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首页> 外文期刊>BMC Pediatrics >Development and pilot testing of Baby-Led Introduction to SolidS - a version of Baby-Led Weaning modified to address concerns about iron deficiency, growth faltering and choking
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Development and pilot testing of Baby-Led Introduction to SolidS - a version of Baby-Led Weaning modified to address concerns about iron deficiency, growth faltering and choking

机译：婴儿主导的SolidS简介的开发和试点测试-一种婴儿主导的断奶版本，经过修改后可以解决对铁缺乏，生长发育缓慢和窒息的担忧

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In Baby-Led Weaning (BLW), infants are offered ‘finger’ foods from the start of the complementary feeding period instead of being spoon-fed. Healthcare professionals have expressed concerns about adequacy of iron and energy intake, and about choking, for infants following Baby-Led Weaning. We developed a modified version of BLW, Baby-Led Introduction to SolidS (BLISS), to address these concerns. In a 12-week pilot study, families who had chosen to use a BLW approach were assigned to BLISS (n?=?14) or BLW (n?=?9). BLISS participants received 2 intervention visits, resources and on-call support. BLW participants received no intervention. Participants were interviewed weekly for 12?weeks and completed a three-day weighed record or three 24-h iron questionnaires. Compared to the BLW group, the BLISS group were more likely to introduce iron containing foods during the first week of complementary feeding, and to offer more serves per day of iron containing foods at 6?months (2.4 vs 0.8 serves/day; P?=?0.001); and less likely to offer high-choking-risk foods (3.24 vs 0.17 serves/day; P?=?0.027). This pilot study suggests BLISS may result in higher iron intakes and lower choking risk than unmodified BLW. However, the results need to be confirmed in a large randomised controlled trial.
机译：在以宝宝为主导的断奶（BLW）中，婴儿从补充喂养期开始即获得“手指”食物，而不是用勺子喂养。医护人员对婴儿带领的断奶后婴儿的铁和能量摄入是否充足以及窒息表示担忧。为了解决这些问题，我们开发了BLW的修改版本，即Baby-Led SolidS简介（BLISS）。在一项为期12周的试验研究中，选择使用BLW方法的家庭被分配为BLISS（n？=？14）或BLW（n？=？9）。 BLISS参与者接受了2次干预访问，资源和电话支持。 BLW参与者未接受干预。参与者每周接受为期12周的访问，并完成了为期三天的称重记录或三份24小时铁问卷。与BLW组相比，BLISS组在补充喂养的第一周内更可能引入含铁食物，并在6个月时提供更多的含铁食物每天（2.4 vs. 0.8份/天; P？ =？0.001）;并且不太可能提供高窒息风险的食物（3.24比0.17份/天; P = 0.027）。这项初步研究表明，与未改性的BLW相比，BLISS可能导致铁摄入量更高，窒息风险更低。但是，结果需要在大型随机对照试验中证实。

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