Food diversity and consumption of ultra-processed food in the complementary feeding: National Health Survey, Brazil, 2013

Authors

DOI:

https://doi.org/10.33448/rsd-v10i11.19242

Keywords:

Complementary Food; Food Consumption; Socioeconomic factors; Demographic Indicators; Health Status Disparities.

Abstract

Objective: To assess food diversity and absence of consumption of ultra-processed foods in complementary feeding of Brazilian children aged between six and 24 months according to socio-demographic variables. Methods: It is a cross-sectional study that analyzed data from the National Health Survey, 2013. The food diversity and ultra-processed foods consumption were evaluated separately and together. The joint analysis was measured by score, considering the consumption of each food group that constituting food diversity, as well as the absence by each of ultra-processed foods.  It was estimated prevalence, means score and confidence intervals (95%). Socio-demographic variables analyzed: gender, race, household situation, macro-regions and household conditions. Results: Of the 3701 eligible children, only 3.8% had nutritional adequacy (food diversity and absence of ultra-processed foods), 48.8 % had food diversity, and 15.7 % did not consume ultra-processed foods. Children with low socioeconomic status had a lower score on the nutritional adequacy and a lower prevalence of food diversity and a higher prevalence of ultra-processed foods consumption. Conclusions: A large portion of Brazilian children have low feeding diversity and consume ultra-processed foods, with inequalities related to the socioeconomic status and macro-region.  Public policies and health care actions must consider these differences to reduce the disparities.

References

Baye, K., & Kennedy, G. (2020). Estimates of dietary quality in infants and young children (6–23 mo): Evidence from demographic and health surveys of 49 low- and middle-income countries. Nutrition, 78, 110875. https://doi.org/10.1016/j.nut.2020.110875

Bortolini, G. A., Giugliani, E. R. J., Gubert, M. B., & Santos, L. M. P. (2019). Breastfeeding is associated with children’s dietary diversity in Brazil. Ciencia e Saude Coletiva, 24(11), 4345–4354. https://doi.org/10.1590/1413-812320182411.29312017

Bortolini, G. A., Gubert, M. B., & Santos, L. M. P. (2012). Consumo alimentar entre crianças brasileiras com idade de 6 a 59 meses. Cadernos de Saude Publica, 28(9), 1759–1771. https://doi.org/10.1590/S0102-311X2012000900014

Bortolini, G. A., Vitolo, M. R., Gubert, M. B., & Santos, L. M. P. (2015). Iniquidades sociais influenciam a qualidade e a diversidade da dieta de crianças brasileiras de 6 a 36 meses. Cadernos de Saude Publica, 31(11), 2413–2424. https://doi.org/10.1590/0102-311X00153414

Brasil, Ministério da Saúde, Secretaria de Atenção à saúde, & Departamento de Atenção Básica. (2015). Orientações para a avaliação de marcadores de consumo alimentar na atenção básica.

Brasil, Ministério da Saúde, Secretaria de Atenção Primária à Saúde, & Departamento de Promoção à Saúde. (2019). Guia Alimentar Para Crianças Brasileiras Menores De 2 Anos.

Dallazen, C., da Silva, S. A., Gonçalves, V. S. S., Nilson, E. A. F., Crispim, S. P., Lang, R. M. F., Moreira, J. D., Tietzmann, D. C., & Vítolo, M. R. (2018). Introdução de alimentos não recomendados no primeiro ano de vida e fatores associados em crianças de baixo nível socioeconômico. Cadernos de Saude Publica, 34(2). https://doi.org/10.1590/0102-311x00202816

Giesta, J. M., Zoche, E., Corrêa, R. da S., & Bosa, V. L. (2019). Associated factors with early introduction of ultra-processed foods in feeding of children under two years old. Ciencia e Saude Coletiva, 24(7), 2387–2397. https://doi.org/10.1590/1413-81232018247.24162017

Giovanini, A., & Sartori, D. O. (2013). A influência do marketing aplicado à indústria de alimentos sobre o estado nutricional e o comportamento alimentar no Brasil. Segurança Alimentar e Nutricional, 20(2), 309–319.

