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[Eating behavior disorders in Chilean infants, according to socioeconomic level]
Susana Sánchez1, Carlos Castillo D
1Instituto de Nutrición y Tecnología de los Alimentos (INTA), Universidad de Chile, Chile.
Insights
Infants with eating behavior disorders (EDI) in Chile show lower weight-for-age and weight-for-length z-scores. Low socioeconomic level infants with EDI also exhibit lower height-for-age and birth weight, while higher socioeconomic level infants have shorter breastfeeding duration and mothers with longer work hours.
Area of Science:
- Pediatrics
- Child Nutrition
- Developmental Psychology
Context:
- Eating behavior disorders (EDI) are common in infants but understudied in Latin America.
- Socioeconomic disparities may influence EDI characteristics in Chilean infants.
Purpose:
- To characterize urban Chilean infants with EDI based on socioeconomic level (SL).
Summary:
- Infants with EDI had lower weight-for-age (W/A) and weight-for-length (W/L) z-scores compared to controls, irrespective of SL.
- Low SL infants with EDI also showed lower height-for-age (H/A) z-scores and birth weight.
- Middle-to-high SL infants with EDI had shorter exclusive breastfeeding durations (<4 months) and mothers with longer daily work hours.
Impact:
- Highlights the nutritional and socioeconomic factors associated with infant eating behavior disorders in Chile.
- Informs targeted interventions for EDI, considering socioeconomic context.
- Contributes to understanding EDI in a Latin American population.
Abstract:
The eating behavior disorders in infants (EDI) are frequently diagnosed in children; however, information about their characteristics or differences by socioeconomic level (SL) in Chile and Latin America, are missing. The objective was to characterize the urban Chilean infants with EDI, according to socioeconomic level. Sixty seven children were studied (4-24 months of age). The study group (SG) was constituted by 34 children attending clinics because of EDI: 18 belonged to low SL (LSL) and 16 to middle or high income groups (MHSL). Thirty three without EDI served as controls (CG), and were paired by age, gender and SL with SG (15 of them belonged to LSL and 18 to MHSL). A semi structured survey was applied to parents or caretakers. Children from LSL were studied at Primary Health Care Centers and those from MHSL at private clinics. The results showed: the mean weight/age z-score (W/A) was lower in the SG especially in LSL (SG: -0.9 +/- 1.0; CG: 0.5 +/- 0.9; p = 0.0001), the height/age z-score (z H/A) in SG was: -1.0 +/- 1.0 and in CG was: -0.3 +/- 0.8; p = 0.01) and the birth weight was SG = 3.1 +/- 0.5 kg; CG =3 .6 +/- 0.4 kg; (p = 0.001), were lower only for the SG of LSL. In the MHSL, exclusive breast feeding 4m was more frequent in the SG than the CG and the mothers worked more hours daily outside of their homes (7.6 +/- 4,1 vs 5.4 +/- 1.8 h/d; p = 0.007). As conclusions, the Chilean infants with eating behavior disorders had lower z WIA and lower z W/L than those with no EDI, independent of socioeconomic level. The infants of LSL with EDI also had lower z H/A and also lower birth weight than controls. In the medium-high socioeconomic level, those with eating disorders presented shorter breast feeding (< or = 4 m) and their mothers worked more hours daily outside of their homes, than those without eating disorders.
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