Overweight and Its Relationship With Duration of Breastfeeding in Preschoolers

Caldeira, Karen Marianne Soares; Souza, José María Pacheco de; Souza, Sônia Buongermino de

doi:10.7322/jhgd.96786

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…This evidence adds a new concern in the context of public policy, with the nutritional condition of children, childhood obesity is a social matter with worldwide repercussions and with different determinant factors: early weaning; increased consumption of foods high in fats, sugars and salt; sedentary lifestyle (allied to changes in modes of transport and use of technological devices); as well as advertising and an industrialised food supply 17 .…”

Section: Discussionmentioning

confidence: 99%

Adequacies and inadequacies in the anthropometric and dietetic profi les of preschool children

Alencar

Barros

Borges³

et al. 2016

J. Hum. Growth Dev.

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Introduction: Nutritional conditions and food patterns in preschool children are elements that emphasise the importance of health monitoring in this period of nutritional transition, both to ensure nutritional adequacy and how much to intervene in identifi ed inadequacies. Hence, it may also constitute a strategy for public programs and school health services to make decisions. Objective: To analyse the anthropometric and dietary profi les of pre-schoolers of a pole city in Northeastern Brazil. Methods: This is a cross-sectional evaluative study with 114 children aged 2-5 years, of both genders, in three municipal centres of early childhood education. Anthropometry was used to measure weight and height, and the nutritional condition was assessed using the indexes Height for Age (H/A), Weight for Age (W/A), Weight for Height (W/H) and Body Mass Index for Age (BMI/A) in z-score values with classifi cations established by the World Health Organization. The food intake record was done by direct weighing of the food menu offered during a week in the three institutions. This procedure allowed for the evaluation of the nutritional composition of menus, from the estimates in percentages, average and standard deviations of total calories, macronutrients (proteins, carbohydrates and lipids) and micronutrients (calcium, iron, vitamins A and C), to the adjustments and comparisons to the reference values of the Recommended Dietary Allowances, National Research Council and the PNAE recommendations, by age stages, in full-time units, 1-3 years, 700 kcal; 4-5 years, 950 kcal (70% coverage prediction of daily nutritional requirements) and the part-time units, these same ranges of age, respectively, 200 and 270 kcal (20% coverage for forecasting nutritional needs daily), considering adequate consumption to that with a variation of up to 10% above or below 100% of these recommendations. Results: Most of the preschool children had adequate nutritional conditions, especially those of full-time units, with relative frequencies (W/A: 94.5%; W/H: 89.5%, BMI/A: 81.7%). There were registered also overweight percentages higher than the defi cits, in the indices W/A (22.2%), P/E (33.3%) to municipal early childhood centre CMEI-A girls; the indices W/A, W/H, BMI/A (23.8% each) in CMEI B-boys. In relation to the adequacy of the food profi le, there was only convergence between the offer and the recommendation of 70% coverage of the daily energy needs, for pre-schoolers of 4-5 years from the centre of full-time units (mean: 951.2 ± 172.3 kcal). As for nutrients, inadequacies had a trend in the coverage of the daily needs on the menu offered in part-time units. Conclusion: Although most children do not present indicative of nutritional risk, requires attention to food portion that was with inadequacies of nutritional condition, with emphasis on weight surplus, while the readjustments in per capita and in portions of the menu implemented in those locations.

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Section: Discussionmentioning

confidence: 99%

Adequacies and inadequacies in the anthropometric and dietetic profi les of preschool children

Alencar

Barros

Borges³

et al. 2016

J. Hum. Growth Dev.

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“…Caldeira et al 14 found a low percentage of EBF in the first half of the life of infants from (67) 13 (65) 16 (84) Analysis of the differences between the groups was performed by test (χ) 2 , with p < 0.05 significance. UH = University Hospital; HMB = human milk bank; EBF = exclusive breastfeeding; NEBF = non-exclusive breastfeeding; % = percentage; ES = elementary School; HS = high school; MW = minimum salary.…”

Section: Variablesmentioning

confidence: 99%

Human Milk Bank: The Breastfeeding Counseling and the Duration of Exclusive Breastfeeding

