia reported early introduction of infant formula. Moreover, Lebanon, Pakistan, Saudi Arabia and United Arab Emirates were seen to introduce food early to the child, at between 4–6 months of age. The estimated weighted regional averages for stunting, wasting and underweight were 20.3%, 8.9% and 13.1%, respectively. Of concern is the increasing prevalence of stunting in Libya. As for overweight and obesity, the average prevalence was reported to be 8.9% and 3%, respectively. Lebanon, Libya, Kuwait and Palestine showed an increased trend throughout this time. Conclusions: In this review, the suboptimal infant and young child feeding patterns and the twofold incidence of malnutrition in the EMR are highlighted and we urge the prioritizing of measures to improve children’s nutrition.

Importance of Maternal Nutrition in the First 1,000 Days of Life and Its Effects on Child Development: A Narrative Review.

Maternal nutrition needs to be addressed during pregnancy for the child's first 1,000 days of life, or roughly between conception and a child's second birthday.The infant requires just breast milk for the first six months of life. The production of breastmilk and its nutritional value is essentially unaffected by maternal privation. The child's health suffers when the mother's diet and health are impaired. This review aims to discuss the importance of pregnant women's nutrition and how it impacts the development and expansion of a child during this critical period of development, which is supported by the most recent literature. Throughout the child's growth in the mother's womb and outside, four distinct stages have been identified: (1) nine months to zero months: pregnancy; (2) zero to six months: breastfeeding; (3) six to 12 months: introduction of solid food; and (4) >12 months: transition to family diet, appreciation of nutritious food offered within each period for the child's development. Moreover, there is a strong link between nutrition, well-being, and learning. The nutritional intake of infants, children, and adolescents maintains the body weight and is sufficient to sustain their normal growth and development. One of the crucial factors influencing a child's development is nutrition. Rapid growth occurs during infancy. Compared to other growth phases, this phase has the largest relative energy and food needs for body size.

146 Exploring the Impact of Leave and Return to Work Policies on Workplace Lactation for Women in Emergency Medicine

Breastfeeding has profound health benefits for both mothers and infants. Because of this, the American Academy of Pediatrics recommends exclusive breastfeeding for the first 6 months of life and, in conjunction with the introduction of solid food through the first year. Despite recommendations, medical professionals only reach these goals roughly 50% of the time and 37% fall short of their personal goals. Early return-to-work requires both increasing lactation requirements and extended time away from one’s infant, which may contribute to early cessation breastfeeding. Our study explores variation in emergency medicine (EM) health care workers return-to-work and clinical scheduling and is guided by the following aims: Understand social process and behaviors associated with maternity leave planning and effect on return-to-work and lactation for health care workers in the emergency department (ED) Identify barriers and supports for supporting workplace lactation, wellness, and maternal health. Examine policies for maternity leave and return-to-work scheduling that facilitate women reaching their desired goals. Setting: Stanford University, Emory University. Participants: Individual interviews were conducted with 43 individuals who returned to work after giving birth within the last 3 years. Purposive sampling followed by snowball sampling was used to recruit participants. A qualitative study using constructivist grounded theory methodology was employed and selected because we viewed return-to-work and workplace lactation as social processes. Constant comparative analysis was performed utilizing data from individual interviews across three analytical stages of coding: initial, focused, theoretical. Initial line-by-line coding was done by two investigators to identify major themes. Following initial analysis, important themes were explored in subsequent interviews. Following development of the coding scheme, interviews underwent focused coding transitioning from categorical to conceptual ideas to provide guidance on ED return-to-work practices and patterns, while considering existing policies and social constructs. Theoretical coding was utilized to explore relationships and analytical memos to reflect researcher’s insights and questions regarding these codes. The goal was to create a conceptual model of barriers, supports and participant guided recommendations for improvement of return-to-work policies and supplement the initial study to expand regarding barriers to workplace lactation, and provide further supports, in addition to solutions to the complex social process that face female ED workers. Once coding was completed and themes were identified: return-to-work shift arrangements, culture surrounding leave, and policies and departmental supports, one final review of all transcripts was done to identify the average leave time (by departmental role) and participants ideal return-to-work. Health care workers in ED settings have an average return-to-work of 16 weeks, but desire closer to 25. Trainees have the least amount of leave time and require additional considerations for returning-to-work. Abbreviated leave times were identified as a significant barrier to continuation of workplace lactation in the ED and some mitigating approaches could include, return-to work policies that provide no nightshifts or no greater than three shift in a row for six weeks after returning to work.

