Feeding difficulties among Brazilian children: prevalence and associated factors

Authors

DOI:

https://doi.org/10.33448/rsd-v11i13.35126

Keywords:

Child Nutrition; Food Fussiness; Child Care; Appetite; Caregivers; Eating; Feeding behavior.

Abstract

Objective: to present characteristics related to feeding difficulties (FD) in Brazilian children. Methodology: cross-sectional, observational, descriptive study with a quantitative approach that used a structured electronic questionnaire on FD, management and reaction of caregivers to these difficulties, family repercussions, source of knowledge on the subject and professional approach. Results: one thousand caregivers of children aged between 6 months and 10 years answered the questionnaire in full. FD initially manifested between 1 and 4 years of age in 62% of children. Rejection of trying new foods was the main FD (61%); 65% of the children consumed five or less types of food/day, with cooked foods being preferred by 79%; 33% of caregivers attributed the cause of FD to inadequate examples of family feeding and 32% admitted difficulties in keeping the child focused during feeding. Most caregivers reported that FD don’t affect or have little effect on the family dynamics or child’s school life. Caregivers reported offering another food to replace the refused one (42%), insisting on offering a new food (30%) and seeking guidance from a pediatrician (50%) or nutritionist (28%), who advise repeatedly offering new foods in different forms/preparations (41%); 70% of caregivers maintain appointment with the same pediatrician after diagnosis of FD. As a result of FD, 86% of caregivers fear that their children will develop “low immunity” and become sick. Conclusions: FD in the first years of life is prevalent in Brazil, causing concerns for caregivers of these children.

References

Adamson, M., Morawska, A., & Sanders, M. R. (2013, Jun). Childhood feeding difficulties: a randomized controlled trial of a group-based parenting intervention. J Dev Behav Pediatr, 34(5), 293-302. https://doi.org/10.1097/DBP.0b013e3182961a38

Araújo, N. R., Freitas, F. M. N. d. O., & Lobo, R. H. (2021). Formação de hábitos alimentares na primeira infância: benefícios da alimentação saudável. Research, Society and Development, 10(15). https://doi.org/10.33448/rsd-v10i15.22901

Babik, K., Patro-Golab, B., Zalewski, B. M., Wojtyniak, K., Ostaszewski, P., & Horvath, A. (2021, Oct 11). Infant feeding practices and later parent-reported feeding difficulties: a systematic review. Nutr Rev, 79(11), 1236-1258. https://doi.org/10.1093/nutrit/nuaa135

Boff, E. T. d. O., & Piasetzki, C. T. d. R. (2018). EducaÇÃo Alimentar E Nutricional E a FormaÇÃo De HÁbitos Alimentares Na InfÂncia. Revista Contexto & Educação, 33(106). https://doi.org/10.21527/2179-1309.2018.106.318-338

Chilman, L., Kennedy-Behr, A., Frakking, T., Swanepoel, L., & Verdonck, M. (2021, Aug 27). Picky Eating in Children: A Scoping Review to Examine Its Intrinsic and Extrinsic Features and How They Relate to Identification. Int J Environ Res Public Health, 18(17). https://doi.org/10.3390/ijerph18179067

Cooke, L., Higgins, C., & McCrann, Ú. (2017). Managing common feeding difficulties in toddlers and pre-school children. Paediatrics and Child Health, 27(8), 366-370. https://doi.org/10.1016/j.paed.2017.04.001

DeCosta, P., Moller, P., Frost, M. B., & Olsen, A. (2017, Jun 1). Changing children's eating behaviour - A review of experimental research. Appetite, 113, 327-357. https://doi.org/10.1016/j.appet.2017.03.004

Edwards, S. T., Glynn, E. F., Slogic, M., Davis, A. M., Killian, H. J., Cocjin, J., & Attard, T. M. (2022, Jul). Demographics of children with feeding difficulties from a large electronic health record database. JPEN J Parenter Enteral Nutr, 46(5), 1022-1030. https://doi.org/10.1002/jpen.2379

