Factors associated with feeding practices among Brazilian children aged 12 to 23 months old

Abstract Objectives: a quantitative analytical cross-sectional study aimed to identify demographic characteristics to access health services and housing conditions in relation to inadequate feeding practices among Brazilian children from 12 to 23 months of age. Methods: the analysis of the feeding practices (consumption of recommended food groups) of 2541 Brazilian children (aged 12-23 months old) was performed using data from the Pesquisa Nacional de Saúde 2013 (National Health Survey). Descriptive and multivariate statistics used the Decision Tree Analysis based on CHAID (Chi-squared Automatic Interaction Detector) algorithm, as well as hierarchically adjusted Poisson regression analyses were performed. The variables were entered in a hierarchical model at distal (demographic), intermediate (access to health) and proximal (housing conditions) levels. Results: the results showed a high prevalence of sugar consumption (85.5%; CI95%=83.7-87.2) and highlighted inadequate feeding practices among non-white children (p=0.001), resident in the North (p<0.001) and Northeast (p=0.010) of Brazil and in towns in the countryside (p<0.001) presented feeding practices that were not recommended for consumption in the food groups. Conclusions: non-white children, who lived in the North and Northeast regions of Brazil and in the countryside, which are known to be more socioeconomically vulnerable, were more likely to experience inadequate feeding practices.

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Association of dietary patterns and body phenotypes in Brazilian adolescents

10.1101/2021.05.14.21257150 ◽

2021 ◽

Author(s):

Ana Elisa Madalena Rinaldi ◽

Wolney LIsboa Conde ◽

Carla Cristina Enes

Keyword(s):

Physical Activity ◽

Energy Expenditure ◽

Dietary Patterns ◽

Cross Sectional Study ◽

Negative Association ◽

Food Groups ◽

Cross Sectional ◽

Negatively Associated ◽

Using Data ◽

Fresh Foods

Objective: To investigate the association between dietary patterns and physical activity and body phenotypes in Brazilian adolescents. Methods: Cross-sectional study using data from a school-based study with 1,022 Brazilian adolescents aged 10 to 19 years. Body phenotypes (BP) and dietary patterns (DP) were defined using principal components analysis. BP was defined using anthropometric, body composition, biochemical, and sexual maturation, and DP from 19 food groups categorized from a food frequency questionnaire containing 58 food items. We performed a scatter plot to describe the relationship between energy expenditure assessed by MET and BP scores. The association between DP and BP, adjusted by sex, age and socioeconomic status, was assessed by linear regression model. Results: We identified five BP (BP1adiposity, BP2puberty, BP3biochemical, BP4muscular, BP5lipids_biochemical) and five DP (DP1ultraprocessed_foods, DP2fresh_foods, DP3bread_rice_beans, DP4culinary_preparation, DP5cakes_rice_beans). There are higher scores of BP_adiposity for obese adolescents, but energy expenditure was similar for obese and non-obese. Physical activity was positively associated with body mass index, BP_adiposity and BP_puberty. We observed negative association between DP_ultraprocessed and BMI, and a positive between DP_fresh_foods. DP_fresh_foods was positively associated with BP_adiposity; DP_ultraprocessed and DP_culinary_preparation were negatively associated with this BP. BP_biochemical was negatively associated with DP_fresh_foods. Conclusion: We identified negative association between DP mainly composed by ultraprocessed foods and fresh foods and BPadiposity. These associations need to be more explored, especially in adolescents, because both DP and BP were defined using multivariate analysis.

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Anthropometric indices among schoolchildren from a municipality in Southern Brazil: a descriptive analysis using the LMS method

Revista Paulista de Pediatria ◽

10.1590/s0103-05822014000400009 ◽

2014 ◽

Vol 32 (4) ◽

pp. 333-341 ◽

Cited By ~ 5

Author(s):

Valter Cordeiro Barbosa Filho ◽

Adair da Silva Lopes ◽

Ricardo Rosa Fagundes ◽

Wagner de Campos

Keyword(s):

