Adherence to dietary recommendations for preschoolers: clinical trial with teenage mothers

Abstract

OBJECTIVE To assess the effect of educational dietary intervention offered in the child’s first year of life, as well as teenage mothers and grandmothers in carrying out the dietary recommendations at four to seven years.METHODS Randomized clinical trial initiated in 2006, in Porto Alegre, RS, involving 323 teenage mothers and grandmothers who cohabited. The intervention consisted of six counseling sessions on breastfeeding and healthy complementary feeding. The first session occurred in the maternity ward and the other ones in the households of mothers at seven, 15, 30, 60, and 120 days of the child’s life. The information about the child’s diet were obtained on a monthly basis in the first six months, every two months in the second half-year, and at four to seven years, using a food frequency questionnaire. To assess the adequacy of food consumption to the recommendations from the Ministry of Health, we elaborated a score system that would reflect the compliance with the Ten Steps for Healthy Toddlers from 2 to 10 Years. The average scores of intervention and control groups were compared using the t-test.RESULTS Low adherence to recommendations on child nutrition was found in the study population, with no difference in implementation the steps between the groups. The score on the compliance with the steps was similar in both groups (9.6 [SD = 1.63] and 9.3 [SD = 1.60] in the intervention and control groups, respectively) and no influence of the cohabitation with the grandmother was found.CONCLUSIONS Educational dietary intervention in the first four months of the child’s life for teenage mothers and grandmothers had no effect on the compliance with the recommendations at four to seven years of the child’s life.

Consumo infantil de alimentos: ¿relación con el estado nutricional materno?

“…Según nuestro estudio, los hábitos nutricionales de los niños se forman en las primeras etapas de sus vidas y dependen de una compleja red de factores fisiológicos y ambientales 24 Entre los factores ambientales se encuentran las relaciones con padres, familiares, amigos, colegas y otras personas que tienen cierta proximidad con el niño, entre estos grupos destaca la familia, y dentro de esto la madre como la principal influencer en hábitos alimenticios 5 .…”

Effect of a healthy eating intervention in the first months of life on ultraprocessed food consumption at the age of 4–7 years: a randomised clinical trial with adolescent mothers and their infants

“…We used Poisson regression model with robust variance to estimate the effects of the intervention and breastfeeding duration on the prevalence of high UPF consumption (highest tertile), compared to low consumption (other two tertiles). The intervention and control groups were not stratified by maternal grandmothers' cohabitation, considering it did not influence previously published results of the RCT (25,26). Model 1 (crude model) is univariable.…”

Aleitamento materno e os motivos do desmame precoce no município de Porto Velho/RO

“…O resultado confirma o que dizem algumas pesquisas de artigos científicos que apresentam um grande índice aos resultados do fato de ter que voltar ao trabalho. (SOLDATELLI BE, et al, 2016). De acordo com a nossa pesquisa, a forma que mais facilitaria quanto à maior durabilidade da amamentação, seria elas não trabalhassem fora de casa pois, às vezes, o fim da licença maternidade coincide com o término do período de aleitamento materno exclusivo (AME) ou dependendo da empresa se ela e privada ou pública.…”

“…A inserção de outros alimentos antes dos seis meses idade, principalmente no período em que deve haver a alimentação exclusiva por meio do aleitamento materno, influencia, de forma direta, na indução do consumo de açúcares, sódio e outros elementos, prejudicando a criança que ainda está em uma fase na qual o seu corpo ainda está em processo de desenvolvimento, favorecendo de forma significativa a queda da qualidade da saúde destas crianças, impactando na vida adulta (SOLDATELLI BE et al, 2016). Alvarenga SC, et al (2018), descreve em seus estudos que, com o avanço das pesquisas na área da saúde, foi possível encontrar diversos fatores que contribuem para o adoecimento da população brasileira.…”