Zamanında Doğmuş Sağlıklı Çocuklarda Tamamlayıcı Beslenme

ÖzTamamlayıcı beslenme dönemi çocukların büyümesi için çok özel ve önemli bir dönemdir. Bu dönem bebeğin yaşam boyu sağlığına etki edebilmektedir. Hayatın ilk iki yılı optimal büyüme ve gelişmenin sağlanması için kritik bir pencere olarak kabul edilmektedir. Yaşamın bu dönemindeki uygun beslenme, sadece kısa vadede değil orta ve uzun vadede de çocukların fizyolojik, nörolojik, psikolojik gelişimi üzerine etki edebilmektedir. Tamamlayıcı beslenme düzgün uygulanmazsa yaşamın ile-riki dönemlerinde oluşabilecek diabet, obezite gibi hastalıklara zemin hazırlayabilmektedir. Bu dönemin doğru yönetimi, çocukların gelecekteki yaşamlarında iyi beslenme alışkanlıklarına sahip olmasını sağlayacaktır. İlk 6 ayda bağışıklığın, sindirim enzimlerinin, mikrobiyotanın henüz tam gelişmediği göz önünde tutulduğunda, büyüme-gelişme,  nörolojik gelişim ve bağışıklığın olgunlaşması için tek seçenek annesütüdür. İlk 6 ayda sadece anne sütüyle beslenme teşvik edilmelidir. Tamamlayıcı beslenmeye 16. haftadan önce asla başlanmamalı, altıncı aydan daha geçe de bırakılmamalıdır.  Altıncı aydan sonra başlanan ek gıda temel besin olan anne sütüne ektir, azar azar başlanmalıdır ve ilk aylarda gün içinde ikiden fazla ek gıda verilmemelidir. Bu derlemede tamamlayıcı beslenmede uygun zamanlama, miktar ve içeriğin nasıl olması gerektiği ve bunların sağlık üzerine etkileri ele alınmıştır.

Complementary Feeding For Healthy, Full-Term Infants

bstractIntroduction of complementary feeding is a very special and important period forgrowth of the children. It can play a major role in the infant’s future health.  Until today, this period is recognized as a critical window for promoting optimal growth, development, and good health. Not only in the short term but in the medium and longterm, appropriate feeding at this stage of life has an impact on health, nutritional status, and development of children. Besides, the role played by complementary feeding,for the onset of later diseases (i.e. type-2 diabetes, metabolic syndrome, obesity) has also been increasingly highlighted. The development of food preferences mainly starts when infants discover their firstsolid foods. The correct orientation of this period will ensure that the children have good nutritional habits in the-ir future life. In this context, exclusive or full breast-feeding should be promoted for 6 months. Complementary foods (solids and liquids other than breast milk or infant formula) should not be introduced before 4 months but should not be delayed beyond 6 months. Continued breast-feeding is recommended alongside complementary feeding.This review includes recommendations on complementary feeding, focussing on healthy term infants.

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