Práticas alimentares no primeiro ano de vida de filhos de adolescentes

Abstract

ObjetivoEstudar as práticas alimentares de menores de um ano, filhos de adolescentes, residentes no município de Volta Redonda (RJ). MétodosEstudo transversal com 1.014 crianças selecionadas aleatoriamente na Campanha de Multivacinação de 2006, com aplicação de questionário fechado (recordatório de 24h). Foram analisadas características das mães e de seus filhos. As prevalências de aleitamento materno, aleitamento materno exclusivo, aleitamento materno predominante, a oferta de outros leites, a alimentação no primeiro dia em casa, a alimentação complementar oportuna, a oferta de sólidos ou semi-sólidos, e o uso de chupetas e mamadeiras foram investigadas. ResultadosAs prevalências aleitamento materno, aleitamento materno exclusivo e aleitamento materno predominante foram 85,5%, 32,0% e 9,6%, respectivamente, sem diferenças entre filhos de adolescentes e adultas. A oferta de outros leites, entretanto, foi significativamente maior junto aos filhos de adultas (45,3%, contra 31,2% observados entre adolescentes). Maiores de seis meses, filhos de adolescentes, revelaram menor prevalência de aleitamento materno que os de adultas (49,2% e 66,0%, respectivamente), assim como maior frequência no uso de chupetas, com diferenças significativas. A alimentação complementar foi similar entre filhos de adolescentes e adultas, com predominância da oferta de sopas ou papas. Carne e feijão foram utilizados com mais frequência em sólidos. ConclusãoNão foram observadas diferenças no aleitamento considerando a variável idade materna, adolescente ou não, antes de seis meses de vida e sim após esse período. Nos maiores de seis meses, chama também a atenção o

Complementary feeding patterns in the first year of life in the city of Rio de Janeiro, Brazil: time trends from 1998 to 2008

“…The second set, which included multivariate regression models, aimed to control the possible effect that changes in maternal characteristics: age (< 20, 20-24, 25-29, 30-34 e ≥ 35 years), schooling (< 7, 8-10 e ≥ 11 years), primiparity (yes/no), and work (yes/no); might have on the estimated proportions. Such maternal characteristics were elected as possible confounding variables due to their association with feeding practices in children < 1 year, as described in other studies 13,16,17,18 .…”

Fatores relacionados à autoeficácia na amamentação no pós-parto imediato entre puérperas adolescentes

“…For adolescents, the association of age with personal factors increases the risk of early weaning compared with adult women. (7) In addition, cultural habits and social norms, as well as difficulties in the first day after delivery and support received from family, especially from their mothers, influence the behavior of adolescents concerning breastfeeding. (7,8) Other factor that influences both beginning and maintenance of breastfeeding is maternal confidence in the ability of breastfeeding, which is constructed and maintained by personal support and situations experienced by the woman.…”

“…(7) In addition, cultural habits and social norms, as well as difficulties in the first day after delivery and support received from family, especially from their mothers, influence the behavior of adolescents concerning breastfeeding. (7,8) Other factor that influences both beginning and maintenance of breastfeeding is maternal confidence in the ability of breastfeeding, which is constructed and maintained by personal support and situations experienced by the woman. (9)(10)(11) Maternal confidence is also called breastfeeding self-efficacy, which is a changeable and easy to access variable by health professionals.…”

Comparison of Breastfeeding Self-Efficacy Between Adolescent and Adult Mothers at a Maternity Hospital in Ribeirão Preto, Brazil

“…[8][9][10][11] Some authors appoint, however, that the association between personal factors and the condition of being an adolescent and having an intimate partner increases the risk of early weaning for the adolescents in comparison with the adult mothers. 12 On the other hand, there is a higher prevalence of starting breastfeeding among adult women, who are also more prone to breastfeeding longer than the adolescents. 10,[13][14][15][16] Among adults as well as adolescents, it is observed that some of the variables related to the duration of the breastfeeding, such as the perception of little milk, personal and professional support and the experiences lived involve the construction or maintenance of maternal trust in one's ability to cope with a complex situation, which is the case of maternal breastfeeding.…”