Jaime, P. C., Frias, P. G. de, Monteiro, H. O. da C., Almeida, P. V. B., & Malta, D. C. (2016). Assistência em saúde e alimentação não saudável em crianças menores de dois anos: dados da Pesquisa Nacional de Saúde, Brasil, 2013. Rev. Bras. Saúde Matern. Infant., Recife, 16(2), 159–167. https://doi.org/10.1590/1806-93042016000200005

Karnopp, E. V. N., Vaz, J. dos S., Schafer, A. A., Muniz, L. C., Souza, R. de L. V. de, Santos, I. dos, Gigante, D. P., & Assunção, M. C. F. (2017). Consumo alimentar de crianças menores de seis anos conforme o grau de processamento. Jornal de Pediatria, 93(1), 70–78. https://doi.org/10.1016/j.jped.2016.04.007

Khandpur, N., Neri, D. A., Monteiro, C., Mazur, A., Frelut, M. L., Boyland, E., Weghuber, D., & Thivel, D. (2020). Ultra-Processed Food Consumption among the Paediatric Population: An Overview and Call to Action from the European Childhood Obesity Group. In Annals of Nutrition and Metabolism (Vol. 76, Issue 2, pp. 109–113). S. Karger AG. https://doi.org/10.1159/000507840

Lopes, W. C., Marques, F. K. S., Oliveira, C. F. de, Rodrigues, J. A., & Pinho, M. F. S. A. P. C. L. de. (2018). Alimentação de crianças nos primeiros dois anos de vida. Revista Paulista de Pediatria, 36(2), 164–170. https://doi.org/10.1590/1984-0462/;2018;36;2;00004

Monteiro, C. A., Cannon, G., Lawrence, M., Louzada, M. L. da C., & Machado, P. P. (2019). Ultra-processed foods, diet quality, and health using the NOVA classification system. FAO. http://www.wipo.int/amc/en/mediation/rules

Nicklaus, S. (2009). Development of food variety in children. Appetite, 52(1), 253–255. https://doi.org/10.1016/j.appet.2008.09.018

Obbagy, J. E., English, L. K., Psota, T. L., Wong, Y. P., Butte, N. F., Dewey, K. G., Fox, M. K., Greer, F. R., Krebs, N. F., Scanlon, K. S., & Stoody, E. E. (2019). Complementary feeding and micronutrient status: A systematic review. In American Journal of Clinical Nutrition (Vol. 109, pp. 852S-871S). https://doi.org/10.1093/ajcn/nqy266

Obbagy, J. E., English, L. K., Wong, Y. P., Butte, N. F., Dewey, K. G., Fleischer, D. M., Fox, M. K., Greer, F. R., Krebs, N. F., Scanlon, K. S., & Stoody, E. E. (2019). Complementary feeding and food allergy, atopic dermatitis/eczema, asthma, and allergic rhinitis: a systematic review. Am J Clin Nutr, 109, 890–934. https://doi.org/10.1093/ajcn/nqy220

Oliveira, M. I. C. de, Rigotti, R. R., & Cristiano Siqueira Boccolini. (2017). Fatores associados à falta de diversidade alimentar no segundo semestre de vida. Cadernos Saúde Coletiva, 25(1), 65–72. https://doi.org/10.1590/1414-462x201700010204

Oliveira, J. M., Castro, I. R. R. de, Silva, G. B. e, Venancio, S. I., & Saldiva, S. R. D. M. (2015). Avaliação da alimentação complementar nos dois primeiros anos de vida: proposta de indicadores e de instrumento. Cadernos de Saúde Pública, 31(2), 377–394. https://doi.org/10.1590/0102-311X00209513

Relvas, G. R. B., Buccini, G. dos S., & Venancio, S. I. (2019). Ultra-processed food consumption among infants in primary health care in a city of the metropolitan region of São Paulo, Brazil. Jornal de Pediatria, 95(5), 584–592. https://doi.org/10.1016/j.jped.2018.05.004

