Vítolo Márcia Regina, Louzada Maria Laura, Rauber Fernanda, Grechi Patrícia, Gama Cíntia Mendes
Departamento de Nutrição, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brasil.
Universidade de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2014 Aug;30(8):1695-707. doi: 10.1590/0102-311x00186913.
This study aimed to evaluate the impact on feeding practices for infants (<1 year of age) resulting from update training for health workers in the Ten Steps to Healthy Feeding of Children Under Two. Health Care Centers (HCC) in Porto Alegre, Rio Grande do Sul State, Brazil, were randomized into a control group (n=11) and an intervention group (n=9). Health centers organized according to Brazil's Family Health Program (FHP) were included as an intervention cluster (n=12). Infant feeding practices were evaluated at the health centers at 6 months (n=918) and again at 12 months of age (n=799). The results showed that mean duration of exclusive breastfeeding was significantly longer in the two groups that received the intervention (2.56±1.91 months in the FHP intervention and 2.32±1.63 months in the HCC intervention) compared to the HCC control group (1.91±1.60 months). There was a positive impact on the quality of complementary feeding of infants treated at the health centers that participated in the intervention, especially those with the FHP.
本研究旨在评估针对卫生工作者开展的“两岁以下儿童健康喂养十步骤”更新培训对1岁以下婴儿喂养方式的影响。巴西南里奥格兰德州阿雷格里港的医疗保健中心（HCC）被随机分为对照组（n = 11）和干预组（n = 9）。按照巴西家庭健康计划（FHP）组建的健康中心被纳入干预组（n = 12）。在6个月时（n = 918）以及12个月大时（n = 799），分别在各健康中心对婴儿喂养方式进行评估。结果显示，与HCC对照组（1.91±1.60个月）相比，接受干预的两组（FHP干预组为2.56±1.91个月，HCC干预组为2.32±1.63个月）纯母乳喂养的平均时长显著更长。参与干预的健康中心对接受治疗的婴儿的辅食喂养质量产生了积极影响，尤其是那些参与FHP的健康中心。