Descriptive Analysis ◽

Cross Sectional Study ◽

World Health ◽

Southern Brazil ◽

Cross Sectional ◽

The North ◽

Lms Method ◽

German Children ◽

Health Organization ◽

Brazilian Children

OBJECTIVE: To describe the percentile values for body mass index (BMI), waist circumference (WC) and waist-to-height (WHtR) of children from Colombo, Brazil, and compare them with data of children from other countries.METHODS: This was a cross-sectional study with a random sample of 2,035 children aged 6-11 years. Age- and sex-specific smoothed percentiles curves for BMI, WC and WHtR were created using the LMS method. Values of 10th, 50th and 90th percentiles from Brazilian children were compared with data from other countries.RESULTS: There was a trend of increasing BMI and WC with age in both sexes. WHtR remained constant with advancing age in boys and girls. Comparison of the growth pattern among countries showed clear differences. Southern Brazil boys and girls had elevated 90th percentile values for BMI, which was similar to German children and higher than the North American and World Health Organization percentile values. However, children from this study had intermediate values for WC and WHtR in comparison to children from other countries.CONCLUSIONS: Elevated BMI values were observed among southern Brazilian children, but WC and WHtR percentile values were lower in southern Brazilian children than in children from other countries. Interventions at different levels should be made to avoid a probable increase of nutritional disorders (especially general obesity) in the next years.

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Obesity Inequalities According to Place of Birth: The Role of Education

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15081620 ◽

2018 ◽

Vol 15 (8) ◽

pp. 1620 ◽

Cited By ~ 1

Author(s):

Elena Rodriguez-Alvarez ◽

Nerea Lanborena ◽

Luisa Borrell

Keyword(s):

Health Survey ◽

Cross Sectional Study ◽

National Health Survey ◽

Lower Probability ◽

Significant Heterogeneity ◽

Place Of Birth ◽

Cross Sectional ◽

Before And After ◽

European Health ◽

Using Data

This study examined obesity inequalities according to place of birth and educational attainment in men and in women in Spain. A cross-sectional study was conducted using data from the Spanish National Health Survey 2011–2012 and from the European Health Survey in Spain 2014. We used data for 27,720 adults aged 18–64 years of whom 2431 were immigrants. We used log-binomial regression to quantify the association of place of birth with obesity before and after adjusting for the selected characteristics in women and in men. We found a greater probability of obesity in immigrant women (PR: 1.42; 95% CI: 1.22–1.64) and a lower probability of obesity in immigrant men (PR: 0.73; 95% CI: 0.59–0.89) relative to natives after adjustment. Significant heterogeneity was observed for the association of place of birth and obesity according to education in men (p-interactions = 0.002): Men with lower educational levels (PR: 0.47; 95% CI: 0.26–0.83) have a protective effect against obesity compared with their native counterparts. This study suggests that place of birth may affect obesity in women and in men. However, this effect may be compounded with education differently for women and men.

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To what extent is the altitude at which we live associated with 10-year cardiovascular risk?

10.1101/2021.04.22.21255947 ◽

2021 ◽

Author(s):

Andrea Cevallos Guerrero ◽

Heidi Angela Fernández ◽

Ángela León-Cáceres ◽

Luciana Armijos-Acurio ◽

Carlos Erazo ◽

...

Keyword(s):

