Maternal perception and attitudes regarding healthcare professionals’ guidelines on feeding practices in the child's first year of life

Broilo, Mônica Cristina; Louzada, Maria Laura da Costa; Drachler, Maria de Lourdes; Stenzel, Lucia M.; Vítolo, Márcia Regina

doi:10.1016/j.jped.2013.01.005

Cited by 16 publications

(8 citation statements)

References 25 publications

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“…A previous study, which was conducted with the same sample when their children were aged 6-9 months, found that the mothers who reported following the health professionals' Group in which the mother-child pair was assigned to the follow-up study (to receive guidance from updated professionals or control group professionals). guidelines adopted much healthier feeding practices for their children (Broilo, Louzada, Stenzel, & Vitolo, 2013). This data may be related to the association found in the present study, in that the women who were counseled by trained professionals and who were consequently much better prepared probably adopted healthier feeding practices for their children and possibly for themselves.…”

supporting

confidence: 80%

Mothers’ perceptions of their own diets and the diets of their children at 2–3 years of age

Broilo

Vítolo

Stenzel

2017

Psicol. Refl. Crít.

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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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supporting

confidence: 80%

Mothers’ perceptions of their own diets and the diets of their children at 2–3 years of age

Broilo

Vítolo

Stenzel

2017

Psicol. Refl. Crít.

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“…Out of these, 45.7% did not recognize the significance of food on child health even after the professionals’ instructions. The authors of this research state that simply passing information to parents may not be enough to motivate mothers’ actions regarding healthy eating habits ( 35 ).…”

Section: Discussionmentioning

confidence: 99%

Complementary feeding methods and introduction of ultra-processed foods: A randomized clinical trial

Moreira

Nunes²,

Giugliani³

et al. 2022

Front. Nutr.

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IntroductionComplementary 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.MethodsThis 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).ResultsA 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).DiscussionThe 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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“…Estudos semelhantes realizados no município São Paulo e em Florianópolis relacionaram a escolaridade dos pais com a introdução tardia de água, chás, doces e refrigerantes na dieta infantil 31,32 , ou seja, quanto maior a escolaridade mais adequadas são as práticas no que se refere à introdução alimentar. A renda familiar também exibe uma relação com a lucidez sobre alimentação da criança, indicando que a população com mais condições econômicas tem mais acesso à informação 33,34 .…”

Section: Discussionunclassified

“…Esse achado corrobora a literatura que diz que quanto maior o acesso à informação menor a incidência de introdução alimentar precoce 38 . Foi relatado em uma pesquisa que as mães com maior renda demonstraram seguir as recomendações dos profissionais da saúde quanto à introdução alimentar, e que 50% dos pais entrevistados receberam informações, mas optaram por não segui-las 34 , achado que demonstra que só fornecer informações não é o suficiente, e que é necessário considerar outros fatores de ordem social e cultural para que sejam efetivas as práticas corretas de introdução alimentar. Também, deve-se considerar que uma atuação com maior empatia na relação profissional da saúde e paciente melhora a efetividade das orientações 39 .…”

Section: Discussionunclassified

Aspectos influenciadores da introdução alimentar infantil

et al. 2021

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Introdução: O Ministério da Saúde recomenda que a introdução alimentar infantil seja feita aos 6 meses de idade, porém, observa-se que muitas famílias introduzem alimentos antes dessa faixa etária, o que pode prejudicar a saúde da criança. Isso pode ocorrer devido às crenças existentes, experiências prévias da família, entre outros fatores de ordem social e cultural. Objetivo: Investigar aspectos influenciadores da introdução alimentar de crianças. Métodos: O presente estudo trata-se de uma pesquisa transversal, quantitativa, com amostra não probabilística, de conveniência. Foram incluídos no estudo 22 pais ou responsáveis de crianças com idade até 24 meses. Foi aplicado um questionário com os pais ou responsáveis que continha perguntas relacionadas à criança, à família e aos fatores socioculturais; introdução alimentar; e crenças e conhecimentos sobre introdução alimentar. Resultados: Houve prevalência de aleitamento materno exclusivo até os 6 meses de 31,8% e introdução alimentar em tempo oportuno de 45%. Os resultados demonstram correlação entre escolaridade, renda, presença de plano de saúde e ocupação dos pais fora de casa com conhecimento sobre alimentação complementar. Encontrou-se também correlação entre o conhecimento dos pais e tempo de aleitamento materno exclusivo e tempo em que foi introduzida alimentação complementar. Conclusão: A partir dos resultados pode-se inferir que o nível de instrução, a ocupação e a renda familiar exercem influência no conhecimento dos pais sobre introdução alimentar. E que este conhecimento influencia a duração do aleitamento materno exclusivo e a época da introdução alimentar.

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Maternal perception and attitudes regarding healthcare professionals’ guidelines on feeding practices in the child's first year of life

Abstract: There was a high prevalence of mothers who did not follow the advice of health professionals; the perception that food does not affect the child's health can be a barrier to the improvement of eating habits in childhood.

Cited by 16 publications

References 25 publications

Mothers’ perceptions of their own diets and the diets of their children at 2–3 years of age

Mothers’ perceptions of their own diets and the diets of their children at 2–3 years of age

Complementary feeding methods and introduction of ultra-processed foods: A randomized clinical trial

Aspectos influenciadores da introdução alimentar infantil

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