Association between the consumption of ultra-processed foods and the practice of breast-feeding in children under 2 years of age who are beneficiaries of the conditional cash transfer programme, Bolsa Família

2020 ◽  
pp. 1-9 ◽  
Author(s):  
Giovana de Montemor Marçal ◽  
Marília Moura e Mendes ◽  
Manuela Di Guaraldi Mafra Fragoso ◽  
Telma Maria de Menezes Toledo Florêncio ◽  
Nassib Bezerra Bueno ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Multivariable Analysis ◽  
Prevalence Ratio ◽  
Conditional Cash Transfer ◽  
Cross Sectional Study ◽  
Cash Transfer ◽  
Processed Foods ◽  
Cross Sectional ◽  
Adequate Diet ◽  
Bolsa Familia

Abstract Objective: To evaluate the association between the consumption of ultra-processed foods (UPF) and the practice of breast-feeding in children under 2 years of age assisted by the conditional cash transfer programme, Bolsa Família Programme (PBF). Design: A cross-sectional study. The consumption of UPF and the practice of breast-feeding were assessed using a structured 24-h recall. Associations were calculated using hierarchical Poisson regression, adjusted at the last level by socio-economic, demographic and environmental variables from previous hierarchical levels. Setting: Six counties from the state of Alagoas, Brazil. Participants: Children aged 6−24 months, assisted by PBF. Results: A total of 1604 children were evaluated, 11·7% of whom were overweight, and most had consumed UPF (90·6%) in the last 24 h. The most consumed UPF were biscuits, chocolate milk and baby food with 74·8, 66·8 and 24·9%, respectively. Through multivariable analysis, an association was found between lower consumption of UPF in the continuation of breast-feeding until the second year of life (prevalence ratio (PR) 0·91, 95 % CI 0·86, 0·96) and in the first year of life (PR 0·93, 95 % CI 0·88, 0·99). Conclusions: It was found that the studied population had a high consumption of UPF, which harmed continued breast-feeding. We highlight the importance of strengthening public policies aimed at the promotion, protection and support of breast-feeding and healthy complementary feeding aimed at populations that have difficulties in physical and economic access to a healthy and adequate diet.

Dietary patterns of children aged 6–24 months assisted by the Bolsa Família Program

2021 ◽  
pp. 1-26
Author(s):  
Marília Moura e Mendes ◽  
Giovana de Montemor Marçal ◽  
Ana Elisa Madalena Rinaldi ◽  
Nassib Bezerra Bueno ◽  
Telma Maria de Menezes Toledo Florêncio ◽  
...  
Keyword(s):  
Dietary Patterns ◽  
Linear Regression Analysis ◽  
Principal Component ◽  
Conditional Cash Transfer ◽  
The State ◽  
Cash Transfer ◽  
Processed Foods ◽  
Transfer Program ◽  
Cross Sectional ◽  
Bolsa Familia

Abstract Objective: This study aimed to verify the association between socioeconomic and demographic characteristics and dietary patterns (DP) of children assisted by the Conditional Cash Transfer Program, Bolsa Família (BFP). Design: This is a cross-sectional study. DP were defined using a principal component analysis. The association of the predictive variables and DP was modelled using multilevel linear regression analysis. Setting: This study was conducted in six municipalities from the State of Alagoas, Brazil. Participants: The participants were children aged 6–24 months who were assisted by the BFP. Results: A total of 1,604 children were evaluated. Four DPs were identified (DP1, DP2, DP3, and DP4). DP1 is composed of traditional Brazilian food. DP2 is formed mostly from ultra-processed foods (UPF). DP3 consists of milk (non-breast) with added sugar, while DP4 consists of fresh and minimally processed foods. Caregivers with higher age and education (β = −0.008; 95%CI: [−0.017; −0.000]; β = −0.037; 95%CI: [−0.056; −0.018], respectively) were negatively associated with DP2. We observed a negative association between households with food insecurity (β = −0.204; 95%CI: [−0.331; −0.078]) and DP4 and a positive association between caregivers with higher age and education (β = 0.011; 95%CI: [0.003; 0.019]; β = 0.043; 95%CI: [0.025; 0.061], respectively) and DP4. Conclusion: This study identified the association between socioeconomic inequities and DP early in life, with an early introduction of UPF, in children assisted by BFP in the State of Alagoas.

scholarly journals Predictive power of indicators to the perception of food and nutritional insecurity in the Bolsa Família Program

