Latin American complementary feeding guidelines updated. MedTwitter
Complementary feeding must include a responsive feeding style, diverse options, and foods available in the region and season, according to the updatedfrom the Latin American Society for Pediatric Gastroenterology, Hepatology, and Nutrition: COCO 2023. Complementary feeding is not different for children with or without a risk for allergies, according to the document. The time to start complementary feeding in an infant is from 4 to 6 months of age, as per each case.
The purpose of this work was to develop a consensus on complementary feeding that, whenever possible, incorporates local information adaptable to regional conditions.The document was the product of a group of specialists who represented each member country of the Nutrition Working Group of the Latin American Society for Pediatric Gastroenterology, Hepatology, and Nutrition .
The specialists were randomly assigned to one of five working subgroups to address the various topics of complementary feeding. The facilitators developed a series of statements in accordance with the topics and subsequently searched for evidence that supported these statements. A series of meetings was held, the initial one during the LASPGHAN congress in November 2019, at which the statements were presented and submitted for evaluation. Each of the statements was evaluated through a Delphi process of anonymous electronic voting. Each statement also was evaluated on a 3-point Likert scale: a) in agreement, b) in disagreement, and c) abstained.
Mexico already has the Official Mexican Standard NOM-043-SSA2-2012, which addresses the issue of complementary feeding. However, this has not been updated since 2013, even though the Medical Bulletin of the Children's Hospital of Mexicofor complementary feeding practices in healthy nursing infants in 2016. The publication of this document should encourage the revision of the standard to keep it up to date with the most recent evidence-based recommendations.
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