Maranhão HDS, Aguiar RCD, Lira DTJD, Sales MÚF, Nóbrega NÁDN. DIFICULDADES ALIMENTARES EM PRÉ-ESCOLARES, PRÁTICAS ALIMENTARES PREGRESSAS E ESTADO NUTRICIONAL.
REVISTA PAULISTA DE PEDIATRIA 2017;
36:7. [PMID:
29091129 PMCID:
PMC5849369 DOI:
10.1590/1984-0462/;2018;36;1;00004]
[Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2016] [Accepted: 03/24/2017] [Indexed: 08/29/2023]
Abstract
Objective:
To identify the prevalence of feeding difficulties in preschoolers, its
association with epidemiological factors and previous eating habits, and
repercussion on nutritional status.
Methods:
Cross-sectional study with a questionnaire given to the mothers of 301 children
aged 2-6 years enrolled in public and private kindergartens in Natal, Northeast
Brazil, conducted in 2014-2015. Feeding difficulty was assessed according to
Kerzner’s criteria, resulting in the profiles “highly selective intake”, “active
child with small appetite”, “fear of feeding”, and “child with psychological
disorder or neglected”. Association with the following independent variables was
analyzed by logistic regression: breastfeeding time, age of cows’ milk and
complementary feeding introduction, age range, family income, type of school,
mothers’ profile (responsive or nonresponsive), and body mass index (BMI).
Results:
Feeding difficulty was found in 37.2% of cases, with predominance of “highly
selective intake” (25.4%). It was not associated with infancy feeding practices,
family income or type of school. There were no differences between the BMI Z score
means for the groups with and without feeding difficulty (1.0±1.5 SD and 1.1±1.4
SD, respectively). The five-to-six age range had more occurrences (OR 1.8; 95%CI
1.1-2.9). Children of responsive mothers were less likely to have feeding
difficulties (OR 0.4; 95%CI 0.2-0.8).
Conclusions:
Feeding difficulties were very frequent. Nutritional status was not impacted by
it, and infancy eating habits were not associated with it. Responsive mothers’
profile is a protective factor against eating difficulties and reinforces the
importance of behavioral factors and mother-child interaction.
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