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

Nutrients

on behalf of Italian Society of Pediatrics (SIP), Italian Society of Neonatology (SIN), Italian Society of Pediatric Gastroenterology, Hepatology, and Nutrition (SIGENP) and Italian Federation of Paediatricians (FIMP)¹  Annarita Pedico²  Manuela Capozza²  Nicola Laforgia²  Maria Elisabetta Baldassarre²  Antonio Di Mauro²  Valentina Rizzo²  Fabio Meneghin³  Gianluca Lista³ 

[1] Membership of SIP (Italian Society of Pediatrics) and SIN (Italian Society of Neonatology) task force on Complementary Feeding on preterm newborns and membership of Italian Federation of Paediatricians (FIMP) are provided in the Acknoledgments.;Neonatology and Neonatal Intensive Care Unit, Department of Biomedical Science and Human Oncology, “Aldo Moro” University of Bari, 70124 Bari, Italy;Neonatology and Neonatal Intensive Care Unit, Department of Paediatrics, Ospedale dei Bambini “V.Buzzi”, ASST FBF SACCO, 20154 Milano, Italy;

关键词: preterm newborn;    weaning;    primary care;   

DOI  :  10.3390/nu10050616

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown