Consumo de alimentos ultraprocessados e fatores associados no primeiro ano de vida em Cruzeiro do Sul, Acre, Brasil

Nogueira, Mariana; Mazzucchetti, Lalucha; Mosquera, Paola Soledad; Cardoso, Marly Augusto; Malta, Maíra Barreto

doi:10.1590/1413-81232022272.47072020

Cited by 4 publications

(5 citation statements)

References 23 publications

(30 reference statements)

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“…In this longitudinal cohort study, we found that UCFB were frequently consumed by children under 2 years of age in rural/peri‐urban Cambodia. Similar results of high UCFB consumption have been shown in other LMIC settings, including Brazil and Nepal, but primarily in urban locations (Karnopp et al, 2017; Nogueira et al, 2022; Pries, Rehman, et al, 2019). Our results also showed that a significant number of infants were not breastfed at enrolment.…”

Section: Discussionsupporting

confidence: 77%

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High consumption of unhealthy commercial foods and beverages tracks across the complementary feeding period in rural/peri‐urban Cambodia

Hinnouho

Ferguson

MacDougall

et al. 2023

Maternal & Child Nutrition

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Consumption of unhealthy commercial foods and beverages (UCFB) is common among infants and young children living in low-and middle-income countries. Such foods can displace other nutritious foods, however, there is limited evidence on how this consumption tracks across time. This study assessed and tracked UCFB consumption of children living in rural/peri-urban Cambodia during the complementary feeding period, identified UCFB consumption patterns of these children, and explored the association between UCFB consumption and growth. A 6-month longitudinal cohort study was implemented among 567 caregivers of children aged 10-14 months at recruitment. UCFB consumption was estimated each month via a telephone-administered 7-day food frequency questionnaire, and UCFB consumption patterns were identified based on changes in this frequency of consumption over time. The majority of children either maintained (45.7%, n = 246) or developed (43.5%, n = 234) an unhealthy consumption pattern and only 10.8% (n = 58) of children maintained/transitioned into a healthy consumption pattern. High consumers of UCFB at 10-14 months had a 4.7 (CI: 4.7 [3.1-7.2]) times odds of being high consumers of UCFB at 15-19 months (p < 0.001). There was a trend of lower lengthfor-age z-scores (LAZ) among children maintaining or developing an unhealthy consumption pattern (~−0. SD LAZ) compared to children maintaining/transitioning into a healthy consumption pattern, however, this association was not statistically significant. Findings indicate that high UCFB consumption begins during infancy and tracks into early childhood. National policies and programmes centred on early interventions addressing the use of UCFB for infant and young child feeding are needed.

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Section: Discussionsupporting

confidence: 77%

“…in other LMIC settings, including Brazil and Nepal, but primarily in urban locations (Karnopp et al, 2017;Nogueira et al, 2022;Pries, Rehman, et al, 2019). Our results also showed that a significant number of infants…”

Section: High Consumption Of Ucfb and Types Of Ucfb Consumedsupporting

confidence: 74%

High consumption of unhealthy commercial foods and beverages tracks across the complementary feeding period in rural/peri‐urban Cambodia

Hinnouho

Ferguson

MacDougall

et al. 2023

Maternal & Child Nutrition

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“…These factors make them increasingly accessible to families. They are incorporated into their eating habits, especially in low-income families, increasing the availability of UPF in households (5,9,31,32) , leading to its greater consumption in the first years of life (6,33,34) .…”

Section: Discussionmentioning

confidence: 99%

Early introduction of ultra-processed foods is associated with overweight and anaemia in socially vulnerable Brazilian children

Gomes,

Silva-Neto,

dos Santos

et al. 2023

Br J Nutr

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This study aimed to evaluate the early introduction of ultra-processed foods (UPF) and identify its association with overweight and anaemia in Brazilian children living in a situation of social vulnerability. A population-based cross-sectional study was conducted in a Brazilian capital. Children aged 12-59 months were included. The presence of overweight and anaemia was evaluated, as well as the introduction of twelve different UPF in children’s first year of life. Association analysis was performed using Poisson regression, with robust estimates of variances. A total of 561 children were studied; 85·5 % had consumed at least one UPF evaluated in the first year of life; 19·1 % were overweight and 52·0 % were anaemic. Adjusted multivariate analyses identified that the early introduction of soft drinks (Prevalence Ratio (PR) = 1·18, 95 % CI (1·02, 1·38)), packaged snacks (PR = 1·17, 95 % CI (1·05, 1·30)) and powdered soft drinks (PR = 1·36, 95 % CI (1·16, 1·60)) increased the likelihood of children being overweight, and the early introduction of chocolate drink (PR = 1·25, 95 % CI (1·02, 1·53)) increased the likelihood of them being anaemic, when comparing children who consumed these UPF before reaching 1 year of age with those who consumed these foods at 12 months of age or older. From the results found, one can see the existing relationship between the early introduction of UPF with overweight and anaemia, being necessary to intensify public health policies to combat malnutrition, focusing on the promotion of proper and healthy eating, especially during the phase of food introduction, focusing on the population living in socially vulnerable situations.

