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Herman H, Mansur AR, Chang YJ. Factors associated with appropriate complementary feeding: A scoping review. J Pediatr Nurs 2023:S0882-5963(23)00107-0. [PMID: 37150632 DOI: 10.1016/j.pedn.2023.04.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 04/25/2023] [Accepted: 04/25/2023] [Indexed: 05/09/2023]
Abstract
PROBLEM Childhood stunting becomes a vital point of an underlying problem in early life. Appropriate and adequate complementary feeding is necessary for children to prevent malnutrition and introduce healthy eating habits. Knowledge of factors related to complementary feeding practices is needed to design strategies that improve optimal complementary feeding and avoid malnutrition in children. However, factors related to appropriate complementary feeding practices have not been systematically examined; hence, the present study aims to synthesize the available evidence on factors associated with proper complementary feeding practices. METHODS A scoping review was conducted. Five databases were searched for relevant studies, including Medline, Embase, Cochrane, CINAHL, and Web of Science. The studies selected for review were those published in English from 2009 to 2022 on complementary feeding practices and related factors, measuring at least three complementary feeding indicators, and available in full text. The criteria resulted in 30 eligible articles that were selected, extracted, and then analyzed using descriptive and content analysis. FINDING Factors associated with complementary feeding practice include maternal factors (knowledge, attitude, self-efficacy, parity, antenatal care visit, place of delivery, and postnatal check-up), socio-environmental factors (age, educational level, income, employment status, residence, household size, mother's ethnicity, and support) and informational factors (exposure to media, source of information and intervention). CONCLUSION AND IMPLICATION Maternal, socio-environmental, and informational factors are associated with appropriate complementary feeding in infants and young children. Further research is necessary to identify causal relationships between the three groups of factors and complementary feeding practices.
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Affiliation(s)
- Hermalinda Herman
- Maternal and Child Health Nursing Department, Faculty of Nursing Andalas University, Padang, West Sumatera, Indonesia; PhD Candidate, Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
| | - Arif Rohman Mansur
- Maternal and Child Health Nursing Department, Faculty of Nursing Andalas University, Padang, West Sumatera, Indonesia
| | - Ying-Ju Chang
- Professor, Institution of Allied Health Science & Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Director of Nursing, National Cheng Kung University Hospital, Tainan, Taiwan; College of Medicine, National Cheng Kung University, Tainan, Taiwan.
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Moreira PR, Nunes LM, Giugliani ERJ, Gomes E, Führ J, Neves RO, Belin CHS, Bernardi JR. Complementary feeding methods and introduction of ultra-processed foods: A randomized clinical trial. Front Nutr 2022; 9:1043400. [PMID: 36570172 PMCID: PMC9767977 DOI: 10.3389/fnut.2022.1043400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 11/16/2022] [Indexed: 12/12/2022] Open
Abstract
Introduction Complementary feeding (CF) is defined as a period when foods, other than milk, are introduced to the infant's diet. Unfortunately, frequent consumption of ultra-processed foods (UPF) has become highly prevalent early in an infant's life. The aim was to verify the association of CF methods with the introduction of UPF in early childhood. Methods This randomized clinical trial involved pairs of mother-infants, allocated in groups receiving different CF interventions: strict Parent-Led Weaning (PLW); strict Baby-Led Introduction to SolidS (BLISS), or mixed-method. The intervention consisted of a counseling session on healthy eating at the child's 5.5 months of age. A structured questionnaire was created based on the NOVA classification for the definition of UPF and applied at 9 and 12 months. The effect of the CF method intervention was measured by a survival curve for UPF offered for the first time in early childhood between groups. Cox regression was used to estimate its magnitude. The primary analysis was done in three groups (PLW, BLISS, and Mixed) and the secondary analysis was done in two groups (PLW, and BLISS + Mixed). Results A total of 139 mother-infant pairs were eligible and 129 followed the study. The prevalence of infants who were exposed to UPF in early childhood was 58.9% (n = 76), being 71.4% in the PLW group, 53.3% in the BLISS group, and 52.4% in the Mixed group, without differences between them (p = 0.133). The PLW group intervention had a greater chance of exposure to ice cream or popsicles (p = 0.032) and sweet crackers (p = 0.009), compared with the other two CF groups. The Cox regression did not find significant differences between the three groups. However, the regression with two groups estimated a 38% reduction in the offer of UPF in the BLISS + Mixed group intervention (p = 0.049). Discussion The CF intervention promoting greater infant autonomy (BLISS and Mixed) was associated with a reduction in the offer of UPF in early childhood. This knowledge may contribute to supporting strategies aimed at reducing UPF consumption by the young infant. Brazilian registry of clinical trials ReBEC [https://ensaiosclinicos.gov.br/rg/RBR-229scm], identifier [RBR-229scm U1111-1226-9516].
