Baby led weaning: an integrative review of scientific evidence from 2011 to 2019

Main Article Content

Açucena Carfdoso Vilas Boas
Mayara Márcia Silva Neri
Cynthia Francisca Xavier Costa de Assis Silva
Lílian Gonçalves Teixeira

Abstract

Introduction: Baby-led weaning (BLW) is an alternative approach to introducing food to infants that has become popular. Objective: To investigate the scientific evidence regarding the BLW method and its modified version, Baby-Led Introduction to Solids(BLISS). Methods: The research was carried out between June 2018 and June 2019, through the databases US National Library of Medicine National Institutes of Health (PubMed) using the following keywords: ‘BLW’, ‘Baby-led weaning’, ‘BLISS’, and ‘Baby-Led Introduction to Solids’. All original articles from in English published between 2011 and 2019 have been included. Results: Twenty-five studies were included in the analysis. Research on BLW/BLISS focused mainly on the themes: characteristics, behaviors and attitudes of mothers and children, knowledge of mothers and health professionals about feeding methods, weight and body mass index evaluation of children, evaluation of energetic and nutrient intake of children and evaluation of episodes of choking and gag reflex. Conclusion: Most research deals with BLW-related experiences and there is still little evidence on the method in terms of adequacy of energy and nutrient intake and growth in childhood. Positive points to child can be observed such as prolonged breastfeeding, greater independence when feeding and better response to satiety. The methods of food introduction do not differ in relation to the occurrence of episodes of choking.

Downloads

Download data is not yet available.

Article Details

How to Cite
Vilas Boas, A. C., Neri, M. M. S., Silva, C. F. X. C. de A., & Teixeira, L. G. (2020). Baby led weaning: an integrative review of scientific evidence from 2011 to 2019. ABCS Health Sciences, 45, e020028. https://doi.org/10.7322/abcshs.45.2020.1386
Section
Review Articles
Author Biography

Lílian Gonçalves Teixeira, Programa de Pós Graduação em Nutrição e Saúde, Departamento de Nutrição, Universidade Federal de Lavras (UFLA) – Lavras (MG), Brazil

Departamento de Nutrição

Nutrição Materno Infantil

Comportamento e práticas alimentares

References

1. Brasil. Ministério da Saúde. Secretaria de Atenção Primaria à Saúde. Departamento de Promoção da Saúde. Guia alimentar para crianças brasileiras menores de 2 anos. Brasília: Ministério da Saúde, 2019.

2. World Health Assembly (WHA). Global strategy for infant and young child feeding: the optimal duration of exclusive breastfeeding. World Health Organization, 2001.

3. Sociedade Brasileira de Pediatria (SBP). Departamento de Nutrologia. Manual de alimentação: orientações para alimentação do lactente ao adolescente, na escola, na gestante, na prevenção de doenças e segurança alimentar. 4 ed. São Paulo: 2018.

4. Rapley G, Murkett T. Baby-Led Weaning: o desmame guiado pelo bebê. São Paulo: Timo, 2017.

5. Rapley G, Murkett T. Baby-Led Weaning: helping your baby to love good food. London: Vermillon, 2008.

6. Brown A, Lee M. A descriptive study investigating the use and nature of baby-led weaning in a UK sample of mothers. Matern Child Nutr. 2011;7(1):34-47. http://doi.org/10.1111/j.1740-8709.2010.00243.x

7. Brown A, Lee M. Maternal control of child feeding during the weaning period: Differences between mothers following a baby-led or standard weaning approach. Matern Child Health J. 2011;15(8):1265-71. http://doi.org/10.1007/s10995-010-0678-4

8. Sachs M. Baby-led weaning and current UK recommendations - are they compatible? Matern Child Nutr. 2011;7(1):1-2. http://doi.org/10.1111/j.1740-8709.2010.00278.x

9. Rowan H, Harris C. Baby-led weaning and the family diet. A pilot study. Appetite. 201258(3):1046-9. http://doi.org/10.1016/j.appet.2012.01.033

10. Cameron SL, Taylor RW, Heath ALM. Parent-led or baby-led? Associations between complementary feeding practices and health-related behaviours in a survey of New Zealand families. BMJ Open. 2013;3:e003946. http://dx.doi.org/10.1136/bmjopen-2013-003946