Fisberg, M., Machado, R. H. V., Nogueira, L. R., Morimoto, J. M., Viana, N. P., Barbosa, A. S., & Maximino, P. (2019). Crianças com dificuldades alimentares apresentam um consumo excessivo de bebidas açucaradas. Arquivos de Ciências da Saúde, 26(2). https://doi.org/10.17696/2318-3691.26.2.2019.1465

Gontijo, L. M., de Paula, G. F., Weffort, V. R., & Pedrosa, A. (2011). Distúrbios alimentares na infância e adolescência. Rev Med Minas Gerais, 21(3), S1-144104.

Haines, J., Haycraft, E., Lytle, L., Nicklaus, S., Kok, F. J., Merdji, M., Fisberg, M., Moreno, L. A., Goulet, O., & Hughes, S. O. (2019, Jun 1). Nurturing Children's Healthy Eating: Position statement. Appetite, 137, 124-133. https://doi.org/10.1016/j.appet.2019.02.007

Harris, G., & Mason, S. (2017). Are There Sensitive Periods for Food Acceptance in Infancy? Curr Nutr Rep, 6(2), 190-196. https://doi.org/10.1007/s13668-017-0203-0

Kachani, A. T., Abreu, C. L. M. d., Lisboa, S. B. H., & Fisberg, M. (2005). Seletividade alimentar da criança. Pediatria (São Paulo), 27(1), 48-60. https://www.researchgate.net/profile/Adriana-Kachani/publication/237487289_Seletividade_alimentar_da_crianca/links/02e7e538d21096fcde000000/Seletividade-alimentar-da-crianca.pdf

Kerzner, B., Milano, K., MacLean, W. C., Jr., Berall, G., Stuart, S., & Chatoor, I. (2015, Feb). A practical approach to classifying and managing feeding difficulties. Pediatrics, 135(2), 344-353. https://doi.org/10.1542/peds.2014-1630

Köche, J. C. (2016). Fundamentos de metodologia científica. Editora Vozes.

Lobos, P., & Januszewicz, A. (2019). Food neophobia in children. Pediatr Endocrinol Diabetes Metab, 25(3), 150-154. https://doi.org/10.5114/pedm.2019.87711 (Neofobia zywieniowa u dzieci.)

Machado, R. H. V., Tosatti, A. M., Malzyner, G., Maximino, P., Ramos, C. C., Bozzini, A. B., Ribeiro, L., & Fisberg, M. (2017). Maternal Feeding Practices among Children with Feeding Difficulties-Cross-sectional Study in a Brazilian Reference Center. Front Pediatr, 5, 286. https://doi.org/10.3389/fped.2017.00286

Magalhães, M. R., Serrano, C., Alvarenga, M. S., & Dahás, L. J. d. S. (2020). “Socorro! Meu Filho Come Mal”: uma análise do comportamento alimentar infantil. Perspectivas em Análise do Comportamento, 11(1), 079-091. https://doi.org/10.18761/PAC.2020.v11.n1.07

Maranhao, H. S., Aguiar, R. C., Lira, D. T. J., Sales, M. U. F., & Nobrega, N. (2018, Jan-Mar). Feeding Difficulties in Preschool Children, Previous Feeding Practices, and Nutritional Status. Rev Paul Pediatr, 36(1), 7. https://doi.org/10.1590/1984-0462/;2018;36;1;00004 (Dificuldades alimentares em pre-escolares, praticas alimentares pregressas e estado nutricional.)