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Affiliation(s)
- Paula Ruffoni Moreira
- Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil,Graduate Program in Food, Nutrition, and Health, Department of Nutrition, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil,Graduate Program in Child and Adolescent Health, Department of Pediatrics, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Leandro Meirelles Nunes
- Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil,Graduate Program in Child and Adolescent Health, Department of Pediatrics, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Elsa Regina Justo Giugliani
- Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil,Graduate Program in Child and Adolescent Health, Department of Pediatrics, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Erissandra Gomes
- School of Dentistry, Department of Surgery and Orthopedics, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Jordana Führ
- Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil,Graduate Program in Child and Adolescent Health, Department of Pediatrics, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Renata Oliveira Neves
- Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil,Graduate Program in Child and Adolescent Health, Department of Pediatrics, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Christy Hannah Sanini Belin
- Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil,Graduate Program in Child and Adolescent Health, Department of Pediatrics, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Juliana Rombaldi Bernardi
- Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil,Graduate Program in Food, Nutrition, and Health, Department of Nutrition, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil,Graduate Program in Child and Adolescent Health, Department of Pediatrics, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil,*Correspondence: Juliana Rombaldi Bernardi,
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Vasconcelos IN, Brito IMVDPD, Arruda SPM, Azevedo DVD. Breastfeeding and infant feeding guidelines: dietary patterns and potential effects on the health and nutrition of children under two years. REVISTA BRASILEIRA DE SAÚDE MATERNO INFANTIL 2021. [DOI: 10.1590/1806-93042021000200005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Abstract Objectives: to identify dietary patterns of children under two years of age in primary care, associating them with maternal variables. Methods: cross-sectional study carried out in basic health units. Sample selected for convenience with 321 children under two years old and their mothers. Food consumption was obtained through a 24-hour food record. The method of factor analysis by main components was used to determine dietary patterns. Associations between maternal variables and dietary patterns were tested. Results: “mixed”, “porridge” and “snacks” patterns were identified. Receiving guidance on infant feeding was related to greater adherence to the “mixed” (p = 0.02; PR = 2.98; 95% CI95% = 1.49-5.96) and “porridge” (p = 0.026; PR = 2.10; CI95% = 1.09-4.02) patterns. Experience with breastfeeding showed greater adherence to the "porridge" standards (p=0.038; PR = 1.78; CI95%= 1.03-3.08) and "snacks" (p = 0.026; PR = 1.09; CI95% = 1.01-1.18) and children of overweight mothers showed less adherence to the “snacks” pattern (p = 0.042; PR = 0.51; CI95%= 0.26-0.98). Conclusions: patterns found were associated with guidance on infant feeding and breastfeeding, previous experience with breastfeeding, as well as with maternal excess weight, emphasizing the importance of professional guidance for greater adherence to more varied and healthy consumption patterns and that include the different food groups.
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Porto JP, Bezerra VM, Pereira Netto M, Rocha DDS. Exclusive breastfeeding and introduction of ultra-processed foods in the first year of life: a cohort study in southwest Bahia, Brazil, 2018. ACTA ACUST UNITED AC 2021; 30:e2020614. [PMID: 33950111 DOI: 10.1590/s1679-49742021000200007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Accepted: 11/10/2020] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To analyze association between exclusive breastfeeding (EBF) and the introduction of ultra-processed foods in children under 12 months old. METHODS This was a Cohort study, conducted with children in Vitória da Conquista, Bahia, Brazil. The main exposure was EBF (days: <120; 120-179; ≥180). The outcome variable was the introduction of four or more types of ultra-processed foods in the first year of life. Poisson regression analysis was used. RESULTS 286 children were evaluated, of whom 40.2% received four or more ultra-processed foods and 48.9% EBF for less than 120 days. EBF for less than 120 days (RR=2.94 - 95%CI 1.51;5.71) and for 120-179 days (RR=2.17 - 95%CI 1.09;4.30) was associated with the outcome after adjustment by socioeconomic, maternal, paternal and child variables. CONCLUSION EBF for less than 180 days increased the risk of introducing four or more ultra-processed foods in the first year of life.
