Risks and benefits of Baby - Led Weaning, as a new proposal for the beginning of complementary feeding

Authors

DOI:

https://doi.org/10.56294/saludcyt2022206

Keywords:

Baby Led Weaning, Risks, Benefits

Abstract

Introduction: adequate feeding of children is a worldwide challenge, that is why it is important to know how to do it from the first months of life, ensuring proper growth and optimal development. It is of interest new methods such as Baby - Led Weaning (BLW), which is focused on a feeding guided by the same child, being he/she able to automate his/her own feeding rhythm.
Aim: to describe the risks and benefits of Baby Led Weaning during the initiation of complementary feeding.
Methodology: narrative literature review in PubMed and Cochcrane databases. 
Results: in comparison with those infants who were fed by baby led weaning, similar hemoglobin values were found, and the risk of asphyxia was the same in both groups. Choking can easily occur in infants who are initiating complementary feeding due to the fact of keeping the food constantly moving in the mouth and biting it for the first time. The findings are not sufficient to clarify the advantages and disadvantages of this new method. 
Conclusion: in this review it was found that BLW should be implemented at the beginning of breastfeeding, especially in children who are able to maintain a sitting position, taking into account the information gathered, it was shown that one of the most frequent risks is choking and among the benefits is the ability to self-monitor satiety

References

1. Organización Panamericana de la Salud, Organización Mundial de la Salud. Principios de orientación para la alimentación complementaria del niño amamantado. Asociación Española de Pediatría. 2003. https://www.aeped.es/sites/default/files/1-orientacion_para_la_ac.pdf

2. Quigley MA, Carson C, Sacker A, Kelly Y. Exclusive breastfeeding duration and infant infection. Eur J Clin Nutr 2016;70(12):1420–7. https://doi.org/10.1038/ejcn.2016.135.

3. Rowan H, Lee M, Brown A. Differences in dietary composition between infants introduced to complementary foods using Baby-led weaning and traditional spoon feeding. J Hum Nutr Diet 2019;32(1):11-20. https://doi.org/10.1111/jhn.12616.

4. Swanepoel L, Henderson J, Maher J. Mothers’ experiences with complementary feeding: Conventional and baby-led approaches. Nutrition & Dietetics 2020;77:373-81. https://doi.org/10.1111/1747-0080.12566.

5. Andries E Arantes AL, Neves F silva, Campos AAL, Netto michele P. The baby- led weaning method (LBW) in the context of complementary feeding: a review. Rev Paul Pediatr 2018;36(3):353. https://doi.org/10.1590/1984-0462/;2018;36;3;00001.

6. Pearce J, Rundle R. Baby-led weaning: A thematic analysis of comments made by parents using online parenting forums. J Hum Nutr Diet 2022. https://doi.org/10.1111/jhn.13078.

7. Fuentes Alfaro V, Leonelli Neira G, Weisstaub G, Fuentes Alfaro V, Leonelli Neira G, Weisstaub G. ¿Qué se sabe actualmente sobre el método de alimentación guiado por el bebé -BLW? Andes Pediatr 2022;93(3):300–11. http://dx.doi.org/10.32641/andespediatr.v93i3.4181.

8. Nunes LM, Führ J, Belin CHS, Moreira PR, Neves RO, de Brito ML, Morando LA, Mariath AAS, Gomes E, Bernardi JR. Complementary feeding methods in the first year of life: a study protocol for

a randomized clinical trial. Trials. 2021;22(1):687. https://doi.org/10.1186/s13063-021-05647-1.

9. Boswell N. Complementary Feeding Methods—A Review of the Benefits and Risks. Int J Environ Res Public Health 2021;18(13):7165.

10. Brown A. No difference in self-reported frequency of choking between infants introduced to solid foods using a baby-led weaning or traditional spoon-feeding approach. J Hum Nutr Diet 2018;31(4):496–504.

