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纯母乳喂养与超加工食品在生命第一年的引入:巴西巴伊亚西南地区的队列研究,2018 年。

Exclusive breastfeeding and introduction of ultra-processed foods in the first year of life: a cohort study in southwest Bahia, Brazil, 2018.

机构信息

Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde, Vitória da Conquista, BA, Brasil.

Universidade Federal de Juiz de Fora, Departamento de Nutrição, Juiz de Fora, MG, Brasil.

出版信息

Epidemiol Serv Saude. 2021 Apr 28;30(2):e2020614. doi: 10.1590/S1679-49742021000200007. eCollection 2021.

DOI:10.1590/S1679-49742021000200007
PMID:33950111
Abstract

OBJECTIVE

To analyze association between exclusive breastfeeding (EBF) and the introduction of ultra-processed foods in children under 12 months old.

METHODS

This was a Cohort study, conducted with children in Vitória da Conquista, Bahia, Brazil. The main exposure was EBF (days: <120; 120-179; ≥180). The outcome variable was the introduction of four or more types of ultra-processed foods in the first year of life. Poisson regression analysis was used.

RESULTS

286 children were evaluated, of whom 40.2% received four or more ultra-processed foods and 48.9% EBF for less than 120 days. EBF for less than 120 days (RR=2.94 - 95%CI 1.51;5.71) and for 120-179 days (RR=2.17 - 95%CI 1.09;4.30) was associated with the outcome after adjustment by socioeconomic, maternal, paternal and child variables.

CONCLUSION

EBF for less than 180 days increased the risk of introducing four or more ultra-processed foods in the first year of life.

摘要

目的

分析纯母乳喂养(EBF)与 12 个月以下儿童引入超加工食品之间的关联。

方法

这是一项在巴西巴伊亚州孔基斯塔市进行的队列研究,纳入了儿童作为研究对象。主要暴露因素为纯母乳喂养(天数:<120;120-179;≥180)。结局变量为在生命的第一年引入四种或更多种超加工食品。采用泊松回归分析。

结果

共评估了 286 名儿童,其中 40.2%的儿童在生命的第一年摄入了四种或更多种超加工食品,48.9%的儿童母乳喂养时间少于 120 天。母乳喂养时间少于 120 天(RR=2.94-95%CI 1.51;5.71)和母乳喂养 120-179 天(RR=2.17-95%CI 1.09;4.30)与调整社会经济、母婴、父子和儿童变量后的结局相关。

结论

母乳喂养时间少于 180 天会增加生命的第一年引入四种或更多种超加工食品的风险。

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引用本文的文献

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Complementary feeding indicators from the World Health Organization and the Ministry of Health: agreement analysis and comparison of estimated prevalence in a cohort of children in southwestern Bahia, Brazil, 2018.来自世界卫生组织和卫生部的补充喂养指标:2018 年巴西巴伊亚西南部队列儿童中估计流行率的一致性分析和比较。
Epidemiol Serv Saude. 2024 Mar 15;33:e2023556. doi: 10.1590/S2237-96222024v33e2023556.en. eCollection 2024.
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Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review.
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Front Nutr. 2022 May 13;9:821657. doi: 10.3389/fnut.2022.821657. eCollection 2022.