期刊名称：Revista brasileira de crescimento e desenvolvimento humano
印刷版ISSN：0104-1282
电子版ISSN：2175-3598
出版年度：2012
卷号：22
期号：1
页码：85-92
DOI：10.7322/jhgd.20055
语种：English
出版社：Centro de Estudos de Crescimento e Desenvolvimento do Ser Humano
摘要：Avaliar a efetividade da orientação nutricional de lactentes em fase de introdução da alimentação complementar e verificar a associação das práticas alimentares com idade e escolaridade materna. Estudo de coorte histórica descritiva, avaliando-se dados secundários de 92 lactentes que realizaram pelo menos três consultas nutricionais, atendidos no Centro de Incentivo e Apoio ao Aleitamento Materno da Universidade Federal de São Paulo, no período de outubro de 2005 a março de 2010. As informações de consumo alimentar foram obtidas a partir dos Recordatórios Alimentares de 24 horas, analisados qualitativamente segundo a presença dos grupos alimentares (cereais/tubérculos, carnes/ovos, leguminosas, frutas/legumes/verduras). A orientação nutricional para a introdução da alimentação complementar foi baseada nos Dez Passos da Alimentação Saudável para Crianças Brasileiras Menores de Dois Anos, do Ministério da Saúde. Para a análise de variância em blocos não paramétrica separaram-se as crianças em dois grupos (grupo Lac A= que já recebiam alimentação complementar e grupo Lac B = que ainda não recebiam alimentação complementar). As médias e desvios-padrão do número de grupos alimentares consumidos nos momentos 0, 1 e 2 para o Lac A foram 2,3 (dp = 0,8), 2,9 (dp = 0,8) e 3,2 (dp = 0,6), respectivamente, enquanto que para o Lac B nos momentos 1 e 2 foram 2,6 (dp = 0,9) e 3,1 (dp = 0,7), respectivamente. Estatisticamente houve um aumento significativo dos grupos alimentares com o tempo para o Lac A (momentos 0 - 1 (p = 0,001), 0 - 2 (p
其他摘要：The objective of the present study was to evaluate the effectiveness of nutritional guidance to lactating infants undergoing the phase of complementary feeding introduction and to verify the association of food practices with age and maternal education. It is a descriptive historical cohort study in which secondary data were evaluated from 92 lactating infants who had at least 3 nutritional counselings at the "Center for Promotion and Support of Breastfeeding" from the Federal University of Sao Paulo (UNIFESP), between October 2005 and March 2010. The information of food consumption was obtained from 24 hours food records which were qualitatively analyzed according to the presence of food groups (cereals/tubers, beef/egg, legumes, fruits/vegetables). The nutritional guidance for the introduction of the complementary food was based on the 10 Steps of a Healthy Diet for Brazilian Children under 2 years of age from the Health Ministry. For the Block Non-parametric Variance Analyses children were separated in 2 groups (Lac A = those who were already on a supplementary feeding; Lac B = those who were not on a supplementary feeding). The means and standard deviations of the number of food groups consumed at moments 0,1 and 2 for Lac A were 2.3 (SD = 0.8); 2.9 (SD = 0.8) and 3.2 (SD = 0.6), respectively. For Lac B at times 1 and 2 were 2.6 (SD = 0.9) and 3.1 (SD = 0.7), respectively. There was a statistic increase of the food groups with time for Lac A (moments 0 - 1 (p = 0.001), 0 - 2 (p < 0.001), 1 - 2 (p = 0.033)) and Lac B (moments 1 - 2 (p < 0.001)). Among the inadequate offered foods, those which had reduction were sugar (from 22.2% to 8.7%) and "petit suisse" cheese (from 11.1% to 4.3%). No relation between the presence of food groups and age and maternal education was observed. The nutritional orientation over time was effective what resulted in a better quality of the complementary feeding, independent of age and maternal education.
