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Weaning Time in Preterm Infants: An Audit of Italian Primary Care Paediatricians

Introduction: According to the 2016 Italian National Institute of Statistics (Istat) data in Italy, about 6.7% of all newborns are born prematurely. Due to the lack of data on current complementary feeding in preterm infants in Italy, the aim of the survey was to evaluate individual attitudes of pri...

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Autores principales: Baldassarre, Maria Elisabetta, Di Mauro, Antonio, Pedico, Annarita, Rizzo, Valentina, Capozza, Manuela, Meneghin, Fabio, Lista, Gianluca, Laforgia, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986496/
https://www.ncbi.nlm.nih.gov/pubmed/29762472
http://dx.doi.org/10.3390/nu10050616
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author Baldassarre, Maria Elisabetta
Di Mauro, Antonio
Pedico, Annarita
Rizzo, Valentina
Capozza, Manuela
Meneghin, Fabio
Lista, Gianluca
Laforgia, Nicola
author_facet Baldassarre, Maria Elisabetta
Di Mauro, Antonio
Pedico, Annarita
Rizzo, Valentina
Capozza, Manuela
Meneghin, Fabio
Lista, Gianluca
Laforgia, Nicola
author_sort Baldassarre, Maria Elisabetta
collection PubMed
description Introduction: According to the 2016 Italian National Institute of Statistics (Istat) data in Italy, about 6.7% of all newborns are born prematurely. Due to the lack of data on current complementary feeding in preterm infants in Italy, the aim of the survey was to evaluate individual attitudes of primary care paediatricians, concerning the introduction of complementary foods in preterm infants. Methods: An internet-based survey was conducted among primary care paediatricians, working in Italy, regarding (1) timing of the introduction of complementary foods to preterm newborns; (2) type of complementary foods introduced; (3) vitamin D and iron supplementations. Results: A total of 347 primary care Italian paediatricians answered the questionnaire; 44% of responders based the timing of the introduction of solid food exclusively on an infant’s age, 18% on an infant’s neurodevelopmental status and 4% on the body weight; the remaining 34% based the timing on two or more of these aspects. The type of complementary foods did not comply with an evidence-based sequence; 98% of participants promoted vitamin D supplementation and 89% promoted iron supplementation with great diversity in timing and doses. Conclusions: Due to limited evidence, there is a great heterogeneity in the attitudes of primary care paediatricians concerning the introduction of complementary foods to preterm newborns. Further research is needed to provide evidence-based guidelines regarding weaning preterm newborns.
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spelling pubmed-59864962018-06-05 Weaning Time in Preterm Infants: An Audit of Italian Primary Care Paediatricians Baldassarre, Maria Elisabetta Di Mauro, Antonio Pedico, Annarita Rizzo, Valentina Capozza, Manuela Meneghin, Fabio Lista, Gianluca Laforgia, Nicola Nutrients Brief Report Introduction: According to the 2016 Italian National Institute of Statistics (Istat) data in Italy, about 6.7% of all newborns are born prematurely. Due to the lack of data on current complementary feeding in preterm infants in Italy, the aim of the survey was to evaluate individual attitudes of primary care paediatricians, concerning the introduction of complementary foods in preterm infants. Methods: An internet-based survey was conducted among primary care paediatricians, working in Italy, regarding (1) timing of the introduction of complementary foods to preterm newborns; (2) type of complementary foods introduced; (3) vitamin D and iron supplementations. Results: A total of 347 primary care Italian paediatricians answered the questionnaire; 44% of responders based the timing of the introduction of solid food exclusively on an infant’s age, 18% on an infant’s neurodevelopmental status and 4% on the body weight; the remaining 34% based the timing on two or more of these aspects. The type of complementary foods did not comply with an evidence-based sequence; 98% of participants promoted vitamin D supplementation and 89% promoted iron supplementation with great diversity in timing and doses. Conclusions: Due to limited evidence, there is a great heterogeneity in the attitudes of primary care paediatricians concerning the introduction of complementary foods to preterm newborns. Further research is needed to provide evidence-based guidelines regarding weaning preterm newborns. MDPI 2018-05-15 /pmc/articles/PMC5986496/ /pubmed/29762472 http://dx.doi.org/10.3390/nu10050616 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Baldassarre, Maria Elisabetta
Di Mauro, Antonio
Pedico, Annarita
Rizzo, Valentina
Capozza, Manuela
Meneghin, Fabio
Lista, Gianluca
Laforgia, Nicola
Weaning Time in Preterm Infants: An Audit of Italian Primary Care Paediatricians
title Weaning Time in Preterm Infants: An Audit of Italian Primary Care Paediatricians
title_full Weaning Time in Preterm Infants: An Audit of Italian Primary Care Paediatricians
title_fullStr Weaning Time in Preterm Infants: An Audit of Italian Primary Care Paediatricians
title_full_unstemmed Weaning Time in Preterm Infants: An Audit of Italian Primary Care Paediatricians
title_short Weaning Time in Preterm Infants: An Audit of Italian Primary Care Paediatricians
title_sort weaning time in preterm infants: an audit of italian primary care paediatricians
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986496/
https://www.ncbi.nlm.nih.gov/pubmed/29762472
http://dx.doi.org/10.3390/nu10050616
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