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一岁儿童在基层医疗保健服务中饮食摄入质量及其相关因素。

Dietary intake quality and associated factors in one year-old children seen by primary healthcare services.

机构信息

Grupo Hospitalar Conceição. Av. Francisco Trein 596, Cristo Redentor. 91350-200 Porto Alegre RS Brasil.

Programa de Pós-Graduação em Medicina e Ciências da Saúde, Pontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre RS Brasil.

出版信息

Cien Saude Colet. 2020 Jul 8;25(7):2561-2570. doi: 10.1590/1413-81232020257.14592018.

DOI:10.1590/1413-81232020257.14592018
PMID:32667540
Abstract

The purpose of this paper was to analyze the food intake quality in one year-old children seen by a primary healthcare (PHC) service. This is a cross-sectional studied nested within a child oral health cohort study which collected data regarding children born in 2013 and monitored in Porto Alegre for two years. We applied a questionnaire on maternal variables and frequency of pediatric appointments, weight and height measurements, and children's food intake. To that end, a score was generated based on the points assigned according to SISVAN (meaning 'food and nutrition monitoring system,' run by the Brazilian Ministry of Health). A multivariate model was calculated using Poisson regression with robust variance. The sample comprised 249 children. We found 30.5% (76) of poor/regular dietary quality, which in the multivariate model was associated to the guardian's educational background, considering up to incomplete high school (PR = 2.14, CI95% = 1.03-4.44) and complete high school (PR = 1.70, CI95% = 0.81-3.54), as well as their failure to see a dentist (PR = 2.54, CI95% = 1.33-4.84) or having seen one before the age of four months (PR = 1.94, CI95% = 1.01-3.72). It is our conclusion that failing to see a dentist within the first year of life and lower maternal schooling negatively impact on children's dietary quality.

摘要

本研究旨在分析在基层医疗保健(PHC)服务中就诊的 1 岁儿童的食物摄入质量。这是一项横断面研究,嵌套于儿童口腔健康队列研究中,该研究收集了 2013 年出生并在两年内在阿雷格里港接受监测的儿童的数据。我们应用了一份关于母亲变量和儿科就诊频率、体重和身高测量以及儿童食物摄入的问卷。为此,根据巴西卫生部运行的 SISVAN(意为“食物和营养监测系统”)分配的分数生成了一个分数。使用泊松回归进行了多变量模型计算,并具有稳健方差。该样本包括 249 名儿童。我们发现有 30.5%(76 名)儿童的饮食质量较差/一般,在多变量模型中,这与监护人的教育背景有关,考虑到未完成高中学业(PR = 2.14,95%CI = 1.03-4.44)和完成高中学业(PR = 1.70,95%CI = 0.81-3.54),以及他们不去看牙医(PR = 2.54,95%CI = 1.33-4.84)或在四个月前看过牙医(PR = 1.94,95%CI = 1.01-3.72)。我们的结论是,在生命的第一年不去看牙医以及母亲受教育程度较低会对儿童的饮食质量产生负面影响。

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