Práticas alimentares parentais e consumo de alimentos ultraprocessados em pré-escolares

Autores

Palavras-chave:

Ingestão de alimentos, Nutrição da criança, Relação parental, Pré-escolar, Alimentos ultraprocessados

Resumo

Objetivo

O estudo buscou investigar a associação entre as práticas alimentares parentais e o consumo de alimentos ultraprocessados em crianças pré-escolares.

Métodos

Estudo transversal realizado com 140 pares de pais e crianças de 2 a 6 anos de idade. As práticas parentais foram avaliadas pelo questionário Comprehensive Feeding Practices Questionnaire. O peso e a estatura das crianças foram aferidos e o escore z de índice de massa corporal para idade, calculado. A avaliação antropométrica dos pais foi realizada por meio do autorrelato de peso e altura e cálculo do índice de massa corporal. O consumo de alimentos ultraprocessados foi avaliado pelo Questionário de Frequência Alimentar da Criança e pelo cálculo de escore de consumo diário. Realizaramse análises de regressão linear múltipla para avaliar a associação entre as práticas alimentares parentais e o consumo de alimentos ultraprocessados.

Resultados

O consumo de alimentos ultraprocessados pelas crianças associou-se negativamente à prática parental de “Monitoramento”. Por outro lado, as práticas alimentares parentais de “Regulação da emoção” e “Restrição para saúde” associaram-se positivamente ao escore de consumo de alimentos ultraprocessados.

Conclusão

Conclui-se que o consumo de alimentos ultraprocessados por crianças pré-escolares relacionou-se às práticas alimentares parentais de “Monitoramento”, “Regulação da emoção” e “Restrição para saúde”. Esses resultados ressaltam a importância do uso de práticas alimentares parentais com desfecho positivo para a promoção de uma alimentação saudável em pré-escolares.

Referências

Monteiro CA, Cannon G, Levy RB, Moubarac J-C, Lc Louzada M, Rauber F, et al. Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 2019;22(5):936-41.

Neri D, Steele EM, Khandpur N, Cediel G, Zapata ME, Rauber F, et al. Ultraprocessed food consumption and dietary nutrient profiles associated with obesity: a multicountry study of children and adolescents. Obes Rev. 2022;231:e13387. https://doi.org/10.1111/obr.13387

Daniels LA. Feeding practices and parenting: a pathway to child health and family happiness. Ann Nutr Metab. 2019;74(2):29-42. https://doi.org/10.1159/000499145

Flores-Barrantes P, Iglesia I, Cardon G, Willems R, Schwarz P, Timpel P, et al. Longitudinal associations between food parenting practices and dietary intake in children: the feel4diabetes study. Nutrients. 2021;13(4):1298-23. https://doi.org/10.3390/nu13041298

Tarro S, Lahdenperä M, Vahtera J, Pentti J, Lagström H. Parental feeding practices and child eating behavior in different socioeconomic neighborhoods and their association with childhood weight. The STEPS study. Health & Place, 2022;74:102745. https://doi.org/10.1016/j.healthplace.2022.102745

Slapnicar C, Lear SA, Dehghan M, Gupta M, Rangarajan S, Punthakee Z. Relationship of parental feeding practices and diet with children’s diet among South Asians in Canada. Appetite. 2022;173:105991. https://doi.org/10.1016/j.appet.2022.105991

Wang J, Zhu B, Wu R, Chang YS, Cao Y, Zhu D. Bidirectional associations between parental non-responsive feeding practices and child eating behaviors: a systematic review and meta-analysis of longitudinal prospective studies. Nutrients. 2022;14(9):1896. https://doi.org/10.3390/nu14091896

De Amicis R, Mambrini SP, Pellizzari M, Foppiani A, Bertoli S, Battezzati A, et al. Ultra-processed foods and obesity and adiposity parameters among children and adolescents: a systematic review. Eur J Nutr. 2022;1-15. https://doi.org/10.1007/s00394-022-02873-4

