Early feeding practices and consumption of ultraprocessed foods at 6 y of age: Findings from the 2004 Pelotas (Brazil) Birth Cohort Study

Bielemann, Renata Moraes; Santos, Leonardo Pozza; Costa, Cleide; Matijasevich, Alícia; Santos, Iná S.

doi:10.1016/j.nut.2017.09.012

Cited by 42 publications

(42 citation statements)

References 37 publications

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“…We did not however, find an independent association with discretionary food intake and maternal education reported in other studies [41,51,[53][54][55][56]. Nor did we find an independent association between age of introduction of complementary foods and intake of discretionary foods reported in other studies [57]. Both level of maternal education and age of introduction of complementary foods were significantly associated with energy intake from discretionary food in the simple model but not in the adjusted model.…”

Section: Discussioncontrasting

confidence: 87%

Sources and Determinants of Discretionary Food Intake in a Cohort of Australian Children Aged 12–14 Months

Coxon

Devenish

et al. 2019

IJERPH

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Despite recommendations to the contrary, consumption of discretionary (energy-dense, nutrient-poor) foods begins for some children early in the weaning period, and the proportion of children consuming discretionary foods increases markedly in the second year of life. The purpose of this study was to determine intake and sources of discretionary foods in a cohort of 828 Australian toddlers (mean age: 13.1mo), and to identify determinants of discretionary food intake. At approximately 12 months of age, 3 non-consecutive days of dietary intake data were collected using a 24-h recall and 2-day food record, and the percentage total energy derived from discretionary foods was estimated. Linear regression was used to identify associations between discretionary food intake and socio-demographic determinants (mother’s age, level of education, country of birth, pre-pregnancy body mass index, socioeconomic position, parity, age of child when mother returned to work, and child’s sex) and age at which complementary foods were introduced. The average energy intake of children in this cohort was 4040 (±954.7 SD) kJ with discretionary foods contributing an average of 11.2% of total energy. Sweet biscuits, and cakes, muffins, scones and cake-type desserts contributed 10.8% and 10.2% of energy intake from discretionary foods, respectively. Other key contributors to energy intake from discretionary foods included sausages, frankfurters and saveloys (8.3%), vegetable products and dishes where frying was the main cooking technique (8.6%), butter (7.3%), and finally manufactured infant sweet or savory snack foods (9.3%). Higher intakes of discretionary food were associated with children having two or more siblings (p = 0.002), and being born to younger mothers (<25 years) (p = 0.008) and mothers born in Australia or the United Kingdom (p < 0.001). Parents, in particular young mothers and those with larger families, need practical guidance on how much of, and how often, these foods should be eaten by their children.

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Section: Discussioncontrasting

confidence: 87%

Sources and Determinants of Discretionary Food Intake in a Cohort of Australian Children Aged 12–14 Months

Coxon

Devenish

et al. 2019

IJERPH

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“…Few studies have assessed the energy contribution of ultraprocessed foods in children's diets, which is recognized as an important determinant of the nutritional quality of diets (Food and Agriculture Organization, 2015). Studies carried out with Brazilian children under 10 years old showed that about 40% (variation between 36.1% and 48.6%) of total dietary energy intake came from ultraprocessed foods (Barcelos, Rauber, & Vitolo, 2014;Bielemann, Santos, dos Santos Costa, Matijasevich, & Santos, 2018;Leite et al, 2016;Karnopp et al, 2016;Sparrenberger, Friedrich, Schiffner, Schuch, & Wagner, 2015;Rauber et al, 2015), whereas amongst Colombian children aged 5 to 12 years old, the contribution was 34.4% (Cornwell et al, 2018). Then, the share of ultraprocessed foods in children's diets in the United Kingdom as observed in this study was almost 1.6 times higher than those observed in the Latin American countries (Barcelos et al, 2014;Bielemann et al, 2018;Cornwell et al, 2018;Karnopp et al, 2016;Leite et al, 2016;Rauber et al, 2015;Sparrenberger et al, 2015), nations in which dietary patterns are based on unprocessed and minimally processed foods.…”

Section: Discussionmentioning

confidence: 99%

Association between watching TV whilst eating and children's consumption of ultraprocessed foods in United Kingdom

