Sociodemographic, anthropometric and behavioural risk factors for ultra-processed food consumption in a sample of 2–9-year-olds in Brazil

Mais, Laís Amaral; Warkentin, Sarah; Vega, Jesús; Latorre, Maria do Rosário Dias de Oliveira; Carnell, Susan; Taddei, José Augusto de Aguiar Carrazedo

doi:10.1017/s1368980017002452

Cited by 30 publications

(46 citation statements)

References 63 publications

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“…LBW infants whose mothers had eight years or less of schooling and did not work outside the home had lower dietary diversity. The negative association between maternal education and diet quality, characterized by high UPF consumption and low diet adequacy 27 , as well as between maternal work and inappropriate eating practices, is consistent with findings in countries in Africa, Asia and Latin America, including Brazil 28 .…”

Section: Caracteristics Of Sample N Total or Median A % By Category Osupporting

confidence: 84%

Feeding practices of low birth weight Brazilian infants and associated factors

2020

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OBJECTIVE: To characterize complementary feeding and to analyze the influence of individual and contextual factors on dietary practices of low birth weight infants. METHODS: This cross-sectional study included 2,370 low birth weight infants aged 6 to 12 months included in the Breastfeeding Prevalence Survey in Brazilian Municipalities (2008), which covered the 26 state capitals, the Federal District and 37 municipalities. Dietary practices were assessed using two indicators: I) dietary diversity, characterized by the consumption of five food groups: meat, beans, vegetables, fruit and milk; II) consumption of ultra-processed foods, characterized by the ingestion of at least one of the following foods on the day prior to the survey: soda, or processed juice, or cookie, cracker and crisps. The covariates of interest were the socioeconomic characteristics of infants, mothers and health services. The contextual factor was the “municipal prevalence of child undernutrition.” The individualized effect of the study factors on outcomes was assessed by multilevel Poisson regression. RESULTS: Approximately 59% of infants consumed ultra-processed foods, while 29% had diverse feeding. Mothers living in municipalities with child undernutrition prevalence below 10%, with higher education and working outside the home were more likely to offer dietary diversity. Consumption of ultra-processed foods was higher among infants living in municipalities with child undernutrition prevalence below 10%, whose mothers were younger and multiparous. CONCLUSIONS: The low prevalence of diverse feeding combined with the high prevalence of ultra-processed food consumption characterizes the low quality of feeding of low birth weight Brazilian infants. Individual and contextual factors impact the feeding quality of this population, suggesting the need for effective strategies to increase the consumption of fresh and minimally processed foods and decrease the consumption of ultra-processed foods by this vulnerable population.

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Section: Caracteristics Of Sample N Total or Median A % By Category Osupporting

confidence: 84%

Feeding practices of low birth weight Brazilian infants and associated factors

2020

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“…Together these studies support straightforward immediate effects of promoting intake, with potentially positive direct consequences for intake, depending on the food encouraged. Further, consistent with the prediction that less controlling forms of limitation should have more beneficial effects on child intake, Monitoring has been associated with lower intake of sugar‐sweetened beverages assessed via 24 h dietary recall in 5–10 year‐olds 14 and decreased consumption of foods high in fat, sugar and salt assessed via food frequency questionnaire (FFQ) among preschoolers 15,16 and school‐aged children 17 . However, a Portuguese study including 4 year‐old children reported that greater Monitoring (i.e.…”

Section: Introductionsupporting

confidence: 52%

Controlling and less controlling feeding practices are differentially associated with child food intake and appetitive behaviors assessed in a school environment

et al. 2020

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Background: Child food intake and appetitive behaviors show an inconsistent pattern of associations with parental feeding practices. Relationships likely vary depending on parent feeding style, and on the method by which child eating behaviors are measured. Objectives: We tested relationships of controlling and less controlling forms of parental promotion and limitation of eating with food intake and appetitive behaviors assessed in preschoolers' normal school environments. Methods: As part of a 5-day protocol, preschoolers consumed standardized lunches, and caloric compensation, eating rate and eating in the absence of hunger were assessed. Feeding practices were measured using the Child Feeding Questionnaire (CFQ) and Parent Feeding Styles Questionnaire (PFSQ). CFQ-Pressure to eat and CFQ-Restriction were controlling forms of promotion/limitation of child intake, and CFQ-Monitoring and PFSQ-Prompting to eat were less controlling forms. Results: Children (3-5y, n = 70) of parents with higher CFQ-Pressure to eat scores showed lower total intake, consuming significantly fewer calories from bread, snacks and fruits and vegetables. Higher PFSQ-Prompting to eat was associated with lower fruit and vegetable intake only. CFQ-Restriction and CFQ-Monitoring scores were unassociated with food intake. Higher CFQ-Pressure to eat was associated with slower eating rate, while higher CFQ-Monitoring was associated with lower intake in absence of hunger. Conclusions: Parental promotion and limitation of intake were associated with preschoolers' eating behaviors assessed in an ecologically valid setting, without parents present. Controlling and less controlling forms showed differential patterns of associations. Results were consistent with child-to-parent and parent-to-child effects, but research using longitudinal designs is needed to test bidirectional relationships.

