婴儿辅食添加前综合评估专家共识

Subspecialty Committee on Early Childhood Development; Chinese Maternal and Child Health Association

doi:10.11852/zgetbjzz2026-0311

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中国儿童保健杂志 ›› 2026, Vol. 34 ›› Issue (4) : 349-356. DOI: 10.11852/zgetbjzz2026-0311

专家共识

婴儿辅食添加前综合评估专家共识

中国妇幼健康研究会儿童早期发展专委会

作者信息 +

Expert consensus on comprehensive assessment before the introduction of complementary foods in infants

Subspecialty Committee on Early Childhood Development, Chinese Maternal and Child Health Association

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文章历史 +

摘要

婴儿发育进入到满6月龄,不仅是一个短暂的婴儿月龄顺延,也是标志婴儿全面发育进入到家庭衔接喂养的重要时段。为科学判断婴儿机体发育状态能否支持家庭顺利启动辅食添加,确保辅食添加安全、保障其后的婴幼儿健康发育。本共识从喂养状况、消化酶系统与胃肠道成熟度、动作能力发育、婴儿与母亲对辅食添加的心理和情感准备以及食物过敏的预防等几个方面评估着手,并引入规划性思维与预见性指导,针对早产儿、低出生体重、生长迟缓、消瘦、超重/肥胖等特殊婴幼儿提出分层、前置、全周期营养管理策略。通过妇幼保健机构引导临床儿童保健工作者、儿科医师及家庭照护者掌握正确的辅食添加时机,同时为逐步提升婴幼儿对新食物的感知和接受度,并为培养良好的饮食习惯,增进亲子关系,打下长期的健康基础。

Abstract

When an infant reaches 6 months of age, this milestone represents not merely a routine progression in chronological age, but a critical period marking the transition to family-led complementary feeding across all domains of infant development. To scientifically determine whether an infant′s developmental status can support a smooth initiation of complementary feeding at home, and to ensure the safety of complementary feeding while safeguarding subsequent healthy development in infants and toddlers, this consensus addresses assessment across several dimensions: feeding status, maturation of the digestive enzyme system and gastrointestinal tract, motor skill development, psychological and emotional readiness of both the infant and mother for complementary feeding, and prevention of food allergy. It further incorporates anticipatory guidance and proactive planning, proposing stratified, front-loaded, and full-cycle nutritional management strategies for special populations including preterm infants, low birth weight infants, and those with growth faltering, wasting, or overweight/obesity. Through maternal and child health institutions, this consensus aims to guide clinical child health practitioners, pediatricians, and family caregivers in identifying the appropriate timing for introducing complementary foods, progressively enhancing infants′ and toddlers′ perception and acceptance of new foods, fostering healthy dietary habits, and laying a foundation for long-term health.

导出引用

中国妇幼健康研究会儿童早期发展专委会. 婴儿辅食添加前综合评估专家共识[J]. 中国儿童保健杂志. 2026, 34(4): 349-356 https://doi.org/10.11852/zgetbjzz2026-0311

Subspecialty Committee on Early Childhood Development, Chinese Maternal and Child Health Association. Expert consensus on comprehensive assessment before the introduction of complementary foods in infants[J]. Chinese Journal of Child Health Care. 2026, 34(4): 349-356 https://doi.org/10.11852/zgetbjzz2026-0311

中图分类号： R179

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