Consenso 2: Declaración de Lima sobre el consumo de leche de vaca en menores de 01 año

The signatories, coordinators of the National Chapters of the International Committee for the Development of Consensus and Standardization in Nutritionology (CIENUT), after an in-depth discussion and analysis process that involved all of our members, declare the following:   Iron deficiency anemia is a Public Nutrition problem that affects the population of all Latin American countries in varying degrees, but it has some factors that contribute to this situation. The prevalence of exclusive breastfeeding, for example, has fallen steadily in the last five years; The introduction of foods other than human milk occurs on average after 4 months and cow's milk is one of the most commonly used foods as a substitute for human milk. Given the biochemical-molecular characteristics of cow's milk protein, its consumption before the year of life contributes significantly to the problem of anemia in risk populations.   In this context, we have prepared the Lima Declaration on the consumption of whole cow's milk in children under one year; This statement seeks to raise awareness among health authorities about the following:   Disseminate that the biochemical characteristics of whole cow's milk protein can generate micrograins at the intestinal level when administered in children aged 0 to 1 year. Promote exclusive breastfeeding the first 6 months of life and complementary feeding from 6 months. Promote breastfeeding up to 2 years.   We also invoke all the institutions that provide nutritional care to subscribe to this consensus and do everything necessary so that it can be implemented as quickly as possible.   Prepared on August 1, 2019 and signed on September 14, 2019 in Lima, Peru.