Methods for Transition to Supplementary Foods

Methods for Transition to Supplementary Foods

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While the recommendations of health organizations are based on the physical development of the baby, sometimes they accept that emotional reactions are a part of the development and recommend that they be taken into consideration in food choices. Nutrition Specialist and Dietitian Deniz Yemişçi offers the opportunity to examine the issue by sorting the suggestions (*) that different countries consider. Recommendations for approaching your baby's feeding stages from different angles:

It applies the rules of the European Association of Pediatric Gastroenterology and Nutrition (ESPGAN), published in Europe in 1982. ESPGAN's 9 recommendations are as follows;

  • The socio-economic and cultural situation of the family should be taken into consideration when making recommendations.
  • basically, before 3 months of age and after 6 months of breast milk should not be given additional nutrients. These foods should be started in small amounts and the variety and quantity should be increased gradually.
  • When starting supplementary foods in infants aged 6 months, more than 50% of the energy they receive should not be supplied from supplementary foods. From the age of one year, breast milk and / or dairy products should not be given less than 500 ml per day.
  • there is no need to specify additional food that needs to be given priority. National habits and financial situation should be taken into consideration
  • Gluten-containing foods should not be given before the 4th month. Even waiting for the 6th month is more accurate.
  • foods with high nitrate value such as spinach or beet should be avoided in the first months.
  • children with a history of atopy in the family should not be given foods with high risk of allergies, especially during the first year.


In the United States, the recommendations of the American Pediatric Association (APP) are implemented. APP recommends switching to additional nutrients depending on the baby's behavior.

  • can sit without help
  • if the tongue has lost its push reflex (this reflex is a reflex to prevent swallowing of the stone soil against the risk of not understanding what the baby is eating, it will be healthier to start feeding the food after this process)
  • shows interest in adults' meals
  • if he knows how to express his hunger and fullness with mimics. The hungry baby extends his head forward, the full and unwilling baby turns his head to the side. If the baby does not know how to refuse food when full, the child should never be given food.
  • According to the new recommendations added in 1997, only breast milk should be given to the child until the 6th month.
  • 6. From the month to the age of 1 year, while continuing to breast milk, on the other hand, other nutrients should be added and then it should be continued as long as the mother and child wishes.

Americans think that new foods should be introduced one by one, little by little, or at least one week apart. Thus, the children are observed how they feel.

The World Health Organization also taken into account in Turkey (WHO) and United Nations Children's nudes's Fund (UNICEF) 's proposal includes the following recommendations in addition to those organizations;

  • Only breast milk should be given until the 7th month.
  • 7. Beginning from the month, different foods should be given. (Even if development is taking place appropriately)
  • Breastfeeding should be continued after 2 years of age and if the baby wants.
  • There should be variety of nutrients.
  • breast milk should be given before other foods.
  • Children under 3 years of age should eat at least 5 or 6 times a day.
  • some oil and butter should be added to the vegetables to contain more calories. Of course, olive oil will be the first choice.

* My child does not eat, Carlos Gonzales, Dogan Kitap


  1. Nour

    Many thanks for the help in this question, now I will know.

  2. Mek

    The logical question

  3. Al-Ahmar

    It is remarkable, rather valuable message

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