{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T17:13:17Z","timestamp":1770138797002,"version":"3.49.0"},"reference-count":31,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2018,12,2]],"date-time":"2018-12-02T00:00:00Z","timestamp":1543708800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Limited data are available on complementary feeding in preterm infants, who show increased nutritional needs and are at risk of altered postnatal growth. The aim of this study was to investigate the timing and content of complementary feeding in a cohort of late preterm infants. We conducted a prospective, observational study, including mothers who had given birth to infants admitted to level I or II of care with a gestational age between 34 and 36 weeks. Mothers were contacted at 3, 6 and 12 months after delivery by phone calls and were asked about their infant\u2019s mode of feeding and the timing and schedule of the introduction of different solid foods types. A total of 49 mothers and 57 infants completed the study. The mean postnatal age of the introduction of complementary foods was 5.7 \u00b1 0.7 months. Low energy and\/or low protein-dense foods were first introduced in most infants. Fruit as the first type of complementary food in the infant\u2019s diet was associated with a 1.6-month advance in initiating complementary feeding. The present findings provide further insight into complementary feeding practices in late preterm infants and underline the need for specific recommendations addressing this vulnerable population.<\/jats:p>","DOI":"10.3390\/nu10121861","type":"journal-article","created":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T06:02:09Z","timestamp":1543816929000},"page":"1861","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Complementary Feeding Practices in a Cohort of Italian Late Preterm Infants"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3901-9131","authenticated-orcid":false,"given":"Maria L.","family":"Giann\u00ec","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit, Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, via Commenda 12, 20122 Milan, Italy"},{"name":"Department of Clinical Sciences and Community Health, University of Milan, Via San Barnaba 8, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Bezze","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, via Commenda 12, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Colombo","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, via Commenda 12, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camilla","family":"Rossetti","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, via Commenda 12, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Pesenti","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, via Commenda 12, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2667-4620","authenticated-orcid":false,"given":"Paola","family":"Roggero","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, via Commenda 12, 20122 Milan, Italy"},{"name":"Department of Clinical Sciences and Community Health, University of Milan, Via San Barnaba 8, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrizio","family":"Sannino","sequence":"additional","affiliation":[{"name":"S.I.T.R.A. Basic Education Sector, Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 28, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore","family":"Muscolo","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, via Commenda 12, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Plevani","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, via Commenda 12, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Mosca","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Fondazione IRCCS C\u00e0 Granda Ospedale Maggiore Policlinico, via Commenda 12, 20122 Milan, Italy"},{"name":"Department of Clinical Sciences and Community Health, University of Milan, Via San Barnaba 8, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2018,12,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) (2009). Scientific Opinion on the appropriate age for introduction of complementary feeding of infants. EFSA J., 7, 1423\u20131461.","DOI":"10.2903\/j.efsa.2009.1423"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Nicklaus, S. (2016). Complementary Feeding Strategies to Facilitate Acceptance of Fruits and Vegetables: A Narrative Review of the Literature. Int. J. Environ. Res. Public Health, 13.","DOI":"10.3390\/ijerph13111160"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/MPG.0000000000001454","article-title":"Complementary Feeding: A Position Paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition","volume":"64","author":"Fewtrell","year":"2017","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1159\/000477781","article-title":"Early Nutrition Programming Project. Long-Term Health Impact of Early Nutrition: The Power of Programming","volume":"70","author":"Koletzko","year":"2017","journal-title":"Ann. Nutr. Metab."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1159\/000439501","article-title":"Can Optimal Complementary Feeding Improve Later Health and Development?","volume":"85","author":"Fewtrell","year":"2016","journal-title":"Nestle Nutr. Inst. Workshop Ser."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s13052-015-0143-5","article-title":"Recommendations on complementary feeding for healthy, full-term infants","volume":"41","author":"Alvisi","year":"2015","journal-title":"Ital. J. Pediatr."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/S0140-6736(15)01024-7","article-title":"Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect","volume":"387","author":"Victora","year":"2016","journal-title":"Lancet"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.1016\/S0140-6736(17)30552-4","article-title":"Advances in nutrition of the newborn infant","volume":"389","author":"Harding","year":"2017","journal-title":"Lancet"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1007\/s12519-011-0290-8","article-title":"An overview of morbidity, mortality and long-term outcome of late preterm birth","volume":"7","author":"Dong","year":"2011","journal-title":"World J. Pediatr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"E896","DOI":"10.1136\/bmj.e896","article-title":"Effects of gestational age at birth on health outcomes at 3 and 5 years of age: Population based cohort study","volume":"344","author":"Boyle","year":"2012","journal-title":"BMJ"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1177\/0009922811409028","article-title":"Postdischarge feeding patterns in early- and late-preterm infants","volume":"50","author":"DeMauro","year":"2011","journal-title":"Clin. Pediatr."