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Nutrients. 2018 May 15;10(5). pii: E616. doi: 10.3390/nu10050616.

Weaning Time in Preterm Infants: An Audit of Italian Primary Care Paediatricians.

Author information

1
Neonatology and Neonatal Intensive Care Unit, Department of Biomedical Science and Human Oncology, "Aldo Moro" University of Bari, 70124 Bari, Italy. mariaelisabetta.baldassarre@uniba.it.
2
Member of SIGENP (Italian Society of Pediatric Gastroenterology, Hepatology, and Nutrition), via Libero Temolo 4 (Torre UB), 20126 Milan, Italy. mariaelisabetta.baldassarre@uniba.it.
3
Neonatology and Neonatal Intensive Care Unit, Department of Biomedical Science and Human Oncology, "Aldo Moro" University of Bari, 70124 Bari, Italy. antonio.dimauro@uniba.it.
4
Neonatology and Neonatal Intensive Care Unit, Department of Biomedical Science and Human Oncology, "Aldo Moro" University of Bari, 70124 Bari, Italy. annaritapedico92@gmail.com.
5
Neonatology and Neonatal Intensive Care Unit, Department of Biomedical Science and Human Oncology, "Aldo Moro" University of Bari, 70124 Bari, Italy. rizzo.vale@libero.it.
6
Neonatology and Neonatal Intensive Care Unit, Department of Biomedical Science and Human Oncology, "Aldo Moro" University of Bari, 70124 Bari, Italy. manuelacapozza26@gmail.com.
7
Neonatology and Neonatal Intensive Care Unit, Department of Paediatrics, Ospedale dei Bambini "V.Buzzi", ASST FBF SACCO, 20154 Milano, Italy. meneghin.fabio@hsacco.it.
8
Neonatology and Neonatal Intensive Care Unit, Department of Paediatrics, Ospedale dei Bambini "V.Buzzi", ASST FBF SACCO, 20154 Milano, Italy. gianluca.lista@asst-fbf-sacco.it.
9
Neonatology and Neonatal Intensive Care Unit, Department of Biomedical Science and Human Oncology, "Aldo Moro" University of Bari, 70124 Bari, Italy. nicola.laforgia@uniba.it.

Abstract

INTRODUCTION:

According to the 2016 Italian National Institute of Statistics (Istat) data in Italy, about 6.7% of all newborns are born prematurely. Due to the lack of data on current complementary feeding in preterm infants in Italy, the aim of the survey was to evaluate individual attitudes of primary care paediatricians, concerning the introduction of complementary foods in preterm infants.

METHODS:

An internet-based survey was conducted among primary care paediatricians, working in Italy, regarding (1) timing of the introduction of complementary foods to preterm newborns; (2) type of complementary foods introduced; (3) vitamin D and iron supplementations.

RESULTS:

A total of 347 primary care Italian paediatricians answered the questionnaire; 44% of responders based the timing of the introduction of solid food exclusively on an infant's age, 18% on an infant's neurodevelopmental status and 4% on the body weight; the remaining 34% based the timing on two or more of these aspects. The type of complementary foods did not comply with an evidence-based sequence; 98% of participants promoted vitamin D supplementation and 89% promoted iron supplementation with great diversity in timing and doses.

CONCLUSIONS:

Due to limited evidence, there is a great heterogeneity in the attitudes of primary care paediatricians concerning the introduction of complementary foods to preterm newborns. Further research is needed to provide evidence-based guidelines regarding weaning preterm newborns.

KEYWORDS:

preterm newborn; primary care; weaning

PMID:
29762472
PMCID:
PMC5986496
DOI:
10.3390/nu10050616
[Indexed for MEDLINE]
Free PMC Article

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