Marshall, J., Hill, R. J., Ware, R. S., Ziviani, J., & Dodrill, P. (2015, May). Multidisciplinary intervention for childhood feeding difficulties. J Pediatr Gastroenterol Nutr, 60(5), 680-687. https://doi.org/10.1097/MPG.0000000000000669

Marshall, J., Hill, R. J., Ware, R. S., Ziviani, J., & Dodrill, P. (2016, Jan). Clinical Characteristics of 2 Groups of Children With Feeding Difficulties. J Pediatr Gastroenterol Nutr, 62(1), 161-168. https://doi.org/10.1097/MPG.0000000000000914

Maximino, P., Machado, R. H. V., Fontanezi, N. M., Nogueira, L. R., Ramos, C. d. C., & Fisberg, M. (2020). Aspectos comportamentais e ambientais associados às dificuldades alimentares na infância: Estudo com grupo controle. International Journal of Nutrology, 12(03), 109-115. https://doi.org/10.1055/s-0040-1709685

Maximino, P., Machado, R. H. V., Junqueira, P., Ciari, M., Tosatti, A. M., Ramos, C. d. C., & Fisberg, M. (2016). How to monitor children with feeding diffi culties in a multidisciplinary scope? Multidisciplinary care protocol for children and adolescents – pilot study. Journal of Human Growth and Development, 26(3). https://doi.org/10.7322/jhgd.122816

Maximino, P., Ricci, R., Machado, R. H. V., de Cássia Ramos, C., Nogueira, L. R., & Fisberg, M. (2020, 2020/09/08). Children with feeding difficulties have insufficient intake of vitamins, minerals, and dietary fiber. Nutrire, 45(2), 22. https://doi.org/10.1186/s41110-020-00124-2

Milano, K., Chatoor, I., & Kerzner, B. (2019, Aug 23). A Functional Approach to Feeding Difficulties in Children. Curr Gastroenterol Rep, 21(10), 51. https://doi.org/10.1007/s11894-019-0719-0

Müller, P. W., Marin, A. H., & Donelli, T. M. S. (2015). Olha o aviãozinho!: A relação mãe e bebê com dificuldades alimentares. Aletheia, 187-201. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1413-03942015000100015&nrm=iso

Müller, P. W., Salazar, V., & Donelli, T. M. S. (2017). Dificuldades Alimentares na Primeira Infância:: Uma Revisão Sistemática. Estudos e Pesquisas em Psicologia, 17, 635-652. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1808-42812017000200012&nrm=iso

Nogueira, L. R., Silva, P. L., Morimoto, J. M., Ricci, R., Maximino, P., & Fisberg, M. (2020). Consumo de fibras e dificuldades alimentares na infância: alimentos contribuintes e fatores associados. Saúde (Santa Maria), 46(2). https://doi.org/10.5902/2236583448311

Nogueira-de-Almeida, C., de Mello, E., Filho, D., Maximino, P., & Fisberg, M. (2018). Consenso da Associação Brasileira de Nutrologia sobre o uso de suplementos alimentares para crianças com dificuldades alimentares. International Journal of Nutrology, 11(S 01), S4-S15. https://doi.org/10.1055/s-0038-1670717

Nogueira-de-Almeida, C. A., de Mello, E. D., Maranhão, E. S., Vieira, M. C., Barros, R., Fisberg, M., & Barreto, J. R. (2012). Dificuldades alimentares na infância: revisão da literatura com foco nas repercussões à saúde. Pediatria Moderna, 48(9), 9.

Northstone, K., Emmett, P., Nethersole, F., Pregnancy, A. S. T. A. L. S. o., & Childhood. (2001, Feb). The effect of age of introduction to lumpy solids on foods eaten and reported feeding difficulties at 6 and 15 months. J Hum Nutr Diet, 14(1), 43-54. https://doi.org/10.1046/j.1365-277x.2001.00264.x

Prado-Netto, A., Marques, T. G., & Prado-Netto, G. (2017). Aquisição gustativa na infância: teoria e estudos. Saúde e Desenvolvimento Humano, 5(2), 75-84.

Rachmah, Q., Atmaka, D. R., & Kalpana, C. (2022). Behavioral Factors Related to Child Feeding Disorders: A Narrative Review. Journal of Xi’an Shiyou University, 18(1).

