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Third Parenting Program 25 th May 2013

Weaning. Third Parenting Program 25 th May 2013. Breastfeeding. “formula milk is just a food, whereas breast milk is a complex living nutritional fluid that contains antibodies, enzymes and hormones, all of which have health benefits” Hoddinott P et al. BMJ 2008:336:881-7. Content.

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Third Parenting Program 25 th May 2013

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  1. Weaning Third Parenting Program 25th May 2013

  2. Breastfeeding “formula milk is just a food, whereas breast milk is a complex living nutritional fluid that contains antibodies, enzymes and hormones, all of which have health benefits” Hoddinott P et al. BMJ 2008:336:881-7

  3. Content • Weaning : when to start • Intestinal flora modification • Allergy • Three nutritional gaps • Take home messages

  4. What is weaning? • The introduction of solid foods

  5. Who are we talking about? WHO = 6 months Europe = 4-5 months NEVER BEFORE 4 MONTHS

  6. Common mistakes in Mauritius • Timing • Elders are wrongmost of the time • Cheese • Salt • Honey • Gripe water, baby soif. • Step by step

  7. Content • Weaning : when to start • Intestinal flora modification • Allergy • Nutritional gaps • Take home messages

  8. FloreIntestinale

  9. Probiotics Probiotics

  10. Prebiotics • Encourages the development of probiotics

  11. Prebiotiques et probiotiques • Protective effect • Normalise the intestinal transit. • Influenced by nutrition • Permanent programing of immune system : allergy !

  12. Allergies • Linked with intestinal flora. • Roots during weaning period. • Permanent programing by the intestinal flora

  13. Content • Weaning : when to start • Intestinal flora modification • Allergy • Three nutritional gaps • Take home messages

  14. The WeaningGap During weaning, babies are more susceptible to infections : • “Window of Weakness” at weaning • “Environmental challenges” that may bring common childhood infections

  15. Infants of 6 to 11 months old are more prone to diarrhea than older children (Kosek, WHO Bulletin, 2003)

  16. Baby’s immune system develops in two ways

  17. There is a Protection Gap starting at 3-6 months of age Weaning context… a critical period of challenges

  18. Growth during first year of life • Birth weight triples by the end of the first year • Height increases by 50% over the first year and by 25% from 1 to 3 years • Muscle mass grows from a value of 22% total body weight at 3 months to 35% at 5 years

  19. 1000 Energy Gap 800 600 Energy (kcal/day) Energy from breast milk 400 200 0 0-2 m 3-5 m 6-8 m 9-11 m 12-23 m Age (months) Energy required by age and the amount supplied from breast milk

  20. Pre-schoolagechildren

  21. Irondeficiency

  22. Iron deficiency • Retarded growth and development • Reduced resistance to infection • Irreversible behavioural and mental development

  23. Iron requirements during infancy

  24. Effectiveness of Fortified Infant Cereals

  25. Big nutrition for small tummies…

  26. Take home messages Timing : 6 months (WHO) but... Never before 4 months One new foodevery 3 days

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