Quality of complementary feeding and its effect on nutritional status in preterm infants: a cross‐sectional study

Ribas, Simone Augusta; Rodrigues, Maura Calixto Cecherelli de; Mocellin, Michel Carlos; Marques, Emanuele Souza; Rosa, Glorimar; Maganha, C R

doi:10.1111/jhn.12762

Cited by 11 publications

(23 citation statements)

References 34 publications

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“…The mothers in our study who had the most years of schooling were those whose children scored the highest (>80 points). These results are consistent with findings from other studies on infant feeding conducted in Brazil, as well as with studies from other countries (42,52,(54)(55) .…”

Section: Accepted Manuscriptsupporting

confidence: 93%

“…Regarding the other explanatory variables investigated in the study, we found that only the variables birth weight to gestational age and maternal schooling were able to influence the quality of the diet. These findings may be partially justified due to parents' anxiety in recovering the weight or stature of their children, especially for infants born with low birth weight according to gestational age, such worry often results in the early introduction of foods with high energy density and exposure to ultraprocessed products (45,(52)(53) . The mothers in our study who had the most years of schooling were those whose children scored the highest (>80 points).…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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Cross-cultural measurement equivalence of the Healthy Eating Index adapted version for children aged 1–2 years

et al. 2020

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The objectives of this study were to evaluate the cross-cultural measurement equivalence of the Healthy Eating Index (HEI) for children aged 1 to 2 years and to analyse the quality of nutrition of preterm infants. This was a cross-sectional study with 106 premature infants attended in two specialized outpatient clinics of university hospitals. The quality of the diet was analysed through an adapted HEI to meet the dietary recommendations of Brazilian children aged 1 to 2 years. 24-hour recalls measured food consumption. The reliability of the instrument was evaluated by internal consistency analysis and inter-observer reliability using Conbrach’s alpha coefficient and Kappa with quadratic ponderation. The construct validity was evaluated by the Principal Component Analysis and by Spearman’s correlation coefficient with total energy and consumption of some groups’ food. The diet quality was considered adequate when the total HEI score was over 80 points. Cronbach’s alpha was 0.54. Regarding inter-observer reliability, ten items showed strong agreement (k>0.8). The items scores had low correlations with energy consumed (r ≤ 0.30), and positive and moderate correlation of fruit (r=0.67), meat (r=0.60) and variety of diet (r=0.57) with total scores. When analysing the overall quality of the diet, most patients need improvement (median 78.7 points), which can be attributed to low total vegetable intake and the presence of ultra-processed foods in the diet. The instrument showed auspicious psychometric properties, being promising to evaluate the quality of the diet in children aged 1 to 2 years.

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Section: Accepted Manuscriptsupporting

confidence: 93%

Section: Accepted Manuscriptmentioning

confidence: 99%

Cross-cultural measurement equivalence of the Healthy Eating Index adapted version for children aged 1–2 years

et al. 2020

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“…Moreover, the consumption of PF, together with early introduction of wheat, cow's or formula milk and shorter duration of BF interfere on diet quality, which may affect nutritional status at two years of age [38]. In the present study, Null and Mild severity scores demonstrated better rates of general and EBF and non EBF time, evidencing possible mutual protective effect.…”

Section: Discussionsupporting

confidence: 45%

Infant Processed Food Consumption and their Interaction to Breastfeeding and Growth in Children up to Six Months Old

Neves

Guimarães

Bosa

et al. 2020

Preprint

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Background Evidences suggest that early processed food consumption may cause harms to infant health. During the first six months of life, it is not known whether timing and quantity of this food group can impact in breastfeeding and growth. The aim was to analyze the interaction between infant processed food consumption and their relation to breastfeeding and infant growth up to six months old. Methods Longitudinal study with a sample of newborns in Porto Alegre, Brazil. Data were collected in six interviews, from birth to six months, in a sample of infants with adverse intrauterine environments. Processed food consumption was calculated by gravity score food (GSF) in relation to feeding supply quality and time. For the analysis, the scores were divided into tertiles, making scores severities: Null, Mild, Moderate and Severe. It was tested its interaction with breastfeeding (exclusive and nonexclusive) and growth (analyzed in Z-scores, by weight for height and body mass index for age). Results A total of 236 infants were included in the study. Greater GSF were associated with better rates of breastfeeding practices and higher growth indicators scores in the sixth month of infants. The adjusted analyzes for family income, maternal age and pre-gestational body mass index confirmed these findings. Conclusion The harms of eating processed foods are more evident the greater and earlier they are consumed, in relation to breastfeeding and infant growth. Future studies should explore interventions to reduce consumption of these foods to prevent adverse health outcomes in later life.

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“…The studies included in the qualitative synthesis were published between 2000 and 2020, with the majority (n 26) after 2010 (26,27,29,(31)(32)(33)(34)(35)(36)(37)(38)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(52)(53)(54)56) . Six studies were published between 2019 and 2020 (27,37,42,45,50,53) . The sample ranged from eighty-two (28) to 12 146 (56) participants.…”

Section: Overview Of the Studiesmentioning

confidence: 99%

“…Twenty-four studies employed a cross-sectional design (10,(25)(26)(27)(28)(29)31,32,34,37,38,40,43,44,48,49,(52)(53)(54)(56)(57)(58)(59) , six were longitudinal studies (36,39,42,(45)(46)(47) , five were intervention studies (30,33,35,41,50) and one presented cross-sectional and longitudinal analyses (55) .…”

Section: Overview Of the Studiesmentioning

confidence: 99%

Indexes to assess feeding practices of children under 2 years old: a systematic review

Silva

Lyrio

Cruz

et al. 2021

Public Health Nutr.

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Objective: To systematically review studies that used indexes to assess feeding practices of children under 2 years. Design: Seven databases were searched with no limit on language or publication date. Setting: The reviewed studies included 13 Asian, 10 Latin American, 4 European, 4 North American, 3 Oceanian, and 3 African. Participants: Children under 2 years. Results: We analyzed 36 studies: 22 presenting original indexes and 14 using adapted indexes. Among the original indexes, 13 assess breastfeeding, 14 food consumption, 10 food groups, and 10 other feeding practices. Original indexes were mainly adapted to fit the data available in the study, to update for current nutritional recommendations, or to add components not present in the original indexes. Seven studies evaluated the associations between the indexes and nutrient intake or nutritional status. The main limitations cited by the authors were: flaws in the definition of the index components, criteria for cut-off points, and weighting of the evaluated index components. Conclusions: The assessment of feeding practices for young children and its comparison across countries remains a challenge, especially due to the lack of consensus on the construction of indexes and regional differences in dietary recommendations and practices. Lack of validation for some indexes also makes it difficult to choose the most appropriate index for a given objective. Adapting existing indexes is a viable option. We point out relevant recommendations that may contribute to future research. Validation and longitudinal studies in diverse populations are favorable to qualify the assessment of feeding practices in this group.

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Quality of complementary feeding and its effect on nutritional status in preterm infants: a cross‐sectional study

Cited by 11 publications

References 34 publications

Cross-cultural measurement equivalence of the Healthy Eating Index adapted version for children aged 1–2 years

Cross-cultural measurement equivalence of the Healthy Eating Index adapted version for children aged 1–2 years

Infant Processed Food Consumption and their Interaction to Breastfeeding and Growth in Children up to Six Months Old

Indexes to assess feeding practices of children under 2 years old: a systematic review

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