Article

Access to the text (HTML) Access to the text (HTML)
PDF Access to the PDF text
Advertising


Access to the full text of this article requires a subscription.
  • If you are a subscriber, please sign in 'My Account' at the top right of the screen.

  • If you want to subscribe to this journal, see our rates

  • You can purchase this item in Pay Per ViewPay per View - FAQ : 30,00 € Taxes included to order
    Pages Iconography Videos Other
    4 0 0 0


Archives de pédiatrie
Volume 17, n° S5
pages 191-194 (décembre 2010)
Doi : 10.1016/S0929-693X(10)70925-8
Historique de la diversification alimentaire
History of complementary feeding
 

D. Turck
Unité de Gastro-entérologie, Hépatologie et Nutrition, département de Pédiatrie, Hôpital Jeanne-de-Flandre et Faculté de médecine, Université Lille 2, Lille, France 

Résumé

La diversification alimentaire correspond à l’introduction d’aliments solides autres que le lait. Elle est profondément influencée par les habitudes familiales et le milieu socioculturel. Une croyance antique véhiculant la peur de mélanger le sang des couches et le lait, considéré comme du sang blanchi, incitait à ne pas donner de colostrum au nouveau-né, mais des bouillies de farines diverses. Dans la civilisation grecque par contre, les contrats pour nourrices mentionnaient un allaitement exclusif de 6 mois, et donc une diversification ensuite. Du XVIe au XIXe siècle, beaucoup d’auteurs regrettaient la diversification avec des bouillies ou des panades pendant les six premiers mois avant l’éruption des premières incisives. En 1921, un pédiatre suédois, Jundell, rapportait pour la 1re fois que débuter la diversification dès 6 mois au lieu de la fin de la 1re année était associé à une meilleure croissance staturo-pondérale et une meilleure résistance aux infections. La recommandation de l’OMS de débuter la diversification après 6 mois se heurte souvent sur le terrain aux habitudes très anciennes des populations de proposer très tôt d’autres sources alimentaires à l’enfant allaité.

The full text of this article is available in PDF format.
Summary

Complementary feeding, which embraces all solid and liquid foods other than breast milk or infant formula, is strongly influenced by cultural, familial and economic factors. For many times, there was a strong taboo on the use of colostrum (“the white blood”) during the first week after delivery, sometimes even the first month. Therefore, the newborn baby received complementary foods as gruel, or panada. However, in the Greek civilization, wet nurses were asked by contract to breastfeed exclusively for the first 6 months and to start complementary feeding thereafter. From the sixteenth century onwards, many writers deplored the practice of giving gruel and panada during the first six months before the teeth erupted. In 1921, a Swedish pediatrician, Jundell, reported for the first time that starting complementary feeding at 6 months of age was associated with a better growth and resistance to infections. The recommendation of the World Health Organization to start complementary feeding after a 6-month period of exclusive breastfeeding is often in contradiction with the habits of the populations to propose very early other food sources than breast milk.

The full text of this article is available in PDF format.


© 2010  Elsevier Masson SAS. All Rights Reserved.
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925.
As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Close
Article Outline
You can move this window by clicking on the headline
@@#110903@@