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婴儿出生后第一年的辅食喂养:聚焦主要的婴儿泥状食品。

Complementary feeding of infants in their first year of life: focus on the main pureed baby foods.

作者信息

Souza Fabíola Isabel Suano de, Caetano Michelle Cavalcante, Ortiz Thaís Tobaruela, Silva Simone Guerra Lopes da, Sarni Roseli Oselka Saccardo

机构信息

PhD in Sciences from Unifesp. Affiliate Professor at the Department of Pediatrics, School of Medicine of ABC, Santo André, SP, Brazil, Santo André, SP, Brazil.

Unifesp, São Paulo, SP, Brazil.

出版信息

Rev Assoc Med Bras (1992). 2014 May-Jun;60(3):231-5.

Abstract

OBJECTIVE

To evaluate the complementary feeding practices for infants, focusing on the main pureed baby foods, and verify adherence to the guidelines adopted in Brazil.

METHODS

Through cross-sectional study, aspects of complementary feeding of 404 healthy infants between 4 and 9 months of age (São Paulo, Curitiba and Recife) were evaluated. Socio-demographic data, history and food habits were collected. Mothers described three recipes (preparations) usually used in key baby foods. The findings were compared with those recommended by the Brazilian Society of Pediatrics.

RESULTS

The average age was 6.9 ± 1.6 months. Among infants, 241/404 (59.6%) were still breastfeeding. Among those who received another type of milk, 193/368 (52.4%) received whole cow's milk, while 151/368 (41.0%) drank infant or follow-on formulas. Regarding baby food recipes salted reported by mothers, it was seen that 30% and 60% contained meat and vegetables, respectively. The percentages less suitable for feeding in general were observed for use of cow's milk and added sugar, chocolate and cereal in feeding bottles; 79% and 80.5% of the families interviewed would adopted such practices.

CONCLUSION

The early termination of exclusive/predominant breastfeeding and the practice of an inadequate transition diet have shown a picture of quantitatively and qualitatively inadequate feeding, with the risk of causing serious nutritional problems in later ages, such as anemia and vitamin A deficiency, or excess of nutrients, leading to obesity, diabetes and dyslipidemias.

摘要

目的

评估婴儿的辅食喂养情况,重点关注主要的婴儿泥状食品,并核实是否符合巴西采用的相关指南。

方法

通过横断面研究,对404名4至9个月大的健康婴儿(来自圣保罗、库里蒂巴和累西腓)的辅食喂养情况进行评估。收集社会人口统计学数据、病史和饮食习惯。母亲们描述了通常用于主要婴儿食品的三种食谱(制作方法)。将研究结果与巴西儿科学会推荐的内容进行比较。

结果

平均年龄为6.9±1.6个月。在婴儿中,241/404(59.6%)仍在进行母乳喂养。在接受其他类型奶类的婴儿中,193/368(52.4%)接受全脂牛奶,而151/368(41.0%)饮用婴儿配方奶粉或后续配方奶粉。关于母亲报告的婴儿食品咸食食谱,发现分别有30%和60%含有肉类和蔬菜。在奶瓶喂养中使用牛奶、添加糖、巧克力和谷物的情况总体上不太适合喂养;79%和80.5%的受访家庭采用了这种做法。

结论

纯母乳喂养/主要母乳喂养的过早终止以及过渡饮食不当的做法显示出喂养在数量和质量上都不充足,存在在后期引发严重营养问题的风险,如贫血和维生素A缺乏,或营养过剩,导致肥胖、糖尿病和血脂异常。

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