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6 至 23 月龄儿童的食物组消费及相关因素。

Consumption of food groups and associated factors among children aged 6 to 23 months.

机构信息

Universidade Federal do Paraná, Curitiba, PR, Brazil.

出版信息

Rev Paul Pediatr. 2022 Apr 4;40:e2021080. doi: 10.1590/1984-0462/2022/40/2021080. eCollection 2022.

Abstract

OBJECTIVE

To assess the consumption of food groups among children aged 6 to 23 months in day care centers and at home and its associated factors.

METHODS

This is a population-based cross-sectional study conducted with children from nursery schools in Guaratuba, Paraná. Parents answered a socioeconomic and demographic questionnaire. Food consumption was assessed by directly weighing the meals offered at the day care center. At home, parents filled an estimated food record. The reported foods were classified into seven food groups. Minimum dietary diversity was calculated by the proportion of children who consumed foods from four or more groups. Data were analyzed by simple and multiple logistic regression, presented as odds ratios.

RESULTS

A total of 213 children participated in this study. The average number of food groups consumed was 4.2±1.0 at home and 4.2±1.2 in day care centers. At the day care center, all children consumed grains, roots, and tubers, while at home, this rate was 99.1%. The egg group was the least consumed both at day care (6.6%) and at home (2.8%). At home, more than 60% of children consumed sweets and sugar-sweetened beverages. Children aged 12 to 23 months were more likely to consume milk and dairy products, as well as flesh foods. Higher income was associated with the consumption of legumes, and older maternal age with the consumption of fruits and vegetables.

CONCLUSIONS

At home, children had a predominantly dairy-based diet and a high intake of ultra-processed foods. In day care centers, the consumption of healthy foods was higher, indicating the need for families to participate in the formation of healthy eating habits.

摘要

目的

评估日托中心和家庭中 6 至 23 个月儿童的食物消费情况及其相关因素。

方法

这是一项在巴拉那州瓜拉图巴市幼儿园开展的基于人群的横断面研究。家长回答了一份社会经济和人口统计学问卷。日托中心提供的膳食通过直接称重进行食物消费评估。在家中,家长填写了一份估计的食物记录。报告的食物被分为七个食物组。最小饮食多样性通过食用四种或更多种食物的儿童比例来计算。通过简单和多因素逻辑回归分析数据,以比值比表示。

结果

共有 213 名儿童参与了这项研究。在家中平均食用 4.2±1.0 种食物,在日托中心平均食用 4.2±1.2 种食物。在日托中心,所有儿童都食用谷物、根茎和块茎,而在家中,这一比例为 99.1%。鸡蛋组在日托中心(6.6%)和在家中(2.8%)的食用率最低。在家中,超过 60%的儿童食用甜食和含糖饮料。12 至 23 个月大的儿童更有可能食用牛奶和奶制品以及肉类食品。较高的收入与豆类的消费有关,而母亲年龄较大与水果和蔬菜的消费有关。

结论

在家中,儿童的饮食主要以奶制品为基础,且超加工食品的摄入量较高。在日托中心,健康食品的消费较高,表明需要家庭参与形成健康的饮食习惯。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0829/8983009/f04038e3ab5a/1984-0462-rpp-40-e2021080-gf01.jpg

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