Einführung und Zusammensetzung der Beikost : Wissenschaftliche Evidenz und praktische Empfehlungen in Deutschland

Coeliac disease (CD) is a disorder that may depend on genetic, immunological, and environmental factors. Recent observational studies suggest that breast feeding may prevent the development of CD. To evaluate articles that compared effects of breast feeding on risk of CD. Systematic review and meta-analysis of observational studies published between 1966 and June 2004 that examined the association between breast feeding and the development of CD. Six case-control studies met the inclusion criteria. With the exception of one small study, all the included studies found an association between increasing duration of breast feeding and decreased risk of developing CD. Meta-analysis showed that the risk of CD was significantly reduced in infants who were breast feeding at the time of gluten introduction (pooled odds ratio 0.48, 95% CI 0.40 to 0.59) compared with infants who were not breast feeding during this period. Breast feeding may offer protection against the development of CD. Breast feeding during the introduction of dietary gluten, and increasing duration of breast feeding were associated with reduced risk of developing CD. It is, however, not clear from the primary studies whether breast feeding delays the onset of symptoms or provides a permanent protection against the disease. Long term prospective cohort studies are required to investigate further the relation between breast feeding and CD. Show more

Previous studies showed that (1) breastfeeding and (2) higher food variety early in weaning can increase acceptance of new foods for the next few days. Here we measure, in two European regions, effects of breast or formula feeding and experience with different levels of vegetable variety early in weaning on new food acceptance during two months following the start of weaning. Breast- or formula-fed infants received their first vegetable (carrot purée) and, over the next 9 days, either carrots every day; 3 vegetables changed every 3 days; or 3 vegetables changed daily. On the 12th and 23rd days they received new vegetable purées, zucchini-tomato then peas. Several weeks later, they received 2 more new foods, meat and fish. Acceptance of new foods was measured by quantities eaten and by liking ratings. Breastfeeding and variety early in weaning increased new food acceptance. Frequency of change was more effective than number of vegetables fed. The combination of breastfeeding and high variety produced greatest new food intake. This effect persisted 2 months later. These interventions correspond to differences in milk and vegetable feeding observed in the regions studied suggesting that the results have practical consequences for acceptance of new foods. Show more

We investigated the effects of early experience on sweet and sour preferences in children. Eighty-three children were divided into four groups based on the type of formula fed during infancy and age. By using a forced-choice, sip-and-swallow procedure, we determined the level of sweetness and sourness preferred in juice. Children who were fed protein hydrolysate formulas, which have a distinctive sour and bitter taste and unpleasant odor, preferred higher levels of citric acid in juice when compared to older children who were fed similar formulas. No such difference was observed between the groups for sweet preference. However, the level of sweetness preferred in juice was related to the sugar content of the child's favorite cereal and whether the mother routinely added sugar to their foods. These data illustrate the wide variety of experiential factors that can influence flavor preferences during childhood. Copyright 2002 Wiley Periodicals, Inc. Dev Psychobiol 41: 388-395, 2002. Published online in Wiley InterScience (www.interscience.wiley.com). DOI 10.1002/dev.10067 Show more