Complementary feeding methods in the first year of life : a study protocol for a randomized clinical trial
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/231447 |
Resumo: | Background: The traditional spoon-feeding approach to introduction of solid foods during the complementary feeding period is supported by consensus in the scientific literature. However, a method called Baby-Led Introduction to SolidS (BLISS) has been proposed as an alternative, allowing infants to self-feed with no adult interference. To date, there have been no trials in the Brazilian population to evaluate the effectiveness of BLISS in comparison to the traditional approach. Methods/design: To evaluate and compare three different complementary feeding methods. Data on 144 mother child pairs will be randomized into intervention groups by methods: (A) strict Parent-Led Weaning; (B) strict Baby Led Introduction to SolidS; and (C) a mixed method. Prospective participants from Porto Alegre, Brazil, and nearby cities will be recruited through the Internet. The interventions will be performed by nutritionists and speech therapists, at 5.5 months of age of the child, at a private nutrition office equipped with a test kitchen where meals will be prepared according to the randomized method. The pairs will be followed up at 7, 9, and 12 months of age. Data will be collected through questionnaires designed especially for this study, which will include a 24h child food recall, questionnaires on the child’s and parents’ eating behavior, oral habits, eating difficulties, and choking prevalence. At 12 months of age, children will undergo blood collection to measure hemoglobin, ferritin, and C reactive protein, saliva collection for analysis of genetic polymorphisms, and oral examination. Anthropometric parameters (child and maternal) will be measured at the baseline intervention, at a 9 month home visit, and at the end-of-study visit at the hospital. The primary outcome will be child growth and nutritional status z-scores at 12 months; secondary outcomes will include iron status, feeding behavior, acceptability of the methods, dietary variety, choking, eating behaviors, food preferences, acceptance of bitter and sweet flavors, suction, oral habits, oral hygiene behavior, dental caries, gingival health status, and functional constipation. Discussion: The trial intends to ascertain whether there are potential advantages to the BLISS complementary feeding method in this specific population, generating data to support families and healthcare providers. |
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Nunes, Leandro MeirellesFuhr, JordanaBelin, Christy Hannah SaniniMoreira, Paula RuffoniNeves, Renata OliveiraBrito, Mariana Lopes deMorando, Lorenzo AndreazzaMariath, Adriela Azevedo SouzaGomes, ErissandraBernardi, Juliana Rombaldi2021-10-30T04:59:51Z20211745-6215http://hdl.handle.net/10183/231447001132958Background: The traditional spoon-feeding approach to introduction of solid foods during the complementary feeding period is supported by consensus in the scientific literature. However, a method called Baby-Led Introduction to SolidS (BLISS) has been proposed as an alternative, allowing infants to self-feed with no adult interference. To date, there have been no trials in the Brazilian population to evaluate the effectiveness of BLISS in comparison to the traditional approach. Methods/design: To evaluate and compare three different complementary feeding methods. Data on 144 mother child pairs will be randomized into intervention groups by methods: (A) strict Parent-Led Weaning; (B) strict Baby Led Introduction to SolidS; and (C) a mixed method. Prospective participants from Porto Alegre, Brazil, and nearby cities will be recruited through the Internet. The interventions will be performed by nutritionists and speech therapists, at 5.5 months of age of the child, at a private nutrition office equipped with a test kitchen where meals will be prepared according to the randomized method. The pairs will be followed up at 7, 9, and 12 months of age. Data will be collected through questionnaires designed especially for this study, which will include a 24h child food recall, questionnaires on the child’s and parents’ eating behavior, oral habits, eating difficulties, and choking prevalence. At 12 months of age, children will undergo blood collection to measure hemoglobin, ferritin, and C reactive protein, saliva collection for analysis of genetic polymorphisms, and oral examination. Anthropometric parameters (child and maternal) will be measured at the baseline intervention, at a 9 month home visit, and at the end-of-study visit at the hospital. The primary outcome will be child growth and nutritional status z-scores at 12 months; secondary outcomes will include iron status, feeding behavior, acceptability of the methods, dietary variety, choking, eating behaviors, food preferences, acceptance of bitter and sweet flavors, suction, oral habits, oral hygiene behavior, dental caries, gingival health status, and functional constipation. Discussion: The trial intends to ascertain whether there are potential advantages to the BLISS complementary feeding method in this specific population, generating data to support families and healthcare providers.application/pdfengTrials. London. Vol. 22, n. 1 (2021), 687, 13 p.Fenômenos fisiológicos da nutrição do lactenteComportamento alimentarObesidade infantilAnemia ferroprivaObstrução das vias respiratóriasConstipação intestinalComplementary feedingFeeding behaviorFeeding preferencesinfant overweightIron deficiency anemiaChokingConstipationClinical trialComplementary feeding methods in the first year of life : a study protocol for a randomized clinical trialEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001132958.pdf.txt001132958.pdf.txtExtracted Texttext/plain64001http://www.lume.ufrgs.br/bitstream/10183/231447/3/001132958.pdf.txte16429e6c447f6d036dfd7390f645959MD53001132958-02.pdf.txt001132958-02.pdf.txtExtracted Texttext/plain3089http://www.lume.ufrgs.br/bitstream/10183/231447/4/001132958-02.pdf.txtdaa5ae8ac4fe4a90385e0dc2f431ab6eMD54ORIGINAL001132958.pdfTexto completo (inglês)application/pdf1049537http://www.lume.ufrgs.br/bitstream/10183/231447/1/001132958.pdfc84f4ce754e64465d1dfad05d2418af7MD51001132958-02.pdfErrataapplication/pdf182769http://www.lume.ufrgs.br/bitstream/10183/231447/2/001132958-02.pdffae377ef31e167e78ec6aa0fec14922fMD5210183/2314472023-07-28 03:35:46.875097oai:www.lume.ufrgs.br:10183/231447Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2023-07-28T06:35:46Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Complementary feeding methods in the first year of life : a study protocol for a randomized clinical trial |
