American Society of Pediatrics launches guide on complementary feeding

baby food

Weaning Baby-led method, in which the baby picks up food in pieces and leads up to the mouth alone, has gained popularity

The American Society of Pediatrics recently launched a guide on complementary feeding, which brings some studies and particular guidance on the method BLW (Baby-led Weaning), in which the baby should take food alone to the mouth. Among the BLW’s basic guidelines are: to offer the food preferably in natura instead of preparing baby food, to offer varied foods, to always put the child seated and to interact with her at mealtime.

Initially, the document highlights some guidelines given by the SBP on complementary nutrition published in the Department of Nutrology Guidance Manual and updated in 2012. These are:

“• The evolution of consistency should be gradual: food should be offered initially in the form of potatoes and then only in firm pieces;

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  • All food groups should be offered from the first main potato;
  • The meal should be kneaded without sifting or liquefying;
  • The rhythm of the child must be respected, according to neuropsychomotor development;
  • It is recommended to use the name principal potato and not salt potato. 

Then the text brings some studies and guidance on BLW, which has been sought by many families as an alternative to more traditional forms of food. But, according to the guide, “health professionals and societies in New Zealand, Canada and the United States do not officially recommend BLW.” A study was cited that compared babies who fed on BLW and infants who were fed by traditional methods of harvesting, with the conclusion of the experts that: “Although there is no statistically significant difference, a large number of children consume food posing a risk of suffocation . Children in the BLW group were more likely to eat with their family at lunch and dinner; had greater intake of fat and saturated fat; and lower intake of iron, zinc and vitamin B12 than children in the other group.

According to the pediatrician and nutritionist Mauro Fisberg of the Department of Nutrology of the American Society of Pediatrics (SBP), the nutritional difference can happen because, with the BLW method, the child can play more with food than to eat, which decreases the volume of food eaten and, consequently, of nutrients. “What we do not recommend is the single use of BLW . We recommend mixed feeding: let the children explore the food, the textures, but ensure that the parents feed the babies, “he explains.

Fisberg points out that even after 6 months, the end of the exclusive breastfeeding period, it is important to follow the complementary breastfeeding , recommended by the World Health Organization until 2 years.


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