Cardiovascular Risk ◽

Cardiovascular Health ◽

Cross Sectional Study ◽

National Health Survey ◽

Incidence Rates ◽

Income Quintile ◽

Public Health Perspective ◽

Cross Sectional ◽

Using Data ◽

Laboratory Biomarkers

AbstractIntroductionThere is evidence that demonstrates lower incidence rates of cardiometabolic factors at the highlands. There are no studies which correlate the altitude with formally calculated cardiovascular risk by a meter-by-meter approach. Under the hypothesis that cardiovascular risk is inversely associated with altitude, this study was aimed to assess such association.Materials and methodsCross sectional study using data from the Ecuadorian National Health Survey of 2012. We analyzed available information of adults of ≥ 40 to 60 years old who have sociodemographic, anthropometric, cardiovascular risk factors, and laboratory biomarkers that were included in the survey. We assessed the independent association between altitude of the housing in which survey participants lived at, on a meter-by-meter approach, and cardiovascular health risk at ten years, formally calculated by Framingham equations.ResultsLinear regression model showed that participants had 0.0005 % less probability of developing cardiovascular disease at 10 years per each increase in a meter in the altitude that participants live at (p<0.001), adjusted for sex, age, ethnicity, educational level, availability of social security, immigrants in family, area, income quintile, overcrowding (≥ 7 inhabitants in the house), any alcohol consumption, history of hypertension, body mass index, hematocrit, and triglycerides.ConclusionFrom a public health perspective, altitude at which individuals live is an important health determinant of cardiovascular risk. Specifically, per each increase of 1000 m in the altitude that people live at, there is a reduction of almost half a percentual point in the cardiovascular risk at 10 years.

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STUDY OF FEEDING PRACTICES IN CHILDREN WITH SEVERE ACUTE MALNUTRITION (SAM) OF MUMBAI, MAHARASHTRAAGED 9 – 24 MONTHS

10.36106/ijsr/1322544 ◽

2020 ◽

pp. 1-2

Author(s):

Megha Kapoor ◽

Jagmeet Madan ◽

Alka Jadhav ◽

Nisha Bellare

Keyword(s):

Dietary Diversity ◽

Severe Acute Malnutrition ◽

Feeding Practices ◽

Cross Sectional Study ◽

Acute Malnutrition ◽

Health Concern ◽

Bivariate Analysis ◽

Food Groups ◽

Cross Sectional ◽

Training Centre

BACKGROUND: Malnutrition is a public health concern in India. Suboptimal feeding practices reflect the development of severe acute malnutrition in children. The purpose of the study was to determine the feeding practices in children with severe acute malnutrition (SAM) aged 9 – 24 months. METHODS: A cross-sectional study was conducted in the Nutrition Rehabilitation Research and Training Centre (NRRTC) in Mumbai, Maharashtra including children aged 9 – 24 months. Children were included in the study as per WHO classification of severe acute malnutrition. The information on anthropometric measurements and feeding practices were recorded in a structured questionnaire. Correlation between the feeding practices and anthropometry was examined. Descriptive and bivariate analysis was carried out. RESULTS: 84% of SAM children were found to be severely underweight and 52 % were severely stunted. Only 40% of children were exclusively breastfed. The introduction of complementary feeds at 6 months of age was practiced in 25% of children. 44 % of children were introduced to semi-solid feeds beyond six months of age. Minimum Dietary Diversity was adequate in only 28% of SAM children. There was the least consumption of vitamins and iron-rich food groups among the SAM children. CONCLUSION: Improving maternal awareness about child feeding practices which are preventable risk factors is a key for reducing the burden of severe acute malnutrition.

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Complementary Feeding Practices and it's Associated Factors Among Mothers in Selected Urban Area of Nepal

Asploro Journal of Biomedical and Clinical Case Reports ◽

10.36502/2020/asjbccr.6176 ◽

2020 ◽

Vol 3 (1) ◽

pp. 6-14

Author(s):

Ulak N ◽

KC D ◽

Tiwari K

Keyword(s):

Urban Area ◽

Associated Factors ◽

Complementary Feeding ◽

Multinomial Logistic Regression ◽

Good Practice ◽

Feeding Practices ◽

Cross Sectional Study ◽

Calorie Intake ◽

Food Groups ◽

Cross Sectional

Poor complementary feeding contributes to the characteristic negative growth trends leading to death as well. Therefore, the present study aimed to assess complementary feeding practices and associated factors in the selected urban area of Nepal. A community-based cross-sectional study was conducted among 237 mothers having children aged 6-23 months in Bhaktapur Municipality. Pretested structured questionnaire was used to collect data using a face-to-face interview. Data were entered in Excel followed by using Statistical Package for Social Sciences (SPSS) version 20. Multinomial logistic regression was conducted to determine the feeding practices of infants as per WHO recommendation. Out of the 237 children, 54.8% were boys and 42.2% were girls. In this study 61% were breastfed within 1 hour of birth, 33% were given pre-lacteal feeding, 19% were given complementary feed on time, 55.3% had good minimum meal frequency, and 47.70% were given minimum number of food groups and 26.5% were practicing good minimum acceptable diet. Total Kcal intake supplied is equal to WHO recommended standard however, triggering 84% of participants included processed food as a part of complementary feeding which is never the good practice. The majority of mothers lack the knowledge regarding ideal feeding practices as calorie intake was equal to WHO recommendation. There was a gap in knowledge and practice regarding duration of exclusive breastfeeding and initiation and continuation of ideal complementary feeding. The rate of complementary feeding was found on declining trend. Emphasis given to educate mothers about complementary feeding practices can be very useful for the purpose.

