Aconselhamento em alimentação infantil: um estudo de intervenção

Abstract

Objective: To evaluate the effectiveness of an integrated infant and young child feeding counseling course for transforming the knowledge, attitudes and practices of pediatricians and nutritionists working for the municipal health system of São Paulo, Brazil. Methods:A randomized intervention study enrolling 29 professionals in the intervention group and 27 in the control group. Interviewers were trained in advance to collect data on the professionals working at health centers, before and 2 months after the intervention. Three research instruments were used, the first was to assess the profile of each professional, the second assessed their knowledge and the third was a clinical observation protocol. Analysis was performed using the Kruskal-Wallis test for independent samples and the Tukey method. Results:The results for the knowledge questionnaire showed improvements in the intervention group (p < 0.001) for the whole questionnaire and for questions on breastfeeding (p = 0.004); HIV and infant and young child feeding (p = 0.049); complementary feeding (p = 0.012); and counseling in infant and young child feeding (p = 0.004). In terms of performance, it was observed that the intervention group had significantly improved their dietary anamnesis after the intervention (p < 0.001).Conclusions: This course effectively promoted an increase in knowledge and improvements in dietary anamnesis performance, but the same was not true of counseling skills.J Pediatr (Rio J). 2008;84(1):75-82: Child nutrition/education, health personnel, intervention studies, effectiveness, breastfeeding.

Importância das práticas alimentares no primeiro ano de vida na prevenção da deficiência de ferro

“…O estudo mostrou que para alguns itens do manual houve aumento de conhecimento por parte dos profissionais 48 , faltam pesquisas que avaliem se as orientações sobre alimentação complementar propostas pela OMS são efetivas na prevenção da deficiência de ferro. No Brasil, o Ministério da Saúde, por meio da Coordenação-Geral de Alimentação e Nutrição (CGAN) em parceria com a Rede Internacional em Defesa do Direito de Amamentar (IBFAN Brasil) propuseram a Estratégia Nacional para Alimentação Complementar Saudável (ENPACS) como um instrumento de fortalecimento às ações de apoio e promoção à alimentação complementar saudá-vel no Sistema Único de Saúde.…”

Children&rsquo;s Menu Diversity: Influence on Fluoride Absorption and Excretion

“…Nevertheless, the fact that meals consumed by children differ in quantity, quality, and diversity from those consumed by adults must be taken into consideration because this is related to the socioeconomic conditions of families, seeing that the adoption of healthier items of food was associated with groups of higher socioeconomic levels. [17][18][19] Previous studies on the topic have considered the menus of main meals including four slices of bread, ham, roast beef, and mayonnaise; French fries, an apple, and 300 mL of orange juice; rice (170 gm), meat, and potatoes (160 gm); and lettuce, cucumber, and tomato salad (60 gm), which differ in quantity and quality from the meals consumed by children. [14][15][16] Fluoride is one of the most widely used dental products for professional application in dental offices, and its clinical efficacy has been demonstrated in controlled studies.…”

Mothers’ perception of nurses’ breastfeeding promotion practices

“…É importante, também, reconhecer a mulher como elemento fulcral na amamentação valorizando a realidade da experiência vivida por cada mãe, o que constitui um momento significativo para ela, de modo que a mesma, em consonância com o seu real desejo, expresse a sua opção, independente das pressões sociais a que está sujeita (Cunha, Santos, & Gonçalves, 2012). Muitas vezes, o enfoque das intervenções dos profissionais de saúde são os benefícios biológicos e emocionais para a criança, baseados em justificações científicas, descurando as dimensões psicossociais (Bassichetto & Réa, 2008). Só o conhecimento correto, permanente e renovado deste tema e dos fatores sociais e culturais da comunidade onde se insere, permitirão o estabelecimento de programas e práticas informativas e formativas adequadas às necessidades de cada mulher, com medidas concretas e efetivas que promovam, protejam e suportem esta prática.…”