1
|
Araújo da Silva A, Fagnani E, Cristale J. A modified QuEChERS method for determination of organophosphate esters in milk by GC-MS. CHEMOSPHERE 2023; 334:138974. [PMID: 37207896 DOI: 10.1016/j.chemosphere.2023.138974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Revised: 04/19/2023] [Accepted: 05/16/2023] [Indexed: 05/21/2023]
Abstract
Organophosphate esters (OPEs) are substances that have been detected in several matrices due to their use as flame retardants and plasticizers. Human exposure to OPEs can cause endocrine disruption, hormonal problems, and reproductive disturbance. Ingestion of contaminated food can be a significant route of exposure to OPEs. Food can be contaminated by OPEs in the food chain, during cultivation, and by contact with plasticizers during the production chain of processed foods. In this study, a method for the determination of 10 OPEs in commercial bovine milk was developed. The procedure was based on QuEChERS extraction and gas chromatography coupled to mass spectrometry (GC-MS) analysis. QuEChERS modification included a freezing-out step after the extraction followed by the concentration of the entire acetonitrile phase before the clean-up step. Calibration linearity, matrix effects, recovery, and precision were evaluated. Significant matrix effects were observed, which could be compensated by the isotopically labeled internal standard quantification and matrix-matched calibration curves. Recoveries ranged from 77 to 105%, with a relative standard deviation ranging from 3 to 38%. The method detection limits (MDLs) were in the range of 0.031-6.7 ng mL-1, while the method quantification limits (MQLs) were within the range from 0.27 to 20 ng mL-1. The proposed method was successfully validated and applied to determine the concentrations of OPEs in bovine milk. The 2-ethylhexyl diphenyl phosphate (EHDPHP) was detected in the analyzed milk samples but at levels below the MQL.
Collapse
Affiliation(s)
- Amanda Araújo da Silva
- School of Technology, University of Campinas (FT-UNICAMP), Rua Paschoal Marmo 1888, 13484-332 Limeira, SP, Brazil
| | - Enelton Fagnani
- School of Technology, University of Campinas (FT-UNICAMP), Rua Paschoal Marmo 1888, 13484-332 Limeira, SP, Brazil
| | - Joyce Cristale
- School of Technology, University of Campinas (FT-UNICAMP), Rua Paschoal Marmo 1888, 13484-332 Limeira, SP, Brazil; Center for Nuclear Energy in Agriculture, University of São Paulo (CENA-USP), Av Centenário 303, 13416-000, Piracicaba, SP, Brazil.
| |
Collapse
|
2
|
Neves RO, Nunes LM, Silveira LDO, Lima MR, Moreira PR, Bernardi JR. Functional constipation symptoms and complementary feeding methods: A randomized clinical trial. An Pediatr (Barc) 2023; 98:267-275. [PMID: 36922244 DOI: 10.1016/j.anpede.2023.01.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 09/14/2022] [Accepted: 09/18/2022] [Indexed: 03/14/2023] Open
Abstract
INTRODUCTION The aim of the study was to investigate the impact of different complementary feeding methods on the prevalence of functional constipation symptoms in infants at 12 months of age. MATERIAL AND METHODS Randomized clinical trial in mother-infant dyads that underwent the intervention at 5.5 months post birth, randomly allocated to one of three complementary food introduction methods: PLW (parent-led weaning), Baby-led Introduction to SolidS (BLISS) and a mixed approach. The symptoms of constipation were assessed at 12 months with an online questionnaire based on the Rome IV diagnostic criteria and adapted to our sample. The data were summarised as absolute frequencies and percentages and compared by means of the χ2 test. The project was approved by the ethics committee of the Hospital de Clínicas de Porto Alegre under number 2019-0230. RESULTS We analysed data corresponding to 135 infants, 45 allocated to PLW, 48 to BLISS and 42 to the mixed approach. The prevalence of constipation symptoms was 49.6% in the overall sample (n = 67), 60% (n = 27) in the PLW group, 47.9% (n = 23) in the BLISS group and 40.5% (n = 17) in the mixed approach group. We found no association between functional constipation symptoms and the method used to introduce complementary foods (P = .183). CONCLUSIONS The prevalence of functional constipation symptoms was high in the study population. The presence of constipation symptoms was not associated with the complementary feeding approach.
Collapse
Affiliation(s)
- Renata Oliveira Neves
- Programa de Postgrado en Salud Infantil y Adolescente, Facultad de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Río Grande del Sur, Brazil
| | - Leandro Meirelles Nunes
- Departamento de Pediatría, Programa de Postgrado en Salud Infantil y Adolescente, Facultad de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Río Grande del Sur, Brazil
| | | | - Marcela Reckziegel Lima
- Facultad de Nutrición, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Río Grande del Sur, Brazil
| | - Paula Ruffoni Moreira
- Programa de Postgrado en Alimentación, Nutrición y Salud, Facultad de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Río Grande del Sur, Brazil
| | - Juliana Rombaldi Bernardi
- Programa de Postgrado en Salud Infantil y Adolescente, Programa de Postgrado en Alimentación, Nutrición y Salud, Departamento de Nutrición, Facultad de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Río Grande del Sur, Brazil
| |
Collapse
|
3
|
Síntomas de estreñimiento funcional y métodos de alimentación complementaria: ensayo clínico aleatorizado. An Pediatr (Barc) 2023. [DOI: 10.1016/j.anpedi.2022.09.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
|
4
|
Association of serum and erythrocyte zinc levels with breastfeeding and complementary feeding in preterm and term infants. J Dev Orig Health Dis 2023; 14:53-60. [PMID: 35903854 DOI: 10.1017/s2040174422000447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Zinc is an important nutrient involved in cell division, physical growth, and immune system function. Most studies evaluating the nutritional status related to zinc and prematurity were conducted with hospitalized preterm infants. These studies show controversial results regarding the prevalence of deficiency, clinical implications, and the effect of zinc supplementation on mortality, infectious diseases, and growth in these groups. This study aimed to compare serum and erythrocyte zinc levels in a group of preterm and full-term infants after 9 months of age, and related the zinc levels to dietary intake and anthropometric indicators in both groups. This cross-sectional study compared 43 preterm infants (24 to 33 weeks) aged 9-24 months to 47 full-term healthy infants. Outcome measures: anthropometric indicators and dietary intake. Blood sample for serum and erythrocyte zinc levels (ICP-MS, Inductively Coupled Plasma Mass Spectrometry). There was no difference between the groups regarding the mean of serum and erythrocyte zinc. Variables associated with higher serum zinc levels were breastfeeding at evaluation (β = 20.11 µg/dL, 95% CI 9.62-30.60, p < 0.001) and the later introduction of solid foods (β = 6.6 µg/dL, 95% CI 5.3-11.4, p < 0.001). Breastfeeding was also associated with higher erythrocyte zinc levels. The zinc levels were adequate in both groups, there was no association with anthropometric indicators or dietary intake and were slightly influenced by breastfeeding and time of solid food introduction.
