Feeding practices and associated factors in the first year of life in a representative sample of Porto Alegre, Rio Grande do Sul, Brazil
Keywords:
Breast feeding, Food consumption, Risk factors, Nutrition Surveys, InfantAbstract
Objective
The present study aimed to investigate the adequacy of feeding practices in the first year of life and associated factors in the city of Porto Alegre (RS).
Methods
This cross-sectional study was performed during the national vaccination campaign in 2008. Two-stage cluster sampling was used and 1,099 children under one year of age were evaluated at 31 vaccination sites. Maternal and breastfeeding data and the use of pacifiers, infant formulas, tea, water, complementary foods and low-nutrient foods were investigated using a structured questionnaire. Logistic regression analyses were used to estimate the association between maternal characteristics, use of pacifiers and infant feeding practices.
Results
The prevalence of exclusive breastfeeding was 47.1% in children aged up to four months and 21.4% in children aged four to six months. The prevalence of exclusive breastfeeding was higher in children who did not use pacifiers, who were not firstborns and whose mothers were on maternity leave or not employed. Better complementary feeding practices were observed among employed mothers with higher education level.
Conclusion
This study evidenced the existence of risk factors for early discontinuation of exclusive breastfeeding and inappropriate feeding practices.
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References
Brasil. Ministério da Saúde. Dez passos para uma alimentação saudável: guia alimentar para crianças menores de dois anos. Brasília (DF): MS; 2002.
Beauchamp GK, Moran M. Acceptance of sweet and salty tastes in 2-year-old children. Appetite. 1984; 5(4):291-305.
Skinner JD, Carruth BR, Wendy B, Ziegler PJ. Children’s food preferences: a longitudinal analysis. J Am Diet Assoc. 2002; 102(11):1638-47.
Leathwood P, Maier A. Early influences on taste preferences. Nestle Nutr Workshop Ser Pediatr Program. 2005; 56:127-38.
Shim JE, Kim J, Mathai RA, Strong Kids Research Team. Associations of infant feeding practices and picky eating behaviors of preschool children. J Am Diet Assoc. 2011; 111(9):1363-8.
Gale C, Logan KM, Santhakumaran S, Parkinson JR, Hyde MJ, Modi N. Effect of breastfeeding compared with formula feeding on infant body composition: a systematic review and metaanalysis. Am J Clin Nutr. 2012; 95(3):656-69.
Socha P, Grote V, Gruszfeld D, Janas R, Demmelmair H, Closa-Monasterolo R, et al. Milk protein intake, the metabolic-endocrine response, and growth in infancy: data from a randomized clinical trial. Am J Clin Nutr. 2011; 94(6 Suppl):1776S-84S.
Brasil. Ministério da Saúde. Pesquisa nacional de demografia e saúde da criança e da mulher. Brasília: MS; 2008.
Venancio SI, Escuder MM, Saldiva SR, Giugliani ER. Breastfeeding practice in the Brazilian capital cities and the Federal District: current status and advances. Pediatrics. 2010; 86(4):317-24.
Silva LMP, Venâncio SI, Marchioni DML. Práticas de alimentação complementar no primeiro ano de vida e fatores associados. Rev Nutr. 2010; 23(6):983-92. doi: 10.1590/S1415-52732010000600005.
World Health Organization. Global strategy for infant and young child feeding. Geneva: WHO; 2003.
Chuang CH, Chang PJ, Chen YC, Hsieh WS, Hurng BS, Lin SJ, et al. Maternal return to work and breastfeeding: a population-based cohort study. Int J Nurs, Stud. 2010; 47(4):461-74.
Araujo OD, Cunha AL, Lustosa LR, Nery IS, Mendonca RC, Campelo SM. Aleitamento materno: fatores que levam ao desmame precoce. Rev Bras Enferm. 2008; 61(4):488-92.
Cronin C, McCarthy G. First-time mothers: identifying their needs, perceptions and experiences. J Clin Nurs. 2003; 12(2):260-7.
