medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2017-19-44-50medsovet-2187Research ArticleЗДОРОВЫЙ РЕБЕНОКHEALTHY CHILDСОВРЕМЕННАЯ ПРАКТИКА ВВЕДЕНИЯ ПРОДУКТОВ ПРИКОРМА: КОМУ? КОГДА? СКОЛЬКО?CURRENT PRACTICE OF INTRODUCTION OF COMPLEMENTARY FEEDING PRODUCTS: TO WHOM? WHEN? HOW MUCH?ДмитриеваЮ. А.DmitrievaY. A.

к.м.н.,

Москва

PhD in medicine,

Moscow

ЗахароваИ. Н.ZakharovaI. N.

д.м.н., профессор,

Москва

MD, Prof., 

Moscow

СугянН. Г.SugyanN. G.

к.м.н., 

Москва

PhD in medicine,

Moscow 

БережнаяИ. В.BerezhnayaI. V.

к.м.н., 

Москва

PhD in medicine,

Moscow

Российская медицинская академия непрерывного профессионального образования Минздрава РоссииРоссияRussian Medical Academy of Continuous Professional Education of the Ministry of Health of RussiaRussian Federation2017151220170194450Copyright © Дмитриева Ю.А., Захарова И.Н., Сугян Н.Г., Бережная И.В., 20172017Дмитриева Ю.А., Захарова И.Н., Сугян Н.Г., Бережная И.В.Dmitrieva Y.A., Zakharova I.N., Sugyan N.G., Berezhnaya I.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/2187

Проблема введения прикорма продолжает обсуждаться как в научных кругах, так и среди практикующих врачей. Наиболее актуальной остается дискуссия в отношении оптимальных сроков и последовательности введения отдельных продуктов, индивидуального планирования рациона детей, страдающих пищевой аллергией, возможности использования продуктов прикорма в комплексной терапии функциональных нарушений пищеварения и различных дефицитных состояний, а также роли новых продуктов в формировании пищевого поведения ребенка. В беседе сотрудники кафедры педиатрии РМАНПО, возглавляемой профессором Ириной Николаевной Захаровой, постарались ответить на часто задаваемые вопросы, касающиеся введения прикорма ребенку первого года жизни.

The problem of introduction of complementary foods continues to be debated both in academic circles and among practitioners. The most relevant is the discussion on the optimal timing and sequence of the introduction of individual products, individual planning of the diet of children with food allergies, a possibility of using products of complementary foods in the complex treatment of functional digestive disorders and various deficient states, as well as the role of new products in the formation of eating behavior of the child. In the conversation the employees of the Department of Pediatrics of RMANPO chaired by Professor Irina Nikolaevna Zakharova tried to answer frequently asked questions regarding introduction of complementary foods to the infants.

