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Complementary feeding methods in the first year of life: a study protocol for a randomized clinical trial

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...

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Autores principales: Nunes, Leandro Meirelles, Führ, Jordana, Belin, Christy Hannah Sanini, Moreira, Paula Ruffoni, Neves, Renata Oliveira, de Brito, Mariana Lopes, Morando, Lorenzo Andreazza, Mariath, Adriela Azevedo Souza, Gomes, Erissandra, Bernardi, Juliana Rombaldi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8501700/
https://www.ncbi.nlm.nih.gov/pubmed/34627344
http://dx.doi.org/10.1186/s13063-021-05647-1
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author Nunes, Leandro Meirelles
Führ, Jordana
Belin, Christy Hannah Sanini
Moreira, Paula Ruffoni
Neves, Renata Oliveira
de Brito, Mariana Lopes
Morando, Lorenzo Andreazza
Mariath, Adriela Azevedo Souza
Gomes, Erissandra
Bernardi, Juliana Rombaldi
author_facet Nunes, Leandro Meirelles
Führ, Jordana
Belin, Christy Hannah Sanini
Moreira, Paula Ruffoni
Neves, Renata Oliveira
de Brito, Mariana Lopes
Morando, Lorenzo Andreazza
Mariath, Adriela Azevedo Souza
Gomes, Erissandra
Bernardi, Juliana Rombaldi
author_sort Nunes, Leandro Meirelles
collection PubMed
description 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.
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spelling pubmed-85017002021-10-20 Complementary feeding methods in the first year of life: a study protocol for a randomized clinical trial Nunes, Leandro Meirelles Führ, Jordana Belin, Christy Hannah Sanini Moreira, Paula Ruffoni Neves, Renata Oliveira de Brito, Mariana Lopes Morando, Lorenzo Andreazza Mariath, Adriela Azevedo Souza Gomes, Erissandra Bernardi, Juliana Rombaldi Trials Study Protocol 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. BioMed Central 2021-10-09 /pmc/articles/PMC8501700/ /pubmed/34627344 http://dx.doi.org/10.1186/s13063-021-05647-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Nunes, Leandro Meirelles
Führ, Jordana
Belin, Christy Hannah Sanini
Moreira, Paula Ruffoni
Neves, Renata Oliveira
de Brito, Mariana Lopes
Morando, Lorenzo Andreazza
Mariath, Adriela Azevedo Souza
Gomes, Erissandra
Bernardi, Juliana Rombaldi
Complementary feeding methods in the first year of life: a study protocol for a randomized clinical trial
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 Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8501700/
https://www.ncbi.nlm.nih.gov/pubmed/34627344
http://dx.doi.org/10.1186/s13063-021-05647-1
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