Navegando por Palavras-chave "Crianças menores de dois anos"

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    Análise de fatores individuais e do ambiente alimentar associados à duração da prática de aleitamento materno e ao tempo da introdução de alimentação complementar em crianças menores de dois anos residentes no município de Santos
    (Universidade Federal de São Paulo (UNIFESP), 2013-04-24) Melo, Patricia Ribeiro de [UNIFESP]; Martins, Paula Andrea [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Background: Nutrition in childhood has an important impact on children's health. Breastfeeding’s practices and appropriate complementary feeding time, are extremely important to children under two years old. The study of factors that influence these practices are available in the scientific literature. However, works that analyze the effect of the food environment on the duration of breastfeeding, as well as the use of infant formulas and food thickeners on the inadequacy of the timing of introduction of complementary foods, they are still unknown. Aim: to analyze the food environment´s effects on the duration oexclusive breastfeeding´s duration and the relation between individual factors on time of in troduction of complementary feeding on children under two years old. Methods: this study was part of the research project called "Evaluation of the nutritional environment in the city of Santos" – AMBNUT. It had a dimicile component, for which they were made domicile visits to investigate dietary habits of children under two years old and the environmental component, on which was investigated the availability of food in shops located in the neighborhood´s domiciles. Analysis of exclusive breastfeeding´s duration was performed using the technique of Survival Analysis using the KaplanMeir. Factors associated with the time of introduction of complementary foods were performed by logistic regression analysis. The individual and environmental factors associated with breastfeeding duration were conducted by Cox Regression Analysis. Results: 75.8% of mothers introduced complementary feed to their children at incorrect period, and the liquid foods was those with the highest percentage of inadequacy (49.2% water and tea, fruit juices and 46.7% and 36.8% to cow's milk). In logistic regression models, we observed that mothers with higher educational level (higher education)and those who still breastfeeding their children, had less likely to fail at the time of introduction of complementary foods. The supply of infant formulas served as a risk factor for the outcome. The exclusive breastfeeding median adjusted was 5.5 months. In Cox regression analysis, we found that lower exposure to individual retail shops and stalls open fair, regardless of socioeconomic factors were associated with an increased risk for early weaning. The presence of larger businesses with greater availability of fruits was associated as a protective factor for early weaning. Conclusion: we observed a higher median of exclusive breastfeeding in this study, but a high percentage of inadequate time of introduction of complementary foods. In relation to factors associated with the time of release, it was found that the supply of breast milk and materna l education (higher education) act as protection factor to incorrect feeding practices. The use of infant formula was associated as a risk factor for early introduction of complementary foods in the diet of the child. Regarding the relationship of the food environment with breastfeeding, it was observed that regions with greater availability of fruits and vegetables, were associated with higher rates of exclusive breastfeeding.