- Randomised clinical trial of 128 mother-child pairs comparing traditional, BLISS and mixed complementary feeding; intervention at 5.5 months; EBAI screening at 12 months.
- Pediatric feeding disorder occurred in 16 infants (12.5%): traditional 5 (3.9%), BLISS 9 (7.0%), mixed 2 (1.6%), varying severities.
- No statistically significant differences in EBAI responses; complementary feeding method did not influence PFD occurrence in this sample.
Codas. 2026 Jul 31;38(5):e20250265. doi: 10.1590/2317-1782/e20250265pt. eCollection 2026.
ABSTRACT
PURPOSE: To investigate whether the method of introducing complementary feeding (CF) is related to pediatric feeding disorders (PFD) in the first year of life.
METHODS: Clinical trial with 128 mother-child pairs randomized into intervention groups by CF methods: traditional, Baby-Led Introduction to Solids (BLISS), or mixed. The intervention was carried out at the infants’ 5 and a half months of age in an experimental kitchen with meals prepared according to the randomized method. Follow-up was conducted at their 7 and 9 months of age. At 12 months, the Brazilian Child Feeding Scale (EBAI) was applied to screen for PFD. This study was registered in the Brazilian Clinical Trials Registry (ReBEC).
RESULTS: PFD was present in 16 (12.5%) children: 5 (3.9%) from the traditional method (3 with mild PFD and 2 with severe PFD), 9 (7%) from the BLISS method (5 with mild PFD, 2 with moderate PFD, and 2 with severe PFD), and 2 (1.6%) from the mixed method (both with mild PFD). In the analysis of the 14 EBAI questions, the responses tended towards the adequate and/or favorable aspects across all CF methods, with no statistically significant differences.
CONCLUSION: PFD was not influenced by the CF method in the study sample.
PMID:42561299 | DOI:10.1590/2317-1782/e20250265pt
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