PDF(Pubmed)
Abstract：
OBJECTIVE: To investigate the routine guidance provided by pediatricians concerning the timing of complementary feeding (CF) for both healthy infants and those at a heightened risk of allergies.
METHODS: A total of 233 pediatricians participated in an anonymous online survey that included questions about demographics and recommendations for CF. Specifically, they provided guidance on the types of foods, preparation methods, supplements, time intervals for introducing new foods to infants at low and high allergy risk, and delayed food introductions for high-risk cases.
RESULTS: The respondents advised introducing certain foods at specific ages: fruits, starchy non-gluten grains, vegetables, olive oil, and meat were appropriate at 6 months; gluten-rich grains at 7 months; yogurt, hard-boiled eggs, and legumes at 8 months; fish at 8.5 months; and nuts at 9 months. Pediatricians, especially those with less than 15 years of practice, often introduced egg, seafood, gluten-rich grains, legumes, and nuts earlier for high-risk infants. Parenthood and male gender were associated with the earlier introduction of eggs and grains.
CONCLUSIONS: Greek pediatricians follow a structured food introduction schedule for CF in infants. Interestingly, they tend to delay the introduction of common food allergens and recommend longer intervals between introducing new foods, particularly for high-risk infants. Key Notes: Despite recent evidence-based indications on healthy complementary feeding strategies for infants, discrepancies persist among pediatricians regarding food choices and the order and timing of food introduction, both for healthy infants and those at risk of allergy. Guidance on complementary feeding by pediatricians is influenced by their individual characteristics. Pediatricians tend to delay the introduction of common food allergens and recommend longer intervals between introducing new foods, particularly for high-risk infants.
METHODS: A total of 233 pediatricians participated in an anonymous online survey that included questions about demographics and recommendations for CF. Specifically, they provided guidance on the types of foods, preparation methods, supplements, time intervals for introducing new foods to infants at low and high allergy risk, and delayed food introductions for high-risk cases.
RESULTS: The respondents advised introducing certain foods at specific ages: fruits, starchy non-gluten grains, vegetables, olive oil, and meat were appropriate at 6 months; gluten-rich grains at 7 months; yogurt, hard-boiled eggs, and legumes at 8 months; fish at 8.5 months; and nuts at 9 months. Pediatricians, especially those with less than 15 years of practice, often introduced egg, seafood, gluten-rich grains, legumes, and nuts earlier for high-risk infants. Parenthood and male gender were associated with the earlier introduction of eggs and grains.
CONCLUSIONS: Greek pediatricians follow a structured food introduction schedule for CF in infants. Interestingly, they tend to delay the introduction of common food allergens and recommend longer intervals between introducing new foods, particularly for high-risk infants. Key Notes: Despite recent evidence-based indications on healthy complementary feeding strategies for infants, discrepancies persist among pediatricians regarding food choices and the order and timing of food introduction, both for healthy infants and those at risk of allergy. Guidance on complementary feeding by pediatricians is influenced by their individual characteristics. Pediatricians tend to delay the introduction of common food allergens and recommend longer intervals between introducing new foods, particularly for high-risk infants.
摘要：
目的：调查儿科医生提供的关于健康婴儿和高过敏风险婴儿的补充喂养（CF）时机的常规指导。
方法：共有233名儿科医生参与了一项匿名在线调查，其中包括有关人口统计学和CF建议的问题。具体来说,他们提供了食物类型的指导，制备方法,补充剂,向低过敏风险和高过敏风险的婴儿引入新食物的时间间隔，以及高风险病例的延迟食物引入。
结果：受访者建议在特定年龄引入某些食物：水果，淀粉非麸质谷物，蔬菜,橄榄油,6个月时适合肉类；7个月时富含麸质的谷物；酸奶，煮熟的鸡蛋,8个月时和豆类；8.5个月时钓鱼；9个月时坚果。儿科医生,尤其是那些练习不到15年的人，经常介绍鸡蛋，海鲜,富含麸质的谷物,豆类,和坚果早期高危婴儿。父母身份和男性性别与早期引入鸡蛋和谷物有关。
结论：希腊儿科医生遵循婴儿CF的结构化食物引入时间表。有趣的是,他们倾向于延迟常见食物过敏原的引入，并建议在引入新食物之间延长间隔，特别是高危婴儿。要点：尽管最近有基于证据的迹象表明婴儿的健康补充喂养策略，儿科医生在食物选择以及食物引入的顺序和时间方面仍然存在差异，对于健康的婴儿和有过敏风险的婴儿。儿科医生对补充喂养的指导受其个体特征的影响。儿科医生倾向于推迟常见食物过敏原的引入，并建议在引入新食物之间延长间隔，特别是高危婴儿。
方法：共有233名儿科医生参与了一项匿名在线调查，其中包括有关人口统计学和CF建议的问题。具体来说,他们提供了食物类型的指导，制备方法,补充剂,向低过敏风险和高过敏风险的婴儿引入新食物的时间间隔，以及高风险病例的延迟食物引入。
结果：受访者建议在特定年龄引入某些食物：水果，淀粉非麸质谷物，蔬菜,橄榄油,6个月时适合肉类；7个月时富含麸质的谷物；酸奶，煮熟的鸡蛋,8个月时和豆类；8.5个月时钓鱼；9个月时坚果。儿科医生,尤其是那些练习不到15年的人，经常介绍鸡蛋，海鲜,富含麸质的谷物,豆类,和坚果早期高危婴儿。父母身份和男性性别与早期引入鸡蛋和谷物有关。
结论：希腊儿科医生遵循婴儿CF的结构化食物引入时间表。有趣的是,他们倾向于延迟常见食物过敏原的引入，并建议在引入新食物之间延长间隔，特别是高危婴儿。要点：尽管最近有基于证据的迹象表明婴儿的健康补充喂养策略，儿科医生在食物选择以及食物引入的顺序和时间方面仍然存在差异，对于健康的婴儿和有过敏风险的婴儿。儿科医生对补充喂养的指导受其个体特征的影响。儿科医生倾向于推迟常见食物过敏原的引入，并建议在引入新食物之间延长间隔，特别是高危婴儿。
