Modern features of complementary feeding and their efficiency in baby-led feeding

K.D. Duka, N.V. Mishina, A.O. Yefanova, I.H. Duka


Background. Baby-led feeding exists in the practice of pediatrics since 2002. But there are still no clear results on the effectiveness of its implementation and the impact on the health of young children. Particular attention is required to study the effectiveness of introducing complementary feeding. Materials and methods. We analyzed 245 questionnaires of infants with baby-led-feeding. In the questionnaires for mothers, questions were raised about the initiation of the introduction of complementary feeding, its types, the child’s reaction, with the assessment of physical development and the previous diseases. Results. Children with baby-led-feeding have a tendency to late introduction of complementary feeding (from 6 months). It turned out that until this age, the child receives only breast milk, which can’t satisfy the need for important constituent ingredients. They are necessary for the child at this age, and it leads to various metabolic disorders in the form of allergic di­seases, metabolic syndrome, anemia, osteoporosis and others. Particular concern was caused by the fact that children start receiving meat products too late, which naturally leads to the development of iron deficiency anemia. In addition, contrary to the current norms and regulations, we noticed frequent facts of self-consumption of the whole milk itself and fermented milk products made from it (kephir, yoghurt). Conclusions. Based on the study of this question, it was proved that the existing provisions on the introduction of complementary foods with baby-led-feeding require supervision and correction in accordance with the state of children’s health and the existing provisions of the World Health Organization.


infants; complementary feeding; physical development; concomitant diseases


Shun'ko JeJe, Tutchenko LI, Kostjuk OO, Marushko TL. Suchasne vedennja laktacii' ta grudnogo vygodovuvannja: navchal'nyj posibnyk. [Modern management of lactation and breastfeeding: tutorial]. Kyi'v; 2002. 256 p. (in Ukrainian).

Ministry of Health of Ukraine. Order № 149 dated March 20, 2008. On the approval of the clinical protocol of medical care for a healthy child under the age of 3 years. Available from: Accessed: March 20, 2008. (in Ukrainian).

Tutel'ian VA, Kon' IJa, editors. Rukovodstvo po detskomu pitaniiu [A guide for a child nutrition]. Moscow: Meditsinskoe informatsionnoe agentstvo; 2004. 662 p. (in Russian).

Ministry of Health of the Russian Federation. Sovremennye printsipy i metody vskarmlivaniia detei pervogo goda zhizni. Metodicheskie ukazaniia 99/225 [Modern principles and methods of feeding children of the first year of life. Methodical guidelines 99/225]. Moscow: Ministry of Health of the Russian Federation; 1999. 50 p. (in Russian).

Union of Pediatrics of Russia, National Association of Dietologists and Nutriciologists, Scientific Health Center of Children of the RAMS, Institute of Nutrition of the Russian Academy of Medical Sciences. Natsional'naia programma optimizatsii vskarmlivaniia detei pervogo goda zhizni v Rossiiskoi Federatsii [The National program for the optimization of infant feeding in the Russian Federation.]. Moscow; 2010. 68 p. (in Russian).

Vorontsov IM, Mazurin AV, editors. Spravochnik po detskoi dietike [Handbook of Children's Dietics]. Moscow: Meditsina; 1982. p.23-29. (in Russian).

Studenikin MIa, Ladodo KS. Pitanie detei rannego vozrasta [Nutrition for young children]. 2nd ed. Leningrad: Meditsina; 1991. 175 p. (in Russian).

Borovik TJe, Ladodo KS, Iatsyk GV, Skvortsova VA, Kon' IJa. National strategy of feeding children of the first year of life in the Russian Federation. Organization of complementary foods. Praktika pediatra. 2008;9:81-87. (in Russian).

Elkina TN, Kondiurina EG, Gribanova OA, Surovikina EA, Beletskaia OA. Prikormy v ratsione zdorovogo rebenka pervogo goda zhizni [The complementary foods in the diet of a healthy child of the first year of life]. Novosibirsk: Sibmedizdat NGMU; 2007. 84 p. (in Russian).

Matalygina OA, Luppova NY. Transitional food — a zone of increased liability to the development of young child. Voprosy sovremennoi pediatrii. 2011;10(1):127-133. (in Russian).

Borovik TJe, Skvortsova VA, Netrebenko OK. Supplementary feeding in infants. Pediatria. Journal named after G.N.Speransky. 2008;87(4):79-85. (in Russian).

Sorvachiova TN, Pyryeva YeA, Kozhevnikova YeN. On the optimal iron content in the female milk substitutes. Voprosy sovremennoi pediatrii. 2008;7(1):67-70. (in Russian).

Kon' IJa, Borovik TJe, Prahin EI, et al. Russian experts' comment to “Recommendations on the infant nutrition” prepared by the US specialists. Voprosy sovremennoi pediatrii. 2007;6 (1):111-114. (in Russian).

Netrebenko OK. Modern ideas about the needs of the protein in children of the first year of life. Pediatria. Journal named after G.N.Speransky. 2006;85(3):40-44. (in Russian).

Shchepliagina LA, Deineko OIa, Legon'kova TI, Vakhlova IV. Rational feeding of children of the first year of life. Pediatria. Journal named after G.N.Speransky. 2006;85(6):46-52. (in Russian).

Institute of Medicine (US) Panel on Dietary Antioxidants and Related Compounds. Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. Washington (DC): National Academies Press (US); 2000. 529 p. doi: 10.17226/9810.

Moore N, Chao C, Yang LP, Storm H, Oliva-Hemker M, Saavedra JM. Effects of fructo-oligosaccharide – supplemented infant cereal: a double-blind, randomized trial. Br J Nutr. 2003 Sep;90(3):581-7. PMID: 13129464.

Lozoff B, Jimenez E, Hagen J, Mollen E, Wolf AW. Poorer behavioral and developmental outcome more than 10 years after treatment for iron deficiency in infancy. Pediatrics. 2000 Apr;105(4):E51. doi: 10.1542/peds.105.1.1.

Committee on Nutrition. American academy of pediatrics: the use and misuse of fruit juice in pediatrics. Pediatrics. 2001 May;107(5):1210-3. PMID: 11331711.

Kleinman RE, American Academy of Pediatrics, Committee on Nutrition. Pediatric Nutrition Handbook. 5th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2004. p.1178.

Brown K. A rational approach to feeding infants and young children with acute diarrhea. In: Lifschiz CH, editor. Pediatric gastroenterology and nutrition in clinical practice. New York: Marcel Dekker Inc; 2002. p.375-397.

Naylor AJ, Morrow AL, editors. Developmental readiness of normal full term infants to progress from exclusive breastfeeding to the introduction of complementary foods. Reviews of the relevant literature concerning infant immunologic, gastrointestinal, oral motor and maternal reproductive and lactational development. Washington, DC: LINKAGES/Wellstart International; 2001. 38 p.

Еngle P, Bentley M, Pelto G. The role of care in nutrition programmes: current research and a research agenda. Proc Nutr Soc. 2000 Feb;59(1):25-35. PMID: 10828171.



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