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

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...

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Bibliographic Details
Published in:PloS one 2023-11, Vol.18 (11), p.e0289696-e0289696
Main Authors: Sanini Belin, Christy Hannah, Nunes, Leandro Meirelles, Ficagna, Cátia Regina, Neves, Renata Oliveira, Moreira, Paula Ruffoni, Bernardi, Juliana Rombaldi
Format: Article
Language:English
Subjects:
Age
Biology and Life Sciences
Breast feeding
Breastfeeding & lactation
Caregivers
Chi-square test
Children
Children & youth
Clinical trials
Consumption
Costs (Law)
Data collection
Diet
Evaluation
Families & family life
Feeding behavior
Food
Health aspects
Infants
Iron
Meals
Medicine and Health Sciences
Methods
Mothers
Nutritionists
Parents
Parents & parenting
Patient compliance
People and Places
Research and Analysis Methods
Social Sciences
Weaning
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Summary: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. 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. 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
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0289696