Collapse
|
5
|
Galvão RA, Pavon B, Morán MCB, Barbin MVC, Martimbianco ALC, Colares Neto GDP. Dietary calcium intake in Brazilian preschoolers and schoolchhildren: review of the literature. REVISTA PAULISTA DE PEDIATRIA 2023; 41:e2021253. [PMID: 35830164 PMCID: PMC9273125 DOI: 10.1590/1984-0462/2023/41/2021253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 11/30/2021] [Indexed: 11/22/2022]
Abstract
Objective: The objective of this study was to map and synthesize evidence on the adequacy of dietary calcium intake and dairy products in Brazilian preschoolers and schoolchildren. Data source: Evidence searches were performed in the MEDLINE (via PubMed) and Latin American and Caribbean Health Sciences Literature (LILACS; via BVS) databases, with no restriction on date or language of publication. Experimental or observational studies that evaluated healthy Brazilian children between 2 and 12 incomplete years old were included. Data synthesis: A total of 18 studies were included. Seven of 11 studies of 11 studies (63.6%) identified mean values of dietary calcium intake below the age recommendation, especially in schoolchildren, with the progression of the age group. Among preschoolers, studies with direct weighing of food showed higher mean values of dietary calcium ingested compared to those with dietary recall. Children attending public daycare centers on a part-time basis tended to have inadequate calcium intake. The consumption of milk and dairy products was lower among older children, especially schoolchildren. Conclusions: Inadequate dietary calcium intake seems to be prevalent in Brazil during childhood, especially among schoolchildren. Therefore, the evaluation of milk and dairy products intake must be considered in order to desgn appropriate corrective actions.
Collapse
|
6
|
Nogueira-de-Almeida CA, Prozorovscaia D, Mosquera EMB, Ued FDV, Campos VC. Low bioavailability of dietary iron among Brazilian children: Study in a representative sample from the Northeast, Southeast, and South regions. Front Public Health 2023; 11:1122363. [PMID: 36891331 PMCID: PMC9987336 DOI: 10.3389/fpubh.2023.1122363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 02/02/2023] [Indexed: 02/22/2023] Open
Abstract
Background Despite all efforts, iron deficiency anemia remains a serious public health problem among Brazilian children. Objective To evaluate dietary iron intake and dietary practices that interfere with the absorption of this nutrient from three regions of Brazil. Methods Brazil Kids Nutrition and Health Study is a cross-sectional dietary intake study in children aged 4-13.9 years old designed to investigate nutrient intakes and gaps of Brazilian children in a representative sample of households from Northeast, Southeast and South regions. Nutrient intake was assessed based on multiple-pass 24-h dietary recall and U.S. National Cancer Institute method was used to estimate usual micronutrients intakes and compliance with Dietary Reference Intakes. Results Five hundred sixteen individuals participated in the study (52.3% male). The top three most consumed food sources of iron were products of plant origin. Food sources of animal origin contributed with <20% of the total iron intake. Vitamin C intake was adequate, but the concomitant consumption of food sources of vitamin C with plant food sources of iron was not common. On the other hand, the concomitant intake of plant food sources of iron with food sources of iron chelators (e.g., coffee and teas) was frequent. Conclusions Adequate iron intake was observed in all three regions in Brazil. Children's diet showed low iron bioavailability and insufficient consumption of food sources of iron absorption stimulants. Frequent presence of iron chelators and inhibitors of iron absorption might help to explain the high prevalence of iron deficiency in the country.
Collapse
Affiliation(s)
| | | | - Elaine M Bento Mosquera
- Federal University of São Paulo, São Paulo, Brazil.,Medical, Scientific and Regulatory Affairs - Nestlé Nutrition/Nestlé Brazil Ltda, São Paulo, Brazil
| | - Fábio da Veiga Ued
- FMRP - Nutrition Department, University of São Paulo, São Paulo, São Paulo, Brazil
| | | |
Collapse
|
7
|
Spisso BF, Pereira MU, Ferreira RG, Silva FRN, Arisseto-Bragotto AP. Tetracyclines in pasteurized milk commercialized in São Paulo, Brazil: occurrence and dietary risk assessment based on single and combined exposure with polyether ionophores. FOOD ADDITIVES & CONTAMINANTS. PART B, SURVEILLANCE 2022; 15:254-265. [PMID: 35861122 DOI: 10.1080/19393210.2022.2090616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Accepted: 06/13/2022] [Indexed: 06/15/2023]
Abstract
Tetracyclines and polyether ionophores are veterinary drugs frequently used in animals reared for food production. Despite the benefits, residues can be harmful for human health if levels are higher than those considered safe. The aim of this study was to evaluate, by LC-MS/MS, tetracyclines residues in pasteurised milk samples marketed in São Paulo state, Brazil and estimate the exposure of the adult/adolescent/children population. Within the eight antibiotics monitored two were detected, tetracycline and 4-epitetracycline, found in 22.5% and 12.5% of the samples, respectively. Since the same samples had been previously tested for polyether ionophore residues, risk assessment based on dietary exposure to tetracyclines when considered individually and in combination with the ionophores was performed. The daily intakes were below the acceptable daily intake (ADI) for tetracycline. Considering the levels of monensin reported in a previous study, the combined exposure with tetracycline and 4-epi-tetracycline also indicated low potential health concerns.
