Breastfeeding is associated with children’s dietary diversity in Brazil

Bortolini, Gisele Ane; Giugliani, Elsa Regina Justo; Gubert, Muriel Bauermann; Santos, Leonor Maria Pacheco

doi:10.1590/1413-812320182411.29312017

Cited by 14 publications

(15 citation statements)

References 25 publications

(27 reference statements)

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“…This is possibly because the fact that families that follow the recommendation to continue breast-feeding for up to 2 years or more are the same ones that are more likely to encourage the consumption of healthier foods and to limit the consumption of UPF, since this practice is encouraged and made available by the family context (21) . The same was possible to be noticed in other studies, reinforcing that the longer duration of breastfeeding is consistently related to the higher consumption of fresh or minimally processed foods, and the early interruption of breast-feeding is associated with the high consumption of UPF (7,22,23) . Park et al (24) showed that children at 6 years of age who were breastfed until the age of 6 months or more had a significantly lower proportion of consumption of sweetened drinks compared with those who did not breastfeed.…”

Section: Discussionsupporting

confidence: 84%

“…The benefits of continued breast-feeding are well established, and the increase in this practice can play an essential role in improving the child's nutrition, education and health. The rise in the prevalence of breast-feeding and its continuity is associated with the prevention of morbidity and mortality, diarrhoea, infections, dental malocclusion, increased intelligence in childhood and reduced occurrence of overweight and diabetes in adulthood (6,7) .…”

mentioning

confidence: 99%

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Association between the consumption of ultra-processed foods and the practice of breast-feeding in children under 2 years of age who are beneficiaries of the conditional cash transfer programme, Bolsa Família

Marçal

Mendes

Fragoso

et al. 2020

Public Health Nutr.

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Objective: To evaluate the association between the consumption of ultra-processed foods (UPF) and the practice of breast-feeding in children under 2 years of age assisted by the conditional cash transfer programme, Bolsa Família Programme (PBF). Design: A cross-sectional study. The consumption of UPF and the practice of breast-feeding were assessed using a structured 24-h recall. Associations were calculated using hierarchical Poisson regression, adjusted at the last level by socio-economic, demographic and environmental variables from previous hierarchical levels. Setting: Six counties from the state of Alagoas, Brazil. Participants: Children aged 6−24 months, assisted by PBF. Results: A total of 1604 children were evaluated, 11·7% of whom were overweight, and most had consumed UPF (90·6%) in the last 24 h. The most consumed UPF were biscuits, chocolate milk and baby food with 74·8, 66·8 and 24·9%, respectively. Through multivariable analysis, an association was found between lower consumption of UPF in the continuation of breast-feeding until the second year of life (prevalence ratio (PR) 0·91, 95 % CI 0·86, 0·96) and in the first year of life (PR 0·93, 95 % CI 0·88, 0·99). Conclusions: It was found that the studied population had a high consumption of UPF, which harmed continued breast-feeding. We highlight the importance of strengthening public policies aimed at the promotion, protection and support of breast-feeding and healthy complementary feeding aimed at populations that have difficulties in physical and economic access to a healthy and adequate diet.

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Section: Discussionsupporting

confidence: 84%

mentioning

confidence: 99%

Association between the consumption of ultra-processed foods and the practice of breast-feeding in children under 2 years of age who are beneficiaries of the conditional cash transfer programme, Bolsa Família

Marçal

Mendes

Fragoso

et al. 2020

Public Health Nutr.

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“…However, a study that evaluated the food consumption patterns of 1,455 children aged 6 to 24 months, according to their breastfeeding status, showed that children who did not consume non-human milk were more likely to be on a healthy and diversified diet, having a consumption of foods rich in sugar, fat and salt less than children who consumed other types of milk. 28 This result differs from that found in the present study in the item “minimum dietary diversity”, with no significant difference according to the breastfeeding status of children. However, low values (ranging from 51.5 to 60.6%) were observed for all breastfeeding states.…”

Section: Discussioncontrasting

confidence: 99%

Complementary Feeding Indicators for Children Aged 6 to 23 Months According to Breastfeeding Status

Leonez

Melhem

Vieira

et al. 2021

Rev. paul. pediatr.