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Affiliation(s)
- Jessica Prates Porto
- Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde, Vitória da Conquista, BA, Brasil
| | - Vanessa Moraes Bezerra
- Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde, Vitória da Conquista, BA, Brasil
| | - Michele Pereira Netto
- Universidade Federal de Juiz de Fora, Departamento de Nutrição, Juiz de Fora, MG, Brasil
| | - Daniela da Silva Rocha
- Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde, Vitória da Conquista, BA, Brasil
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Herval ÁM, de Oliveira FPSL, Machado KM, Vasconcelos M, Ferreira RC, Ferreira EFE, Amaral JHLD, Vargas AMD, Gomes VE. Mothers' perception about health education in brazilian primary health care: A qualitative study. Int J Paediatr Dent 2019; 29:669-676. [PMID: 30817034 DOI: 10.1111/ipd.12489] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Revised: 01/15/2019] [Accepted: 02/25/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND Health education actions are strategic actions aimed at health promotion. Moreover, better health education practices have been linked to comprehensive care developed by primary health services. AIM To understand the perception of mothers about the health education developed by the Primary Health Care (PHC) services. DESIGN We adopted a qualitative research approach, conducted using semi-structured interviews, and assuming, as the theoretical reference, the attributes derived from PHC. Pregnant women and mothers of children under 1 year old attended by Brazilian Family Health teams were included. RESULTS Eight pregnant women and twelve mothers of children under 1 year of age participated in the study. These mothers perceive educational actions as necessary only for primiparous mothers. They value the guidance of informal networks and maternity hospitals to the detriment of primary services, and they do not adhere to care that conflicts with their previous knowledge. The evidence shows that the educational actions of the primary health services do not adequately respond to the attributes of community orientation, family focus, and cultural competence. CONCLUSION It is necessary to modify the educational practices in order to incorporate and value the existing knowledge in the territory, thereby adapting the care guidelines to the local context.
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Affiliation(s)
- Álex Moreira Herval
- Dentistry School, Federal University of Minas Gerais - Social and Preventive Department, Belo Horizonte, Minas Gerais, Brazil
| | | | - Kecyanne Malheiros Machado
- Dentistry School, Federal University of Minas Gerais - Social and Preventive Department, Belo Horizonte, Minas Gerais, Brazil
| | - Mara Vasconcelos
- Dentistry School, Federal University of Minas Gerais - Social and Preventive Department, Belo Horizonte, Minas Gerais, Brazil
| | - Raquel Conceição Ferreira
- Dentistry School, Federal University of Minas Gerais - Social and Preventive Department, Belo Horizonte, Minas Gerais, Brazil
| | - Efigênia Ferreira E Ferreira
- Dentistry School, Federal University of Minas Gerais - Social and Preventive Department, Belo Horizonte, Minas Gerais, Brazil
| | - João Henrique Lara do Amaral
- Dentistry School, Federal University of Minas Gerais - Social and Preventive Department, Belo Horizonte, Minas Gerais, Brazil
| | - Andréa Maria Duarte Vargas
- Dentistry School, Federal University of Minas Gerais - Social and Preventive Department, Belo Horizonte, Minas Gerais, Brazil
| | - Viviane Elisângela Gomes
- Dentistry School, Federal University of Minas Gerais - Social and Preventive Department, Belo Horizonte, Minas Gerais, Brazil
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Burgess JA, Dharmage SC, Allen K, Koplin J, Garcia-Larsen V, Boyle R, Waidyatillake N, Lodge CJ. Age at introduction to complementary solid food and food allergy and sensitization: A systematic review and meta-analysis. Clin Exp Allergy 2019; 49:754-769. [PMID: 30861244 DOI: 10.1111/cea.13383] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Revised: 12/11/2018] [Accepted: 02/11/2019] [Indexed: 01/16/2023]
Abstract
