Recomendaciones de alimentación complementaria según los Comités de Nutrición de la AAP, ESPGHAN y AEP

Zusammenfassung

Recommendations regarding the introduction of complementary feeding (CF) have been changing over the last decades and even today there are some differences between regions and scientific societies. Sometimes discrepancy is motivated by insufficient scientific evidence or differences between food culture. The main aim of this review is to summarize the latest recommendations of the Nutrition Committees of the main pediatric scientific societies with influence in our environment (Spanish Pediatric Association [AEP], European Society of Pediatric Gastroenterology, Hepatology and Nutrition [ESPGHAN] and American Academy of Pediatrics [AAP]) in order to emphasize the differences between them. The definition of CF is the same for the three societies and the introduction recommendations are very similar. They establish the beginning not before 4 months and not beyond 6, mainly due to nutritional and neurological developmental reasons. According to the latest published scientific evidence all of them advocate that both potentially allergenic foods and gluten can be introduced whenever desired, after 4 months of age. None of them recommend any particular method for food introduction, although ESPGHAN and AEP highlight the need for more long-term comparative studies.