Literature review for - Flourish Paediatrics

Protein levels of infant formula. Following the European Multicentre Trial
preference should be given to formula with lower protein levels (Koletzko, von
Kries et al. 2009; Koletzko, von Kries et al. 2009).
Correct preparation of formula – high rates of incorrect preparation are reported
in the literature.
Revise
Strengthen advice on not to use Soy based formula
Solids – the order and timing of introduction of solids. Less restrictive than
recommendations in previous guidelines
Literature for health workers regarding the best way to promote optimal infant
feeding (0-12months)
The Australian and the New Zealand Guidelines are as good as any in the world. A list
of major reviews and reference works will be provided
Practical infant feeding advice for health workers to provide to parents and carers
This will be the basis of the complete version of the guidelines
The appropriate age to introduce solids from all food groups
The majority of international and national organisations recommend introduction of
solids at six months or around six months. There are many reasons why ‘six months or
around six months’ is the best time to introduce solids (see details in text). There is
some evidence that introduction of solids at an earlier time will increase the risk of
obesity. There is a discussion in the allergy literature of probable “window of
tolerance” in the introduction solid foods of between 4 -7 months (Prescott, Smith et al.
2008). Currently all Australian infants have solids introduced during this period.
Given the above there seems to be no reason to change the present Australian
recommendation of “around six months and never before 4 months”. To avoid any
confusion these times should be expressed as weeks.
Current international infant feeding guidelines that are relevant to the Australian
population.
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