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Lack of Social Support and Its Role on Self-Perceived Health in a Representative Sample of Spanish Adults. Another Aspect of Gender Inequality

Journal of Clinical Medicine ◽

10.3390/jcm10071502 ◽

2021 ◽

Vol 10 (7) ◽

pp. 1502

Author(s):

Julia Wärnberg ◽

Napoleón Pérez-Farinós ◽

María Julia Ajejas-Bazán ◽

Jéssica Pérez-López ◽

Juan Carlos Benavente-Marín ◽

...

Keyword(s):

Social Support ◽

Health Status ◽

Gender Inequality ◽

Perceived Health ◽

Cross Sectional Study ◽

National Health Survey ◽

Cross Sectional ◽

Logistic Regression Models ◽

Social Support Scale ◽

Using Data

Self-perceived health has been used as a good estimator of health status and receiving affection can be a determining factor for good self-perceived health. The aim of the present study was to assess whether lack of social support (measured through Duke scale, which ranges from 11 to 55) was associated with poorer health status measured as self-perceived health, and whether that association was different between women and men. A cross-sectional study was conducted using data from the 2017 Spanish National Health Survey. A descriptive study was performed, and logistic regression models were applied using self-perceived health as a dependent variable. Mean Duke score was 47.6 for men and 47.9 for women (p = 0.016). Moreover, 36.3% of women and 27.6% of men reported poor self-perceived health (p < 0.001). The multivariate analysis revealed that lower scores in Duke-UNC social support scale were associated with poorer health status. That association was higher in women than in men. Poor self-perceived health was also associated with low level of education and obesity, especially among women. There was gender inequality as regards health status associated with lack of social support. These results can help design prevention strategies to improve health.

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Prevalence and Factors Associated with Driving Under the Influence of Alcohol in Brazil: An Analysis by Macroregion

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17030767 ◽

2020 ◽

Vol 17 (3) ◽

pp. 767

Author(s):

Rafael Alves Guimarães ◽

Otaliba Libânio Morais Neto

Keyword(s):

Cross Sectional Study ◽

National Health Survey ◽

Driving Under The Influence ◽

High Educational Level ◽

Cross Sectional ◽

Metropolitan Regions ◽

Factors Associated ◽

Probabilistic Sampling ◽

The North ◽

Effective Interventions

Objective: To analyze the prevalence and factors associated with driving under the influence of alcohol (DUIA) in Brazil, according to macroregion. Methods: A cross-sectional study was conducted using data from individuals aged 18 years or older who participated in the 2013 National Health Survey in Brazil. Subjects were selected by probabilistic sampling and interviewed through home visits. Prevalence of DUIA was estimated according to the number of drivers and/or motorcyclists who reported consuming alcohol in the previous 30 days (n = 9537). Poisson regression was used to analyze the factors associated with DUIA to Brazil and in each macroregion of the country. Results: The prevalence of DUIA was 27.5%, 29.4%, 29.6%, 22.9%, and 20.8% in the North, Northeast, Central-West, South, and Southeast macroregions, respectively. The overall prevalence of Brazil was 24.3%. In most macroregions, the main predictors of DUIA were male sex, high educational level, living in outside the capital or metropolitan regions (other regions), and binge drinking in the previous 30 days. Depression was a predictor in Brazil and two macroregions. Conclusion: A high prevalence of DUIA was observed in Brazil, especially in the Central-West, Northeast and, North macro-regions. Factors associated with DUIA can be incorporated to develop effective interventions to reduce this behavior in Brazil.