Martines

Machado

Neri

et al. 2019

Maternal & Child Nutrition

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This study aimed to assess the association between watching TV whilst eating and consumption of ultraprocessed foods amongst children aged 4–10 years old in the United Kingdom. Cross‐sectional data from the UK National Diet and Nutrition Survey (NDNS 2008–2012) were analysed. Dietary data were derived from 4‐day food diaries of 1,277 children, and the dietary contribution of ultraprocessed foods was assessed. Meals were classified based on time of day in which foods were consumed (lunch: 11 pm–3 pm and dinner: 6 pm–9 pm). Crude and adjusted linear regression models were employed to verify the effect of watching TV during meals on dietary contribution of ultraprocessed foods (% of total energy intake). More than 70% of the children watched TV during meals, and 31.4% presented the behaviour on both “lunch and dinner.” Children's mean total energy intake was 1,532.3 kcal/day, of which 65.8% came from ultraprocessed foods. Findings indicated that children who watched TV whilst having both meals (lunch and dinner) consumed on average 85.5 kcal/day and 6.1% more energy from ultraprocessed foods than those who did not. Children who watched TV only during dinner consumed on average 37.1 kcal/day and 3.4% more energy from ultraprocessed foods than those who did not. The behaviour of watching TV whilst eating meals was associated with higher total daily consumption of ultraprocessed foods by children in the United Kingdom. Therefore, interventions designed to promote healthy eating habits should include aspects related to the context of meals.

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“…26 A cohort study conducted in Pelotas City, Rio Grande do Sul State, found that adequate eating practices, such as EBF and adequate introduction of complementary feeding were associated with lower consumption of ultra-processed foods at six years of age. 27 Processed and ultra-processed food had a median introduction of ten and seven months, respectively, and consumption increased gradually with age. For cookies, introduction occurred before 18 months old for 100% of children.…”

Section: Discussionmentioning

confidence: 99%

Charcterization of Feeding of Children Under 24 Months in Units Cared by the Family Health Strategy

Souza

Ferreira

Lamounier

et al. 2020

Rev. paul. pediatr.

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Objective: To describe the median age of introduction and regular food intake by young children in units of the Family Health Strategy. Methods: Cross-sectional study with 283 young children chosen by uniform stratified cluster sampling. Socio-demographic data on the mother and the child’s food intake were collected (age of food introduction and weekly frequency). Foods were grouped into in natura/minimally processed (G1); culinary ingredients (G2); processed (G3) and ultra-processed (G4). The survival analysis was applied to define the median age of food introduction and the chi-square test was used to compare the frequency of food intake, according to the age range (0-5.9; 6-11.9; and 12-23.9 months old). Results: The median duration of exclusive breastfeeding and breastfeeding were three and 19 months, respectively. The age of median food introduction of G1 was six months, except for eggs, milk and coffee (12 months). For oil and salt (G2), the median was 6 months, and for sugar (G2), seven months. The median age of introduction of most food of G4 was 12 months; for infant formulas, it was seven months; cookies and baby food, eight months. Most food had not yet been introduced for children under six months old. For children from six to 11.9 months old, the regular consumption of G4 (≥5 days/week) was higher for cookies (23.8%), bread (21.2%), infant formulas (21.2%) and baby food (35%); and for children from 12 to 23.9 months old, it was higher for cookies (31.2%), bread (57.5%) and baby food (48.7%). Conclusions: Food introduced and consumed on a regular basis was mainly in natura, at all ages. Processed and ultra-processed food presented a higher frequency of consumption after 12 months old.

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Early feeding practices and consumption of ultraprocessed foods at 6 y of age: Findings from the 2004 Pelotas (Brazil) Birth Cohort Study

Cited by 42 publications

References 37 publications

Sources and Determinants of Discretionary Food Intake in a Cohort of Australian Children Aged 12–14 Months

Sources and Determinants of Discretionary Food Intake in a Cohort of Australian Children Aged 12–14 Months

Association between watching TV whilst eating and children's consumption of ultraprocessed foods in United Kingdom

Charcterization of Feeding of Children Under 24 Months in Units Cared by the Family Health Strategy

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