Giugliani ER, Rocha VL, Neves JM, Polanczyk CA, Seffrin CF, Susin LO. Conhecimentos maternos em amamentacao e fatores associados. J Pediatr. 1995; 71(2):77-81.
Saldiva SRDM, Escuder MM, Mondini L, Levy RB, Venancio SI. Práticas alimentares de crianças de 6 a 12 meses e fatores maternos associados. J Pediatr. 2007; 83(1):53-8.
Brasil. Ministério da Saúde. II Pesquisa de prevalência de aleitamento materno nas capitais brasileiras e Distrito Federal. Brasília: MS; 2009.
Organização Mundial da Saúde. Evidências científicas dos dez passos para o sucesso no aleitamento materno. Brasília: Organização Pan-Americana de Saúde; 2001.
Neifert M, Lawrence R, Seacat J. Nipple confusion: toward a formal definition. J Pediatr. 1995; 126(6): 125-9.
Feldens CA, Vitolo MR, Rauber F, Cruz LN, Hilgert JB. Risk factors for discontinuing breastfeeding in southern Brazil: a survival analysis. Matern Child Health. J. 2011; 16(6):1257-65.
Zapana PM, Oliveira MN, Taddei JA. Factors determining the breastfeeding in children attending public and not-for-profit daycare centers in São Paulo, Brazil. Arch Latinoam Nutr. 2010; 60(4): 360-7.
Vieira GO, Martins CC, Vieira TO, Oliveira NF, Silva LR. Factors predicting early discontinuation of exclusive breastfeeding in the first month of life. J Pediatr. 2010; 86(5):441-4.
Sanches MT, Buccini GD, Gimeno SG, Rosa TE, Bonamigo AW. Fatores associados a interrupção do aleitamento materno exclusivo de lactentes nascidos com baixo peso assistidos na atenção básica. Cad Saúde Pública. 2011; 27(5):953-65.
O’Connor NR, Tanabe KO, Siadaty MS, Hauck FR. Pacifiers and breastfeeding: a systematic review. Arch Pediatr Adolesc Med. 2009; 163(4):378-82.
Mauch CE, Scott JA, Magarey AM, Daniels LA. Predictors of and reasons for pacifier use in firsttime mothers: an observational study. BMC Pediatr. 2012;12:7.
Fiorito LM, Marini M, Mitchell DC, Smiciklas-Wright H, Birch LL. Girls’ early sweetened carbonated beverage intake predicts different patterns of beverage and nutrient intake across childhood and adolescence. J Am Diet Assoc. 2010; 110(4): 543-50.
Northstone K, Emmett PM. Are dietary patterns stable throughout early and mid-childhood? A birth cohort study. Br J Nutr. 2008; 100(5):1069-76.
Robinson S, Marriott L, Poole J, Crozier S, Borland S, Lawrence W, et al. Dietary patterns in infancy: the importance of maternal and family influences on feeding practice. Br J Nutr. 2007; 98(5): 1029-37.
Ventura AK, Birch LL. Does parenting affect children’s eating and weight status? Int J Behav Nutr Phys Act. 2008; 5:15.
Damião JJ. Influência da escolaridade e do trabalho maternos no aleitamento materno exclusivo. Rev Bras Epidemiol. 2008; 11(3):442-52.
Skafida V. The relative importance of social class and maternal education for breast-feeding initiation. Public Health Nutr. 2009; 12(12):2285-92.
Corrêa NP, Corso ACT, Moreira EAM, Kazapi IAM. Alimentação complementar e características maternas de crianças menores de dois anos de idade em Florianópolis (SC). Rev Paul de Pediatr. 2009; 27(3): 258-64.
Romulus-Nieuwelink JJ, Doak C, Albernaz E, Victora CG, Haisma H. Breast milk and complementary food intake in Brazilian infants according to socioeconomic position. Int J Pediatr Obes. 2011; 6(2-2): e508-14.
Northstone K, Rogers I, Emmett P. Drinks consumed by 18-month-old children: are current recommendations being followed? Eur J Clin Nutr. 2002; 56(3):236-44.
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