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. 2019 Jul 22;24(7):2387-2397.
doi: 10.1590/1413-81232018247.24162017.

Associated factors with early introduction of ultra-processed foods in feeding of children under two years old

[Article in Portuguese, English]
Juliana Mariante Giesta  1 , Ester Zoche  1 , Rafaela da Silveira Corrêa  2 , Vera Lucia Bosa  3
Affiliations
Free article

Associated factors with early introduction of ultra-processed foods in feeding of children under two years old

[Article in Portuguese, English]
Juliana Mariante Giesta et al. Cien Saude Colet. .
Free article

Abstract
in English, Portuguese

Objective: To verify the association of maternal and anthropometric factors with consumption of ultra-processed foods in children between 4 to 24 months.

Methods: cross-sectional study with 300 children hospitalized in a tertiary hospital and their mothers. The interview took place during the first 72 hours of hospitalization to avoid interference in the responses about the child's diet. Maternal factors investigated: age, schooling, income, parity, BMI and guidance on complementary feeding. Variables related to the child investigated: age, breastfeeding, infant school, BMI/age, height/age, weight/age and introduction of ultra-processed food. The association between the factors studied and introduction of ultra-processed food was tested by linear regression. The significance level considered was 0.05.

Results: . It was verified that only 21% of the children had not yet received any type of ultra-processed food, and 56.5% received any of these foods before 6 months. In the multivariate analysis, maternal schooling, family income, maternal age and parity were associated with ultra-processed food supply.

Conclusions: The feeding practices of children between 4 and 24 months are inadequate when compared to the recommendations for the age group.

O objetivo deste artigo é verificar a associação entre fatores maternos e antropométricos e o consumo de alimentos ultraprocessados em crianças de 4 a 24 meses de idade. Métodos: Estudo transversal, com 300 crianças internadas em um hospital terciário e suas mães. A entrevista deu-se nas primeiras 72 horas de internação para evitar interferência nas respostas sobre a alimentação da criança. Os fatores maternos investigados foram: idade, escolaridade, renda, paridade, IMC e orientação sobre alimentação complementar. As variáveis referentes às crianças investigadas foram: idade, aleitamento materno, escola infantil, IMC/idade, estatura/idade, peso/idade e introdução de alimentos ultraprocessados. A associação entre os fatores estudados e a introdução de alimentos ultraprocessados foi testada por regressão linear. O nível de significância considerado foi de 0.05. Verificou-se que apenas 21% das crianças ainda não haviam recebido nenhum tipo de alimento ultraprocessado, sendo que 56.5% recebeu algum destes alimentos antes dos seis meses. Na análise multivariada, escolaridade materna, renda familiar, idade materna e paridade foram associadas à oferta de alimentos ultraprocessados. As práticas alimentares de crianças entre 4 e 24 meses estão inadequadas frente às recomendações para a faixa etária.

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