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Prevalence and Determinants of Antibiotic Consumption in the Elderly during 2006–2017

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17093243 ◽

2020 ◽

Vol 17 (9) ◽

pp. 3243

Author(s):

Silvia Portero de la Cruz ◽

Jesús Cebrino

Keyword(s):

Health Status ◽

Health Survey ◽

The Elderly ◽

Antibiotic Consumption ◽

Cross Sectional Study ◽

National Health Survey ◽

Cross Sectional ◽

Antibiotic Overuse ◽

European Health ◽

Using Data

Elderly people are a particularly important population with regard to antibiotic overuse, using around 50% more antibiotics per capita than younger adults. The aim of this study was to analyze the prevalence, associated factors and evolution over time of antibiotic consumption among the Spanish population aged ≥ 65 years from 2006 to 2017. A descriptive cross-sectional study was conducted using data from the Spanish National Health Survey in 2006, 2011/2012 and 2017, and from the European Health Survey in Spain in 2009 and 2014. The sample consisted of 26,891 non-institutionalized individuals ≥ 65 years. Antibiotic consumption was the dependent variable, and sociodemographic variables, lifestyle habits and health status were analyzed using a logistic regression model. The prevalence of antibiotic consumption was 4.94%, with a marked increase from 2006 (4.64%) to 2017 (5.81%) (p < 0.0001). Higher antibiotic consumption was associated with poor or very poor self-perceived health status, no polypharmacy and not having been in hospital during the previous twelve months, while a lower consumption was linked to being limited but not severely due to a health problem and not being at all limited.

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The Australian Feeding Infants and Toddlers Study (OzFITS) 2021: Study Design, Methods and Sample Description

Nutrients ◽

10.3390/nu13124524 ◽

2021 ◽

Vol 13 (12) ◽

pp. 4524

Author(s):

Najma A. Moumin ◽

Rebecca K. Golley ◽

Chelsea E. Mauch ◽

Maria Makrides ◽

Tim J. Green ◽

...

Keyword(s):

Feeding Practices ◽

Cross Sectional Study ◽

National Study ◽

Dietary Intakes ◽

Food Groups ◽

Infants And Toddlers ◽

Food Record ◽

Cross Sectional ◽

Breastfed Infants ◽

Breast Milk Substitutes

(1) Background: Caregiver feeding practices during the first two years of a child’s life influence nutrition, growth, and development, as well as long term taste preferences and dietary patterns. Suboptimal feeding practices lead to poorer health outcomes, such as obesity, that persist into adulthood. Although the importance of early life nutrition is well-established, there are no Australia-wide surveys of dietary intakes of children under two years of age. The 2021 Australian Feeding Infants and Toddlers Study (OzFITS) aims to fill this gap. This paper describes the methods and study sample of OzFITS 2021. (2) Methods: OzFITS 2021 is a cross-sectional study of children aged 0 to 23.9 months of age and their caregiver across Australia. Data were collected between April 2020 and April 2021. A telephone-based survey was completed with a caregiver to obtain information on child and caregiver characteristics and feeding practices. For exclusively breastfed infants, the number of breastfeeds in a 24 h period was reported. Dietary intakes for mixed fed children were estimated using a one-day food record, with 30% of caregivers completing a second food record on a non-consecutive day. (3) Results: We enrolled 1140 caregiver and child dyads. Of those eligible to complete a food record, 853 (87%) completed the food record. Compared to the Australian population, caregivers were more likely to be university-educated (>75%), married or in a de facto relationship (94%), and have a household income >$100,000/y (60%). (4) Conclusions: OzFITS 2021 is the first national study to examine food and nutrient intake in Australian children aged under 2 years. The study will provide information on breastfeeding rates and duration, use of breast milk substitutes, and timing of solid food introduction. Dietary intake data will allow the comparison of core food groups and discretionary food intake to Australian guidelines and estimate the prevalence of inadequate intake of key nutrients, like iron. Healthcare practitioners and policymakers can use the study findings as a source of evidence to inform the next iteration of infant feeding guidelines.

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