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食品与营养监测系统/巴西全国卫生调查系统:了解24个月以下婴儿的喂养习惯。

Food and Nutrition Surveillance System/SISVAN: getting to know the feeding habits of infants under 24 months of age.

作者信息

Coelho Luciola de Castro, Asakura Leiko, Sachs Anita, Erbert Ingrid, Novaes Claudia Dos Reis Lisboa, Gimeno Suely Godoy Agostinho

机构信息

Departamento de Medicina Preventiva, Universidade Federal de São Paulo, São Paulo, SP, Brasil,

Faculdade de Nutrição, Universidade Federal de Alagoas.

出版信息

Cien Saude Colet. 2015 Mar;20(3):727-38. doi: 10.1590/1413-81232015203.15952014.

Abstract

The objective of the Food and Nutrition Surveillance System (SISVAN) is to monitor the food intake of individuals attended by the Brazilian Unified Health System (SUS). The objective of this research was to identify the feeding practices of children under 24 months of age who were attended at Primary Healthcare Units (UBS), using SISVAN, and to assess the relationship with maternal sociodemographic profiles. A cross-sectional study was conducted in order to evaluate 350 children using the Food Consumption Marker Form of SISVAN, and maternal demographic data to identify sociodemographic profiles by exploratory factor analysis. Of the children assessed, 41.1% were under 6 months of age and 98.7% of those between 6 and 23 months had an inadequate intake. Two sociodemographic profiles were found: Profile 1 (mothers with lower income, less education, and recipients of the 'Bolsa Família' conditional family grant program) associated with the consumption of water/tea, cow's milk and salty baby food; and Profile 2 (older mothers with many children and with a larger number of residents in the household) associated with breast milk consumption (p = 0.048). The use of SISVAN made it possible to identify that children had inadequate feeding practices, and Profile 1 appears to be a risk profile for weaning.

摘要

食品与营养监测系统(SISVAN)的目标是监测巴西统一卫生系统(SUS)所服务人群的食物摄入量。本研究的目的是利用SISVAN确定在基层医疗单位(UBS)接受服务的24个月以下儿童的喂养方式,并评估其与母亲社会人口学特征的关系。开展了一项横断面研究,以便使用SISVAN的食物消费标记表对350名儿童进行评估,并收集母亲的人口统计学数据,通过探索性因素分析确定社会人口学特征。在接受评估的儿童中,41.1%年龄在6个月以下,6至23个月的儿童中有98.7%摄入不足。发现了两种社会人口学特征:特征1(收入较低、教育程度较低且领取“家庭补助金”有条件家庭补助计划的母亲)与水/茶、牛奶和咸味婴儿食品的消费有关;特征2(子女较多且家庭居住人数较多的年龄较大的母亲)与母乳喂养有关(p = 0.048)。使用SISVAN能够确定儿童存在喂养方式不当的情况,特征1似乎是断奶的风险特征。

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