прикормпищевое программированиепищевая аллергияфункциональные нарушений желудочно-кишечного трактадефицитные состоянияпищевое поведениенеофобияcomplementary foodfood programmingfood allergiesfunctional disorders of the gastrointestinal tractdeficient stateseating behaviorneophobiaReferencesНациональная программа оптимизации вскармливания детей первого года жизни в Российской Федерации. М., 2009. 64с.Национальная программа оптимизации вскармливания детей первого года жизни в Российской Федерации. М., 2009. 64с.Complementary Feeding: A Commentary by the ESPGHAN Committee on Nutrition. JPGN, 2008, 46: 99-110.Complementary Feeding: A Commentary by the ESPGHAN Committee on Nutrition. JPGN, 2008, 46: 99-110.The Optimal Duration of Exclusive Breastfeeding: Report of an Expert Consultation. Geneva: World Health Organization; March 28–30, 2001 (http:// www.who.int/nutrition/publications/optimal_duration_of_exc_bfeeding_report_eng.pdf).The Optimal Duration of Exclusive Breastfeeding: Report of an Expert Consultation. Geneva: World Health Organization; March 28–30, 2001 (http:// www.who.int/nutrition/publications/optimal_duration_of_exc_bfeeding_report_eng.pdf).Vriezinga SL, Auricchio R, Bravi E et al. Randomized Feeding Intervention in Infants at High Risk for Celiac Disease. N Engl J Med, 2014, 371: 1304-1315Vriezinga SL, Auricchio R, Bravi E et al. Randomized Feeding Intervention in Infants at High Risk for Celiac Disease. N Engl J Med, 2014, 371: 1304-1315Lionetti E, Castellaneta S, Francavilla R et al. Introduction of gluten, HLA status, and the risk of celiac disease in children. N Engl J Med, 2014 Oct 2, 371(14): 1295-1303.Lionetti E, Castellaneta S, Francavilla R et al. Introduction of gluten, HLA status, and the risk of celiac disease in children. N Engl J Med, 2014 Oct 2, 371(14): 1295-1303.Steiner JE. Facial expressions of the neonate infant indicating the hedonics of food-related chemical stimuli. In: Weiffenbach JM ed.: Taste and development. Bethesda: DHEW, 1977: 173-89.Steiner JE. Facial expressions of the neonate infant indicating the hedonics of food-related chemical stimuli. In: Weiffenbach JM ed.: Taste and development. Bethesda: DHEW, 1977: 173-89.Rosenstein D., Oster H. Differential facial responses to four basic tastes in newborns. Child Development, 1988, 59(6): 1555–1568.Rosenstein D., Oster H. Differential facial responses to four basic tastes in newborns. Child Development, 1988, 59(6): 1555–1568.Ganchrow JR, Steiner JE, Daher M. Neonatal facial expressions in response to different qualities and intensities of gustatory stimuli. Infant Behavior & Development. 1983, 6: 473–484.Ganchrow JR, Steiner JE, Daher M. Neonatal facial expressions in response to different qualities and intensities of gustatory stimuli. Infant Behavior & Development. 1983, 6: 473–484.Beauchamp GK, Moran M. Acceptance of sweet and salty taste in 2-year-old children. Appetite, 1985, 5: 291–305.Beauchamp GK, Moran M. Acceptance of sweet and salty taste in 2-year-old children. Appetite, 1985, 5: 291–305.Menella JA, Beauchamp GK. The early development of human flavor preferences. In: Capaldi ED, ed. Why we eat what we eat: The physiology of eating. Washington DC: American Psychological Association, 1996: 83-112.Menella JA, Beauchamp GK. The early development of human flavor preferences. In: Capaldi ED, ed. Why we eat what we eat: The physiology of eating. Washington DC: American Psychological Association, 1996: 83-112.Geleijnse JM, Hofman A, Witteman JC et al. Longterm effects of neonatal sodium restriction on blood pressure. Hypertension, 1997 Apr, 29(4): 913-7.Geleijnse JM, Hofman A, Witteman JC et al. Longterm effects of neonatal sodium restriction on blood pressure. Hypertension, 1997 Apr, 29(4): 913-7.Cashdan E. A sensitive period for learning about food. Hum Nat, 1994, 5: 279-291.Cashdan E. A sensitive period for learning about food. Hum Nat, 1994, 5: 279-291.Cooke L, Wardle J, Gibson EL. The relationship between child food neophobia and everyday food consumption. Appetite, 2003, 41: 205-206.Cooke L, Wardle J, Gibson EL. The relationship between child food neophobia and everyday food consumption. Appetite, 2003, 41: 205-206.Birch LL, Fisher JA. Appetite and eating behavior in children. Pediatric Clinics of North America, 1995, 42(4): 931-953.Birch LL, Fisher JA. Appetite and eating behavior in children. Pediatric Clinics of North America, 1995, 42(4): 931-953.Pelchat M, Pliner P. Antecedents and correlates of feeding problems in young children. J Nutr Educ, 1986, 18: 23-29.Pelchat M, Pliner P. Antecedents and correlates of feeding problems in young children. J Nutr Educ, 1986, 18: 23-29.Skinner JD, Carruth BR, Bounds W et al. Do foodrelated experiences in the first 2 years predict dietary variety in school-aged children? J Nutr Educ Behav, 2002, 34: 310-315.Skinner JD, Carruth BR, Bounds W et al. Do foodrelated experiences in the first 2 years predict dietary variety in school-aged children? J Nutr Educ Behav, 2002, 34: 310-315.Rigal N, Reiter F, Morice C et al. Food allergy in the child: an exploratory study on the impact of the elimination diet on food neophobia. Arch Pediatr, 2005, 12: 1714-1720.Rigal N, Reiter F, Morice C et al. Food allergy in the child: an exploratory study on the impact of the elimination diet on food neophobia. Arch Pediatr, 2005, 12: 1714-1720.

The authors declare that there are no conflicts of interest present.