11. Cameron SL, Heath ALM, Taylor RW. Healthcare professionals’ and mothers’ knowledge of, attitudes to and experiences with, Baby-Led Weaning: a content analysis study. BMJ Open. 2012;2(6):e001542. http://dx.doi.org/10.1136/bmjopen-2012-001542

12. D’Andrea E, Jenkins K, Mathews M, Roebothan B. Baby-led Weaning: a preliminary investigation. Can J Diet Pract Res. 2016;77(2):72-7. http://dx.doi.org/10.3148/cjdpr-2015-045

13. Sociedade Brasileira de Pediatria (SBP). A alimentação complementar e o método BLW (Baby-Led Weaning). Departamento Científico de Nutrologia, 2017.

14. Arantes ALA, Neves FS, Campos AAL, Pereira Netto M. Método Baby-Led Weaning (BLW) no contexto da alimentação complementar: uma revisão. Rev Paul Pediatr. 2018;36(3):353-63. http://dx.doi.org/10.1590/1984-0462/;2018;36;3;00001

15. Daniels L, Heath AL, Williams SM, Cameron SL, Fleming EA, Taylor BJ, et al. Baby-Led Introduction to SolidS (BLISS) study: A randomised controlled trial of a baby-led approach to complementary feeding. BMC Pediatr. 2015;15:179. http://dx.doi.org/10.1186/s12887-015-0491-8

16. Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Context Enferm. 2008;17(4):758-64. http://dx.doi.org/10.1590/S0104-07072008000400018

17. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53. http://dx.doi.org/10.1111/j.1365-2648.2005.03621.x

18. Hopia H, Latvala E, Liimatainen L. Reviewing the methodology of an integrative review. Scand J Caring Sci. 2016;30(4):662-9. http://dx.doi.org/10.1111/scs.12327

19. Brown A. Differences in eating behaviour, well-being and personality between mothers following baby-led vs. traditional weaning styles. Matern Child Nutr. 2016;12(4):826-37. http://dx.doi.org/10.1111/mcn.12172

20. Komninou S, Halford JCG, Harrold JA. Differences in parental feeding styles and practices and toddler eating behaviour across complementary feeding methods: Managing expectations through consideration of effect size. Appetite. 2019;137(1):198-206. http://dx.doi.org/10.1016/j.appet.2019.03.001

21. Taylor RW, Williams SM, Fangupo LJ, Wheeler BJ, Taylor BJ, Daniels L, et al. Effect of a baby-led approach to complementary feeding on infant growth and overweight: a randomized clinical trial. JAMA Pediatr. 2017;171(9):838-46. http://dx.doi.org/10.1001/jamapediatrics.2017.1284

22. Arden MA, Abbott RL. Experiences of baby-led weaning: trust, control and renegotiation. Matern Child Nutr. 2015;11(4):829-44. http://dx.doi.org/10.1111/mcn.12106

23. Brown A, Lee M. An exploration of experiences of mothers following a baby-led weaning style: Developmental readiness for complementary foods. Matern Child Nutr. 2013;9(2):233-43. http://dx.doi.org/10.1111/j.1740-8709.2011.00360.x

24. Wright CM, Cameron K, Tsiaka M, Parkinson KN. Is baby-led weaning feasible? When do babies first reach out for and eat finger foods? Matern Child Nutr. 2011;7(1):27-33. http://dx.doi.org/10.1111/j.1740-8709.2010.00274.x

25. Morison BJ, Taylor RW, Haszard JJ, Schramm CJ, Erickson LW, Fangupo LJ, et al. How different are baby-led weaning and conventional complementary feeding? A cross-sectional study of infants aged 6-8 months. BMJ Open. 2016;6(5):e010665. http://dx.doi.org/10.1136/bmjopen-2015-010665

26. Brown A, Lee MD. Early influences on child satiety-responsiveness: the role of weaning style. Pediatr Obes. 2015;10(1):57-66. http://dx.doi.org/10.1111/j.2047-6310.2013.00207.x

