Armani María F, Romero Iris B, Buffarini Romina, Cormick Gabriela
Department of Health, Universidad Nacional de La Matanza (UNLaM), San Justo, Argentina.
School of Nutrition, Universidad del Centro Educativo Latinoamericano, Rosario, Argentina.
Arch Argent Pediatr. 2024 Apr 1;122(2):e202310050. doi: 10.5546/aap.2023-10050.eng. Epub 2023 Oct 26.
Introduction. The availability of data on the consumption of ultra-processed foods among children is important for planning public policies. Objectives. To describe the prevalence of consumption of ultra-processed foods in children under 2 years of age and identify associated factors. To describe the proportion that ultra-processed foods represent out of the total number of foods consumed in a day. Methods. Secondary analysis of data from children aged 6-23 months with at least a 24-hour recall of food consumption based on the Second National Survey on Nutrition and Health of Argentina (2018). The following primary variables were studied: "consumption of ultra-processed foods" (according to the NOVA system) categorized into yes/no and "proportion of ultra-processed out of total foods consumed." The following associated factors were studied: breastfeeding, sex, age, and number of non-ultra-processed foods consumed. A multivariate logistic regression model was developed and an expansion factor was applied to weight the data. Results. A total of 4224 children were included (weighed: 908 104). The prevalence of ultra-processed food consumption was 90.8% (95% CI: 89.5-92) and was associated with an older age (OR: 3.21, 95% CI: 2.28-4.52) and the number of non-ultra-processed foods consumed (OR: 1.17, 95% CI: 1.13-1.23). Ultra-processed foods accounted for a median 20% (IQR: 12.5-28.6%) of all foods consumed in a day. Conclusions. This study highlights the high penetration of ultra-processed foods in complementary feeding.
引言。掌握儿童超加工食品消费数据对于公共政策规划至关重要。目标。描述2岁以下儿童超加工食品的消费流行情况，并确定相关因素。描述超加工食品在一日总消费食品中所占的比例。方法。基于阿根廷第二次全国营养与健康调查（2018年），对6 - 23个月龄儿童的数据进行二次分析，这些儿童至少有一次24小时食物消费回忆。研究了以下主要变量：“超加工食品消费”（根据NOVA系统），分为是/否，以及“超加工食品占总消费食品的比例”。研究了以下相关因素：母乳喂养、性别、年龄以及非超加工食品的消费数量。建立了多变量逻辑回归模型，并应用扩展因子对数据进行加权。结果。共纳入4224名儿童（加权后：908 104）。超加工食品消费流行率为90.8%（95%置信区间：89.5 - 92），与年龄较大（比值比：3.21，95%置信区间：2.28 - 4.52）和非超加工食品消费数量（比值比：1.17，95%置信区间：1.13 - 1.23）相关。超加工食品在一日总消费食品中所占中位数为20%（四分位间距：12.5 - 28.6%）。结论。本研究凸显了超加工食品在辅食喂养中的高渗透率。