2020 ◽  
Vol 27 (3) ◽  
Author(s):  
Daiane Roncato Cardozo ◽  
Sinara Laurini Rossato ◽  
Maria Rita Marques de Oliveira ◽  
Vera Mariza Henriques de Miranda Costa ◽  
Luiz Manoel de Moraes Camargo Almeida ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Food Insecurity ◽  
Roc Curve ◽  
Predictive Power ◽  
Pearson Correlation ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Bolsa Familia

Abstract: The objective was to analyze the predictive power of indicators of the perception of food and nutritional insecurity comparing beneficiary and non - beneficiary families of the Bolsa Família Program, through a cross - sectional study with 150 families. Demographic, socioeconomic, food insecurity (Brazilian Food Insecurity Scale), nutritional status (Body Mass Index) and household consumption patterns were collected. The correlation between the demographic, socioeconomic, nutritional status and level of food insecurity were tested using the Pearson correlation coefficient; the association with Chi-square and ANOVA tests; and the prevalence ratio and 95% confidence intervals with Poisson Regression model. The predictive power of indicators of food insecurity was evaluated with the ROC curve. Patterns of food consumption, demographic and health characteristics were not significantly correlated with food insecurity. In the analyzes with the ROC curve, among the beneficiary families, the income derived only from the Bolsa Família and the Renda Cidadã Program with the Bolsa Família presented a better predictive power of food insecurity, covering the curve by 70%, followed by the difference between the income from wages and rent and gas (70%). The proportions of the total income of families spent on rent and gas had low predictive power (67%). Income components, mainly rent and gas spending, showed a better performance in the prediction of food insecurity among beneficiaries of Bolsa Família, and could be a complementary quantitative indicator to the Brazilian Scale of Food Insecurity.

Food insecurity and weight status of socially vulnerable child beneficiaries of a food assistance programme in Maceió, Northeast Brazil

2019 ◽  
Vol 23 (4) ◽  
pp. 721-726 ◽  
Author(s):  
Priscila Nazaré Lucena ◽  
Nassib Bezerra Bueno ◽  
Karlla Almeida Vieira ◽  
Marcela Jardim Cabral ◽  
Ana Paulo Grotti Clemente ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Weight Status ◽  
Multivariable Analysis ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Food Assistance ◽  
Cross Sectional ◽  
Assistance Programme ◽  
Whole Milk ◽  
Specific Comparison

AbstractObjective:To evaluate the association between weight status and food insecurity of children living in social vulnerability who are beneficiaries of a food assistance programme (FAP).Design:Cross-sectional study.Setting:From all children benefiting from the FAP in the municipality, 30 % were mapped in forty-seven distribution points. Their weight status was evaluated using BMI-for-age and food insecurity was determined with the Brazilian Food Insecurity Scale. Socio-economic data of the participants were collected using regular questionnaires. The main outcome measure was obesity.Participants:To be a beneficiary of the FAP, a family must have a child aged 24–96 months and receive less than half a minimum wage per capita. Participating families receive 1 litre of whole milk per day.Results:In all, 1487 children had BMI-for-age and food insecurity data. Of these children, 376 (25·3 %) had excess weight, of whom 164 (11·0 %) presented with obesity, and only twenty-seven (1·8 %) were underweight; 76 % of the families had some degree of food insecurity. Multivariable analysis revealed no overall association between household food insecurity and weight status. In the specific comparison, children living in severe food insecurity were less likely to present obesity than those children living in food security (prevalence ratio = 0·60; 95 % CI 0·38, 0·96; P = 0·03).Conclusions:In a socially vulnerable population that participates in a FAP, there was no overall association between food insecurity and weight status in children, a result which is similar to what is observed in more developed contexts.

scholarly journals Consumption of ultra-processed foods is associated with abdominal obesity in rotating shift workers

2021 ◽  
Author(s):  
Luiz Antônio Alves de Menezes Júnior ◽  
Virgínia Capistrano Fajardo ◽  
Jonathas Assis de Oliveira ◽  
George Luiz Lins Machado-Coelho ◽  
Fausto Aloísio Pedrosa Pimenta ◽  
...  
Keyword(s):  
Abdominal Obesity ◽  
Multivariable Analysis ◽  
Saturated Fat ◽  
Cross Sectional Study ◽  
Processed Foods ◽  
Cross Sectional ◽  
Shift Workers ◽  
Logistic Regression Models ◽  
Body Adiposity ◽  
Increased Risk