27. Moore AP, Milligan P, Goff LM. An online survey of knowledge of the weaning guidelines, advice from health visitors and other factors that influence weaning timing in UK mothers. Matern Child Nutr. 2014;10(3):410-21. http://dx.doi.org/10.1111/j.1740-8709.2012.00424.x

28. Townsend E, Pitchford NJ. Baby knows best? The impact of weaning style on food preferences and body mass index in early childhood in a case-controlled sample. BMJ Open. 2012;2(1):e000298. http://dx.doi.org/10.1136/bmjopen-2011-000298

29. Cameron SL, Taylor RW, Heath ALM. Development and pilot testing of Baby-Led Introduction to SolidS - a version of Baby-Led Weaning modified to address concerns about iron deficiency, growth faltering and choking. BMC Pediatr. 2015;15:99. http://dx.doi.org/10.1186/s12887-015-0422-8

30. Erickson LW, Taylor RW, Haszard JJ, Fleming EA, Daniels L, Morison BJ, et al. Impact of a modified version of baby-led weaning on infant food and nutrient intakes: the BLISS randomized controlled trial. Nutrients. 2018;10(6):E740. http://dx.doi.org/10.3390/nu10060740

31. Daniels L, Taylor RW, Williams SM, Gibson RS, Samman S, Wheeler BJ, et al. Modified Version of Baby-Led Weaning Does Not Result in Lower Zinc Intake or Status in Infants: a randomized controlled trial. J Acad Nutr Diet. 2018;118(6):1006-1016.e1. http://dx.doi.org/10.1016/j.jand.2018.02.005

32. Daniels L, Taylor RW, Williams SM, Gibson RS, Fleming EA, Wheeler BJ, et al. Impact of a modified version of baby-led weaning on iron intake and status: A randomised controlled trial. BMJ Open. 2018;8(6):e019036. http://dx.doi.org/10.1136/bmjopen-2017-019036

33. Morison BJ, Heath AM, Haszard JJ, Hein K, Fleming EA, Daniels L, et al. Impact of a Modified Version of Baby-Led Weaning on Dietary Variety and Food Preferences in Infants. Nutrients. 2018;10(8):1092-105. http://dx.doi.org/10.3390/nu10081092

34. Fu XX, Conlon CA, Haszard JJ, Beck KL, von Hurst PR, Taylor RW, et al. Food fussiness and early feeding characteristics of infants following Baby-Led Weaning and traditional spoon-feeding in New Zealand: An internet survey. Appetite. 2018;130:110-16. http://dx.doi.org/10.1016/j.appet.2018.07.033

35. Fangupo LJ, Heath AM, Williams SM, Williams LWE, Morison BJ, Fleming EA, et al. A Baby-Led Approach to Eating Solids and Risk of Choking. Pediatrics. 2016;138(4):e20160772. http://dx.doi.org/10.1542/peds.2016-0772

36. Brown A. No difference in self-reported frequency of choking between infants introduced to solid foods using a baby-led weaning or traditional spoon-feeding approach. J Hum Nutr Diet. 2018;31(4):496-504. http://dx.doi.org/10.1111/jhn.12528

37. Rowan H, Lee M, Brown A. Differences in dietary composition between infants introduced to complementary foods using Baby-led weaning and traditional spoon feeding. J Hum Nutr Diet. 2019;32(1):11-20. http://dx.doi.org/10.1111/jhn.12616

38. Romero-Velarde E, Villalpando-Carrión S, Pérez-Lizaur AB, Iracheta-Gerez ML, Alonso-Rivera CG, López-Navarrete GE, et al. Guidelines for complementary feeding in healthy infants. Bol Med Del Hosp Infant México. 2016;73(5):338-56. http://dx.doi.org/10.1016/j.bmhime.2017.11.007

39. D’Auria E, Bergamini M, Staiano A, Banderali G, Pendezza E, Penagini F, et al. Baby-led weaning: what a systematic review of the literature adds on. Ital J Pediatr. 2018;44(1):49. http://dx.doi.org/10.1186/s13052-018-0487-8

40. Brown A, Jones SW, Rowan H. Baby-Led Weaning: the evidence to date. Curr Nutr Rep. 2017;6(2):148-56. http://dx.doi.org/10.1007/s13668-017-0201-2