title |
Complementary feeding methods in the first year of life : a study protocol for a randomized clinical trial |
spellingShingle |
Complementary feeding methods in the first year of life : a study protocol for a randomized clinical trial Nunes, Leandro Meirelles Fenômenos fisiológicos da nutrição do lactente Comportamento alimentar Obesidade infantil Anemia ferropriva Obstrução das vias respiratórias Constipação intestinal Complementary feeding Feeding behavior Feeding preferences infant overweight Iron deficiency anemia Choking Constipation Clinical trial |
title_short |
Complementary feeding methods in the first year of life : a study protocol for a randomized clinical trial |
title_full |
Complementary feeding methods in the first year of life : a study protocol for a randomized clinical trial |
title_fullStr |
Complementary feeding methods in the first year of life : a study protocol for a randomized clinical trial |
title_full_unstemmed |
Complementary feeding methods in the first year of life : a study protocol for a randomized clinical trial |
title_sort |
Complementary feeding methods in the first year of life : a study protocol for a randomized clinical trial |
author |
Nunes, Leandro Meirelles |
author_facet |
Nunes, Leandro Meirelles Fuhr, Jordana Belin, Christy Hannah Sanini Moreira, Paula Ruffoni Neves, Renata Oliveira Brito, Mariana Lopes de Morando, Lorenzo Andreazza Mariath, Adriela Azevedo Souza Gomes, Erissandra Bernardi, Juliana Rombaldi |
author_role |
author |
author2 |
Fuhr, Jordana Belin, Christy Hannah Sanini Moreira, Paula Ruffoni Neves, Renata Oliveira Brito, Mariana Lopes de Morando, Lorenzo Andreazza Mariath, Adriela Azevedo Souza Gomes, Erissandra Bernardi, Juliana Rombaldi |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Nunes, Leandro Meirelles Fuhr, Jordana Belin, Christy Hannah Sanini Moreira, Paula Ruffoni Neves, Renata Oliveira Brito, Mariana Lopes de Morando, Lorenzo Andreazza Mariath, Adriela Azevedo Souza Gomes, Erissandra Bernardi, Juliana Rombaldi |
dc.subject.por.fl_str_mv |
Fenômenos fisiológicos da nutrição do lactente Comportamento alimentar Obesidade infantil Anemia ferropriva Obstrução das vias respiratórias Constipação intestinal |
topic |
Fenômenos fisiológicos da nutrição do lactente Comportamento alimentar Obesidade infantil Anemia ferropriva Obstrução das vias respiratórias Constipação intestinal Complementary feeding Feeding behavior Feeding preferences infant overweight Iron deficiency anemia Choking Constipation Clinical trial |
dc.subject.eng.fl_str_mv |
Complementary feeding Feeding behavior Feeding preferences infant overweight Iron deficiency anemia Choking Constipation Clinical trial |
description |
Background: The traditional spoon-feeding approach to introduction of solid foods during the complementary feeding period is supported by consensus in the scientific literature. However, a method called Baby-Led Introduction to SolidS (BLISS) has been proposed as an alternative, allowing infants to self-feed with no adult interference. To date, there have been no trials in the Brazilian population to evaluate the effectiveness of BLISS in comparison to the traditional approach. Methods/design: To evaluate and compare three different complementary feeding methods. Data on 144 mother child pairs will be randomized into intervention groups by methods: (A) strict Parent-Led Weaning; (B) strict Baby Led Introduction to SolidS; and (C) a mixed method. Prospective participants from Porto Alegre, Brazil, and nearby cities will be recruited through the Internet. The interventions will be performed by nutritionists and speech therapists, at 5.5 months of age of the child, at a private nutrition office equipped with a test kitchen where meals will be prepared according to the randomized method. The pairs will be followed up at 7, 9, and 12 months of age. Data will be collected through questionnaires designed especially for this study, which will include a 24h child food recall, questionnaires on the child’s and parents’ eating behavior, oral habits, eating difficulties, and choking prevalence. At 12 months of age, children will undergo blood collection to measure hemoglobin, ferritin, and C reactive protein, saliva collection for analysis of genetic polymorphisms, and oral examination. Anthropometric parameters (child and maternal) will be measured at the baseline intervention, at a 9 month home visit, and at the end-of-study visit at the hospital. The primary outcome will be child growth and nutritional status z-scores at 12 months; secondary outcomes will include iron status, feeding behavior, acceptability of the methods, dietary variety, choking, eating behaviors, food preferences, acceptance of bitter and sweet flavors, suction, oral habits, oral hygiene behavior, dental caries, gingival health status, and functional constipation. Discussion: The trial intends to ascertain whether there are potential advantages to the BLISS complementary feeding method in this specific population, generating data to support families and healthcare providers. |
publishDate |
2021 |
dc.date.accessioned.fl_str_mv |
2021-10-30T04:59:51Z |
dc.date.issued.fl_str_mv |
2021 |
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Estrangeiro info:eu-repo/semantics/article |
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http://hdl.handle.net/10183/231447 |
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001132958 |
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Trials. London. Vol. 22, n. 1 (2021), 687, 13 p. |
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openAccess |
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