The impact of a primary health care intervention on infant feeding practices: a cluster randomised controlled trial in Brazil

Ferreira, Vivian Rodrigues; Sangalli, Caroline Nicola; Leffa, Paula dos Santos; Rauber, Fernanda; Vítolo, Márcia Regina

doi:10.1111/jhn.12595

Cited by 14 publications

(18 citation statements)

References 36 publications

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“…However, these infant nutrition conversations are not systematically delivered or recorded, and could provide an opportunity for the collection of routine data related to nutrition and dietary diversity. Moreover, health workers’ dietary counselling has been shown to have a potential positive influence on infant feeding practices [11], and establishing routine, consistent conversations around feeding practices could provide an opportunity for intervention and/or evaluations of earlier interventions.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Potential for Integrating Routine Data Collection on Complementary Feeding to Child Health Visits: A Mixed-Methods Study

Tully

Wright

McCormick

et al. 2019

IJERPH

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There is no routine data collection in the UK on infant dietary diversity during the transition to solid foods, and health visitors (HVs) (nurses or midwives with specialist training in children and family health) have the potential to play a key role in nutrition surveillance. We aimed to assess items for inclusion in routine data collection, their suitability for collecting informative data, and acceptability among HVs. A mixed-methods study was undertaken using: (i) an online survey testing potential questionnaire items among parents/caregivers, (ii) questionnaire redevelopment in collaboration with community staff, and (iii) a survey pilot by HVs followed by qualitative data collection. Preliminary online questionnaires (n = 122) were collected to identify useful items on dietary diversity. Items on repeated exposure to foods, aversive feeding behaviors, flavor categories, and sugar intake were selected to correspond to nutrition recommendations, and be compatible with electronic records via tablet. HVs surveyed 187 parents of infants aged 12 months. Semi-structured interviews indicated that HVs found the questionnaire comparable with standard nutrition conversations, which prompted helpful discussions, but questions on eating behavior did not prompt such useful discussions and, in some cases, caused confusion about what was ‘normal.’ Lack of time among HVs, internet connectivity issues, and fear of losing rapport with parents were barriers to completing electronic questionnaires, with 91% submitted by paper. Routine nutrition data collection via child health records seems feasible and could inform quality improvement projects.

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Section: Introductionmentioning

confidence: 99%

Assessing the Potential for Integrating Routine Data Collection on Complementary Feeding to Child Health Visits: A Mixed-Methods Study

Tully

Wright

McCormick

et al. 2019

IJERPH

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“…After this step, we identified thirty-six studies that presented an original or adapted index and were selected for data extraction and synthesis in this review. Of these, twenty-two described original indexes (10, and fourteen described adapted indexes (46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59) . The other twenty articles that only used existing indexes without changes are presented in Supplementary Material S2.…”

Section: Resultsmentioning

confidence: 99%

Indexes to assess feeding practices of children under 2 years old: a systematic review

Silva

Lyrio

Cruz

et al. 2021

Public Health Nutr.

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Objective: To systematically review studies that used indexes to assess feeding practices of children under 2 years. Design: Seven databases were searched with no limit on language or publication date. Setting: The reviewed studies included 13 Asian, 10 Latin American, 4 European, 4 North American, 3 Oceanian, and 3 African. Participants: Children under 2 years. Results: We analyzed 36 studies: 22 presenting original indexes and 14 using adapted indexes. Among the original indexes, 13 assess breastfeeding, 14 food consumption, 10 food groups, and 10 other feeding practices. Original indexes were mainly adapted to fit the data available in the study, to update for current nutritional recommendations, or to add components not present in the original indexes. Seven studies evaluated the associations between the indexes and nutrient intake or nutritional status. The main limitations cited by the authors were: flaws in the definition of the index components, criteria for cut-off points, and weighting of the evaluated index components. Conclusions: The assessment of feeding practices for young children and its comparison across countries remains a challenge, especially due to the lack of consensus on the construction of indexes and regional differences in dietary recommendations and practices. Lack of validation for some indexes also makes it difficult to choose the most appropriate index for a given objective. Adapting existing indexes is a viable option. We point out relevant recommendations that may contribute to future research. Validation and longitudinal studies in diverse populations are favorable to qualify the assessment of feeding practices in this group.

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“…Diante desse cenário, cabe às equipes da APS a realização de ações educativas e aconselhamento nas consultas individuais ou em grupos, apoiadas nas diretrizes oficiais para alimentação adequada e saudável apresentadas no Guia Alimentar para Crianças Brasileiras Menores de Dois Anos (25) e no Guia Alimentar para a População Brasileira (26), cuja implementação traz benefícios já evidenciados (27,28). No entanto, o reconhecimento, pelas equipes da APS, das potencialidades e dificuldades do território em relação à alimentação saudável permanece como um desafio.…”

Section: Promoção Da Alimentação Adequada E Saudávelunclassified

Ações de alimentação e nutrição na atenção primária à saúde no Brasil

Bortolini¹,

Oliveira²,

Silva³

et al. 2020

Revista Panamericana De Salud Pública

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RESUMO No Brasil, o Sistema Único de Saúde (SUS), público e universal, oferece ações de promoção, proteção e recuperação da saúde. A atenção primária à saúde (APS) é a porta preferencial de acesso dos indivíduos ao SUS e tem como papel coordenar e ordenar as ações e os serviços de saúde disponibilizados na rede. No âmbito da APS, as ações de alimentação e nutrição devem estar alinhadas às diretrizes da Política Nacional de Alimentação e Nutrição (PNAN) e podem ser potencializadas a partir de ações de vigilância alimentar e nutricional. Dados de sistemas de informação disponíveis em todas as unidades básicas de saúde e em inquéritos populacionais indicam que mais da metade da população adulta no Brasil apresenta excesso de peso e que o consumo de alimentos ultraprocessados vem aumentando. Essa situação exige que as equipes de saúde se organizem de forma a priorizar ações para indivíduos com agravos crônicos com base em estratificação de risco, estabilização da condição e potencialização do autocuidado apoiado, com foco em alimentação e atividade física. Ao mesmo tempo, dependendo do perfil epidemiológico, as equipes devem empreender ações de combate à desnutrição, prevenção da anemia e hipovitaminose A, considerando a múltipla carga da má nutrição no país. O presente artigo tem como objetivo apresentar o panorama atual das ações de alimentação e nutrição implementadas no âmbito da APS no SUS.

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The impact of a primary health care intervention on infant feeding practices: a cluster randomised controlled trial in Brazil

Abstract: The health workers' training was effective with respect to improving infant feeding practices.

Cited by 14 publications

References 36 publications

Assessing the Potential for Integrating Routine Data Collection on Complementary Feeding to Child Health Visits: A Mixed-Methods Study

Assessing the Potential for Integrating Routine Data Collection on Complementary Feeding to Child Health Visits: A Mixed-Methods Study

Indexes to assess feeding practices of children under 2 years old: a systematic review

Ações de alimentação e nutrição na atenção primária à saúde no Brasil

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