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1038\/pr.2015.273","article-title":"Body composition in late preterm infants according to percentile at birth","volume":"79","author":"Roggero","year":"2016","journal-title":"Pediatr. Res."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Giann\u00ec, M.L., Roggero, P., Piemontese, P., Liotto, N., Orsi, A., Amato, O., Taroni, F., Morlacchi, L., Consonni, D., and Mosca, F. (2015). Is nutritional support needed in late preterm infants?. BMC Pediatr., 15.","DOI":"10.1186\/s12887-015-0511-8"},{"key":"ref_14","unstructured":"(2018, January 10). World Health Organization. Available online: https:\/\/www.who.int\/nutrition\/topics\/infantfeeding_recommendation\/en\/."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Carletti, C., Pani, P., Monasta, L., Knowles, A., and Cattaneo, A. (2017). Introduction of Complementary Foods in a Cohort of Infants in Northeast Italy: Do Parents Comply with WHO Recommendations?. Nutrients, 9.","DOI":"10.3390\/nu9010034"},{"key":"ref_16","unstructured":"World Health Organization (WHO) (2002). Complementay Feeding: Report of the Global Consultation, and Summary of Guiding Principles for Complementary Feeding of the Breastfed Child, WHO."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Giann\u00ec, M.L., Bezze, E., Sannino, P., Stori, E., Plevani, L., Roggero, P., Agosti, M., and Mosca, F. (2016). Facilitators and barriers of breastfeeding late preterm infants according to mothers\u2019 experiences. BMC Pediatr., 16.","DOI":"10.1186\/s12887-016-0722-7"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e009144","DOI":"10.1136\/bmjopen-2015-009144","article-title":"Association between breastfeeding support and breastfeeding rates in the UK: A comparison of late preterm and term infants","volume":"5","author":"Rayfield","year":"2015","journal-title":"BMJ Open"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1159\/000335336","article-title":"Introducing Solid Foods to Preterm Infants in Developed Countries","volume":"60","author":"Palmer","year":"2012","journal-title":"Ann. Nutr. Metab."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"e501","DOI":"10.1016\/S2214-109X(17)30074-8","article-title":"Complementary feeding at 4 versus 6 months of age for preterm infants born at less than 34 weeks of gestation: A randomised, open-label, multicentre trial","volume":"5","author":"Gupta","year":"2017","journal-title":"Lancet Glob. Health"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"F302","DOI":"10.1136\/fn.88.4.F302","article-title":"Weaning preterm infants: A randomized controlled trial","volume":"88","author":"Marriott","year":"2003","journal-title":"Arch. Dis. Child. Fetal Neonatal Ed."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.anai.2018.06.029","article-title":"Very early introduction of semisolid foods in preterm infants does not increase food allergies or atopic dermatitis","volume":"121","author":"Koski","year":"2018","journal-title":"Ann. Allergy Asthma Immunol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1038\/sj.ejcn.1601336","article-title":"Factors affecting the introduction of complementary foods in the preterm infant","volume":"56","author":"Norris","year":"2002","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"F296","DOI":"10.1136\/fn.88.4.F296","article-title":"Factors associated with weaning in full term and preterm infants","volume":"88","author":"Fewtrell","year":"2003","journal-title":"Arch. Dis. Child. Fetal Neonatal Ed."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1097\/MPG.0000000000000695","article-title":"Early Introduction of Complementary Foods in Preterm Infants","volume":"60","author":"Braid","year":"2015","journal-title":"J. Ped. Gastroent. Nutr."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"S210","DOI":"10.1097\/01.mpg.0000302974.90867.f1","article-title":"Complementary Feeding Practices in Preterm Infants: An Observational Study in a Cohort of Italian Infants","volume":"45","author":"Fanaro","year":"2007","journal-title":"J. Ped. Gastroent. Nutr."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1080\/08035250410025591","article-title":"Feeding practices of infants through the first year of life in Italy","volume":"93","author":"Giovannini","year":"2004","journal-title":"Acta Paediatr."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1038\/ejcn.2015.54","article-title":"Length and weight of very low birth weight infants in Germany at 2 years of age: Does it matter at what age they start complementary food?","volume":"69","author":"Spiegler","year":"2015","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Cheikh Ismail, L., Giuliani, F., Bhat, B.A., Bishop, D., Papageorghiou, A.T., Ochieng, R., Puglia, F., Altman, D.G., Maia-Schl\u00fcssel, M., and Noble, J.A. (2016). Preterm feeding recommendations are achievable in large-scale research studies. BMC Nutr., 2.","DOI":"10.1186\/s40795-016-0047-9"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"S90","DOI":"10.1016\/j.jpeds.2012.11.058","article-title":"Nutritional recommendations for the late-preterm infant and the preterm infant after hospitaldischarge","volume":"162","author":"Lapillonne","year":"2013","journal-title":"J. Pediatr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/MCO.0000000000000338","article-title":"Dietary protein intake and quality in early life: Impact on growth and obesity","volume":"20","author":"Lind","year":"2017","journal-title":"Curr. Opin. Clin. Nutr. Metab. 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