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“…Table 1 presents a summary of seven cohort studies from HHDC and MHDC [ 21 , 24 , 26 , 28 , 29 , 42 , 63 ]. Table 2 presents a summary of 19 cross-sectional or cohort studies with cross-sectional analysis from HHDC [ 20 , 23 , 27 , 40 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 53 , 64 , 65 , 66 , 67 , 68 , 69 , 70 ], and Table 3 presents a summary of 16 cross-sectional studies from MHDC [ 22 , 25 , 30 , 31 , 32 , 33 , 38 , 41 , 47 , 50 , 51 , 52 , 60 , 70 , 71 , 72 ]. The studies conducted by Borges et al [ 47 ] and by Manyanga et al [ 70 ] included HHDC, MHDC and LHDC.…”

Section: Resultsmentioning

confidence: 99%

“…Thirty-three articles had a cross-sectional design [ 20 , 22 , 23 , 25 , 27 , 30 , 31 , 32 , 33 , 38 , 40 , 41 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 60 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 ], and seven of the remaining articles were cohorts studies [ 21 , 24 , 26 , 28 , 29 , 42 , 63 ]. Sample size ranged widely, from 232 [ 30 ] to 18,046 subjects [ 60 ].…”

Section: Resultsmentioning

confidence: 99%

“…Sample size ranged widely, from 232 [ 30 ] to 18,046 subjects [ 60 ]. Twenty-three studies were carried out between 2001 and 2010 [ 23 , 26 , 27 , 28 , 29 , 30 , 31 , 38 , 40 , 42 , 43 , 44 , 45 , 46 , 47 , 49 , 50 , 51 , 53 , 60 , 63 , 68 , 69 ], eight were conducted before 2000 [ 20 , 21 , 22 , 24 , 25 , 64 , 65 , 67 ] and nine after 2010 [ 32 , 33 , 42 , 48 , 52 , 66 , 70 , 71 , 72 ]. The study conducted by Abdulla et al [ 41 ] did not describe the year in which it was conducted.…”

Section: Resultsmentioning

confidence: 99%

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Dietary Patterns of Children and Adolescents from High, Medium and Low Human Development Countries and Associated Socioeconomic Factors: A Systematic Review

et al. 2018

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The purpose of this systematic review is to assess the associations among education, income and dietary pattern (DP) in children and adolescents from high, medium and low human development countries (HHDC, MHDC and LHDC, respectively). Observational studies that evaluated the association between family income or education with the DP are obtained through electronic database searches. Forty articles are selected for review. In HHDC, education is inversely associated with “unhealthy” DP and positively associated with “healthy” DP. In cross-sectional studies from HHDC, higher income is negatively associated with “unhealthy” DP. In MHDC, there is no association between the socioeconomic variables (SE) and the DPs, although, in some studies, the unhealthy diet is positively associated with SE. Only one study conducted in LHDC showed an inverse association between income/education with “unhealthy” DP and there is no association between the SE and “healthy” DP. In conclusion, children and adolescents living in HHDC with high parental education tend to have a healthier diet. In MHDC, although an unhealthy diet is found among the high-income and educated population, the associations are not clear. Additional research is needed to clarify the associations between income and education with “unhealthy” and “healthy” DPs in MHDC and LHDC.

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Sociodemographic, anthropometric and behavioural risk factors for ultra-processed food consumption in a sample of 2–9-year-olds in Brazil

Cited by 30 publications

References 63 publications

Feeding practices of low birth weight Brazilian infants and associated factors

Feeding practices of low birth weight Brazilian infants and associated factors

Controlling and less controlling feeding practices are differentially associated with child food intake and appetitive behaviors assessed in a school environment

Dietary Patterns of Children and Adolescents from High, Medium and Low Human Development Countries and Associated Socioeconomic Factors: A Systematic Review

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