Prevalence and factors associated with undernutrition among under-five children in Gairo district in Morogoro, Tanzania

Background: In Tanzania, under-nutrition is of most public concern as it affects human productivity in several areas like increasing economic costs to families and the country as a whole and impairing learning. Therefore this study aimed at assessing the prevalence and factors associated with undernutrition among under-five children in Gairo district, Morogoro. Findings from the study will help policymakers, and local and international organizations in designing appropriate nutrition policies and interventions to address undernutrition in rural areas.
 Methods: A household-based cross-sectional study was employed involving 300 under-five children with their mothers/caretakers in three wards in Gairo district. A structured questionnaire was used and anthropometric measurements were performed using standard procedures. Odds ratio with a 95% confidence interval and p-value at <=0.05 was used to identify factors associated with undernutrition.
 Results: The study revealed that the prevalence of stunting was 54.3% (severe stunting 26.3% and moderate stunting 28%), underweight 23.3% (severe underweight 7% and moderate underweight 16.3%) and wasting 3.7% (severe wasting 1.3% and moderate wasting 2.4%).
 Conclusion: The main factors that showed positive association were being a male, maternal occupation, child’s age, maternal education, birth weight, and illness in the past one month, area of residence, maternal age, and time of introduction of solid foods and leaving a child when being outside. The prevalence of stunting and underweight in the study area was higher compared to the national and regional prevalence. Thus due attention is needed while much attention should be given to the factors that showed a positive association.

The influence of household structure and composition on the introduction of solid, semisolid and soft foods among children aged 6-8 months: An analysis based on Ethiopia Demographic and Health Surveys.

The early and late introduction of complementary food, both prevalent in Ethiopia, are associated with morbidities, growth falteringand developmental risks in children. The interhousehold network around the primary caregiver's intrahousehold network is critical in influencing the age of introducing complementary foods. This study examined the influence of household composition and structures on complementary food introduction. This is a secondary data analysis of four Ethiopian Demographic and Health Surveysconducted between 2000 and 2016. The household structure and composition variables were calculated from household members' kinship status and attribute, respectively. The introduction of solid, semisolid or soft foods was dichotomised as whether the children within 6 to 8 months have been given complementary foods. Multivariable logistic regression with adjustment for the primary caregiver and household characteristics was run to examine the associations between household structure and composition variables and the introduction of complementary foods. The marginal effects (ME) were calculated to facilitate the practical interpretation of the study findings. Large households (>3 nonredundant contacts) with extended family or unrelated people (high effective size, ME = 6.01%, 95% confidence interval [CI]: -8.53, -3.49) lowered the proportion of children starting food within the recommended 6-8 months. Households with close kins (high constraint) (ME = 7.22%, 95% CI: -13.65, 28.09) and greater age diversity (ME = 0.65%, 95% CI: 0.15, 1.15) increased the proportion of children receiving complementary food at an appropriate age. This study revealed that interhousehold structure and composition influence the age of introduction of complementary foods. These factors, therefore, need to be considered in designing interventions to improve age at the introduction of complementary foods.