Collapse
Affiliation(s)
- Bernardete Ferraz Spisso
- Instituto Nacional de Controle de Qualidade em Saúde, Fundação Oswaldo Cruz (INCQS/FIOCRUZ), Rio de Janeiro, Brazil
| | - Mararlene Ulberg Pereira
- Instituto Nacional de Controle de Qualidade em Saúde, Fundação Oswaldo Cruz (INCQS/FIOCRUZ), Rio de Janeiro, Brazil
| | - Rosana Gomes Ferreira
- Instituto Nacional de Controle de Qualidade em Saúde, Fundação Oswaldo Cruz (INCQS/FIOCRUZ), Rio de Janeiro, Brazil
| | | | | |
Collapse
|
8
|
Vivi ACP, Azevedo-Silva TR, Neri D, Strufaldi MWL, Lebrão CW, Fonseca FLA, Sarni ROS, Suano-Souza FI. Association between ultra-processed food intake and C-reactive protein levels in preterm and term infants Ultra-processed food intake and inflammation in infants. Nutrition 2022; 99-100:111649. [DOI: 10.1016/j.nut.2022.111649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2021] [Revised: 02/24/2022] [Accepted: 02/28/2022] [Indexed: 10/18/2022]
|
9
|
Siqueira IMBJ, Godinho APK, de Oliveira ECV, Madruga FP, Taconeli CA, Almeida CCB. Consumption of food groups and associated factors among children aged 6 to 23 months. REVISTA PAULISTA DE PEDIATRIA 2022; 40:e2021080. [PMID: 35442271 PMCID: PMC8983009 DOI: 10.1590/1984-0462/2022/40/2021080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 07/02/2021] [Indexed: 11/28/2022]
Abstract
Objective: To assess the consumption of food groups among children aged 6 to 23 months in day care centers and at home and its associated factors. Methods: This is a population-based cross-sectional study conducted with children from nursery schools in Guaratuba, Paraná. Parents answered a socioeconomic and demographic questionnaire. Food consumption was assessed by directly weighing the meals offered at the day care center. At home, parents filled an estimated food record. The reported foods were classified into seven food groups. Minimum dietary diversity was calculated by the proportion of children who consumed foods from four or more groups. Data were analyzed by simple and multiple logistic regression, presented as odds ratios. Results: A total of 213 children participated in this study. The average number of food groups consumed was 4.2±1.0 at home and 4.2±1.2 in day care centers. At the day care center, all children consumed grains, roots, and tubers, while at home, this rate was 99.1%. The egg group was the least consumed both at day care (6.6%) and at home (2.8%). At home, more than 60% of children consumed sweets and sugar-sweetened beverages. Children aged 12 to 23 months were more likely to consume milk and dairy products, as well as flesh foods. Higher income was associated with the consumption of legumes, and older maternal age with the consumption of fruits and vegetables. Conclusions: At home, children had a predominantly dairy-based diet and a high intake of ultra-processed foods. In day care centers, the consumption of healthy foods was higher, indicating the need for families to participate in the formation of healthy eating habits.
Collapse
|
10
|
Lisboa PC, Miranda RA, Souza LL, Moura EG. Can breastfeeding affect the rest of our life? Neuropharmacology 2021; 200:108821. [PMID: 34610290 DOI: 10.1016/j.neuropharm.2021.108821] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 08/17/2021] [Accepted: 09/30/2021] [Indexed: 12/31/2022]
Abstract
The breastfeeding period is one of the most important critical windows in our development, since milk, our first food after birth, contains several compounds, such as macronutrients, micronutrients, antibodies, growth factors and hormones that benefit human health. Indeed, nutritional, and environmental alterations during lactation, change the composition of breast milk and induce alterations in the child's development, such as obesity, leading to the metabolic dysfunctions, cardiovascular diseases and neurobehavioral disorders. This review is based on experimental animal models, most of them in rodents, and summarizes the impact of an adequate breast milk supply in view of the developmental origins of health and disease (DOHaD) concept, which has been proposed by researchers in the areas of epidemiology and basic science from around the world. Here, experimental advances in understanding the programming during breastfeeding were compiled with the purpose of generating knowledge about the genesis of chronic noncommunicable diseases and to guide the development of public policies to deal with and prevent the problems arising from this phenomenon. This review article is part of the special issue on "Cross talk between periphery and brain".
Collapse
Affiliation(s)
- Patricia C Lisboa
- Laboratory of Endocrine Physiology, Department of Physiological Sciences, Roberto Alcantara Gomes Biology Institute, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
| | - Rosiane A Miranda
- Laboratory of Endocrine Physiology, Department of Physiological Sciences, Roberto Alcantara Gomes Biology Institute, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Luana L Souza
- Laboratory of Endocrine Physiology, Department of Physiological Sciences, Roberto Alcantara Gomes Biology Institute, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Egberto G Moura
- Laboratory of Endocrine Physiology, Department of Physiological Sciences, Roberto Alcantara Gomes Biology Institute, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| |
Collapse
|
11
|
Nogueira-de-Almeida CA, Ued FDV, Del Ciampo LA, Martinez EZ, Ferraz IS, Contini AA, Cruz FCSD, Silva RFB, Nogueira-de-Almeida ME, Lamounier JA. Prevalence of childhood anaemia in Brazil: still a serious health problem: a systematic review and meta-analysis. Public Health Nutr 2021; 24:6450-6465. [PMID: 34212834 PMCID: PMC11148596 DOI: 10.1017/s136898002100286x] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To estimate the prevalence of anaemia in Brazilian children up to 83·9 months old. DESIGN Systematic review and meta-analysis, using databases PubMed, Scopus, SciELO, Lilacs, Google Scholar, Periódicos Capes, Arca, Biblioteca Virtual em Saúde, Microsoft Academic Search and Cochrane Library using search terms: anaemia, prevalence, child and Brazil. PROSPERO Registration number: CRD42020208818. SETTING Cross-sectional, cohort, case-control and intervention studies published between 2007 and 2020 were searched, excluding those who assessed children with an illness or chronic condition. The main outcome was anaemia prevalence. Random effects models based on the inverse variance method were used to estimate pooled prevalence measures. Sensitivity analyses removed studies with high contribution to overall heterogeneity. PARTICIPANTS From 6790 first screened, 134 eligible studies were included, totalling 46 978 children aged zero to 83·9 months analysed, with adequate regions representativeness. RESULTS Pooled prevalence of anaemia was 33 % (95 % CI 30, 35). Sensitivity analyses showed that withdrawal of studies that contributed to high heterogeneity did not influence national average prevalence. CONCLUSIONS Childhood anaemia is still a serious public health problem in Brazil, exposing 33 % of Brazilian children to the anaemia repercussions. The main limitation of the study is the estimation of national prevalence based on local surveys, but a large number of studies were included, with representation in all regions of the country, giving strength to the results. In Brazil, more public policies are needed to promote supplementation, fortification and access to healthy eating to reduce the high level of anaemia among children.
