Alimentazione complementare nel primo anno di vita
1Programma Gastroenterologia Pediatrica, Ospedale Maggiore, Bologna
2Dipartimento NEUROFARBA; Università di Firenze, AOU Meyer, Firenze
3Pediatria di famiglia, Castelfiorentino (Firenze)
4Pediatria di famiglia, Teramo
Complementary feeding during the first year of life in Italy
Complementary feeding, Primary care paediatrician, Baby-led weaning
Background - Complementary feeding (CF) is a delicate phase in children’s growth.
The lack of evidence-based clinical recommendation on CF creates confusion and
leads to important differences of behaviour both among primary care paediatricians
Aim - This article reports two simple surveys carried out all over Italy that involved a
sample of primary care paediatricians and one of families respectively, with the intention
of describing the habits related to CF.
Methods - A 4-question questionnaire on timing and weaning methods, the use of industrial
processed food and the use of a written scheme was sent to a group of 538 primary
care paediatricians. A second 5-question questionnaire on the type of nursing, the
timing and type of food used to complement milk (breastmilk or formula), the use or not
of industrial processed food and the importance of paediatric indications was distributed
to 1,435 families.
Results - Responses were received from 538 paediatricians and 1,199 families. Almost
90% of mothers in Italy start to breastfeed their babies, but this percentage is drastically
reduced (almost by 50%) to six months of age. The fifth and the sixth month of infant life
are the privileged months to start complementary feeding. This age is recommended by
91% of paediatricians and 73.7% of the parents follow this advice. The classic Italian
baby food (rice or corn and tapioca flour with vegetable broth, parmesan, extra virgin
olive oil and meat) is still very used and is recommended by 62.4% of paediatricians
and used by 84.8% of households. Baby led weaning (BLW) has a rather marginal role
as just 7.6% of the paediatricians indicate it and 8.3% of the families practice it, while
30% of the paediatricians propose a classic weaning with adult meal tastes. Industrial
food is widely used, indeed 64.5% of paediatricians recommend it and 79.7% of
households use it at least partially. More than 99% of households follow the paediatrician's
instructions concerning weaning and 93.3% of the paediatricians give a written
scheme to the parents.
Conclusions - Primary care paediatricians have a central role in managing the weaning
time for Italian families. The use of Italian classic baby food is widespread, while BLW
has a marginal role. Paediatricians rely on written schemes in most cases. It would be
desirable that such schemes should not replace a training interview with parents that
should provide families with few but clear indications based on scientific evidence.
Vuoi citare questo contributo?
D. Lacorte, P. Lionetti, C. Retetangos, R. Ghio, P. Di Saverio,
P. De Gregorio, P. Alvisi. ALIMENTAZIONE COMPLEMENTARE NEL PRIMO ANNO DI VITA.
Medico e Bambino 2018;37:172-177
L'accesso è riservato agli abbonati
alla rivista che si siano registrati
Per accedere all'articolo in formato full text
è necessario inserire username
La riproduzione senza autorizzazione è vietata. Le informazioni di tipo sanitario
contenute in questo sito Web sono rivolte a personale medico specializzato e non possono
in alcun modo intendersi come riferite al singolo e sostitutive dell'atto medico. Per
i casi personali si invita sempre a consultare il proprio medico curante. I contenuti
di queste pagine sono soggetti a verifica continua; tuttavia sono sempre possibili
errori e/o omissioni. Medico e Bambino non è
responsabile degli effetti derivanti dall'uso di queste informazioni.
Unauthorised copies are strictly forbidden. The medical information contained in the present web site is only addressed to specialized medical staff and cannot substitute any medical action. For personal cases we invite to consult one's GP. The contents of the pages are subject to continuous verifications; anyhow mistakes and/or omissions are always possible. Medico e Bambino is not liable for the effects deriving from an improper use of the information.