<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322018000100006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[¿Cómo orientan los pediatras de Atención Primaria la alimentación complementaria?]]></article-title>
<article-title xml:lang="en"><![CDATA[How do primary care paediatricians guide complementary feeding in Spain?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Rubio]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cantarero Vallejo]]></surname>
<given-names><![CDATA[Mª Dolores]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espín Jaime]]></surname>
<given-names><![CDATA[Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,CS de Camas  ]]></institution>
<addr-line><![CDATA[ Sevilla]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Salud de Illescas  ]]></institution>
<addr-line><![CDATA[ Toledo]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Infantil Virgen del Rocío Sección de Gastroenterología, Hepatología y Nutrición Pediátrica ]]></institution>
<addr-line><![CDATA[ Sevilla]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>20</volume>
<numero>77</numero>
<fpage>35</fpage>
<lpage>44</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322018000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322018000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322018000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivos: evaluar las actitudes de los pediatras de Atención Primaria de nuestro medio sobre la alimentación complementaria y revisar las publicaciones relacionadas con la modalidad baby-led-weaning.  Material y método:  estudio descriptivo mediante la elaboración de una encuesta con 36 preguntas relacionadas con la alimentación complementaria y conocimientos sobre baby-led-weaning. Su distribución se realizó mediante correo electrónico a través de la lista de correo de la Asociación Española de Pediatría de Atención Primaria.  Resultados:  se analizaron los datos de 579 encuestas. El 95,3% de los pediatras emplean una hoja informativa, en un 28,6% de elaboración propia. La edad a la que recomiendan el inicio de la alimentación complementaria es en el 60,6% de los casos los 6 meses, en el 24,9% los 5 meses y en el 10,7% los 4 meses, siendo el cereal el alimento preferido para iniciarla en el 39,4% de los casos. El 61,1% aconsejan iniciar la alimentación complementaria con cuchara, el 21,4% con biberón y un 17,4% no especifica cómo hacerlo. El 54,6% aconseja la masticación tan pronto como el niño tiene interés y hasta un 10,7% no la recomienda hasta que el niño no tiene el año de edad. El 79,4% conoce la modalidad baby-led-weaning, el 45,3% la recomienda en ocasiones y un 6,6% siempre. Las principales razones para no indicarlo son la falta de información (67,2%), la escasa evidencia científica (10,6%) y el temor a que el niño presente atragantamientos (10,6%).  Conclusiones: hay gran variabilidad en los consejos sobre alimentación complementaria entre los pediatras encuestados. La técnica más usada sigue siendo en nuestro medio la tradicional. Cada vez son más los pediatras que conocen la técnica del baby-led-weaning, pero pocos los que se sienten preparados para aconsejarla siempre.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objectives: to assess the attitudes of Spanish primary care paediatricians regarding complementary feeding and review the published evidence on the baby-led-weaning approach.  Methods: a thirty-six item questionnaire about complementary feeding and baby-led-weaning was drafted and distributed through the Spanish Association of Primary Care Paediatricians mailing list.  Results: we received 579 responses. Of all respondents, 95.3% reported using an informational handout (28.6% of their own making). Paediatricians recommended introducing complementary foods at age 6 months (60.6%), 5 months (24.9%) and 4 months (10.7%), and cereal was the food recommended to start complementary feeding by 39.4% of respondents. Nearly 61% of physicians recommended spoon-feeding, 21.4% bottle-feeding and 17.4% no particular feeding method. Of all respondents, 54.6% recommended giving the child foods to chew as soon as the child showed interest in it, and up to 10.7% recommended delaying it under age 1 year. Seventy-nine percent knew about baby-led-weaning, 45.3% recommended it in some cases and 6.6% routinely. The main concerns of the respondents were lack of information (67.2%), lack of scientific evidence (10.6%) and the potential risk of choking (10.6%).  Conclusions:  there is huge variability in the recommendations regarding complementary feeding. The approach used most frequently in Spain is the traditional one. The number of paediatricians that know about the baby-led-weaning approach is growing, but few are prepared to recommend it routinely.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Alimentación]]></kwd>
<kwd lng="es"><![CDATA[Lactante]]></kwd>
<kwd lng="en"><![CDATA[Feeding]]></kwd>
<kwd lng="en"><![CDATA[Infant]]></kwd>
</kwd-group>
</article-meta>
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