Choking, gagging and complementary feeding methods in the first year of life: a randomized clinical trial
Objective: Compare the occurrence of choking and gagging in infants subjected to three complementary feeding (CF) methods. Methods: Randomized clinical trial with mother-infant pairs, allocated according to the following methods of CF: a) Parent-Led Weaning (PLW) — group control, b) Baby-Led Introdu...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Jornal de Pediatria |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0021755723000797 |
| _version_ | 1797655181984268288 |
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| author | Christielly Santos Silveira de Paiva Leandro Meirelles Nunes Juliana Rombaldi Bernardi Paula Ruffoni Moreira Adriela Azevedo Souza Mariath Erissandra Gomes |
| author_facet | Christielly Santos Silveira de Paiva Leandro Meirelles Nunes Juliana Rombaldi Bernardi Paula Ruffoni Moreira Adriela Azevedo Souza Mariath Erissandra Gomes |
| author_sort | Christielly Santos Silveira de Paiva |
| collection | DOAJ |
| description | Objective: Compare the occurrence of choking and gagging in infants subjected to three complementary feeding (CF) methods. Methods: Randomized clinical trial with mother-infant pairs, allocated according to the following methods of CF: a) Parent-Led Weaning (PLW) — group control, b) Baby-Led Introduction to SolidS (BLISS), and c) mixed (initially BLISS and if the infant presents a lack of interest or dissatisfaction, PLW), with the last two methods guided by the infant. Mothers received nutritional intervention on CF and prevention of choking and gagging according to the method at 5.5 months of age and remained in follow-up until 12 months. Frequencies of choking and gagging were collected by questionnaire at nine and 12 months. The comparison between groups was performed using the analysis of variance test (p < 0.05). Results: 130 infants were followed, and 34 (26.2%) children presented choking between six and 12 months of age, 13 (30.2%) in PLW, 10 (22.2%) BLISS, and 11 (26.2%) mixed method, no significative difference between methods (p > 0.05). The choking was caused mainly by the semi-solid/solid consistency. Moreover, 100 (80%) infants aged from six to 12 months presented gagging and their characteristics were not statistically different among groups (p > 0.05). Conclusion: Infants following a baby-led feeding method that includes advice on minimizing choking risk do not seem more likely to choke than infants following traditional feeding practice that includes advice on minimizing choking risk. |
| first_indexed | 2024-03-11T17:10:29Z |
| format | Article |
| id | doaj.art-8795c0f3d26a4e2fbe6bec85ebdaf385 |
| institution | Directory Open Access Journal |
| issn | 0021-7557 |
| language | English |
| last_indexed | 2024-03-11T17:10:29Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Jornal de Pediatria |
| spelling | doaj.art-8795c0f3d26a4e2fbe6bec85ebdaf3852023-10-20T06:37:58ZengElsevierJornal de Pediatria0021-75572023-11-01996574581Choking, gagging and complementary feeding methods in the first year of life: a randomized clinical trialChristielly Santos Silveira de Paiva0Leandro Meirelles Nunes1Juliana Rombaldi Bernardi2Paula Ruffoni Moreira3Adriela Azevedo Souza Mariath4Erissandra Gomes5Universidade Federal do Rio Grande do Sul (UFRGS), Curso de Fonoaudiologia, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Medicina, Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil; Hospital de Clínicas de Porto Alegre (HCPA), Seção de Neonatologia, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Medicina, Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Medicina, Programa de Pós-Graduação em Alimentação, Nutrição e Saúde, Porto Alegre, RS, Brazil; Hospital de Clínicas de Porto Alegre (HCPA), Departamento de Nutrição, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Medicina, Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Medicina, Programa de Pós-Graduação em Alimentação, Nutrição e Saúde, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Odontologia, Departamento de Cirurgia e Ortopedia, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Odontologia, Departamento de Cirurgia e Ortopedia, Porto Alegre, RS, Brazil; Corresponding author.Objective: Compare the occurrence of choking and gagging in infants subjected to three complementary feeding (CF) methods. Methods: Randomized clinical trial with mother-infant pairs, allocated according to the following methods of CF: a) Parent-Led Weaning (PLW) — group control, b) Baby-Led Introduction to SolidS (BLISS), and c) mixed (initially BLISS and if the infant presents a lack of interest or dissatisfaction, PLW), with the last two methods guided by the infant. Mothers received nutritional intervention on CF and prevention of choking and gagging according to the method at 5.5 months of age and remained in follow-up until 12 months. Frequencies of choking and gagging were collected by questionnaire at nine and 12 months. The comparison between groups was performed using the analysis of variance test (p < 0.05). Results: 130 infants were followed, and 34 (26.2%) children presented choking between six and 12 months of age, 13 (30.2%) in PLW, 10 (22.2%) BLISS, and 11 (26.2%) mixed method, no significative difference between methods (p > 0.05). The choking was caused mainly by the semi-solid/solid consistency. Moreover, 100 (80%) infants aged from six to 12 months presented gagging and their characteristics were not statistically different among groups (p > 0.05). Conclusion: Infants following a baby-led feeding method that includes advice on minimizing choking risk do not seem more likely to choke than infants following traditional feeding practice that includes advice on minimizing choking risk.http://www.sciencedirect.com/science/article/pii/S0021755723000797ChokingInfant feedingFeeding methodsRandomized clinical trial |
| spellingShingle | Christielly Santos Silveira de Paiva Leandro Meirelles Nunes Juliana Rombaldi Bernardi Paula Ruffoni Moreira Adriela Azevedo Souza Mariath Erissandra Gomes Choking, gagging and complementary feeding methods in the first year of life: a randomized clinical trial Jornal de Pediatria Choking Infant feeding Feeding methods Randomized clinical trial |
| title | Choking, gagging and complementary feeding methods in the first year of life: a randomized clinical trial |
| title_full | Choking, gagging and complementary feeding methods in the first year of life: a randomized clinical trial |
| title_fullStr | Choking, gagging and complementary feeding methods in the first year of life: a randomized clinical trial |
| title_full_unstemmed | Choking, gagging and complementary feeding methods in the first year of life: a randomized clinical trial |
| title_short | Choking, gagging and complementary feeding methods in the first year of life: a randomized clinical trial |
| title_sort | choking gagging and complementary feeding methods in the first year of life a randomized clinical trial |
| topic | Choking Infant feeding Feeding methods Randomized clinical trial |
| url | http://www.sciencedirect.com/science/article/pii/S0021755723000797 |
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