BACKGROUND AND OBJECTIVE An infant's age at introduction of complementary solids may contribute to food allergy. We aimed to synthesize the literature on the association between age at introduction of complementary solids, excluding milk products, and food allergy and sensitization. DESIGN We searched the electronic databases PubMed and EMBASE (January 1946-February 2017) using solid food, allergy and sensitization terms. METHODS Two authors selected papers according to inclusion criteria, identifying 16 cohort studies, 1 case-control study and 8 randomized controlled trials (RCTs). Pooled effects across studies were estimated using random-effects meta-analysis. RESULTS Cohort studies-Introducing complementary solids at age ≥ 4 months vs <4 months was not associated with food allergy (OR 1.22; 95% CI, 0.76-1.96) but was associated with food sensitization (OR 1.93; 95% CI 1.57-2.38). First exposure from age 4 to 6 months vs <4 months was not associated with food allergy (OR 1.01; 95% CI, 0.64-1.60) but was associated with food sensitization (OR 2.46; 95% CI 1.55-3.86). Randomized controlled trials-Egg exposure from age 4 months was associated with reduced egg allergy (OR 0.63, 95% CI, 0.44-0.90) and sensitization (OR 0.76, 95% CI, 0.51-0.95). Peanut exposure from age 4 months compared to delayed exposure was associated with reduced peanut allergy (OR 0.28, 95% CI 0.14-0.57). CONCLUSIONS We found no evidence from observational studies that introducing solids before 4 months protected against food allergy, but there was evidence for protection against food sensitization. From RCTs, introducing egg from 4 to 6 months and peanut from 4 to 11 months reduced the risk of egg allergy, peanut allergy and egg sensitization. PROSPERO systematic review registry (CRD42016033473).
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Affiliation(s)
- John A Burgess
- Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Shyamali C Dharmage
- Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.,Centre for Food and Allergy Research, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - Katrina Allen
- Centre for Food and Allergy Research, Murdoch Children's Research Institute, Parkville, Victoria, Australia.,Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia
| | - Jennifer Koplin
- Centre for Food and Allergy Research, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - Vanessa Garcia-Larsen
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
| | - Robert Boyle
- Department of Paediatric Allergy, Imperial College London, London, UK
| | - Nilakshi Waidyatillake
- Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Caroline J Lodge
- Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
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von Seehausen MP, Oliveira MICD, Boccolini CS. [Factors associated with cross-nursing]. CIENCIA & SAUDE COLETIVA 2018; 22:1673-1682. [PMID: 28538936 DOI: 10.1590/1413-81232017225.16982015] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2015] [Accepted: 11/19/2015] [Indexed: 11/22/2022] Open
Abstract
This article aims to estimate the prevalence and analyze the factors associated with cross-nursing. A cross-sectional study was conducted in 2013 with interviews with a representative sample of mothers of infants less than one-year-old (n' = 695) attended in nine primary health units in Rio de Janeiro, Brazil. Sociodemographic characteristics were studied; pregnancy, childbirth and primary care assistance; maternal habits and baby features. Adjusted prevalence ratios (PR) were obtained by Poisson Regression, retaining variables associated with the outcome in the final model (p ≤ 0.05). Cross-nursing was practiced by 29.4% of the mothers. Most practitioner mothers were relatives or friends. The following variables were directly associated with cross-nursing: being an adolescent mother (PR' = 1.595), smoking (PR' = 1.396), alcohol consumption (PR' = 1.613), inappropriate baby feeding habits (PR' = 1.371) and infant's age in months (PR' = 1.066). Maternal formal employment was inversely associated with the practice (PR' = 0.579). Cross-nursing has a relevant prevalence among mothers assisted by primary health care units in Rio de Janeiro City. This issue should be addressed, especially among the most vulnerable groups, due to the association with adolescence and with unhealthy habits.
