Evolution of infant feeding practices in children from 9 to 24 months, considering complementary feeding indicators and food processing

Results from the Brazilian cohort of the MAL‐ED study

Datos Bibliográficos

ID15536690
AutoresEva Débora de Oliveira Andrade (0000-0002-1872-4088, Universidade Federal do Rio Grande do Norte), Amanda de Sousa Rebouças (0000-0002-4222-4761, Universidade Federal do Rio Grande do Norte), José Q S Filho (0000-0002-9619-4553, Universidade Federal do Ceará), Ramya Ambikapathi (0000-0002-2013-2516, Purdue University West Lafayette), Laura E Caulfield (0000-0001-7152-1004, Johns Hopkins University), Aldo  M Lima (0000-0002-0299-1747, Universidade Federal do Ceará), Bruna LL Maciel (0000-0002-0724-1961, Universidade Federal do Rio Grande do Norte, autor de correspondencia)
Año2022
Volumen18
Número4
Páginase13413-e13413
Fecha de publicación2022-08-15
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaMaternal and Child Nutrition (JOURNAL)
Identificadores de la revistaISSN: 1740-8695 • E-ISSN: 1740-8709
EditorialWiley (PUBLISHER • GB)
DOI10.1111/mcn.13413
PMID35971636
OpenAlexW4292185508
IdiomaEN
Citas recibidas2
Referencias citadas52

Infant feeding practices impact children's nutritional and health status, influencing growth and development. This study aimed to analyse the evolution of infant feeding practices from 9 to 24 months of age, considering infant and young child feeding (IYCF) indicators and food processing. The infant feeding practices in children from the Brazilian site of the MAL-ED study were evaluated at 9 (n = 193), 15 (n = 182) and 24 months (n = 164) using 24-h dietary recalls. IYCF indicators were evaluated, and the extent of food processing was evaluated, using the NOVA classification. Breastfeeding declined significantly over time, from 77.6% at 9 months to 45.1% at 24 months. Although dietary diversity did not significantly change during the study period (80.5% at 24 months), the minimum acceptable diet significantly increased from 67.9% to 76.1% at 24 months (p < 0.0005). All the studied children consumed sweetened beverages from 9 months. Unhealthy food consumption and zero vegetable or fruit consumption significantly increased over time (p < 0.0005). Unprocessed food consumption decreased from 9 to 24 months of age (p < 0.0005), while ultra-processed food consumption increased (p < 0.0005) during the study period. Logistic regressions showed that, at 9 months, breastfed children presented a lower risk for ultra-processed food consumption (odds ratio [OR] = 0.31; 95% confidence interval [CI] = 0.13-0.77); and children reaching the minimum acceptable diet presented more risk for ultra-processed food consumption (OR = 2.31; 95% CI = 1.01-5.27). In conclusion, data showed a reduction in the quality of infant feeding practices over the first 2 years of life, with a decrease in breastfeeding and an increase in the consumption of unhealthy and ultra-processed foods

Breast feeding · Breastfeeding · Cohort study · Confidence interval · Consumption (sociology · Dietary diversity · Environmental health · Food consumption · Food group · Food intake · Food security · Infant feeding · Infant formula · Logistic regression · Odds ratio · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Demography · Medicine · Obesity, Physical Activity, Diet · Internal Medicine · Pediatrics