Navegando por Autor "Abreu, C. B."
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Artigo Infant feeding practices and determinant variables for early complementary feeding in the first 8 months of life: results from the brazilian MAL-ED cohort site(Public Health Nutrition, 2018-04) Maciel, Bruna Leal Lima; Moraes, M.L.; Soares, Alberto Melo; Cruz, I.F.S.; Andrade, Maria I. R. de; Silva Filho, José Quirino da; Sousa Júnior, Francisco; Costa, Priscila Nunes; Abreu, C. B.; Ambikapathi, Ramya; Guerrant, Richard L.; Caulfield, Laura E.; Lima, Aldo Ângelo MoreiraObjective: The present study aimed to describe breast-feeding, complementary feeding and determining factors for early complementary feeding from birth to 8 months of age in a typical Brazilian low-income urban community. Design: A birth cohort was conducted (n 233), with data collection twice weekly, allowing close observation of breast-feeding, complementary feeding introduction and description of the WHO core indicators on infant and young child feeding. Infant feeding practices were related to socio-economic status (SES), assessed by Water/ sanitation, wealth measured by a set of eight Assets, Maternal education and monthly household Income (WAMI index). Two logistic regression models were constructed to evaluate risk factors associated with early complementary feeding. Results: Based on twice weekly follow-up, 65 % of the children received exclusive breast-feeding in the first month of life and 5 % in the sixth month. Complementary feeding was offered in the first month: 29 % of the children received water, 15 % infant formulas, 13 % other milks and 9·4 % grain-derived foods. At 6 months, dietary diversity and minimum acceptable diet were both 47% and these increased to 69 % at 8 months. No breast-feeding within the first hour of birth was a risk factor for the early introduction of water (adjusted OR=4·68; 95 % CI 1·33, 16·47) and low WAMI index a risk factor for the early introduction of other milks (adjusted OR=0·00; 95 % CI 0·00, 0·02). Conclusions: Data suggest local policies should promote: (i) early breast-feeding initiation; (ii) SES, considering maternal education, income and household conditions; (iii) timely introduction of complementary feeding; and (iv) dietary diversity