Collapse
Affiliation(s)
- Carlos Alberto Nogueira-de-Almeida
- Medical Department, Federal University of São Carlos, Brazil - DMED UFSCAR, Rod. Washington Luiz, km 235, São Carlos, SP13565-905, Brazil
| | - Fábio da Veiga Ued
- Nutrition School, University of São Paulo, Brazil - FMRP-USP, Ribeirao Preto, Brazil
| | | | | | - Ivan Savioli Ferraz
- Nutrition School, University of São Paulo, Brazil - FMRP-USP, Ribeirao Preto, Brazil
| | - Andrea Aparecida Contini
- Medical Department, Federal University of São Carlos, Brazil - DMED UFSCAR, Rod. Washington Luiz, km 235, São Carlos, SP13565-905, Brazil
| | | | | | | | - Joel Alves Lamounier
- Medical School, Federal University of Sao Joao Del Rei, Brazil - DMED UFSJ, Sao Joao Del Rei, Brazil
| |
Collapse
|
12
|
Camara AOD, Rodrigues LG, Ferreira TDS, Moraes OMGD. Sodium found in processed cow milk and estimated intake by infants. J Pediatr (Rio J) 2021; 97:665-669. [PMID: 33722532 PMCID: PMC9432180 DOI: 10.1016/j.jped.2021.02.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 01/28/2021] [Accepted: 02/04/2021] [Indexed: 10/31/2022] Open
Abstract
OBJECTIVE To determine the sodium concentration in cow milk available for sale and to estimate its consumption by infants up to 6 months of age. METHODS Sodium level was determined by flame emission spectrophotometry in eight different lots of five brands of liquid ultra-high temperature milk and three brands of powdered milk. To estimate sodium consumption via cow milk, orientations for exceptional situations when neither breastfeeding nor infant formula is possible were considered. Inferential statistics were performed and results were compared with critical parameters at a 5% significance level. RESULTS The mean sodium content per portion found in liquid milk (162.5±16.2) mg/200mL was higher than that in powdered milk (116.8±3.0) mg/26g. Estimated sodium consumption by infants through powdered milk varied from 149.8 to 224.7% of adequate intake, and via liquid milk can be more than 500% of the adequate intake, reaching 812.4% of it if dilution is not applied. Seven of the eight brands of milk studied had declared, on their labels, that the sodium content was 13-30% lower than that found in chemical analysis. CONCLUSION Liquid and powdered whole cow milk have high sodium content, and the content per portion is higher in liquid milk than in powdered milk. The estimated consumption of sodium through these products can far exceed the adequate intake for infants from 0 to 6 months old, even when the recommended dilution and maximum daily volumes are followed.
Collapse
Affiliation(s)
| | - Lucia Gomes Rodrigues
- Universidade Federal do Estado do Rio de Janeiro, Escola de Nutrição, Departamento de Nutrição e Saúde Pública, Rio de Janeiro, RJ, Brazil
| | - Thaís da Silva Ferreira
- Universidade Federal do Estado do Rio de Janeiro, Escola de Nutrição, Departamento de Nutrição Aplicada, Rio de Janeiro, RJ, Brazil.
| | - Orlando Marino Gadas de Moraes
- Universidade Federal do Estado do Rio de Janeiro, Escola de Nutrição, Departamento de Ciência dos Alimentos, Rio de Janeiro, RJ, Brazil
| |
Collapse
|
13
|
Mendes MME, Marçal GDM, Rinaldi AEM, Bueno NB, Florêncio TMDMT, Clemente APG. Dietary patterns of children aged 6-24 months assisted by the Bolsa Família Program. Public Health Nutr 2021; 25:1-11. [PMID: 34593085 PMCID: PMC9991842 DOI: 10.1017/s1368980021004110] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 09/19/2021] [Accepted: 09/28/2021] [Indexed: 01/08/2023]
Abstract
OBJECTIVE This study aimed to verify the association between socio-economic and demographic characteristics and dietary patterns (DP) of children assisted by the Conditional Cash Transfer Program, Bolsa Família Program (BFP). DESIGN This is a cross-sectional study. DP were defined using a principal component analysis. The association of the predictive variables and DP was modelled using multilevel linear regression analysis. SETTING This study was conducted in six municipalities from the State of Alagoas, Brazil. PARTICIPANTS The participants were children aged 6-24 months who were assisted by the BFP. RESULTS A total of 1604 children were evaluated. Four DP were identified (DP1, DP2, DP3 and DP4). DP1 is composed of traditional Brazilian food. DP2 is formed mostly from ultra-processed foods (UPF). DP3 consists of milk (non-breast) with added sugar, while DP4 consists of fresh and minimally processed foods. Caregivers with higher age and education (β = -0·008; (95 % CI -0·017, -0·000); β = -0·037; (95 % CI -0·056, -0·018), respectively) were negatively associated with DP2. We observed a negative association between households with food insecurity (β = -0·204; (95 % CI -0·331, -0·078)) and DP4 and a positive association between caregivers with higher age and education (β = 0·011; (95 % CI (0·003; 0·019); β = 0·043; (95 % CI 0·025, 0·061), respectively) and DP4. CONCLUSION This study identified the association between socio-economic inequities and DP early in life, with an early introduction of UPF, in children assisted by BFP in the State of Alagoas.
Collapse
Affiliation(s)
- Marília Moura e Mendes
- Nutrition Postgraduate Program, Federal University of São Paulo, Paulista School of Medicine, Botucatu St., 740, Vila Clementino, 04023-062São Paulo, Brazil
| | | | | | - Nassib Bezerra Bueno
- Nutrition Postgraduate Program, Federal University of São Paulo, Paulista School of Medicine, Botucatu St., 740, Vila Clementino, 04023-062São Paulo, Brazil
- Faculty of Nutrition, Federal University of Alagoas, A.C. Simões Campus, Maceió, AL, Brazil
| | - Telma Maria de Menezes Toledo Florêncio
- Nutrition Postgraduate Program, Federal University of São Paulo, Paulista School of Medicine, Botucatu St., 740, Vila Clementino, 04023-062São Paulo, Brazil
- Faculty of Nutrition, Federal University of Alagoas, A.C. Simões Campus, Maceió, AL, Brazil
| | | |
Collapse
|
14
|
Fisberg M, Duarte Batista L, Nogueira-de-Almeida CA, Sarti FM, de Albuquerque MP, Fisberg RM. Integrative Strategies for Preventing Nutritional Problems in the Development of Children in Brazil. Front Nutr 2021; 8:662817. [PMID: 34476237 PMCID: PMC8407062 DOI: 10.3389/fnut.2021.662817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 07/14/2021] [Indexed: 11/28/2022] Open
Abstract
Child healthcare has been a priority subject in several programs and public policies developed over the decades. However, initiatives implemented seem insufficient to overcome the challenges regarding the integral development and improvement of the nutritional status of children in Brazil. The initial developmental stages of a child include pregnancy, breastfeeding, and complementary feeding, which are determinants in future aspects of health and nutritional status. Therefore, the strategies addressing problems during these three periods of life have the potential to positively impact the promotion of healthy eating habits and food security throughout life. Developing countries with huge dimensions and vast inequalities, like Brazil, are marked by differences in regional, cultural, and social contexts that may hinder the implementation of programs and policies with a broad scope. Extensive operational and professional costs, in addition to time-consuming activities that are necessary to apply, monitor, and evaluate interventions may jeopardize the proper assessment of programs and policy goals, generating the inefficiency and waste of resources in the health system. Thus, programs and policies aimed at creating and modifying habits should consider an intersectoral action within local contexts, involving health professionals, universities, policy managers, and the community. Therefore, this article aimed to discuss the preliminary conception of an integrated approach of decentralized strategies to promote healthy eating habits and food security of children in Brazil.