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Objective: To verify if there are differences among the complementary feeding indicators of children aged 6-23 months according to the breastfeeding status. Methods: A cross-sectional study was carried out with 1,355 children aged 6-23 months in 2012 to evaluate five indicators proposed by the World Health Organization (WHO) and modified in accordance with Brazilian’s recommendations “Ten steps to a healthy feeding: a feeding guide for children under two years old”. The indicators used were: I. Introduction of solid, semi-solid or soft foods; II. Minimum dietary diversity; III. Minimum meal frequency; IV. Minimum acceptable diet, and V. Consumption of iron-rich foods. To verify differences between the complementary feeding indicators according to breastfeeding status, the F-statistic was used, with p≤0.05 meaning significant. Results: Indicators I, II, and V were similar among breastfed and non-breastfed children; however, indicators III and IV presented a higher proportion of adequacy for non-breastfed children, with 94.9% (CI95% 93.2-96.2) versus 40.3% (CI95% 33.2-47.9) for indicator III, and 57.3% (CI95% 53.2-61.2) versus 23.1% (CI95% 17.4-30.1) for indicator IV. Conclusions: Non-breastfed children have better complementary feeding status, but the indicator III takes into account non-breast milk as a meal for non-breastfed children, which increased the number of dairy meals and influenced indicator IV (calculated from indicators II and III).

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“…We found breastfed infants to have significantly higher MDD in Jordan, Sudan and among SRJ compared with nonbreastfed. Bortolini et al (2019) showed that in Brazil, breastfed infants were almost five times more likely to have a diverse diet and 19% less likely to consume foods rich in sugar fat, and salt than nonbreastfed infants.…”

Section: Discussionmentioning

confidence: 99%

Predictors of complementary feeding practices among children aged 6–23 months in five countries in the Middle East and North Africa region

Shaker-Berbari¹,

Tyler²,

Akik

et al. 2021

Maternal & Child Nutrition

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Ensuring diets of children aged 6-23 months meet recommended guidance is crucial for growth and development and for the prevention of malnutrition including stunting, wasting and micronutrient deficiencies. Despite some improvement, indicators related to undernutrition and overnutrition fall short of global targets in the Middle East and North Africa (MENA) region that consist of low-and middle-income countries witnessing political and social changes and a nutrition transition. This research aims at reviewing the situation related to the diets of children aged 6-23 months in five selected countries in the MENA region, examining factors affecting complementary feeding and providing recommendations for guiding effective strategies to improve it. The study triangulated data on complementary feeding status and predictors from semistructured interviews with 30 key informants, and multivariable analysis of household surveys in Egypt, Jordan, Lebanon, State of Palestine and Sudan including data on refugees in Lebanon and Jordan. There remain considerable gaps in complementary feeding differing noticeably among geographic areas. Findings from qualitative and quantitative analyses showed that maternal factors, including maternal education and age, household level factors such as paternal education and wealth, community-level factors (culture and geographic location), and utilization of health services, were associated with minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD) at varied levels in the five countries. Interventions to improve complementary feeding practices should include actions tailored to the needs of the population at multiple levels including at the caregiver's level, household, service use, community and policy level.

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Breastfeeding is associated with children’s dietary diversity in Brazil

Cited by 14 publications

References 25 publications

Association between the consumption of ultra-processed foods and the practice of breast-feeding in children under 2 years of age who are beneficiaries of the conditional cash transfer programme, Bolsa Família

Association between the consumption of ultra-processed foods and the practice of breast-feeding in children under 2 years of age who are beneficiaries of the conditional cash transfer programme, Bolsa Família

Complementary Feeding Indicators for Children Aged 6 to 23 Months According to Breastfeeding Status

Predictors of complementary feeding practices among children aged 6–23 months in five countries in the Middle East and North Africa region

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