Abstract Background and aims: Higher intake of ultra-processed foods might be associated with an increased risk of obesity. Our objective was to evaluate the consumption of ultra-processed foods and their association with nutrient intake and excess body adiposity in shift workers.Design: Cross-sectional study conducted in 2016 with 238 male rotating shift workers. Dietary data is obtained by the 24-hour recall and classified according to processing by the NOVA classification system. Body adiposity indicators assessed were waist circumference and body mass index. Logistic regression models were built and adjusted for sociodemographic, lifestyle, and dietary variables.Results: Ultra-processed foods represented on average 22.3% of the total caloric value of the individuals' food consumption, with a maximum value of 66.9%. Participants with the highest tercile of ultra-processed foods consumed more carbohydrate (57%), protein (35%), total fat (96%), saturated fat (79%), cholesterol (68%), and sodium (44%) intake compared to the first tercile (p < 0.001). The most frequencies of ultra-processed foods consumed were bread (81.0%), followed by cookies (45.9%), sweetened beverages (45.7%), processed meats (46.8%), and margarine (46.8%). In multivariable analysis, the highest consumption of ultra-processed foods had 183% higher odds of abdominal obesity (OR = 2.83, 95%CI 1.29-6.22), compared with the lowest consumption. Conclusion: Ultra-processed foods are important contributors to the energy intake of these workers, and higher consumption of ultra-processed foods was associated with abdominal obesity.

scholarly journals Changes in food consumption among the Programa Bolsa Família participant families in Brazil

2010 ◽  
Vol 14 (5) ◽  
pp. 785-792 ◽  
Author(s):  
Juliana de Bem Lignani ◽  
Rosely Sichieri ◽  
Luciene Burlandy ◽  
Rosana Salles-Costa
Keyword(s):  
Food Consumption ◽  
Conditional Cash Transfer ◽  
Soft Drinks ◽  
Cash Transfer ◽  
Food Groups ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Bolsa Familia ◽  
Socio Economic Variables

AbstractObjectiveTo analyse changes and predictors of change in self-reported food intake among Brazilian families that benefitted from conditional cash transfer (CCT) implemented in the Programa Bolsa Família of the Brazilian Federal Government.DesignA cross-sectional survey.SettingThe study was conducted from September to October 2007 in a nationwide representative household sample of families included in the CCT. Socio-economic variables, perception of food consumption and food insecurity were evaluated via questionnaire, which was completed during face-to-face interviews.SubjectsFive thousand households were selected from the CCT registry.ResultsFamilies reported increased consumption of all food groups analysed, mainly cereals, processed foods, meat, milk and dairy, beans and sugar. The degree of dependence on income from the CCT was positively associated with increased self-reported intake of food items such as sugar and soft drinks. A Poisson regression revealed that the fourth quartile of CCT dependence demonstrated a twofold increase in the self-reported intake of soft drinks (relative risk (RR) = 2·3, 95 % CI 1·8, 2·9) and sugar (RR = 2·5, 95 % CI 2·1, 3·1) compared with the first quartile of CCT dependence.ConclusionsGreater purchasing power of poor families increases unhealthy food choices; thus public policies should emphasise the availability of healthy food.

scholarly journals Impact of malocclusion and dentofacial anomalies on the prevalence and severity of dental caries among adolescents

2015 ◽  
Vol 85 (6) ◽  
pp. 1027-1034 ◽  
Author(s):  
Carlos Alberto Feldens ◽  
Angela Isabel dos Santos Dullius ◽  
Paulo Floriani Kramer ◽  
Annarosa Scapini ◽  
Adair Luiz Stefanello Busato ◽  
...  
Keyword(s):  
Public Schools ◽  
Dental Caries ◽  
Multivariable Analysis ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Clinical Aspects ◽  
Chi Square ◽  
Cross Sectional ◽  
Dental Injury ◽  
The City

ABSTRACT Objectives:  To investigate the association between malocclusion/dentofacial anomalies and dental caries among adolescents. Materials and Methods:  A cross-sectional study was conducted with 509 adolescents aged 11 to 14 years enrolled at public schools in the city of Osório in southern Brazil. Parents/caregivers answered a structured questionnaire on demographic and socioeconomic variables. A trained examiner recorded the presence of malocclusion (Dental Aesthetic Index [DAI]), traumatic dental injury, and dental caries. Data analysis involved the chi-square, Mann-Whitney, and Kruskal-Wallis tests. Poisson regression with robust variance was used for the multivariable analysis. Results:  A total of 44.8% of the adolescents had dental caries (mean DFMT  =  1.33 ± 1.84). The DAI index ranged from 15 to 77 (mean  =  29.0 ± 7.9); 43.6% of the sample had severe malocclusion and 11.6% had traumatic dental injury. The prevalence and severity of dental caries were significantly greater among adolescents with severe malocclusion. The multivariate analysis demonstrated that adolescents with severe or handicapping malocclusion had a 31% greater probability of having dental caries (prevalence ratio: 1.31; 95% CI: 1.02–1.67), independently of demographic, socioeconomic, or clinical aspects. The orthodontic characteristics associated with the occurrence and severity of caries were maxillary irregularity ≥3 mm (P  =  .021) and abnormal molar relationship (P  =  .021). Conclusions:  Handicapping malocclusion, maxillary irregularity, and abnormal molar relationship were associated with the occurrence and severity of dental caries. The findings suggest that the prevention and treatment of these conditions can contribute to a reduction in dental caries among adolescents.