Collapse
Affiliation(s)
- Mauro Fisberg
- Feeding Difficulties Center, Institute PENSI (Pesquisa e Ensino em Saúde Infantil), Fundação Jose Luiz Setubal, Hospital Infantil Sabará (Sabara Children's Hospital), São Paulo, Brazil
| | - Lais Duarte Batista
- Department of Nutrition, School of Public Health, University of São Paulo (USP), São Paulo, Brazil
| | | | - Flávia Mori Sarti
- School of Arts, Sciences and Humanities, University of São Paulo (USP), São Paulo, Brazil
| | - Maria Paula de Albuquerque
- Section Physiology of Nutrition, Department of Physiology, Federal University of São Paulo (UNIFESP), São Paulo, Brazil
| | - Regina Mara Fisberg
- Department of Nutrition, School of Public Health, University of São Paulo (USP), São Paulo, Brazil
| |
Collapse
|
15
|
Association between iron deficiency anaemia and complementary feeding in children under 2 years assisted by a Conditional Cash Transfer programme. Public Health Nutr 2020; 24:4080-4090. [PMID: 32808920 DOI: 10.1017/s1368980020002542] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To evaluate the association between Fe deficiency anaemia (IDA) and complementary feeding in children under 2 years old assisted by the Conditional Cash Transfer programme, Bolsa Família (BFP). DESIGN Cross-sectional study. Data were obtained through a standardised form, questionnaire to assess the eating habits of children under 2 years of age, capillary Hb (HemoCue®) and the Brazilian Household Food Insecurity Measurement Scale. Associations were calculated using hierarchical Poisson regression, adjusted at the last level by socio-economic, demographic and environmental variables from previous hierarchical levels. SETTING Six municipalities from the State of Alagoas, Brazil. PARTICIPANTS Children aged 6-24 months assisted by BFP. RESULTS A total of 1604 children were evaluated, among whom 58·1 % had anaemia. A higher number of food groups consumed (prevalence ratio (PR) = 0·97; 95 % CI 0·95, 0·99; P = 0·009), the consumption of dairy (PR = 0·86; 95 % CI 0·79, 0·84; P = 0·001) and meat (PR = 0·90; 95 % CI 0·83, 0·99; P = 0·030) in addition to bottle feeding (PR = 0·88; 95 % CI 0·82, 0·96; P = 0·004) were associated with a lower prevalence of IDA. CONCLUSIONS IDA is still a serious public health problem in children under 2 years old assisted by BFP in Alagoas. We highlight the importance of promoting complementary feeding based on a diversified dietary intake, as well strengthening prophylactic supplementation programmes to increase children's adherence in conjunction with the implementation of food and nutrition education to help reduce the prevalence of this condition.
Collapse
|
16
|
Santos DVD, Rosa DDOS, Zoboli ELCP, Grande LF. Nurses' moral deliberation in the child care process. Rev Bras Enferm 2019; 72:197-203. [PMID: 31851254 DOI: 10.1590/0034-7167-2018-0423] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2018] [Accepted: 09/23/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To understand the nurses' moral deliberation in the face of an ethical problem involving breastfeeding. METHOD Qualitative study based on the methodological theoretical framework of deliberative bioethics. Data collection was through a vignette-based interview and results were organized by thematic analysis. RESULTS Nurses tend to take over intermediate courses of action, although extreme courses of action are found as well. FINAL CONSIDERATIONS When they tend to take extreme courses of action, nurses approach decisions focused on the child welfare to the detriment of the mother's need as a working woman.
Collapse
|
17
|
Bortolini GA, Giugliani ERJ, Gubert MB, Santos LMP. Breastfeeding is associated with children’s dietary diversity in Brazil. CIENCIA & SAUDE COLETIVA 2019; 24:4345-4354. [DOI: 10.1590/1413-812320182411.29312017] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Accepted: 04/17/2018] [Indexed: 11/22/2022] Open
Abstract
Abstract The aim of this study was to describe food consumption patterns in Brazilian children aged 6-24 months and to assess differences between breastfed children who do not consume non-human milks, breastfed children who consume non-human milks, and non-breastfed children. This study used data from the Brazilian National Demographic and Health Survey (2006). The food consumption patterns of 1,455 children were assessed using a food frequency questionnaire. One indicator adopted in this study was the healthy diverse diet. The association between breastfeeding and food consumption was tested using multivariate Poisson regression. At the interview, 15.8% of the children were breastfed without consuming non-human milk, 30.7% consumed breast milk in conjunction with non-human milk, and 53% were not breastfed anymore. Over half consumed the recommended foods, 78% consumed foods rich in sugar, fat, and salt, and only 3.4% were on a healthy diverse diet. The breastfed children who did not consume non-human milks were almost five times more likely to be on a healthy diverse diet and were 19% less likely to consume foods rich in sugar, fat, and salt than the breastfed children who also consumed non-human milks and the non-breastfed children.
