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贫民窟儿童的饮食模式及其相关因素:一项横断面研究,2019-2022 年。

Dietary patterns of children living in slums and their associated factors: a cross-sectional study, 2019-2022.

机构信息

Universidade Federal de Alagoas, Faculdade de Nutrição, Maceió, AL, Brazil.

Universidade Federal de Pernambuco, Pós-Graduação de Saúde da Criança e do Adolescente, Recife, PE, Brazil.

出版信息

Epidemiol Serv Saude. 2024 Aug 23;33:e20231275. doi: 10.1590/S2237-96222024v33e20231275.en. eCollection 2024.

DOI:10.1590/S2237-96222024v33e20231275.en
PMID:39194082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11346682/
Abstract

OBJECTIVE

To identify dietary patterns and analyze factors associated with the consumption profile of socially vulnerable children, Maceió, state of Alagoas, Brazil, August 2019 to December 2021.

METHODS

This was a cross-sectional study; sociodemographic, anthropometric and food consumption variables were collected, factor analysis was used to identify dietary patterns; associations were analyzed using Poisson regression.

RESULTS

Among the 567 children studied, two dietary patterns were identified, healthy and unhealthy; age ≥ 24 months (PR = 2.75; 95%CI 1.83;4.14), male gender (PR = 0.66; 95%CI 0.49;0.87) and maternal schooling ≤ 9 years (PR = 0.61; 95%CI 0.46;0.81) was higher in the healthy pattern; the unhealthy pattern was associated with age ≥ 24 months (PR = 1.02; 95%CI 1.01;1.03) and male gender (PR = 1.46; 95%CI 1.08;1.98).

CONCLUSION

The healthy pattern was more frequent in children aged ≥ 24 months, less frequent in male children and mothers with low level of schooling; children aged ≥ 24 months and males showed a higher prevalence of the unhealthy pattern.

MAIN RESULTS

Two dietary patterns were defined, healthy and "unhealthy", which were associated with male gender, age ≥ 24 months and maternal schooling ≤ 9 years of study.

IMPLICATIONS FOR SERVICES

The study data can assist health professionals dedicated to primary healthcare services, such as nutritionists, in planning interventions to promote healthy eating habits aimed at children.

PERSPECTIVES

Prospective studies with these populations are necessary to assess the causality of the associations found in this study, aiming to plan more effective public health actions.

摘要

目的

识别社会弱势群体儿童的饮食模式,并分析与其消费特征相关的因素,巴西阿拉戈斯州马塞约,2019 年 8 月至 2021 年 12 月。

方法

这是一项横断面研究;收集了社会人口学、人体测量学和食物消费变量,使用因子分析来识别饮食模式;使用泊松回归分析关联。

结果

在研究的 567 名儿童中,确定了两种饮食模式,即健康和不健康;年龄≥24 个月(PR=2.75;95%CI 1.83;4.14)、男性(PR=0.66;95%CI 0.49;0.87)和母亲受教育年限≤9 年(PR=0.61;95%CI 0.46;0.81)在健康模式中更高;不健康模式与年龄≥24 个月(PR=1.02;95%CI 1.01;1.03)和男性(PR=1.46;95%CI 1.08;1.98)相关。

结论

健康模式在≥24 个月的儿童中更为常见,在男性儿童和母亲文化程度较低的儿童中更为少见;≥24 个月和男性儿童的不健康模式患病率较高。

主要结果

定义了两种饮食模式,即健康和“不健康”,它们与男性、年龄≥24 个月和母亲受教育年限≤9 年相关。

对服务的影响

这项研究的数据可以帮助专门从事初级保健服务的卫生专业人员,如营养师,计划促进健康饮食习惯的干预措施,以针对儿童。

观点

对这些人群进行前瞻性研究对于评估本研究中发现的关联的因果关系是必要的,旨在计划更有效的公共卫生行动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1657/11346682/3d00e6bffc04/2237-9622-ress-33-e20231275-f1-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1657/11346682/9d1a535daf19/2237-9622-ress-33-e20231275-f1-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1657/11346682/3d00e6bffc04/2237-9622-ress-33-e20231275-f1-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1657/11346682/9d1a535daf19/2237-9622-ress-33-e20231275-f1-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1657/11346682/3d00e6bffc04/2237-9622-ress-33-e20231275-f1-pt.jpg

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本文引用的文献

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Nutrients. 2023 May 24;15(11):2450. doi: 10.3390/nu15112450.
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Characteristics associated with dietary patterns in Brazilian children under two years of age.两岁以下巴西儿童饮食模式相关特征。
Rev Saude Publica. 2023 Jan 6;56:118. doi: 10.11606/s1518-8787.2022056003757. eCollection 2023.
3
Dietary patterns and associated factors of children under two years of age born prematurely.两岁以下早产儿的饮食模式及相关因素。
Rev Paul Pediatr. 2022 May 6;40:e2021177. doi: 10.1590/1984-0462/2022/40/2021177IN. eCollection 2022.
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Associated factors with dietary patterns among children under 2 years of age: a study in childcare centres and homes of South Brazil.2 岁以下儿童饮食模式相关因素:巴西南部日托中心和家庭的研究。
J Nutr Sci. 2021 May 14;10:e37. doi: 10.1017/jns.2021.26. eCollection 2021.
5
Association between dietary patterns and socioeconomic factors and food environment in a city in the South of Brazil.巴西南部一城市饮食模式与社会经济因素及食物环境之间的关联。
Cien Saude Colet. 2022 Feb;27(2):687-700. doi: 10.1590/1413-81232022272.37322020. Epub 2021 Jan 15.
6
Dietary patterns of Brazilian adults in 2008-2009 and 2017-2018.2008-2009 年和 2017-2018 年巴西成年人的饮食模式。
Rev Saude Publica. 2021 Nov 26;55(suppl 1):8s. doi: 10.11606/s1518-8787.2021055003437. eCollection 2021.
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Dietary patterns of children aged 6-24 months assisted by the Bolsa Família Program.由家庭补助金计划援助的6至24个月儿童的饮食模式。
Public Health Nutr. 2021 Oct 1;25(10):1-11. doi: 10.1017/S1368980021004110.
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Dietary patterns in Mexican preschool children are associated with stunting and overweight.墨西哥学龄前儿童的饮食模式与发育迟缓及超重有关。
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Cien Saude Colet. 2019 Jul 22;24(7):2387-2397. doi: 10.1590/1413-81232018247.24162017.