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Processed and ultra-processed food consumption among children aged 13 to 35 months and associated factors
Mônica Araujo Batalha1, Ana Karina Teixeira da Cunha França2, Sueli Ismael Oliveira da Conceição1
1Programa de Pós-graduação em Saúde Coletiva,Universidade Federal do Maranhão, São Luís, Brasil.
Insights
High consumption of processed and ultra-processed foods is linked to maternal education and child
Area of Science:
- Nutrition Science
- Pediatric Health
- Public Health
Background:
- Processed and ultra-processed foods (PUF) are increasingly prevalent in children's diets.
- Understanding factors associated with PUF consumption in early childhood is crucial for public health interventions.
- The "NOVA" classification system categorizes foods based on the extent and purpose of food processing.
Purpose of the Study:
- To assess the consumption patterns of processed and ultra-processed foods in children aged 13-35 months.
- To identify factors associated with high PUF intake in this age group within the BRISA cohort in Brazil.
- To inform targeted interventions for reducing PUF consumption and preventing future health issues.
Main Methods:
- A cohort of 1,185 children aged 13-35 months in São Luís, Maranhão, Brazil, was studied.
- Food consumption was assessed using a 24-hour dietary recall.
- Poisson regression with robust variance estimation was employed to analyze factors associated with high PUF consumption.
Main Results:
- Children whose mothers had less than 12 years of education showed a higher proportion of high PUF consumption.
- Children older than 16 months were also more likely to have high PUF intake.
- The mean daily energy intake was 1,226 Kcal/day.
Conclusions:
- Maternal education level is a significant factor associated with children's PUF consumption.
- Age of the child (older than 16 months) is another key factor linked to higher PUF intake.
- Interventions should target mothers with lower educational attainment and older infants to reduce PUF consumption.
Abstract:
The aim of this study was to evaluate the consumption of processed and ultra-processed foods among children aged 13-35 months and its associated factors. We studied 1,185 children within the BRISA cohort in São Luís, Maranhão State, Brazil. The food consumption was investigated using a 24-hour recall, and the percentages of daily caloric intake and nutrients were estimated by food groups according to "NOVA" classification. We chose to categorize children belonging to the upper tertile of the distribution as having a high consumption of processed and ultra-processed food products. The Poisson regression model with robust variance estimation using a hierarchical modeling approach was used to calculate the prevalence ratios (PRs) of variables associated with high consumption of processed and ultra-processed food products. The mean energy intake was 1,226Kcal/day. After adjustments, there was a higher proportion of high consumption of processed and ultra-processed food products among children whose mothers had < 12 years of education and among children who were older than 16 months. Mothers with low schooling and children older than 16 months should be the targets of interventions aimed at reducing consumption of these food products and preventing adverse health outcomes in later life.
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