Silva, C., Barbosa, K., Santana, T., Gratão, L., & Gois, B. (2021). InfluÊncia Dos Pais Sobre O HÁbito Alimentar Na InfÂncia: RevisÃo Integrativa. Enciclopédia Biosfera, 18(37). https://doi.org/10.18677/EnciBio_2021C23

Silverman, A. H., Erato, G., & Goday, P. (2021, Mar). The relationship between chronic paediatric feeding disorders and caregiver stress. J Child Health Care, 25(1), 69-80. https://doi.org/10.1177/1367493520905381

Siqueira, B. N. F. (2018). Dificuldades alimentares entre pré-escolares e fatores associados Universidade Federal de Sergipe]. Aracaju, Sergipe. http://ri.ufs.br/jspui/handle/riufs/9124

Speyer, L. G., Hall, H. A., Ushakova, A., Murray, A. L., Luciano, M., & Auyeung, B. (2021, Apr). Longitudinal effects of breast feeding on parent-reported child behaviour. Arch Dis Child, 106(4), 355-360. https://doi.org/10.1136/archdischild-2020-319038

Steinberg, C., Menezes, L., & Nobrega, A. C. (2021). Oral motor disorder and feeding difficulty during the introduction of complementary feeding in preterm infants. CoDAS, 33(1), e20190070. https://doi.org/10.1590/2317-1782/20202019169 (Disfuncao motora oral e dificuldade alimentar durante a alimentacao complementar em criancas nascidas pre-termo.)

Supthanasup, A., Banwell, C., Kelly, M., Yiengprugsawan, V. S., & Davis, J. L. (2021, Apr). Child feeding practices and concerns: Thematic content analysis of Thai virtual communities. Matern Child Nutr, 17(2), e13095. https://doi.org/10.1111/mcn.13095

Torres, T. O., Gomes, D. R., & Mattos, M. P. (2020). Factors Associated with Food Neophobia in Children: Systematic Review. Rev Paul Pediatr, 39, e2020089. https://doi.org/10.1590/1984-0462/2021/39/2020089

van der Horst, K., Deming, D. M., Lesniauskas, R., Carr, B. T., & Reidy, K. C. (2016, Aug 1). Picky eating: Associations with child eating characteristics and food intake. Appetite, 103, 286-293. https://doi.org/10.1016/j.appet.2016.04.027

Vieira, M. L. F., Silva, J. L. C. P. e., & Barros Filho, A. A. (2003). A amamentação e a alimentação complementar de filhos de mães adolescentes são diferentes das de filhos de mães adultas? Jornal de Pediatria, 79(4), 317-324. https://doi.org/10.1590/s0021-75572003000400009

Warkentin, S., Mais, L. A., Latorre Mdo, R., Carnell, S., & Taddei, J. A. (2016, Jul 19). Validation of the comprehensive feeding practices questionnaire in parents of preschool children in Brazil. BMC Public Health, 16(1), 603. https://doi.org/10.1186/s12889-016-3282-8

Weffort, V. R. S., Maranhão, E. S., de Mello, E. D., Barreto, J. R., Fisberg, M., Moretzohn, M. A., Wayhs, M. L. C., Konstantiner, T., & Nogueira De Almeida, C. A. (2022). Guia de orientações - Dificuldades Alimentares. SBP.

Yang, H. R. (2017, Dec). How to approach feeding difficulties in young children. Korean J Pediatr, 60(12), 379-384. https://doi.org/10.3345/kjp.2017.60.12.379

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Published

09/10/2022

How to Cite

NOGUEIRA-DE-ALMEIDA, C. A.; DEL CIAMPO, L. A.; UED, F. da V.; FERRAZ, I. S.; CONTINI, A. A.; EPIFANIO, M.; FISBERG, M. Feeding difficulties among Brazilian children: prevalence and associated factors. Research, Society and Development, [S. l.], v. 11, n. 13, p. e180111335126, 2022. DOI: 10.33448/rsd-v11i13.35126. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35126. Acesso em: 18 apr. 2024.

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Health Sciences