Department of Nutrition - Center of Epidemiological Studies of Health and Nutrition (NESNUT), Faculty of Health Sciences, University of Brasilia, Brasília, Federal District70910-900, Brazil.
Health Sciences Program, Faculty of Health Sciences, University of Brasilia, Brasília, Federal District, Brazil.
Public Health Nutr. 2021 Jun;24(8):2033-2049. doi: 10.1017/S1368980021000410. Epub 2021 Jan 28.
To systematically review studies that used indexes to assess feeding practices of children under 2 years.
Seven databases were searched with no limit on language or publication date.
The reviewed studies included thirteen Asian, ten Latin American, four European, four North American, three Oceanian and three African.
Children under 2 years.
We analysed thirty-six studies: twenty-two presenting original indexes and fourteen using adapted indexes. Among the original indexes, thirteen assess breast-feeding, fourteen food consumption, ten food groups, and ten other feeding practices. Original indexes were mainly adapted to fit the data available in the study, to update for current nutritional recommendations or to add components not present in the original indexes. Seven studies evaluated the associations between the indexes and nutrient intake or nutritional status. The main limitations cited by the authors were: flaws in the definition of the index components, criteria for cut-off points and weighting of the evaluated index components.
The assessment of feeding practices for young children and its comparison across countries remains a challenge, especially due to the lack of consensus on the construction of indexes and regional differences in dietary recommendations and practices. Lack of validation for some indexes also makes it difficult to choose the most appropriate index for a given objective. Adapting existing indexes is a viable option. We point out relevant recommendations that may contribute to future research. Validation and longitudinal studies in diverse populations are favourable to qualify the assessment of feeding practices in this group.
系统评价评估 2 岁以下儿童喂养行为的指标研究。
无语言和发表日期限制，共检索了 7 个数据库。
综述研究包括 13 项亚洲研究、10 项拉丁美洲研究、4 项欧洲研究、4 项北美研究、3 项大洋洲研究和 3 项非洲研究。
2 岁以下儿童。
我们分析了 36 项研究：22 项提出了原始指标，14 项使用了改编指标。在原始指标中，有 13 项评估母乳喂养，14 项评估食物摄入，10 项评估食物组，10 项评估其他喂养行为。原始指标主要是为了适应研究中可用的数据、更新当前营养建议或添加原始指标中没有的成分而改编的。有 7 项研究评估了这些指标与营养素摄入或营养状况之间的关系。作者主要提到的局限性有：指标成分定义的缺陷、临界值标准和评估指标成分的权重。
评估幼儿的喂养行为及其在各国之间的比较仍然具有挑战性，特别是由于在构建指标方面缺乏共识以及饮食建议和实践方面的区域差异。一些指标缺乏验证也使得难以选择最适合特定目标的指标。改编现有的指标是一种可行的选择。我们指出了一些可能有助于未来研究的相关建议。在不同人群中进行验证和纵向研究有利于为该人群的喂养行为评估提供依据。
