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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Supplementary feeding of infants in a developed city within the context of a developing country

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Author(s):
Julia Laura Delbue Bernardi [1] ; Regina Esteves Jordão [2] ; Antônio Azevedo Barros Filho [3]
Total Authors: 3
Affiliation:
[1] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Pediatria - Brasil
[2] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Pediatria - Brasil
[3] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Pediatria - Brasil
Total Affiliations: 3
Document type: Journal article
Source: Revista Panamericana de Salud Pública = Pan American Journal of Public Health; v. 26, n. 5, p. 405-411, 2009-11-00.
Abstract

OBJECTIVE: To establish the timing for introducing supplementary foods in the diet of infants from the city of Campinas, state of São Paulo, Brazil. METHODS: This cross-sectional study included 2 857 children younger than 2 years of age randomly selected from the city department of health live birth database between 2004 and 2005. The mothers answered a questionnaire that included 87 closed questions designed to collect information concerning socioeconomic status, breastfeeding, and timing of introduction of supplementary foods. RESULTS: Assessment of the mothers revealed that 13.5% were adolescents, 73.1% had completed elementary or high school education, 45.9% had technical level jobs, 6,7% had jobs requiring a university degree, and 2.7% were health professionals. On average, participants belonged to socioeconomic class C (ranging from A, highest, to E, lowest), but all socioeconomic classes were represented. The median duration of exclusive breastfeeding was 90 days (95%CI: 87.6-92.4). Water (95%CI: 118.6-121.4) and tea (95CI%: 113.2-126.8) were introduced at a median of 120 days. Semi-solid foods (95%CI: 178.6-181,4) and powdered milk (95%CI: 169.0-191.0) were introduced at a median of 180 days. Powdered milk and soft drinks had been ingested by 39.1% and 2.1%, respectively, at 4 months, and by 63.2 and 69.1%, respectively, at 1 year of age. Shorter breastfeeding duration was observed for women with technical level jobs, those who were unemployed, and those without a partner. CONCLUSIONS: The median duration of exclusive breastfeeding was far from that recommended due to the offer of supplementary fluids. Supplementary foods were introduced precociously, especially sweets. (AU)