11. Birch LL, Doub AE. Learning to eat: birth to age 2 y. Am J Clin Nutr 2014;99(3):723S-8S. https://doi.org/10.3945/ajcn.113.069047.

12. Dogan E, Yilmaz G, Caylan N, Turgut M, Gokcay G, Oguz MM. Baby-led complementary feeding: Randomized controlled study. Pediatr Int 2018;60(12):1073–80. https://doi.org/10.1111/ped.13671.

13. Morison BJ, Heath AM, Haszard JJ, Hein K, Fleming EA, Daniels L, Erickson EW, Fangupo LJ, Wheeler BJ, Taylor BJ, Taylor RW. Impact of a Modified Version of Baby-Led Weaning on Dietary Variety and Food Preferences in Infants. Nutrients. 2018;10(8):1092. https://doi.org/10.3390/nu10081092.

14. Bacchus S, Taylor R, Fleming E, Williams S, Wheeler B, Taylor B, et al. Acceptability to parents of a baby-led approach to introducing solids. Proc Nutr Soc 2020;79(OCE2):E357.

15. D’Auria E, Bergamini M, Staiano A, Banderali G, Pendezza E, Penagini F, et al. Baby-led weaning: what a systematic review of the literature adds on. Ital J Pediatr 2018;44(1):49. https://doi.org/10.1186/s13052-018-0487-8.

16. Taylor RW, Conlon CA, Beck KL, von Hurst PR, Te Morenga LA, Daniels L, Haszard JJ, Meldrum AM, McLean NH, Cox AM, Tukuafu L, Casale M, Brown KJ, Jones EA, Katiforis I, Rowan M, McArthur J, Fleming EA, Wheeler BJ, Houghton LA, Diana A, Heath AM. Nutritional Implications of Baby-Led Weaning and Baby Food Pouches as Novel Methods of Infant Feeding: Protocol for an Observational Study. JMIR Res Protoc. 2021;10(4):e29048. https://doi.org/10.2196/29048.

17. Jones SW, Lee M, Brown A. Spoonfeeding is associated with increased infant weight but only amongst formula-fed infants. Matern Child Nutr. 2020;16(3):e12941. https://doi.org/10.1111/mcn.12941.

18. Spill M, Callahan E, Johns K, Shapiro M, Spahn JM, Wong YP, et al. Repeated Exposure to Foods and Early Food Acceptance: A Systematic Review. Alexandria (VA): USDA Nutrition Evidence Systematic Review; 2019.

19. Masztalerz-Kozubek D, Zielinska MA, Rust P, Majchrzak D, Hamulka J. The Use of Added Salt and Sugar in the Diet of Polish and Austrian Toddlers. Associated Factors and Dietary Patterns, Feeding and Maternal Practices. Int J Environ Res Public Health. 2020;17(14):5025. https://doi.org/10.3390/ijerph17145025.

20. Gomez MS, Novaes APT, da Silva JP, Guerra LM, de Fátima Possobon R. Baby –Led Weaning, an overview of the new approach to food introduction: integrative literature review: Rev Paul Pediatre 2020;13;38:e2018084. https://doi.org/10.1590/1984-0462/2020/38/2018084.

21. Neves FS, Romano BM, Campos AAL, Pavam CA, Oliveira RMS, Cândido APC, Pereira Netto M. Brazilian health professionals' perception about the Baby-Led Weaning (BLW) method for complementary feeding: an exploratory study. Rev Paul Pediatr. 2021;40:e2020321. https://doi.org/10.1590/1984-0462/2022/40/2020321.

Downloads

Published

2022-12-31

How to Cite

1.
Ordóñez Castillo TF, Ojeda Sánchez JC, Verdesoto Herrera FE, Martínez Dias GD. Risks and benefits of Baby - Led Weaning, as a new proposal for the beginning of complementary feeding. Salud, Ciencia y Tecnología [Internet]. 2022 Dec. 31 [cited 2024 Nov. 21];2:206. Available from: https://sct.ageditor.ar/index.php/sct/article/view/91