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Moving Complementary Feeding Forward: Report on a Workshop of the Federation of International Societies for Pediatric Gastroenterology, Hepatology and Nutrition (FISPGHAN) and the World Health Organization Regional Office for Europe

Research output: Contribution to journalReview articlepeer-review

Melissa A Theurich, Mary Fewtrell, Jeannine Baumgartner, Michael R Perkin, Joao Breda, Kremlin Wickramansinghe, Martin W Weber, Berthold Koletzko

Original languageEnglish
Pages (from-to)411-417
Number of pages7
JournalJournal of Pediatric Gastroenterology and Nutrition
Issue number4
Published1 Oct 2022

Bibliographical note

Funding Information: LMU, LMU University Hospitals and their employee B.K. benefitted from support of the European Union (EU) H2020 Programmes DYNAHEALTH (8633595), Lifecycle (733206) and CoreMD (965246), EU Research Council (ERC) Advanced Grant META-GROWTH (ERC-2012-AdG – no.322605), EU Erasmus+ Early Nutrition eAcademy Southeast Asia (573651-EPP-1-2016-1-DE-EPPKA2-CBHE-JP) and Capacity Building to Improve Early Nutrition and Health in South Africa (598488-EPP-1-2018-1-DE-EPPKA2-CBHE-JP), EU Interreg Programmes Focus in CD-CE111 and CD Skills, EU ERA-NET NutriPROGRAM, EndObesity and BiomarKids, German Ministry of Education & Research BMBF (01 GI 0825), German Ministry of Health (1503-68403-2021), German Research Council (Ko912/12-1, INST 409/224-1 FUGG and HA8681/3-1), German Academic Exchange Service, Alexander von Humboldt Foundation (3.3-1218469-POL-HFST-E), US National Institutes of Health (1R03HD087606-01A1), Government of Norway, Else Kröner Fresenius Foundation, Family Larsson Rosenquist Foundation, public health care insurances IKK Classic and Siemens BKK, BMW Group Munich, and different health care & nutrition companies. None of this has influenced the writing and content of this manuscript. M.F. has an unrestricted grant from Philips. The remaining authors declare no conflicts of interest. Publisher Copyright: © 2022 Lippincott Williams and Wilkins. All rights reserved.

King's Authors


The WHO Regional Office for Europe and the Federation of International Societies for Pediatric Gastroenterology, Hepatology, and Nutrition held a joint workshop, "Moving Complementary Feeding Forward" at the sixth World Congress Pediatric Gastroenterology, Hepatology, and Nutrition in 2021. Here we summarize workshop presentations and discussions. The workshop covered health implications of complementary feeding (CF) including allergies, challenges to meet dietary needs during the CF period, quality of commercial complementary foods (CFD) and respective marketing practices, national CF guidelines in Europe, a nutrient profiling system for CFD, and global policy perspectives on the standards and regulation of marketing for CFD. Adequate CF practices are of critical importance for short and long-term child health, prevention of nutrient deficiencies, normal growth and development, and reducing the risk of allergies. The workshop identified the need to improve feeding practices, harmonize evidence-based information and develop guidance jointly with various stakeholders, improve the composition and marketing practices of commercial CFD and their transparent labeling based on nutrient profiling. Renewed efforts for collaboration between scientists, public health experts, pediatric associations, national governments, and the WHO are necessary for advancing progress.

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