Khandpur N, Neri DA, Monteiro C, Mazur A, Frelut ML, Boyland E, et. al. Ultra-processed food consumption among the pediatric population: an overview and call to action from the European childhood obesity group. Ann Nutr Metab. 2020;76(2),109-13. https://doi.org/10.1159/000507840

Beslay M, Srour B, Méjean C, Allès B, Fiolet T, Debras C, et al. Ultra-processed food intake in association with BMI change and risk of overweight and obesity: a prospective analysis of the French NutriNet-Santé cohort. Plos Med. 2020;17(8):e1003256. https://doi.org/10.1371/journal.pmed.1003256

Mais LA, Warkentin S, Vega JB, Latorre MDRDO, Carnell S, Taddei JAAC. Sociodemographic, anthropometric and behavioural risk factors for ultra-processed food consumption in a sample of 2-9-year-olds in Brazil. Public Health Nutr. 2018;21(1):77-86. https://doi.org/10.1017/S1368980017002452

Freitas FR, Moraes DE, Warkentin S, Mais LA, Ivers JF, Taddei JA. Maternal restrictive feeding practices for child weight control and associated characteristics. J Pediatr. 2019;95:201-8. https://doi.org/10.1016/j.jped.2017.12.009

Aggarwal B, Jain V. Obesity in children: definition, etiology and approach. Indian J Pediatr. 2018;85(6):463-71. https://doi.org/10.1007/s12098-017-2531-x

Ministério da Saúde (Brasil). Resolução nº 510, de 7 de abril de 2016. Trata sobre as diretrizes e normas regulamentadoras de pesquisa em ciências humanas e sociais. Brasília: Diário Oficial da União; 2016.

Musher-Fizenman D, Holub S. Comprehensive feeding practices questionnaire: validation of a new measure of parental feeding practices. J Pediatr Psychol. 2007;32:960-72. https://doi.org/10.1093/jpepsy/jsm037

Warkentin S, Mais LA, LatorreMdo R, Carnell S, Taddei JA. Validation of the comprehensive feeding practices questionnaire in parents of preschool children in Brazil. BMC Public Health. 2016;16:603. https://doi.org/10.1186/s12889-016-3282-8

Colucci ACA, Philippi ST, Slater B. Development of a food frequency questionnaire for children aged 2 to 5 years. Rev Bras Epidemiol. 2004;7:393-401. https://doi.org/10.1590/S1415-790X2004000400003

Fornes NS, Martins IS, Velasquez-Melendez G, Latorre MR. Escores de consumo alimentar e níveis lipêmicos em população de São Paulo, Brasil. Rev Saude Publica. 2002;36(1):12-8. https://doi.org/10.1590/s0034-89102002000100003

Associação Brasileira de Empresas de Pesquisa. Critério de Classificação Econômica Brasil: Critério Brasil 2015 e atualização da distribuição de classes para 2016. Saõ Paulo: ABEP; 2016 [cited 2022 Oct 18]. Available form: http://www.abep.org/criterio-brasil

WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr Suppl. 2006;95(450):76-85. https://doi.org/10.1111/j.1651-2227.2006.tb02378.x

World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i-253.

Bernier J, Feng Y, Asakawa K. Strategies for handling normality assumptions in multi-level modeling: a case study estimating trajectories of Health Utilities Index Mark 3 scores. Health Rep. 2011;22(4):45-51.

Jansen E, Smith K, Thapaliya G, Sadler J, Aghababian A, Carnell S. Associations of mothers’ and fathers’ structurerelated food parenting practices and child food approach eating behaviors during the COVID pandemic. Physiol Behav. 2022;252:113837. https://doi.org/10.1016/j.physbeh.2022.113837

Sparrenberger K, Friedrich RR, Schiffner MD, Schuch I, Wagner MB. Ultra-processed food consumption in children from a Basic Health Unit. J Pediatr. 2015;91:535-42.

