Banca de DEFESA: EVA DÉBORA DE OLIVEIRA ANDRADE

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : EVA DÉBORA DE OLIVEIRA ANDRADE
DATE: 17/09/2021
TIME: 14:00
LOCAL: Sessão pública realizada por meio de vídeo conferência
TITLE:

Evolution of food practices in children under two years of age: an analysis of the brazilian coort of the MAL-ED study

KEY WORDS:

Complementary feeding, breastfeeding, children, breastfeeding, ultra-processed foods

PAGES: 71
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUMMARY:

Infant and young child feeding practices impact children's nutritional and health status, influencing growth and development. Few studies have prospectively evaluated these practices, considering characteristics of the foods consumed, such as their degree of processing. This study aimed to characterize the evolution of infant feeding practices in children under two years of age, considering the World Health Organization (WHO) core indicators and the degree of processing of the consumed food. This study is part of the Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and Consequences for Child Health (MAL-ED) study, a birth cohort carried out, in Brazil, in the community of Parque Universitário in Fortaleza-CE. For this study, children from the Brazilian MAL-ED cohort were evaluated at 9 (n=193), 15 (n=182) and 24 months (n=164). Infant feeding practices were analyzed using 24-hour recalls, using the WHO core indicators. Foods consumed were also categorized into unprocessed food, minimally processed, processed and ultra-processed food products. Logistic regression models were built to determine socioeconomic variables and dietary practices associated with the consumption of ultra-processed foods at 9, 15 and 24 months of age. Breastfed children decreased over time, from 77.6% at 9 months to 55.0% at 15 months and 45.1% at 24 months. The minimum meal frequency was reached by 88.6% of children at 9 months, 99.5% at 15 months and 97% at 24 months. Dietary diversity was achieved by 81.9%, 95.1% and 98.2% of children at 9, 15 and 24 months.The minimum acceptable diet was reached by 74.6%, 95.1% and 95.1% of the studied children at 9, 15 and 24 months. The quantity and frequency of unprocessed food consumption decreased from 9 to 24 months of age (p < 0.05); while the quantity and frequency of consumption of ultra-processed foods increased (p < 0.05). Among the factors associated with higher consumption of ultra-processed foods, logistic regressions showed that children who were breastfed at 24 months had a lower chance of high consumption of ultra-processed foods (OR = 0.42; 95% CI = 0.19 - 0, 95). Data showed that although breastfeeding decreased over the studied period, most of the children reached the WHO core indicators. However, when observing the foods consumed, considering the level of processing, there was an increase in the consumption of ultra-processed foods and a decrease in unprocessed foods, which may be unfavorable to the children's health. Breastfeeding was an important protection variable against a greater consumption of ultra-processed foods at 2 years of life.

BANKING MEMBERS:
Presidente - 2646462 - BRUNA LEAL LIMA MACIEL
Externa à Instituição - DANIELA VASCONCELOS DE AZEVEDO
Interna - 2578592 - KARLA DANIELLY DA SILVA RIBEIRO RODRIGUES