Carvalho Carolina Abreu de, Fonsêca Poliana Cristina de Almeida, Nobre Luciana Neri, Silva Mariane Alves, Pessoa Milene Cristine, Ribeiro Andréia Queiroz, Priore Silvia Eloiza, Franceschini Sylvia do Carmo Castro
Departamento de Desenvolvimento Educacional do Instituto Federal do Maranhão. Rodovia MA-225/Km 04, Povoado Santa Cruz. 65590-000 Barreirinhas MA Brasil.
Departamento de Ciências Fisiológicas, Universidade Federal do Maranhão (UFMA). São Luís MA Brasil.
Cien Saude Colet. 2017 Nov;22(11):3699-3710. doi: 10.1590/1413-812320172211.28482015.
This study evaluated factors associated with the consumption of breast milk (BM), infant formula (IF) and cow milk (CM) in children. This was a cohort study with 256 children followed-up at the 1st, 4th and 6th month of age in Viçosa (MG), Brazil. With respect to CM and IF, consumption was recorded regardless of BM intake. Regarding BM, only exclusive or predominant consumption was considered. From the 1st to the 6th month, an increase was recorded in the number of children who did not consume BM exclusively or predominantly (31.6%), as well as the consumption of CM (27.2%) and IF (9.3%). BM was associated with pacifier use at 1st month, and mother's employment status and pacifier use in the 4th and 6th month. Pacifier use was a risk factor for IF consumption in every month, while belonging to the lower income group was inversely associated in the 6th month. As for CM, the number of prenatal visits was a risk factor in every month, the mother's employment status and use of pacifier in the 4th month, family income, mother's employment status, low birth weight, number of prenatal visits and pacifier use in the 6th month. Since the 1st month, the introduction of other milk types is high, revealing that there is still much to go to ensure exclusive breastfeeding up to 6 months.
本研究评估了与儿童食用母乳、婴儿配方奶粉和牛奶相关的因素。这是一项队列研究,对巴西米纳斯吉拉斯州维索萨市256名儿童在1月龄、4月龄和6月龄时进行了随访。对于牛奶和婴儿配方奶粉,无论母乳摄入量如何,均记录其食用情况。对于母乳,仅考虑纯母乳喂养或主要母乳喂养。从1月龄到6月龄,未纯母乳喂养或主要母乳喂养的儿童数量增加(31.6%),牛奶(27.2%)和婴儿配方奶粉(9.3%)的食用量也增加。母乳喂养与1月龄时使用安抚奶嘴、母亲的就业状况以及4月龄和6月龄时使用安抚奶嘴有关。使用安抚奶嘴是每个月食用婴儿配方奶粉的一个危险因素,而在6月龄时,属于低收入群体与食用婴儿配方奶粉呈负相关。至于牛奶,产前检查次数是每个月的一个危险因素,4月龄时母亲的就业状况和使用安抚奶嘴、家庭收入、母亲的就业状况、低出生体重、产前检查次数以及6月龄时使用安抚奶嘴。从1月龄起,其他奶类的引入率很高,这表明要确保6个月纯母乳喂养仍有很多工作要做。