Warkentin S, Mais LA, Ranganath K, Jansen E, Carnell S. Controlling and less controlling feeding practices are differentially associated with child food intake and appetitive behaviors assessed in a school environment. Pediatric Obesity, 2020;e12714. https://doi.org/10.1111/ijpo.12714

Haszard JJ, Skidmore PM, Williams SM, Taylor RW. Associations between parental feeding practices, problem food behaviours and dietary intake in New Zealand overweight children aged 4-8 years. Public Health Nutr. 2015;18(6):1036-43. https://doi.org/10.1017/S1368980014001256

Durão C, Andreozzi V, Oliveira A, Moreira P, Guerra A, Barros H, Lopes C. Maternal child-feeding practices and dietary inadequacy of 4-year-old children. Appetite. 2015;92:15-23. https://doi.org/10.1016/j.appet.2015.04.067

Birch LL, Davison KK. Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatr Clin North Am. 2001;48(4):893-907. https://doi.org/10.1016/S0031-3955(05)70347-3

Philippe K, Chabanet C, Issanchou S, Monnery-Patris S. Young children’s eating in the absence of hunger: links with child inhibitory control, child BMI, and maternal controlling feeding practices. Front Psychol. 2021;12:653408. https://doi.org/10.3389/fpsyg.2021.653408

Mahmood L, Flores-Barrantes P, Moreno LA, Manios Y, Gonzalez-Gil EM. The influence of parental dietary behaviors and practices on children’s eating habits. Nutrients. 2021;13(4):1138. https://doi.org/10.3390/nu13041138

Mazza M, Morseth M, Torheim LE. Association between parental feeding practices and children’s dietary intake: a cross-sectional study in the Gardermoen Region, Norway. Food Nutr Res. 2022;66:8050. https://doi.org/10.29219/fnr.v66.8050

Slapnicar C, Lear SA, Dehghan M, Gupta M, Rangarajan S, Punthakee Z. Relationship of parental feeding practices and diet with children’s diet among South Asians in Canada. Appetite. 2022;173:105991. https://doi.org/10.1016/j.appet.2022.105991

Pandey S, Rai S, Paudel N, Shrestha A, Gautam S. Parental child feeding practices and their relationship with children’s dietary intake and weight status in Nepal. J Multidiscip Healthc. 2019;12:325-33. https://doi.org/10.2147/JMDH.S195106

Gingras V, Switkowski KM, Rifas-Shiman SL, Faleschini S, Oken E, Hivert MF. Associations of Early Parental Concerns and Feeding Behaviors with Child’s Diet Quality through Mid-Childhood. Nutrients. 2020;12(11):3231. https://doi.org/10.3390/nu12113231

Yee AZ, Lwin MO, Ho SS. The influence of parental practices on child promotive and preventive food consumption behaviors: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2017;14(1):47. https://doi.org/10.1186/s12966-017-0501-3

Jansen E, Mulkens S, Jansen A. Do not eat the red food! Prohibition of snacks leads to their relatively higher consumption in children. Appetite, 2007;49(3):572-7, https://doi.org/10.1016/j.appet.2007.03.229

Fries LR, Chan MJ, Quah PL, Toh JY, Fogel A, Goh AT, et al. Maternal feeding practices and children’s food intake during an ad libitum buffet meal: results from the GUSTO cohort. Appetite. 2019;142:104371. https://doi.org/10.1016/j.appet.2019.104371

Santos KF, Reis MA, Romano MCC. Práticas parentais e comportamento alimentar da criança. Texto Contexto Enferm. 2021;30:e20200026. https://doi.org/10.1590/1980-265X-TCE-2020-0026

Somaraki M, Eli K, Sorjonen K, Ek A, Sandvik P, Nowicka P. Changes in parental feeding practices and preschoolers’ food intake following a randomized controlled childhood obesity trial. Appetite. 2020;154:104746. https://doi.org/10.1016/j.appet.2020.104746

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Publicado

07-06-2023

Como Citar

PRATES, C. B., PASSOS, M. A. Z., & MASQUIO, D. C. L. (2023). Práticas alimentares parentais e consumo de alimentos ultraprocessados em pré-escolares . Revista De Nutrição, 35, 1–12. Recuperado de https://periodicos.puc-campinas.edu.br/nutricao/article/view/8650

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ARTIGOS ORIGINAIS