Choking, gagging and complementary feeding methods in the first year of life: a randomized clinical trial

Complementary feeding in the first year of life: choking and gagging; what about nutrition?

“…Another interesting observation regarding the sample described as “socioeconomically favored, which may limit the applicability to other socioeconomic realities.” Might this process of baby-led weaning have a built-in bias that could include educational levels and perhaps cultural differences as well? Table 1 of reference 3 3 shows no statistically significant differences in the educational level of mothers for the three groups in this report. Another possible limitation relates to the fact that parental and child behavior interactions (e.g., crying) were not investigated.…”

“…In the report by de Paiva and colleagues (2023 in this issue), 3 3 variations of complementary feeding methods were compared with outcome measures of choking and gagging reported retrospectively at 9 and 12 months, which leads to questions regarding accuracy in recall as well as interpretation of definitions. These authors are to be commended for carrying out a longitudinal randomized clinical trial.…”

“…However, the large number of children in BLW/BLISS as well as PLW-offered foods that pose a choking risk is concerning (e.g., Fangupo & colleagues, 2016). 4 In the current report, a folder (Figure 1 of reference 3, 3 see for details) was prepared for caregivers in which choking and gagging were defined.…”