Skip to Main Content

++

INTRODUCTION

++

  • What is the appropriate feeding advice for an infant transitioning to solid food?

  • How do I help parents understand developmentally appropriate feeding behaviors?

  • How can I set up my office to support and promote breast-feeding?

  • What are typical growth patterns for breast- and formula-feeding infants?

  • What are the key points to consider in assessing feeding in infants and toddlers?

++

This chapter will address the following American College of Graduate Medical Education competencies: patient care, medical knowledge, interpersonal and communication skills, and professionalism.

++

Patient Care: Early feeding routines may be influenced by preexisting family eating patterns and food choices, economic status, cultural norms, and the family’s nutritional knowledge and skills. The multiple influences on infant and toddler feeding require that the health care provider have a family-centered and nonjudgmental approach to nutritional guidance. This chapter will help the pediatric health care provider assess feeding in an infant or toddler and partner with the family to achieve evidence-based healthy feeding goals.

++

Medical Knowledge: This chapter will help the pediatric health care provider understand nutrition, child development, and the psychosocial and behavioral aspects of feeding essential to helping the family lay the groundwork for a healthy lifestyle for their child.

++

Interpersonal and Communication Skills: This chapter will help pediatric health care providers create an atmosphere which supports dialogue with families about their feeding practices in a nonjudgmental way that fosters trust and promotes effective communication.

++

Professionalism: This chapter will help the pediatric health care provider “meet families where they are” with respect and compassion while working with them toward achieving healthy nutrition for their child.

++

INFANCY RISK FACTORS FOR OBESITY

++

Infancy is a period of rapid growth during which the achievement of normal growth creates a healthy framework for the rest of childhood. It is vital that families understand healthy feeding, because this can set the stage for positive food-related behaviors, healthy food preferences, and family relationships centered on a healthy food environment.

++

Maternal body mass index (BMI) is a strong predictor of childhood obesity.1 Infants born to mothers who are overweight or have obesity have greater body fat than those born to normal-weight women and are twice as likely to have obesity by age 2.2 Exclusively breast-fed infants of overweight women have been found to have larger head circumferences and increased fat mass at 2 weeks of age. At 3 months, fat mass of infants with mothers who were overweight was increased compared to infants whose mothers had normal weight even though there was no difference in weight for length or head circumference between groups.2

++

Gestational diabetes affects 20% to 25% of women with obesity and 3% to 15% of women overall. Maternal obesity seems to be an independent risk factor for gestational diabetes, and is also correlated with having a large for ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessPediatrics Full Site: One-Year Subscription

Connect to the full suite of AccessPediatrics content and resources including 20+ textbooks such as Rudolph’s Pediatrics and The Pediatric Practice series, high-quality procedural videos, images, and animations, interactive board review, an integrated pediatric drug database, and more.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPediatrics

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.