ADHD traits, stigma, and well-being: A community study among Hungarian adolescents and young adults.

Complementary feeding (CF) to breast milk or infant formula is introduced by presenting other liquids and, especially, solid foods. For CF to be introduced , infants must show signs of readiness and skills associated with cervical and gross and fine motor control, development of oral aspects, demonstration of interest in food, and gastrointestinal and immune system maturation. The Brazilian Ministry of Health recommends that CF be introduced at 6 months of age, with the child's intake being monitored by the caregiver, initially offering foods in the texture of porridges and/or purees, using utensils, and gradually approaching the consistency of family food at 1 year of age. This method has been described as traditional or Parent-Led Weaning (PLW). However, in recent years, the literature has considered other CF methods that promote the child's autonomy. Baby-Led Weaning (BLW) is a CF introduction method that allows the child to guide the feeding time, with the main objective of developing the notion of satiety and autonomy, offering foods in the form of strips or sticks, and not adapting their consistencies. Considering the questions raised by researchers and health professionals regarding the BLW method, a modified version was created, called Baby-Led Introduction to Solids (BLISS). The BLISS recommendations are the same as the BLW method, but with some additional aspects: ensuring a source of iron-rich foods at each meal, offering a high-calorie food at each meal, offering foods prepared in a texture and shape that reduces the risk of choking, and avoiding foods listed as high risk of aspiration. During the infant's CF introduction process, feeding difficulties may occur, which, if not observed and properly addressed, can result in pediatric feeding disorder (PFD) and persist throughout childhood development. PFD is defined as impaired or inappropriate oral intake for age, associated with a medical, nutritional, dietary, and/or psychosocial condition. PFD can occur in children with neurotypical development, with a prevalence of 25-35%, as well as in up to 80% of those with comorbidities. Clinical manifestations range from atypical behaviors to altered clinical aspects, affecting overall development and biopsychosocial issues, especially family relationships and quality of life. Although there are different protocols for screening PFD in the literature, one of the most used and the only one validated in Brazil is the Montreal Children’s Hospital Feeding Scale (MCH-FS), nationally known as the Brazilian Child Feeding Scale (EBAI).