Alimentação complementar: práticas inadequadas em lactentes

Abstract

Objective: To assess feeding practices and dietary intake of healthy infants in three Brazilian municipalities.Methods: By means of a prospective study, we analyzed the food record of 7 consecutive days of an intentional sample (quota and weighted sampling) of 179 healthy infants, aged between 4 and 12 months, from the municipalities of Curitiba, São Paulo, and Recife, who were not being exclusively breastfed. Mothers received oral and written information provided by a nutritionist with the purpose of standardizing the feeding data. The computer program NutWin was used to calculate the dietary intake. Results:The median of the infants' age was 6.8 months (4.0-12.6 months). We found that 50.3% of the infants were no longer being exclusively breastfed. Of these, 12.0 and 6.7% among the infants younger and older than 6 months, respectively, were fed with infant formulae instead of breast milk. Therefore, most infants received whole cow's milk. Infant formula dilution was correct in only 23.8 and 34.7% of the infants younger and older than 6 months old, respectively. With regards to complementary feeding, we found that the median age was 4 months for its introduction and 5.5 months for the introduction of family diet. There was high quantitative inappropriateness of micronutrient intake for infants between 6 and 12 months old who were not exclusively breastfed, mainly in terms of zinc (75%) and iron (45%). Conclusion:The present study showed a high frequency of inappropriate feeding practices and dietary intake in very young infants. These practices may lead to an increased risk of development of chronic diseases in the future.J Pediatr (Rio J). 2010;86(3):196-201: Dietary behavior, disease prevention, infant's nutritional disorders, infant care.

Complementary feeding patterns in the first year of life in the city of Rio de Janeiro, Brazil: time trends from 1998 to 2008

“…Although few studies have described time trends in indicators of early complementary 10 . Nonetheless early complementary feeding it is still common in Brazil 19,20 . Meanwhile, it is not easy to compare our findings with those from the literature on indicators of complementary feeding patterns among children from 6 to 11.9 months of age, given that the few studies providing information on complementary feeding patterns use different indicators from ours, and do not present time trends for complementary feeding patterns in the second semester of life 10,13,21 .…”

Caracterização do desenvolvimento da alimentação em crianças de 6 a 24 meses

“…This findings doesn't mean, however, that the health professional orientation have been followed, so there is extensive literature that discuss the strong influence of the maternal experience, family and known people in the infants diet [22][23][24][25][26][27][28][29] .…”

“…Such result its contrary to the health agencies guidelines 1,9,28 , which recommend the introduction of harmless and appropriate supplementary food, that can fulfill the child necessity of energy, proteins, vitamins and minerals. It is also worth to emphasize that the diverse and healthy supplementary feeding is an opportunity for the child to be exposed to a wide range of foods, which were form the foundation for future healthy habits 29 .…”

“…National and international researches [29][30][31] have been calling attention about the inappropriate feeding practices in children under two years. The early introduction of high sodium and high sugar food, poor of nutrients are increasing, and are related to the increasing risk of developing chronic diseases and childhood obesity, which is seen as a public health concern.…”

Relação Entre a Alimentação Complementar E a Prevalência De Excesso De Peso Em Pré-Escolares

“…A introdução de novos alimentos envolve fatores biológicos, culturais e socioeconômicos, que determinam quando, como e porque iniciar a alimentação complementar 10 . A correta introdução da alimentação complementar e a sua continuidade refletem o ganho de peso adequado, bem como o controle da obesidade na infância, adolescência e fase adulta 11,12 . O objetivo dessa pesquisa foi avaliar a relação entre a alimentação complementar e a prevalência de sobrepeso/ obesidade em crianças pré-escolares, de duas escolas do município de Imbituva-PR, sendo uma pública e outra particular.…”