Adherence to different complementary feeding methods in the first year of life: A randomized clinical trial

PLOS ONE · 9 authors, 4 centres

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TL;DR

This randomized clinical trial compared adherence to three complementary feeding methods (Parent-Led Weaning, Baby-Led Introduction to SolidS, and a mixed method) in 139 mother-infant pairs. The mixed method showed significantly higher adherence at 7, 9, and 12 months of age compared to the other methods.

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This randomized clinical trial assessed adherence to three complementary feeding methods—Parent-Led Weaning (PLW), Baby-Led Introduction to SolidS (BLISS), and a mixed method—starting at 5.5 months of age. The study included 139 mother-infant pairs randomly assigned to the three groups. Adherence, defined by both feeding mode (spoon-fed vs. self-fed) and food consistency, was measured at 7, 9, and 12 months. The mixed method demonstrated significantly higher adherence at all time points (69.0% at 7 months, 55.8% at 9 months, 78.6% at 12 months) compared to PLW and BLISS. The overall adherence across all methods was low, ranging from 28.5% to 34.1%. A key finding was that among participants who did not follow their assigned method, those in the PLW and BLISS groups often migrated to the mixed method by 12 months.

STUDY TYPE

RCT

SPECIALTY

pediatrics

SUMMARISED BY

AI pipeline

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ORIGINAL PAPER

PMC10621984

Adherence to different complementary feeding methods in the first year of life: A randomized clinical trial

PLOS ONE

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ABSTRACT

Abstract Background Infant-guided methods, such as Baby-Led Introduction to SolidS (BLISS), encourage children to feed themselves from the same food consumed by their family since the beginning of the introduction of complementary foods, in opposition to the Parent-Led Weaning (PLW) method, which proposes foods mashed with a fork and given by parents. Adherence to child-guided methods is low due to a lack of confidence in the children’s ability to feed themselves. This study aimed to assess adherence to three methods of food introduction: PLW, BLISS, or mixed (PLW and BLISS) at seven, nine, and 12 months of age. Methods A randomized clinical trial was conducted with mother-infant pairs undergoing intervention at 5.5 months of age. Data were presented in absolute numbers and percentages and analyzed using the Chi-Square test. Results The sample was constituted of 139 mother-infant pairs: 45 (32%) used PLW, 48 (35%) used BLISS, and 46 (33%) used the mixed method. Adherence to the method at seven, nine, and 12 months of age children was 34.1% (n = 45), 28.5% (n = 37), and 34.1% (n = 46), respectively. The mixed method presented significantly higher adherence results: 69.0% (n = 29) at seven months, 55.8% (n = 24) at nine months, and 78.6% (n = 33) at 12 months (p<0.001). Among the sample that unfollowed the proposed method, those who used PLW and BLISS migrated mostly to the mixed method at 12 months, 60.0% (n = 27) and 72.9% (n = 35) of them, respectively, because of the feeding mode and 97.8% (n = 44) and 100.0% (n = 48) because of food consistency. Conclusion Complementary feeding in a mixed method presented higher adherence at seven, nine, and 12 months of age of children, which shows the feasibility of this approach to guide families in the introduction of complementary feeding.

CITATION EXPORT

Christy Hannah Sanini Belin, Leandro Meirelles Nunes, Cátia Regina Ficagna et al.. Adherence to different complementary feeding methods in the first year of life: A randomized clinical trial. PLOS ONE. (2023). https://doi.org/10.1371/journal.pone.0289696

AUTHORS

9 · 4 CENTRES

Christy Hannah Sanini Belin, Leandro Meirelles Nunes, Cátia Regina Ficagna, Renata Oliveira Neves, Paula Ruffoni Moreira, Juliana Rombaldi Bernardi, Erica Jane Cook, Erica Jane Cook, Erica Jane Cook

1The Graduate Program in Child and Adolescent Health, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
2Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
3The Graduate Program in Food, Nutrition and Health, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
4University of Bedfordshire, UNITED KINGDOM