scholarly journals High prevalence of food insecurity, the adverse impact of COVID-19 in Brazilian favela

2020 ◽  
pp. 1-14
Author(s):  
Catarina Vezetiv Manfrinato ◽  
Aluízio Marino ◽  
Vitória Ferreira Condé ◽  
Maria do Carmo Pinho Franco ◽  
Elke Stedefeldt ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Low Income ◽  
Cross Sectional Study ◽  
Cash Transfer ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Factors Associated ◽  
Bolsa Familia ◽  
Households With Children ◽  
Families With Children

Abstract Objective: Investigate food insecurity (FI) prevalence in two favelas in Brazil in the early weeks of the social distancing policy, from 27 March 2020 to 1 June 2020. Design: A cross-sectional study using an online questionnaire to elicit information on socioeconomic and demographic characteristics, the types of stores visited to buy food, and FI screening. The FI experience was evaluated according to the Brazilian Food Insecurity Scale. Factors associated with moderate or severe FI were investigated using the logistic regression model. Setting: São Paulo city, Brazil Participants: 909 householders Results: Eighty-eight percent of the households included young women working as cleaners or kitchen assistants and in sales services. One-fifth of the participants were involved in the federal cash transfer programme, called Bolsa Família. There were 92% households with children. The most frequent experience reported was uncertainty about food acquisition or receiving more (89%), eating less than one should (64%), not being able to eat healthy and nutritious food (46%), and skipping a meal (39%). Forty-seven percent of the participants experienced moderate or severe FI. Factors associated with moderate and severe FI were low income, being a Bolsa Família recipient, having a low level of education, and living in a household without children. Conclusions: Half of the participants experienced moderate or severe FI, and almost 10% experienced hunger. Our data suggest that families with children were at a lower risk of moderate to severe FI. It is possible that nationally established social programs such as Bolsa Família were protecting those families.

scholarly journals Contraceptive Method Preference among Conditional Cash Transfer Beneficiaries in Indonesia

2020 ◽  
Vol 14 (1) ◽  
pp. 15
Author(s):  
Ratna Frenty Nurkhalim ◽  
Indah Susilowati ◽  
Krisnita Dwi Jayanti
Keyword(s):  
Demographic Data ◽  
Unmet Need ◽  
Conditional Cash Transfer ◽  
Cross Sectional Study ◽  
Cash Transfer ◽  
Poor People ◽  
Growth Monitoring ◽  
Cross Sectional ◽  
Poor Group ◽  
High Level

Background: Conditional Cash Transfer (CCT) or known as Program Keluarga Harapan (PKH) in Indonesia is a potential program to improve health outcomes, especially reproductive health. This program targeted women from the poor as its beneficiaries. The beneficiaries of this program should visit selected the primary health care to have antenatal care as if they are pregnant. Also, they have to do the growth monitoring regularly if they have children under six. Some studies have found that poor people have a higher risk of unmet need compared to the group with better economies. Could this poor group have a high level of unmet need?. Method:  A Cross-sectional study of 172 women which all CCT beneficiaries interviewed using a structured questionnaire. We gathered socio-demographic data and the using of contraception from the respondent. The data were analyzed using descriptive method. Results: Contraceptives practice among CCT beneficiaries is relatively high (89.6%) and unmet need for limiting childbirth was 4.1% higher than Indonesia unmet need in 2017.  Most respondents preferred using pills and injection than any other method and procured it from primary healthcare centre and local/village midwife for free. Conclusion: Pills and injection method were mostly chosen by the respondent. The total unmet need (for limiting) was slightly lower than Indonesia unmet need in 2012. It seems that these CCT beneficiaries don’t meet an obstacle to access contraception. The unmet need for spacing somehow needs further investigation.

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