Figueiredo

Bueno

Ribeiro

et al. 2015

J. Hum. Growth Dev.

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Objective: To identify which sociodemographic factors are associated with early weaning and compare the duration of exclusive breast feeding between mothers which received counseling about maternal feeding and mothers which was not guided for these practices. Methods: A cross-sectional study with 25 mothers that received counseling about the benefits of maternal feeding in the human milk bank and 25 from a university hospital that were not counseled. Data were collected using a structured questionnaire addressing mother-related data, the infant and the breastfeeding in the first semester.Comparison and odds ratio were the statistical analyses adopted. Results: There was not a significant difference of the duration of exclusive breast-feeding between the two groups (p = 0,524). Among mothers in the human milk bank group that discontinued early exclusive breast-feeding, fewer children (p=0,034) and a higher frequency of maternal work (p = 0,022) were observed. Wile, in the university hospital group low education (p < 0.001) and lower income (p = 0.009) were prevalent. In the totality of the sample, the interruption of exclusive breast-feeding was associated with <1 children (OR = 0.21, p = 0.030), the presence of a partner (OR = 0.046, p = 0.001) and the use of bottles or pacifiers (OR = 87.5, p <0.001). In both groups, the most cited motivation for exclusive breast-feeding discontinuation was the medical assistance. It was observed the absence of a specific standard guideline provided in the Human Milk Bank, and less than the recommended number of consultations in the literature. Conclusions: Socioeconomic factors and inadequate incentives negatively influence the duration of exclusive breast feeding. It was verified the need to provide standardized and more frequent counseling for effective reduction of early weaning.

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“…Os pesquisadores propõem dois mecanismos que podem estar envolvidos na relação protetora entre leite materno e obesidade. 1 -Melhora no controle da ingestão do leite materno para a criança: tendo em vista que enquanto na amamentação a criança decide quando fica satisfeita e recusa o alimento, ao oferecer a fórmula infantil, quem oferece pode estimular maior consumo 2 -Alterações metabólicas decorrentes do aleitamento materno: estudos indicam que crianças amamentadas apresentaram concentrações séricas mais baixas de insulina, responsável pelo armazenamento de gordura nos adipócitos, em comparação com crianças que receberam fórmula infantil (CALDEIRA, 2015).…”

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Efeito preventivo do aleitamento materno exclusivo contra a obesidade infantil: uma revisão integrativa

Moura,

Markewitski,

Schroeder

et al. 2023

Braz. J. Hea. Rev.

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O leite materno (LM) é um alimento muito rico e completo e propõe quantidades ideais de nutrientes que o bebê precisa para o desenvolvimento correto. A OMS recomenda o aleitamento materno exclusivo nos primeiros seis meses e o aleitamento materno complementar por até dois anos ou mais. O leite humano apresenta inúmeros benefícios e vantagens em relação a qualquer substituto do leite materno, incluindo a prevenção da obesidade. O objetivo do presente estudo é verificar, a partir da literatura científica, possíveis correlações entre o aleitamento materno (AM) e a diminuição da obesidade infantil em crianças amamentadas exclusivamente com leite materno (LM) até os 6 meses de idade. Trata-se de uma revisão integrativa de literatura, onde a coleta de dados deu-se através da busca de estudos científicos atuais de ensaio clínico sobre o efeito protetor do aleitamento materno exclusivo (AME) contra a obesidade infantil. Com base de dados do PubMed e MEDLINE, foram encontrados 20 artigos no total, sendo que da base de dados do PubMed foram utilizados 3 artigos acadêmicos, e da base de dados do MEDLINE foram utilizados 17 artigos acadêmicos, e 4 artigos foram utilizados de maior relevância para o estudo. Conforme a literatura, a maioria dos artigos abordam alguma relação para eficácia do aleitamento materno exclusivo na prevenção da obesidade infantil. Podemos concluir que sim, o aleitamento materno exclusivo nos primeiros seis meses de vida previne a obesidade infantil.

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Overweight and Its Relationship With Duration of Breastfeeding in Preschoolers

Cited by 3 publications

References 11 publications

Adequacies and inadequacies in the anthropometric and dietetic profi les of preschool children

Adequacies and inadequacies in the anthropometric and dietetic profi les of preschool children

Human Milk Bank: The Breastfeeding Counseling and the Duration of Exclusive Breastfeeding

Efeito preventivo do aleitamento materno exclusivo contra a obesidade infantil: uma revisão integrativa

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