Co-regulation of movements during infant feeding

The process by which infants move from liquid feeding to caregiver-assisted spoon feeding of semi-solid food is quite a dramatic transition. In previous studies, we observed that in the weeks after the introduction to solid food, mother-infant dyads showed increased co-regulation and synchronization of their respective feeding behaviors (e.g. offering food, accepting/refusing, timing). Learning this new way of feeding and eating requires that infants coordinate their position and movements with the complementary position and movements of the caregiver. The present study augments the category-based analysis of this co-regulation by the analysis of coupling in the dyads based on automatically extracted movement data. Previously collected video data from 10 mother-infant dyads were re-analyzed for the purpose of this study. Movement trajectories of mother’s hand and infant’s face were obtained by applying an automatic movement detection algorithm (TLD, Kalal et al., 2012; for applications to mother-infant interactions see López Pérez et al., 2017). Coordination was assessed by the method of Diagonal Cross Recurrence Profiles (DCRP), which expresses the degree of synchronization at different time lags. Profiles for each dyad from two different occasions --with one visit in the first week of solid feeding and one approximately 4–5 weeks later-- were compared. The results showed that, on average, most synchronization occurred in the first visit at lag 0. In the second visit there was an average delay in synchronization of about 1 s, with leading behavior starting from the infant. This suggests that the coordination was initially closely synchronized and became somewhat looser over time. Possibly, infants have begun to anticipate and guide the feeding movements enacted by the mother. However, our findings underline the idiosyncratic and complex nature of co-regulation of movements during the introduction of solid food. Whereas some dyads showed signs of increased organization, others seemed to disorganize, re-organize, or showed no organization at all. Many (interacting) factors --both individual and contextual-- may be responsible for the observed differences between dyads. Further research is needed to understand why specific synchronization pathways emerge and whether and how these might relate both to later feeding and eating and to the emergent patterns of participation.

Prospective relations of maternal reward-related eating, pregnancy ultra-processed food intake and weight indicators, and feeding mode with infant appetitive traits

BackgroundInfant appetitive traits including eating rate, satiety responsiveness, food responsiveness, and enjoyment of food predict weight gain in infancy and early childhood. Although studies show a strong genetic influence on infant appetitive traits, the association of parent and infant appetite is understudied. Furthermore, little research examines the influence of maternal pregnancy dietary intake, weight indicators, and feeding mode on infant appetite. The present study investigated relations of maternal reward-related eating, pregnancy ultra-processed food intake and weight indicators, and feeding mode with infant appetitive traits.MethodsMothers in the Pregnancy Eating Attributes Study (458 mothers enrolled, 367 retained through delivery) completed self-report measures of reward-related eating, and principal component analysis yielded two components: (1) food preoccupation and responsiveness and (2) reinforcing value of food. Mothers completed 24-h dietary recalls across pregnancy, and the standardized NOVA (not an acronym) system categorized recalled foods based on processing level. Maternal anthropometrics were measured across pregnancy. At infant age 6 months, mothers reported on feeding mode and infant appetitive traits. Linear regressions were conducted predicting infant appetitive traits from household income-poverty ratio (step 1); maternal reward-related eating components (step 2); pregnancy ultra-processed food intake (% of energy intake), early pregnancy body mass index, and gestational weight gain (step 3); and exclusive breastfeeding duration (step 4).ResultsA 1-SD greater maternal food preoccupation and responsiveness was associated with 0.20-SD greater infant satiety responsiveness (p = .005). A 1-SD greater % energy intake from ultra-processed foods during pregnancy was associated with 0.16-SD lower infant satiety responsiveness (p = .031). A 1-SD longer exclusive breastfeeding duration was associated with 0.18-SD less infant food responsiveness (p = .014). Other associations of maternal reward-related eating, pregnancy ultra-processed food intake and weight indicators, and feeding mode with infant appetitive traits were non-significant.ConclusionsProximal early-life environmental factors including maternal pregnancy dietary intake and feeding mode may facilitate or protect against obesogenic infant appetitive traits, whereas infant appetite may not parallel maternal reward-related eating. Further investigation into the etiology of appetitive traits early in development, particularly during solid food introduction, may elucidate additional modifiable risk factors for child obesity.Trial registrationClinicaltrials.gov. Registration ID – NCT02217462. Date of registration – August 13, 2014.

Association of serum and erythrocyte zinc levels with breastfeeding and complementary feeding in preterm and term infants.

