Complementary feeding methods in the first year of life: a study protocol for a randomized clinical trial
Abstract 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 inf...
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | Trials |
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| Online Access: | https://doi.org/10.1186/s13063-021-05647-1 |
| _version_ | 1819118167867260928 |
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| author | Leandro Meirelles Nunes Jordana Führ Christy Hannah Sanini Belin Paula Ruffoni Moreira Renata Oliveira Neves Mariana Lopes de Brito Lorenzo Andreazza Morando Adriela Azevedo Souza Mariath Erissandra Gomes Juliana Rombaldi Bernardi |
| author_facet | Leandro Meirelles Nunes Jordana Führ Christy Hannah Sanini Belin Paula Ruffoni Moreira Renata Oliveira Neves Mariana Lopes de Brito Lorenzo Andreazza Morando Adriela Azevedo Souza Mariath Erissandra Gomes Juliana Rombaldi Bernardi |
| author_sort | Leandro Meirelles Nunes |
| collection | DOAJ |
| description | Abstract 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. Trial registration Brazilian Clinical Trials Registry (ReBEC): RBR- 229scm number U1111-1226-9516 . Registered on September 24, 2019. |
| first_indexed | 2024-12-22T05:44:35Z |
| format | Article |
| id | doaj.art-93ce49adcec94f71957521af78f3af41 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-12-22T05:44:35Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-93ce49adcec94f71957521af78f3af412022-12-21T18:37:05ZengBMCTrials1745-62152021-10-0122111310.1186/s13063-021-05647-1Complementary feeding methods in the first year of life: a study protocol for a randomized clinical trialLeandro Meirelles Nunes0Jordana Führ1Christy Hannah Sanini Belin2Paula Ruffoni Moreira3Renata Oliveira Neves4Mariana Lopes de Brito5Lorenzo Andreazza Morando6Adriela Azevedo Souza Mariath7Erissandra Gomes8Juliana Rombaldi Bernardi9Graduate Program in Child and Adolescent Health, Universidade Federal do Rio Grande do Sul (UFRGS) Medical SchoolGraduate Program in Child and Adolescent Health, Universidade Federal do Rio Grande do Sul (UFRGS) Medical SchoolGraduate Program in Child and Adolescent Health, Universidade Federal do Rio Grande do Sul (UFRGS) Medical SchoolGraduate Program in Food, Nutrition and Health, Universidade Federal do Rio Grande do Sul (UFRGS) Nutrition Department, Medical SchoolGraduate Program in Child and Adolescent Health, Universidade Federal do Rio Grande do Sul (UFRGS) Medical SchoolGraduate Program in Child and Adolescent Health, Universidade Federal do Rio Grande do Sul (UFRGS) Medical SchoolDepartment of Surgery and Orthopedics, Universidade Federal do Rio Grande do Sul (UFRGS) Dentistry SchoolDepartment of Surgery and Orthopedics, Universidade Federal do Rio Grande do Sul (UFRGS) Dentistry SchoolDepartment of Surgery and Orthopedics, Universidade Federal do Rio Grande do Sul (UFRGS) Dentistry SchoolGraduate Program in Child and Adolescent Health, Universidade Federal do Rio Grande do Sul (UFRGS) Medical SchoolAbstract 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. Trial registration Brazilian Clinical Trials Registry (ReBEC): RBR- 229scm number U1111-1226-9516 . Registered on September 24, 2019.https://doi.org/10.1186/s13063-021-05647-1Complementary feedingFeeding behaviorFeeding preferencesInfant overweightIron deficiency anemiaChoking |
| spellingShingle | Leandro Meirelles Nunes Jordana Führ Christy Hannah Sanini Belin Paula Ruffoni Moreira Renata Oliveira Neves Mariana Lopes de Brito Lorenzo Andreazza Morando Adriela Azevedo Souza Mariath Erissandra Gomes Juliana Rombaldi Bernardi Complementary feeding methods in the first year of life: a study protocol for a randomized clinical trial Trials Complementary feeding Feeding behavior Feeding preferences Infant overweight Iron deficiency anemia Choking |
| title | 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_short | 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 |
| topic | Complementary feeding Feeding behavior Feeding preferences Infant overweight Iron deficiency anemia Choking |
| url | https://doi.org/10.1186/s13063-021-05647-1 |
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