Complementary Feeding In A Latin America Country (Colombia): Practices By Pediatricians And Residents Of Pediatrics Versus Espghan Guidelines 2017
Journal Title: Nutrition and Food Processing - Year 2018, Vol 1, Issue 1
Abstract
Background: Complementary feeding supplements nutritional requirements, fosters the child’s growth and development, and helps to insure the future health of the child. Given its impact, it is important to be aware of the practices in Colombia with respect to the timing of complementary foods, the schedule of the introduction of common allergens, and the progression in food textures. Methodology: Pediatricians and pediatric residents were asked to complete a survey available at the outlets of Gastronutriped and the Colombian Society of Pediatrics. The data were analyzed using Epi Info 7.1.3.10. Absolute and relative frequency measurements were estimated. Results: 420 professionals participated: 83.5% pediatricians and 65% females, with a median age of 38. 82.6% start complementary food at 6 months of age, and 52% start with fruit compotes. 26% introduce egg at 9 months, 27.6% start gluten at 7 months, 30.9% recommend fish after one year of age, and 83.8% allow cow's milk at approximately one year of age. About 90% of respondents recommend liquefied food or porridge between 6 and 8 months of age. However, about 60% suggest progressing toward more solid food during this same period. Conclusions: Cow's milk is mostly introduced after one year of age according ESPGHAN Guidelines 2017. Contradictorily, its derivatives (yogurt, cheese, and desserts) are allowed before one year of age. It is advised that some foods with greater allergenic potential, such as fish, seafood, dried fruit, and nuts, are avoided during the first year of life contrary to the current recommendations of allergen introduction by ESPGHAN Guidelines 2017.
Authors and Affiliations
Wilson Daza
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