Zinc is an important nutrient involved in cell division, physical growth, and immune system function. Most studies evaluating the nutritional status related to zinc and prematurity were conducted with hospitalized preterm infants. These studies show controversial results regarding the prevalence of deficiency, clinical implications, and the effect of zinc supplementation on mortality, infectious diseases, and growth in these groups. This study aimed to compare serum and erythrocyte zinc levels in a group of preterm and full-term infants after 9 months of age, and related the zinc levels to dietary intake and anthropometric indicators in both groups. This cross-sectional study compared 43 preterm infants (24 to 33 weeks) aged 9-24 months to 47 full-term healthy infants. Outcome measures: anthropometric indicators and dietary intake. Blood sample for serum and erythrocyte zinc levels (ICP-MS, Inductively Coupled Plasma Mass Spectrometry). There was no difference between the groups regarding the mean of serum and erythrocyte zinc. Variables associated with higher serum zinc levels were breastfeeding at evaluation (β = 20.11 µg/dL, 95% CI 9.62-30.60, p < 0.001) and the later introduction of solid foods (β = 6.6 µg/dL, 95% CI 5.3-11.4, p < 0.001). Breastfeeding was also associated with higher erythrocyte zinc levels. The zinc levels were adequate in both groups, there was no association with anthropometric indicators or dietary intake and were slightly influenced by breastfeeding and time of solid food introduction.

Preterm Infants on Early Solid Foods and Vitamin D Status in the First Year of Life-A Secondary Outcome Analysis of a Randomized Controlled Trial.

Preterm birth places infants at high risk for mineral and micronutrient deficiencies important for bone health. The aim of this study was to examine whether two timepoints for the introduction of solid foods in preterm infants have an impact on vitamin D status in the first year of life. This is a secondary outcome analysis of a prospective, randomized trial on very low birth weight (VLBW) infants, randomized to an early (10–12th week corrected age) or a late (16–18th week corrected age) complementary-feeding group. Vitamin D status was assessed by blood samples taken at 6 weeks, 6, and 12 months corrected age. In total, 177 infants were randomized (early group: n = 89, late group: n = 88). There was a tendency toward lower levels of serum 25-OH-vitamin D in the early group throughout the first year of life (p = not significant (n.s.)); no differences were detected in the other parameters. At 6 months corrected age, infants of the early group had a significantly higher incidence of vitamin D deficiency. The timepoint of the introduction of solid foods had no impact on the serum 25-OH-vitamin D levels and other parameters important for bone health but showed a tendency toward lower levels in the early-feeding group.

A INFLUÊNCIA DO DESMAME PRECOCE NO RISCO DE DESENVOLVIMENTO DA OBESIDADE INFANTIL- REVISÃO SISTEMÁTICA

The growth of childhood obesity in recent years has been a major concern for society and the government. Studies show that shorter duration of breastfeeding and early introduction of solid foods or formulas before 5 months of age have been associated with faster rate of weight gain. This review analyzes, in recent literature, the impact of early weaning on the development of childhood obesity. The results showed an association between breastfeeding duration and exogenous factors such as physical activity, eating habits, area of origin, and obese family members on the nutritional status of the child. It can be concluded from the analyzed studies that the early abandonment of breastfeeding can corroborate the development of childhood obesity (p&lt;0.05). Only 1 article showed no statistical relevance between early weaning and development of childhood overweight. According to the evaluation of methodological quality based on the GRADE system, the articles found were found to be weak, thus indicating the need for more observational studies with greater accuracy and reduction of methodological flaws.

Breastfeeding and Allergy Effect Modified by Genetic, Environmental, Dietary, and Immunological Factors.

Breastfeeding (BF) is the most natural mode of nutrition. Its beneficial effect has been revealed in terms of both the neonatal period and those of lifelong effects. However, as for protection against allergy, there is not enough data. In the current narrative review, the literature within the last five years from clinical trials and population-based studies on breastfeeding and allergy from different aspects was explored. The aim of this review was to explain how different factors could contribute to the overall effect of BF. Special consideration was given to accompanying exposure to cow milk, supplement use, the introduction of solid foods, microbiota changes, and the epigenetic function of BF. Those factors seem to be modifying the impact of BF. We also identified studies regarding BF in atopic mothers, with SCFA as a main player explaining differences according to this status. Conclusion: Based on the population-based studies, breastfeeding could be protective against some allergic phenotypes, but the results differ within different study groups. According to the new research in that matter, the effect of BF could be modified by different genetic (HMO composition), environmental (cesarean section, allergen exposure), dietary (SCFA, introduction of solid food), and immunologic factors (IgG, IgE), thus partially explaining the variance.