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Affiliation(s)
- Mariana Pujól von Seehausen
- Programa de Pós-Graduação em Saúde Coletiva, Instituto de Saúde Coletiva (ISC), Universidade Federal Fluminense (UFF). R. Marques de Paraná 303/anexo/4º andar, Centro. 24033-900 Niterói RJ Brasil.
| | | | - Cristiano Siqueira Boccolini
- Laboratório de Informação em Saúde, Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil
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A. Balalian A, Simonyan H, Hekimian K, Deckelbaum RJ, Sargsyan A. Prevalence and determinants of stunting in a conflict-ridden border region in Armenia - a cross-sectional study. BMC Nutr 2017; 3:85. [PMID: 32153861 PMCID: PMC7050870 DOI: 10.1186/s40795-017-0204-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Accepted: 11/16/2017] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Despite global efforts, stunting remains a public health problem in several developing countries. The prevalence of stunting among 0- to 5-year-old children in Armenia has increased from 17% in 2000 to 19% in 2010. A baseline study was conducted among preschool children in Berd, a region near the northeastern border of Armenia that has experienced intermittent military tension for over 20 years. METHODS We conducted a cross-sectional study including 594 children aged 6-month- 6 years old and their caregivers in our analysis, to assess the prevalence and determinants of stunting. We calculated the anthropometric measurements and hemoglobin levels of children; analyzed children's stool and conducted a survey with children's caregivers. We employed the hierarchical logistic regression model to explore the predictors of stunting among 25-72 months old children and multivariable logistic regression models to investigate the predictors of stunting among 6-24 months old children. Individual and residence level variables were included in the models including anemia, minimum dietary diversity, mothers' height, the overall duration of breastfeeding, birthweight, child's history of diarrhea and mean socio-economic score. RESULTS The prevalence of stunting was significantly higher among the 6-24 months old children (13.3%) compared to the children aged 25-72 months old (7.8%). We did not find any differences in the prevalence of stunting by place of residence in either age group. The 6-24 months old children who consumed at least four food groups during the previous day (minimum dietary diversity) had 72% lower odds of being stunted (p < 0.05). Each kilogram increase in birthweight was associated with 76% lower odds of being stunted (OR = 0.24, p < 0.01). Mother's height significantly decreased the odds of stunting among the children 25-72- months old (OR = 0.86, p < 0.001). BMI was also a significant predictor of stunting among both age-groups. CONCLUSIONS The study results highlight the significance of mother's height, birthweight, and adequate complementary feeding to reduce stunting. Further studies are needed to determine the possible association of anemia and stunting with the ongoing conflict in the region, as well as socioeconomic conditions and food insecurity in the region.
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Affiliation(s)
- Arin A. Balalian
- Fund for Armenian Relief of America, #22 Khorenatsi Street, Yerevan, Armenia
- Department of Epidemiology, Columbia University, Mailman School of Public Health, Room #1616, 722 W 168th Street, New York, NY 10032 USA
| | - Hambardzum Simonyan
- Fund for Armenian Relief of America, #22 Khorenatsi Street, Yerevan, Armenia
| | - Kim Hekimian
- Institute of Human Nutrition, Columbia University, 630 W. 168th Street, New York, NY 10032 USA
| | - Richard J. Deckelbaum
- Institute of Human Nutrition, Columbia University, 630 W. 168th Street, New York, NY 10032 USA
| | - Aelita Sargsyan
- Fund for Armenian Relief of America, #22 Khorenatsi Street, Yerevan, Armenia
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Broilo MC, Vitolo MR, Stenzel LM, Levandowski DC. Mothers' perceptions of their own diets and the diets of their children at 2-3 years of age. PSICOLOGIA-REFLEXAO E CRITICA 2017; 30:13. [PMID: 32025955 PMCID: PMC6964162 DOI: 10.1186/s41155-017-0067-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2016] [Accepted: 05/26/2017] [Indexed: 11/10/2022] Open
Abstract
This is a cross-sectional analysis of a follow-up study to examine the perceptions of mothers treated at public health centers, regarding their own diets and the diets of their children aged 2–3. Among the 464 participants, 57% (n = 267) reported perceiving their own diets as unhealthy while 72% (n = 334) perceiving their children’s diets as healthy. The mothers’ perceptions of their own diets as healthy were associated with less maternal schooling and having received health care from professionals who had received special training (p < 0.05). The mothers’ perceptions of their children’s diets as healthy were associated with more maternal schooling (p < 0.05). This difference between the mothers’ perceptions of their own diets and those of their children reinforce the importance of considering maternal beliefs and attitudes in infant nutritional intervention programs.
