Quality of complementary feeding and its effect on nutritional status in preterm infants: a cross-sectional study.

Autor: Ribas SA; Department of Nutrition in Public Health, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., de Rodrigues MCC; Department of Pediatrics, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Mocellin MC; Fundamental Nutrition Department, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Marques ES; Institute of Social Medicine, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., da Rosa GPC; School of Nutrition, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Maganha CR; School of Nutrition, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
Jazyk: angličtina
Zdroj: Journal of human nutrition and dietetics : the official journal of the British Dietetic Association [J Hum Nutr Diet] 2021 Feb; Vol. 34 (1), pp. 3-12. Date of Electronic Publication: 2020 Apr 26.
DOI: 10.1111/jhn.12762
Abstrakt: Background: The first 2 years of life represent a critical phase for growth and development, with the quality of the diet at this stage having repercussions throughout adulthood. The present study aimed to develop an Index for Measuring the Quality of Complementary Feeding (IMQCF) for infants, as well as to evaluate diet quality and its effects on the nutritional status of preterm infants.
Methods: This cross-sectional study was conducted at a Brazilian University Hospital. The data were extracted by care protocol of outpatient preterm infants at 2 years of corrected age (CA). Dietary data were collected from 24-h recalls. The diet quality was assessed by the IMQCF composed of nine items based on a Brazilian Food Guide for children aged <2 years. Response options were scored 0-100, with scores closer to 100 representing a better quality diet. Association with growth indicators (Z-scores for weight- and length-for-age (WAZ and LAZ) were evaluated via tests of mean difference and multiple linear regression.
Results: The median complementary feeding (CF) score was 72.2 (61.1-77.8) A shorter breastfeeding duration or infant formula use and the early introduction of wheat-based foods, ultra-processed foods and cow's milk in the preterm's diet were the main factors interfering in the adequacy of diet. There was an association between the quality of the diet score and WAZ (0.44; 95% confidence interval = 0.03-0.85; P = 0.03).
Conclusions: The introduction of poor quality food in the first 2 years of life interfered with the CF quality of preterm infants and can affect nutritional status at 2 years of CA, possibly in the long term.
(© 2020 The British Dietetic Association Ltd.)
Databáze: MEDLINE
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