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Do Parents Follow Breastfeeding and Weaning Recommendations Given by Pediatric Nurses? A Study With Emphasis on Introduction of Cow’s Milk Protein in Allergy Risk Families
Authors:Andrea Mikkelsen  Lotta Rinné-Ljungqvist  Magnus P Borres  Jenny van Odijk
Institution:1. Department of Clinical and Experimental Medicine, University of Parma, Parma 43100, Italy;2. Pulmonary Rehabilitation Unit, ICP Hospital, Milan, Italy;3. Allergy and Respiratory Diseases Clinic, Department of Internal Medicine, University of Genoa, IRCCS AOU San Martino-IST, Genoa 16132, Italy;1. Department of Life Style, TNO, Leiden, The Netherlands;2. Department of Child Health, TNO, Leiden, The Netherlands;3. GGD Hollands Noorden, Schagen, The Netherlands;4. Department of Child Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center, Utrecht, The Netherlands;1. Department of Obstetrics and Gynaecology, Kasturba Medical College, Manipal University, Manipal 576104, Karnataka State, India;2. Department of Community Medicine, Kasturba Medical College, Manipal, A Constituent College of Manipal University, India;1. Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, St. Paul, MN 55108, United States;2. Boehringer Ingelheim VetMedica Inc., St. Joseph, MO 64506, United States;1. Boston Children''s Hospital, Harvard Medical School, Boston, MA;2. Mead Johnson Nutrition, Glenview, IL;3. MassGeneral Hospital for Children and Harvard Medical School, Boston, MA
Abstract:INTRODUCTION: The aim of this study was to retrospectively examine weaning practices during the first year of life in a representative sample of Swedish children and how parents with a history of atopy introduced milk protein in their infant's diet. METHODS: Data were derived from 467 infants visiting Child Health Centers in three different counties in Sweden for a health check up at 12 months of age. RESULTS: The children were breastfed for an average of 7 months (range, 0.2-15 months), and 18% were still breastfed at the age of 12 months. Few infants had received solid food before the age of 4 months (6%) or after the age of 6 months (12%). Cow's milk protein was introduced in disagreement with the current recommendation for children at risk of developing atopy. CONCLUSION: Breastfeeding and weaning recommendations seem to be followed by most families. The creation of routines for the distribution of information concerning weaning foods should be encouraged in order to reach families with special needs; otherwise, implementation of current recommendations and preventive strategies will be less useful.
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