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Buhrer C.,Ernahrungskommission der Deutschen Gesellschaft fur Kinder und Jugendmedizin | Genzel-Boroviczeny O.,Ernahrungskommission der Deutschen Gesellschaft fur Kinder und Jugendmedizin | Jochum F.,Ernahrungskommission der Deutschen Gesellschaft fur Kinder und Jugendmedizin | Kauth T.,Ernahrungskommission der Deutschen Gesellschaft fur Kinder und Jugendmedizin | And 6 more authors.
Monatsschrift fur Kinderheilkunde | Year: 2014

The Nutrition Committee of the German Pediatric Society has updated its recommendations for the nutrition of healthy infants. Five main topics (breastfeeding, breast milk substitutes, complementary feeding, family diet and general aspects) are addressed in the form of 35 key statements along with detailed comments on their practical application. Exclusive breastfeeding is recommended as the most suitable for almost all infants during the first 4-6 months, followed by partial breastfeeding along with complementary feeding; breastfeeding needs specific support particularly postnatal and routine supplementary feeding should be avoided. Non-breast-fed infants should receive infant formula, which should also accompany complementary feeding. In cases of increased risk for atopy, a formula based on hydrolyzed protein (HA) should be given until the start of complementary feeding. Follow-on formula may be given together with complementary feeding. Bottle feeds should be freshly prepared and given without delay. Complementary feeding should be introduced between the beginning of the fifth and the seventh month and at this time small amounts of gluten should also be introduced. Variation of complementary feeds is recommended. A vegetable-potato-meat or fish puree (highly bioavailable iron, omega-3 fatty acids) is well-suited to start complementary feeding, followed by (whole) cow's milk cereal meal and a cereal-fruit meal, either homemade or as a commercial product. At the age of approximately 10 months infants can participate in a healthy family diet. A lactovegetarian type diet is possible; however a vegan diet if not supplemented cannot be acceptable for infants. Supplementation of 2 mg vitamin K orally 3 times (on day 1, between days 3 and 10, and between weeks 4-6 after birth) and of vitamin D (400-500 IU/day) starting from the 2nd week of life combined with fluoride (0.25 mg/day) in tablet form is recommended for all healthy infants. © 2014 Springer-Verlag.

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