Navegando por Palavras-chave "Alimentação Complementar"

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    Aleitamento materno e alimentação complementar de crianças em um município da Amazônia Ocidental Brasileira
    (Universidade Federal de São Paulo (UNIFESP), 2019-03-28) Silva, Vanizia Barboza Da [UNIFESP]; Abrao, Ana Cristina Freitas De Vilhena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To assess supplementary feeding and breastfeeding of children from 0 to 23 months, born in Cruzeiro do Sul, a city located in the Brazilian Western Amazon region. Method: A cross-sectional study was carried out during national immunization campaigns in 2016 and 2017. Cluster sampling size calculation was applied in the methodology, resulting in the number of 856 children. The research tool was based on the questionnaire provided by the II Health Ministry Breastfeeding Prevalence Research, which was adapted according to the study needs. Data collection was carried out with mothers or chaperones who showed up at the basic health unit on the campaign day, or prior and after. For analyzing early weaning, Chi-square, Kolmogorov-Smirnov, and Hosmer-Lemeshow tests were used. For total weaning, Kaplan-Meier survival analysis and Cox Model were utilized. The Poisson regression model with robust variance was applied to analyze supplementary feeding. For all statistical tests, a 5% level of confidence and IBM SPSS 20.0 and Stata 12 statistical software were used. Results. The prevalence of exclusive breastfeeding was 34.7% (CI 31.1 – 38.4) and mixed breastfeeding was 65.3% (CI 62.0 – 69.2). Factors associated with early weaning were paternal education and previous breastfeeding experience. Factors associated with total breastfeeding were: length of the previous breastfeeding experience lower than 6 months, lack of breastfeeding during the first hour, and use of pacifiers and bottles. The assessment of supplementary feeding indicators identified that only 11.7% of the sample had a timely introduction to solid food, and only 9.0% had minimum food diversity, whereas 42.3% practiced the minimum frequency and adequate consistency. The consumption of food rich in iron was 85.5% and vitamin A was 58.7%. Ultra-processed foods were consumed by 98.9% of the children and the consumption of sweetened beverages was 72.7%. The main factors associated with inadequate food intake were: poor maternal and paternal education, low income, living in the countryside, age of children between 6 and 11 months, whereas income between 1 and 2 minimum wages or more was inversely associated with the outcome. Conclusions: Eating habits in children under two years of age lag behind the WHO and the HM recommendations. There is a need to improve health public policies in this area to optimize the quality of life of these children.
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    Práticas de alimentação complementar, estado nutricional e ingestão alimentar de lactentes em dieta de eliminação das proteínas do leite de vaca
    (Universidade Federal de São Paulo (UNIFESP), 2020-06-25) Souza, Juliana Frizzo Soares de [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; http://lattes.cnpq.br/5056114729141952; Universidade Federal de São Paulo
    Objective: evaluate complementary feeding practices, dietary intake and classification of the nutritional status of infants on a cow’s milk protein elimination diet, as compared to a control group. Methodology: cross-sectional and observational study that shows infants aged 4 to 18 months who received a cow’s milk protein elimination diet due to suspicion or diagnosis of cows’ milk allergy (CMA), compared to a group with an unrestricted diet. Information on demographic, socioeconomic, clinical, dietary, weight and height were collected. The intake of energy, macro and micronutrients and one score of inadequacy complementary feeding was calculated. Results: 96 infants were included in the cow’s milk protein elimination diet group and 99 in the control group. The cow’s milk protein elimination diet group had a lower score of inadequate complementary feeding. In this group, the introduction of solid food occurred later on and the consumption of soft drinks and industrialized cookies was less frequent. Infants on a cow’s milk protein elimination diet had lower Z-scores for weight/age, weight/height and BMI/age, despite being fed with more energy, macro and micromicronutrients, except for vitamin A. breast milk and its substitutes were the main source of nutrients in both groups. Approximately, a quarter of the infants had a low calcium intake and did not use any nutritional supplement. Conclusion: complementary feeding practices are more appropriate in the case of infants on a cow’s milk protein elimination diet. These infants presented lower weight values, despite being fed with more energy and nutrients.