Collapse
|
18
|
Moreira LCDQ, Oliveira EBE, Lopes LHK, Bauleo ME, Sarno F. Introduction of complementary foods in infants. EINSTEIN-SAO PAULO 2019; 17:eAO4412. [PMID: 31116228 PMCID: PMC6533076 DOI: 10.31744/einstein_journal/2019ao4412] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Accepted: 07/24/2018] [Indexed: 11/17/2022] Open
Abstract
Objective: To analyze frequency, age and time trend of complementary feeding introduction in infants. Methods: Retrospective study of infants’ data evaluated at nutrition sector of Programa de Atenção aos Bebês of Programa Einstein na Comunidade de Paraisópolis from 2012 to 2015. Survival analyzes were performed, and the outcome considered was the time until the introduction of each specific food. Results: Participants were 700 infants, with 5.5 months of median age. Water was the most consumed supplement (80.0%), followed by infant formula (64.1%) and juice (51.1%). Regarding the beginning of complementary feeding, water, infant formula and tea were the first to be introduced, with a median age of 3 months. It is noteworthy that almost one-fifth of the infants had already received processed foods. Water introduction proportions showed a significant tendency to increase over the years, and among infants at 6 months of age, varied from 72.8%, in 2012, to 91.1%, in 2015. The introduction of processed food category items presented a significant trend of change, showing, however, a reduction from 30.8%, in 2012, to 15.6%, in 2015, in this same age group. Among the processed foods, flour based thickeners (36.3%) and biscuits (26.3%) presented the highest proportions of consume. Conclusion: Water and infant formula were the most widely consumed and early introduced foods. Among the studied years, water introduction presented a significant tendency to increase and processed foods category to reduce consumption.
Collapse
Affiliation(s)
| | | | - Lucia Hitomi Kamata Lopes
- Instituto Israelita de Responsabilidade Social, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
| | - Mariana Ercole Bauleo
- Instituto Israelita de Responsabilidade Social, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
| | - Flavio Sarno
- Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
| |
Collapse
|
19
|
Carvalho CAD, Fonsêca PCDA, Nobre LN, Silva MA, Pessoa MC, Ribeiro AQ, Priore SE, Franceschini SDCC. Sociodemographic, perinatal and behavioral factors associated to types of milk consumed by children under in six months: birth coort. CIENCIA & SAUDE COLETIVA 2018; 22:3699-3710. [PMID: 29211175 DOI: 10.1590/1413-812320172211.28482015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2015] [Accepted: 04/02/2016] [Indexed: 11/22/2022] Open
Abstract
This study evaluated factors associated with the consumption of breast milk (BM), infant formula (IF) and cow milk (CM) in children. This was a cohort study with 256 children followed-up at the 1st, 4th and 6th month of age in Viçosa (MG), Brazil. With respect to CM and IF, consumption was recorded regardless of BM intake. Regarding BM, only exclusive or predominant consumption was considered. From the 1st to the 6th month, an increase was recorded in the number of children who did not consume BM exclusively or predominantly (31.6%), as well as the consumption of CM (27.2%) and IF (9.3%). BM was associated with pacifier use at 1st month, and mother's employment status and pacifier use in the 4th and 6th month. Pacifier use was a risk factor for IF consumption in every month, while belonging to the lower income group was inversely associated in the 6th month. As for CM, the number of prenatal visits was a risk factor in every month, the mother's employment status and use of pacifier in the 4th month, family income, mother's employment status, low birth weight, number of prenatal visits and pacifier use in the 6th month. Since the 1st month, the introduction of other milk types is high, revealing that there is still much to go to ensure exclusive breastfeeding up to 6 months.
Collapse
Affiliation(s)
- Carolina Abreu de Carvalho
- Departamento de Desenvolvimento Educacional do Instituto Federal do Maranhão. Rodovia MA-225/Km 04, Povoado Santa Cruz. 65590-000 Barreirinhas MA Brasil.
| | | | - Luciana Neri Nobre
- Departamento de Nutrição, Universidade Federal dos Vales do Jequitinhonha e Mucuri. Diamantina MG Brasil
| | - Mariane Alves Silva
- Departamento de Nutrição, Universidade Federal dos Vales do Jequitinhonha e Mucuri. Diamantina MG Brasil
| | | | | | - Silvia Eloiza Priore
- Departamento de Nutrição e Saúde, Universidade Federal de Viçosa. Viçosa MG Brasil
| | | |
Collapse
|
20
|
Lopes WC, Marques FKS, Oliveira CFD, Rodrigues JA, Silveira MF, Caldeira AP, Pinho LD. ALIMENTAÇÃO DE CRIANÇAS NOS PRIMEIROS DOIS ANOS DE VIDA. REVISTA PAULISTA DE PEDIATRIA 2018; 36:164-170. [PMID: 29947724 PMCID: PMC6038781 DOI: 10.1590/1984-0462/;2018;36;2;00004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/19/2016] [Accepted: 05/12/2017] [Indexed: 11/22/2022]
Abstract
Objective: To analyze the prevalence of breastfeeding and the introduction of
complementary food for zero to 24-month-old infants. Methods: This is a population-based cross-sectional study of children aged less than
24 months in Montes Claros, Minas Gerais, Brazil. Data were collected in
2015, by interviews with people in charge of infant care in the house. The
questionnaire administered assessed the sociodemographic status of the
family, maternal and infant characteristics and food consumption habits.
Survival analysis was used to calculate median prevalence and duration of
breastfeeding and the introduction of complementary feeding. Results: With 180 days of life, 4.0% of the children were exclusively breastfed,
22.4% were mostly breastfed and 43.4% were fed breast milk as complementary
food. In the third month of life, children were consuming water (56.8%),
fruit juice or formula (15.5%) and cow’s milk (10.6%). At the age of 12
months, 31.1% were consuming artificial juice and 50.0% were eating candies.
Before the age of 1 year, 25.0% of them had already eaten instant
noodles. Conclusions: The introduction of drinks, honey, sugar and candies as complementary food
was found to be premature; and solid and semi-solid foods were almost
appropriate. The habits described can directly affect the success of
breastfeeding. Given that the inadequate eating practices identified can
compromise the infant’s health, actions that promote breastfeeding and
provide guidance on the introduction of complementary foods are
important.
Collapse
|
21
|
Fonseca PCDA, Carvalho CAD, Ribeiro SAV, Nobre LN, Pessoa MC, Ribeiro AQ, Priore SE, Franceschini SDCC. Determinants of the mean growth rate of children under the age of six months: a cohort study. CIENCIA & SAUDE COLETIVA 2018; 22:2713-2726. [PMID: 28793085 DOI: 10.1590/1413-81232017228.18182015] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2015] [Accepted: 02/24/2016] [Indexed: 11/22/2022] Open
Abstract
This study aimed to investigate some factors that contributed to higher or lower growth rate of children up to the sixth month of life. This is a cohort study with 240 children evaluated in four stages. Variables of birth, eating habits of the child, mothers' breast-feeding difficulty and pacifier use were investigated. Children's weight gain rate (grams/day) and size gain (cm/month) were measured in all assessments and compared according to the variables of interest. In the first month, weight gain rate of children born by cesarean section was smaller. By the second month, the growth rate (weight and size gain) was higher among children who were exclusively or predominantly breastfed and lower among those who consumed infant formula. Children of mothers who reported difficulty to breastfeed showed a lower growth rate until the second month. Children age four months who consumed porridge had lower weight and size gain rate. Pacifier use was associated with lower weight gain rates up the first, second and fourth month.
