Abstract：
OBJECTIVE:To evaluate the evidence for association between obesity risk outcomes >12 months of age and timing of solid introduction in healthy term infants in developed countries, the large majority of whom are not exclusively breastfed to six months of age. METHODS:Studies included were published 1990 to March 2013. RESULTS:Twenty-six papers with weight status or obesity prevalence outcomes were identified. Studies were predominantly cohort design, most with important methodological limitations. Ten studies reported a positive association. Of these, only two were large, good-quality studies and both examined the outcome of early (<4 months) introduction of solids. None of the four good-quality studies that directly evaluated current guidelines provided evidence of any clinically relevant protective effect of solid introduction from 4-5 versus ≥6 months of age. CONCLUSION:The introduction of solids prior to 4 months of age may result in increased risk of childhood obesity but there is little evidence of adverse weight status outcomes associated with introducing solids at 4-6 rather than at six months. IMPLICATIONS:More and better quality evidence is required to inform guidelines on the 'when, what and how' of complementary feeding.
journal_name
Aust N Z J Public Healthjournal_title
Australian and New Zealand journal of public healthauthors
Daniels L,Mallan KM,Fildes A,Wilson Jdoi
10.1111/1753-6405.12376subject
Has Abstractpub_date
2015-08-01 00:00:00pages
366-73issue
4eissn
1326-0200issn
1753-6405journal_volume
39pub_type
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