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“…Continued breastfeeding (BF) was estimated in days and then classified as prolonged BF when ≥ 365 days. At the 1- and 2-year follow-up visits, information on complementary feeding was assessed by a structured food frequency questionnaire on the intake of foods and drinks in the previous day, as detailed elsewhere 15 . The following ultra-processed foods (UPF) were included in the questionnaire: industrialized yogurt, artificial fruit juice, soft drinks, candies, cookies, packaged savory snacks, hotdogs, and instant noodles, and “other UPF” (chocolate drinks, ice cream, jelly, cake, and industrialized soup).…”

Section: Methodsmentioning

confidence: 99%

“…O aleitamento materno continuado (AM) foi estimado em dias e classificado como AM prolongado quando ≥ 365 dias. Nas visitas de acompanhamento de 1 e 2 anos, as informações sobre alimentação complementar foram avaliadas com um questionário estruturado de frequência alimentar sobre o consumo de alimentos e bebidas no dia anterior, conforme detalhado em outro estudo 15 . Foram incluídos no questionário os seguintes alimentos ultraprocessados (AUP): iogurte industrializado, suco artificial de frutas, refrigerantes, balas, biscoitos, salgadinhos embalados, cachorro-quente e macarrão instantâneo e “outros AUP” (achocolatados, sorvetes, geleias, bolos e sopas industrializadas).…”

Section: Métodosunclassified

Prevalence and correlates of childhood anemia in the MINA-Brazil birth cohort study

Cardoso,

Lourenço,

Matijasevich

et al. 2023

Rev. saúde pública

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OBJECTIVE This study aimed to describe the prevalence and predictors of childhood anemia in an Amazonian population-based birth cohort study. METHODS Prevalence of maternal anemia was estimated at delivery (hemoglobin [Hb] concentration < 110 g/L) in women participating in the MINA-Brazil birth cohort study and in their children, examined at ages one, two (Hb < 110 g/L), and five (Hb < 115 g/L). Moreover, ferritin, soluble transferrin receptor, and C-reactive protein concentrations were measured in mothers at delivery and in their 1- and 2-year-old children to estimate the prevalence of iron deficiency and its contribution to anemia, while adjusting for potential confounders by multiple Poisson regression analysis (adjusted relative risk [RR a ]). RESULTS The prevalence 95% confidence interval (CI) of maternal anemia, iron deficiency, and iron-deficiency anemia at delivery were 17.3% (14.0–21.0%), 42.6% (38.0–47.2%), and 8.7% (6.3–11.6)%, respectively (n = 462). At one year of age (n = 646), 42.2% (38.7–45.8%) of the study children were anemic, 38.4% (34.6–42.3%) were iron-deficient, and 26.3 (23.0–29.9) had iron-deficiency anemia. At two years of age (n = 761), these values decreased to 12.8% (10.6–15.2%), 18.1% (15.5–21.1%), and 4.1% (2.8–5.7%), respectively; at five years of age (n = 655), 5.2% (3.6–7.2%) were anemic. Iron deficiency (RR a = 2.19; 95%CI: 1.84–2.60) and consumption of ultra-processed foods (UPF) (RR a = 1.56; 95%CI: 1.14–2.13) were significant contributors to anemia at 1 year, after adjusting for maternal schooling. At 2 years, anemia was significantly associated with maternal anemia at delivery (RR a : 1.67; 95%CI: 1.17–2.39), malaria since birth (2.25; 1.30–3.87), and iron deficiency (2.15; 1.47–3.15), after adjusting for children's age and household wealth index. CONCLUSIONS Anemia continues to be highly prevalent during pregnancy and early childhood in the Amazon. Public health policies should address iron deficiency, UPF intake, maternal anemia, and malaria to prevent and treat anemia in Amazonian children.

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Consumo de alimentos ultraprocessados e fatores associados no primeiro ano de vida em Cruzeiro do Sul, Acre, Brasil

Cited by 4 publications

References 23 publications

High consumption of unhealthy commercial foods and beverages tracks across the complementary feeding period in rural/peri‐urban Cambodia

High consumption of unhealthy commercial foods and beverages tracks across the complementary feeding period in rural/peri‐urban Cambodia

Early introduction of ultra-processed foods is associated with overweight and anaemia in socially vulnerable Brazilian children

Prevalence and correlates of childhood anemia in the MINA-Brazil birth cohort study

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