Collapse
Affiliation(s)
- Poliana Cristina de Almeida Fonseca
- Departamento de Nutrição e Saúde, Centro de Ciências Biológicas e da Saúde, Universidade Federal de Viçosa. Av. Peter Henry Rolfs s/n, Campus Universitário. 36570-900 Viçosa MG Brasil.
| | | | | | - Luciana Neri Nobre
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Maranhão. São Luís MA Brasil
| | - Milene Cristine Pessoa
- Departamento de Nutrição, Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil
| | - Andreia Queiroz Ribeiro
- Departamento de Nutrição e Saúde, Centro de Ciências Biológicas e da Saúde, Universidade Federal de Viçosa. Av. Peter Henry Rolfs s/n, Campus Universitário. 36570-900 Viçosa MG Brasil.
| | - Silvia Eloiza Priore
- Departamento de Nutrição e Saúde, Centro de Ciências Biológicas e da Saúde, Universidade Federal de Viçosa. Av. Peter Henry Rolfs s/n, Campus Universitário. 36570-900 Viçosa MG Brasil.
| | - Sylvia do Carmo Castro Franceschini
- Departamento de Nutrição e Saúde, Centro de Ciências Biológicas e da Saúde, Universidade Federal de Viçosa. Av. Peter Henry Rolfs s/n, Campus Universitário. 36570-900 Viçosa MG Brasil.
| |
Collapse
|
22
|
Supplementation of suckling rats with cow's milk induces hyperphagia and higher visceral adiposity in females at adulthood, but not in males. J Nutr Biochem 2018; 55:89-103. [DOI: 10.1016/j.jnutbio.2017.12.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2017] [Revised: 12/05/2017] [Accepted: 12/06/2017] [Indexed: 12/17/2022]
|
23
|
Saldan PC, Venancio SI, Saldiva SRDM, Vieira DG, de Mello DF. MILK CONSUMPTION IN INFANTS UNDER ONE YEAR OF AGE AND VARIABLES ASSOCIATED WITH NON-MATERNAL MILK CONSUMPTION. REVISTA PAULISTA DE PEDIATRIA : ORGAO OFICIAL DA SOCIEDADE DE PEDIATRIA DE SAO PAULO 2017; 35:407-414. [PMID: 29185622 PMCID: PMC5737270 DOI: 10.1590/1984-0462/;2017;35;4;00004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/04/2016] [Accepted: 12/23/2016] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To verify the type of milk consumed by children under one year of age and identify variables associated with non-maternal milk consumption (formula or cow milk). METHODS Cross-sectional study developed during the 2012 National Vaccination Campaign against Poliomyelitis. The companions of 935 children under one year of age answered a structured questionnaire on the child's diet in the last 24 hours. The estimates are presented by points, with 95%CI. F-statistics were used to check for differences in the proportion of the types of milk consumption according to the children's age range (<6 months and 6-11 months) and the association between non-maternal milk consumption and the study variables. RESULTS The consumption of maternal milk and child formula was higher for children under six months of age - corresponding to 82.8% (95%CI 78.5-86.3) and 70.4% (95%CI 61.4-78.0), respectively -, whereas the consumption of cow milk was higher among children between 6 and 11 months of age - 74.2% (95%CI 66.5-80.6) -, with differences in the consumption proportions (p<0.0001). The variables associated with higher cow milk consumption were lower maternal education (p<0.0001), the fact that the mother does not have a paid occupation (p=0.0015), child doctor's appointment in the public health network (p<0.0001) and participation in the Child's Milk Program (p<0.0001). CONCLUSIONS The infants received cow's milk early (before the first year of life), especially children from families with lower socioeconomic levels and children who took part in a specific social program for milk distribuition.
Collapse
|
24
|
Abstract
OBJECTIVE To describe dietary patterns (DP) from 1996 to 2006 and in the first 5 years of life and to explore individual and contextual characteristics associated with each DP. DESIGN DP were defined by principal component analysis. The association between DP and individual (sociodemographic, maternal and child) and contextual (geographic regional and year) characteristics was analysed by multilevel analysis. SETTING Two complex probabilistic Brazilian Demographic and Health Surveys (BDHS 1996, 2006). SUBJECTS Brazilian children under 5 years of age. RESULTS DP1 included yoghurt, vegetables, fruits, tubers, red meat. DP2 included liquids, milk, fruits, egg/chicken/fish, red meat, breast milk (negative loading). DP3 included fruit juices, 'papilla', yoghurt, red meat (negative loading). DP4 included formulas, milk, enriched 'papilla', egg/chicken/fish (negative loading). DP prevalence within the age range from 1996 to 2006 remained constant for DP1; increased after 12 and 6 months, respectively, for DP2 and DP3; and decreased for DP4. DP1 was explained by higher maternal education, wealth, lower number of children at home; DP2 by living in rural area and younger mothers; and DP4 by lower maternal education and wealth. The total variance of the model attributable to geographic region was 30·2, 20·7 and 54·2 % for DP2, DP3 and DP4, respectively. CONCLUSIONS DP trends observed from 1996 to 2006 show positive aspects, such as: maintenance of DP1 as the main DP after 12 months; an increase in the prevalence of DP2 and DP3 followed by a decrease of DP4 after 6 months. DP1 is explained mainly by socio-economic factors, regardless of contextual characteristics, and DP2, DP3, DP4 are partially explained by contextual effects.
Collapse
|
25
|
Bortolini GA, Vitolo MR, Gubert MB, Santos LMP. [Social inequalities influence the quality and diversity of diet in Brazilian children 6 to 36 months of age]. CAD SAUDE PUBLICA 2016; 31:2413-24. [PMID: 26840820 DOI: 10.1590/0102-311x00153414] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Accepted: 05/11/2015] [Indexed: 11/21/2022] Open
Abstract
The objective of this study was to assess dietary patterns in Brazilian children and factors associated with better diet. The authors used data for 2,477 children 6 to 36 months of age from the Brazilian National Survey of Demographic and Health in 2006-2007. Diet was assessed and classified using a composite index. The results showed that 28.2% of the children received a high-quality diet and 20% had a diversified diet. Children from socioeconomically underprivileged families or with serious food insecurity were approximately 40% less likely to have high-quality diets. Children living in homes with food insecurity were 71% less likely to have diversified diets, and those whose mothers had limited education were 43% less likely. Children residing in the North of Brazil were less likely to have diversified and high-quality diets. The dietary quality of Brazilian children is inadequate, and social vulnerability is closely associated with this adverse dietary situation.