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Affiliation(s)
- Mônica Cristina Broilo
- Graduate Program in Health Sciences, Federal University of Health Sciences of Porto Alegre-UFCSPA, Sarmento Leite 245, Porto Alegre, RS, 90050-170, Brazil.
| | - Márcia Regina Vitolo
- Department of Nutrition, Federal University of Health Sciences of Porto Alegre-UFCSPA, Sarmento Leite 245, Porto Alegre, RS, 90050-170, Brazil
| | - Lucia Marques Stenzel
- Department of Psychology, Federal University of Health Sciences of Porto Alegre-UFCSPA, Sarmento Leite 245, Porto Alegre, RS, 90050-170, Brazil
| | - Daniela Centenaro Levandowski
- Department of Psychology, Federal University of Health Sciences of Porto Alegre-UFCSPA, Sarmento Leite 245, Porto Alegre, RS, 90050-170, Brazil
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10
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Silva GAP, Costa KAO, Giugliani ERJ. Infant feeding: beyond the nutritional aspects. J Pediatr (Rio J) 2016; 92:S2-7. [PMID: 26997355 DOI: 10.1016/j.jped.2016.02.006] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2016] [Accepted: 01/27/2016] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVE To draw attention to the importance of interaction between caregiver and child during feeding and the influence of parenting style on dietary habit formation. SOURCE OF DATA A search was performed in the PubMed and Scopus databases for articles addressing responsive feeding; the articles considered most relevant by the authors were selected. SYNTHESIS OF DATA The way children are fed is decisive for the formation of their eating habits, especially the strategies that parents/caregivers use to stimulate feeding. In this context, responsive feeding has been emphasized, with the key principles: feed the infant directly and assist older children when they already eat on their own; feed them slowly and patiently, and encourage children to eat but do not force them; if the child refuses many types of foods, experiment with different food combinations, tastes, textures, and methods of encouragement; minimize distractions during meals; and make the meals an opportunity for learning and love, talking to the child during feeding and maintaining eye contact. It is the caregiver's responsibility to be sensitive to the child's signs and alleviate tensions during feeding, and make feeding time pleasurable; whereas it is the child's role to clearly express signs of hunger and satiety and be receptive to the caregiver. CONCLUSION Responsive feeding is very important in dietary habit formation and should be encouraged by health professionals in their advice to families.
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Affiliation(s)
- Giselia A P Silva
- Postgraduate Program in Child and Adolescent Health, Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
| | - Karla A O Costa
- Postgraduate Program in Child and Adolescent Health, Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil
| | - Elsa R J Giugliani
- Department of Pediatrics, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
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12
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Palombo CNT, Duarte LS, Fujimori E, Toriyama ATM. Use and records of child health handbook focused on growth and development. Rev Esc Enferm USP 2014; 48 Spec No:59-66. [PMID: 25517836 DOI: 10.1590/s0080-623420140000600009] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2014] [Accepted: 07/05/2014] [Indexed: 11/22/2022] Open
Abstract
Objective To evaluate the use and records of the Child Health Handbook (CHH), especially growth and development. Method Cross-sectional study with 358 mother-child pairs registered in 12 Primary Health Centers (PHCs) of a small municipality. Mothers were interviewed at the PHC from February to April 2013 using a questionnaire. Data analysis was done using WHO Anthro software, Epi InfoTM and Stata. Results Fifty-three percent of the mothers were carrying the CHH at the time of the interview, similar to the proportion of mothers who were instructed to bring the CHH to health appointments. Annotations in the CHH during the visits were reported by 49%. The vaccination schedule was completed in 97% of the CHH, but only 9% and 8% of the CHH, respectively, contained growth charts and properly completed developmental milestones. Conclusion Low rates of use and unsatisfactory record-keeping in the CHH reinforce the need for investment in professional training and community awareness for the CHH to become an effective instrument of promotion of child health.
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Affiliation(s)
| | | | - Elizabeth Fujimori
- Department of Collective Health Nursing, Nursing School, University of São Paulo, São Paulo, SP, Brazil
| | - Aurea Tamami Minagawa Toriyama
- Department of Mother-Child and Psychiatric Nursing, Nursing School, University of São Paulo, São Paulo, São Paulo, Brazil
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