Rinaldi, A. E. M., & Conde, W. L. (2019). Socioeconomic inequality in dietary intake begins before 24 months in Brazilian children. Revista de Saude Publica, 53(1). https://doi.org/10.11606/S1518-8787.2019053000679

Roberto Borges de Souza-Júnior, P., Paulo Soares de Freitas, M., de Abreu Antonaci, G., & Landmann Szwarcwald, C. (2015). Desenho da amostra da Pesquisa Nacional de Saúde 2013 Sampling Design for the National Health Survey, Brazil 2013. Epidemiol. Serv. Saúde, 24(2), 207–216. https://doi.org/10.5123/S1679-49742015000200003

Saldiva, S. R. D. M., Venancio, S. I., de Santana, A. C., da Silva Castro, A. L., Escuder, M. M. L., & Giugliani, E. R. J. (2014). The consumption of unhealthy foods by Brazilian children is influenced by their mother’s educational level. Nutrition Journal, 13(1). https://doi.org/10.1186/1475-2891-13-33

Schwartz, C., Scholtens, P. A. M. J., Lalanne, A., Weenen, H., & Nicklaus, S. (2011). Development of healthy eating habits early in life. Review of recent evidence and selected guidelines. Appetite, 57(3), 796–807. https://doi.org/10.1016/j.appet.2011.05.316

Sotero, A. M., Cabral, P. C., & Silva, G. A. P. da. (2015). Fatores socioeconômicos, culturais e demográficos maternos associados ao padrão alimentar de lactentes. Revista Paulista de Pediatria, 33(4), 445–452. https://doi.org/10.1016/j.rpped.2015.03.006

Steyn, N., Nel, J., Nantel, G., Kennedy, G., & Labadarios, D. (2006). Food variety and dietary diversity scores in children: are they good indicators of dietary adequacy? Public Health Nutrition, 9(5), 644–650. https://doi.org/10.1079/phn2005912

Taylor, R. W., Williams, S. M., Fangupo, L. J., Wheeler, B. J., Taylor, B. J., Daniels, L., Fleming, E. A., McArthur, J., Morison, B., Erickson, L. W., Davies, R. S., Bacchus, S., Cameron, S. L., & Heath, A.-L. M. (2017). Effect of a Baby-Led Weaning Approach to Complementary Feeding on Infant Growth and Overweight. Archives of Pediatrics & Adolescent Medicine (JAMA Pediatrics), 171(9), 838–846. https://doi.org/10.1001/jamapediatrics.2017.1284

United Nations Children’s Fund (UNICEF). (2020). Improving young children’s diets during the complementary feeding period. In UNICEF Programming Guidance. New. UNICEF.

White, J. M., Bégin, F., Kumapley, R., Murray, C., & Krasevec, J. (2017). Complementary feeding practices: Current global and regional estimates. Maternal and Child Nutrition, 13(S2), 1–12. https://doi.org/10.1111/mcn.12505

WHO. (2010). Indicators for assessing infant and young child feeding practices part 2: measurement. In World Health Organization. http://whqlibdoc.who.int/publications/2008/9789241596664_eng.pdf%5Cnhttp://www.unicef.org/programme/breastfeeding/innocenti.htm%5Cnhttp://innocenti15.net/declaration.pdf.pdf%5Cnhttp://whqlibdoc.who.int/publications/2010/9789241599757_eng.pdf

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Published

22/08/2021

How to Cite

OLIVEIRA, A. S. D. de; SILVA, T. S.; TAVARES , C. S. .; MORAES, M. M. de; BRITO , F. dos S. B. .; MOREIRA, C. C. .; SILVA, A. C. F. da . Food diversity and consumption of ultra-processed food in the complementary feeding: National Health Survey, Brazil, 2013. Research, Society and Development, [S. l.], v. 10, n. 11, p. e10101119242, 2021. DOI: 10.33448/rsd-v10i11.19242. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/19242. Acesso em: 25 feb. 2024.

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Health Sciences