Collapse
|
26
|
de Freitas BAC, Lima LM, Carlos CFLV, Priore SE, do Carmo Castro Franceschini S. Duration of breastfeeding in preterm infants followed at a secondary referral service. REVISTA PAULISTA DE PEDIATRIA (ENGLISH EDITION) 2016. [PMID: 26614258 PMCID: PMC4917270 DOI: 10.1016/j.rppede.2016.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: Identify and analyze variables associated with shorter duration of breastfeeding in preterm infants. Methods: Retrospective cohort of premature infants followed up at secondary referral service in the period of 2010-2015. Inclusion: first appointment in the first month of corrected age and have undergone three or more consultations. Exclusion: diseases that impaired oral feeding. Outcome: duration of breastfeeding. A total of 103 preterm infants were evaluated, accounting for 28.8% of the preterm infants born in the municipality in that period, with a power of study of 80%. Descriptive analysis, t-test, chi-square test, Kaplan-Meier curves and Cox regression were used. p-values <0.05 were considered significant. Results: The median duration of breastfeeding among preterm infants was 5.0 months. The risk of breastfeeding discontinuation among preterm infants with gestational age <32 weeks was 2.6-fold higher than for those born at 32 weeks or more and the risk of breastfeeding interruption in preterm infants who were receiving breastfeeding supplementation in the first outpatient visit was 3-fold higher when compared to those who were exclusively breastfed in the first consultation. Conclusions: The median duration of breastfeeding in preterm infants was below the recommended one and discontinuation was associated with gestational <32 weeks and the fact that the infant was no longer receiving exclusive breastfeeding in the first outpatient visit. When these two variables were associated, their negative effect on the median duration of breastfeeding was potentiated.
Collapse
|
27
|
Freitas BACD, Lima LM, Carlos CFLV, Priore SE, Franceschini SDCC. [Duration of breastfeeding in preterm infants followed at a secondary referral service]. REVISTA PAULISTA DE PEDIATRIA 2015; 34:189-96. [PMID: 26614258 DOI: 10.1016/j.rpped.2015.10.005] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Accepted: 08/27/2015] [Indexed: 11/18/2022]
Abstract
OBJECTIVE Identify and analyze variables associated with shorter duration of breastfeeding in preterm infants. METHODS Retrospective cohort of premature infants followed up at secondary referral service in the period of 2010-2015. INCLUSION first appointment in the first month of corrected age and have undergone three or more consultations. Exclusion: diseases that impaired oral feeding. OUTCOME duration of breastfeeding. A total of 103 preterm infants were evaluated, accounting for 28.8% of the preterm infants born in the municipality in that period, with a power of study of 80%. Descriptive analysis, t-test, chi-square test, Kaplan-Meier curves and Cox regression were used. p-values<0.05 were considered significant. RESULTS The median duration of breastfeeding among preterm infants was 5.0 months. The risk of breastfeeding discontinuation among preterm infants with gestational age <32 weeks was 2.6-fold higher than for those born at 32 weeks or more and the risk of breastfeeding interruption in preterm infants who were receiving breastfeeding supplementation in the first outpatient visit was 3-fold higher when compared to those who were exclusively breastfed in the first consultation. CONCLUSIONS The median duration of breastfeeding in preterm infants was below the recommended one and discontinuation was associated with gestational <32 weeks and the fact that the infant was no longer receiving exclusive breastfeeding in the first outpatient visit. When these two variables were associated, their negative effect on the median duration of breastfeeding was potentiated.
Collapse
|
28
|
Tamasia GDA, Venâncio SI, Saldiva SRDM. Situation of breastfeeding and complementary feeding in a medium-sized municipality in the Ribeira Valley, São Paulo. REV NUTR 2015. [DOI: 10.1590/1415-52732015000200003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE: To analyze the situation of breastfeeding and complementary feeding in the city of Registro, São Paulo. METHODS: This cross-sectional study collected sociodemographic and feeding information of infants aged less than one year who participated in the 2011 multiple vaccine campaign. Breastfeeding and complementary feeding were analyzed by indicators proposed by the World Health Organization. The association between outcomes (exclusive breastfeeding and introduction to complementary feeding) and the explanatory variables (maternal and child characteristics) was investigated by the Poisson model with a robust error variance. RESULTS: We analyzed 713 children. The prevalence of exclusive breastfeeding was 50.0%. Children who were breastfed exclusively on the first day at home (PR=2.40; 95%CI=1.42-4.06) and not given pacifiers (PR=1.95; 95%CI=1.153.30) were more likely to be exclusively breastfed. The complementary feeding indicators showed that 62.1% of the children aged 6 to 8.9 months consumed fruit plus savory mashes. None of the explanatory variables was significantly associated with this outcome. CONCLUSION: The study identified inappropriate infant feeding practices. Such studies can contribute to the proposal of policies, which is particularly important in an unfavorable social development context characterized by the study city.
Collapse
|
29
|
Coelho LDC, Asakura L, Sachs A, Erbert I, Novaes CDRL, Gimeno SGA. Food and Nutrition Surveillance System/SISVAN: getting to know the feeding habits of infants under 24 months of age. CIENCIA & SAUDE COLETIVA 2015; 20:727-38. [DOI: 10.1590/1413-81232015203.15952014] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Accepted: 12/13/2014] [Indexed: 11/22/2022] Open
Abstract
The objective of the Food and Nutrition Surveillance System (SISVAN) is to monitor the food intake of individuals attended by the Brazilian Unified Health System (SUS). The objective of this research was to identify the feeding practices of children under 24 months of age who were attended at Primary Healthcare Units (UBS), using SISVAN, and to assess the relationship with maternal sociodemographic profiles. A cross-sectional study was conducted in order to evaluate 350 children using the Food Consumption Marker Form of SISVAN, and maternal demographic data to identify sociodemographic profiles by exploratory factor analysis. Of the children assessed, 41.1% were under 6 months of age and 98.7% of those between 6 and 23 months had an inadequate intake. Two sociodemographic profiles were found: Profile 1 (mothers with lower income, less education, and recipients of the 'Bolsa Família' conditional family grant program) associated with the consumption of water/tea, cow's milk and salty baby food; and Profile 2 (older mothers with many children and with a larger number of residents in the household) associated with breast milk consumption (p = 0.048). The use of SISVAN made it possible to identify that children had inadequate feeding practices, and Profile 1 appears to be a risk profile for weaning.
Collapse
|