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Updated: Nov 19, 2025

Breakfast Habits among Schoolchildren in the City of Uruguaiana, Brazil
Published on: July 29, 2020
Determinants of fruits, vegetables, and ultra-processed foods consumption among infants
Adriana Passanha1, Maria Helena D'Aquino Benício1, Sonia Isovama Venâncio2
1Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo. Av. Doutor Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil. adriana.passanha@gmail.com.
Insights
Maternal education and age positively impact infant fruit and vegetable (FV) intake, while negatively affecting ultra-processed food (UPF) consumption. Healthcare access and municipality size also influence these dietary patterns, guiding targeted infant nutrition programs.
Area of Science:
- Public Health
- Nutrition Science
- Epidemiology
Background:
- Infant dietary habits are established early and influenced by various factors.
- Understanding determinants of fruit and vegetable (FV) and ultra-processed food (UPF) consumption is crucial for public health interventions.
- Socioeconomic and contextual factors play a significant role in shaping infant nutrition.
Purpose of the Study:
- To analyze individual and contextual determinants affecting infant FV and UPF consumption.
- To identify specific demographic and environmental factors associated with suboptimal infant diets.
- To inform targeted nutritional education programs for infants and mothers.
Main Methods:
- Utilized data from the Survey of Prevalence of Breastfeeding in Brazilian Municipalities, 2008.
- Analyzed a sample of 14,326 infants aged 6-11.9 months from 75 municipalities in São Paulo state.
- Employed Poisson multilevel regression to assess the influence of determinants on FV and UPF intake.
Main Results:
- Higher maternal education and maternal age were linked to increased FV intake and decreased UPF intake.
- Infants of multiparous women and those utilizing public healthcare showed lower FV and higher UPF consumption.
- Smaller municipality population size correlated with decreased FV and increased UPF consumption.
Conclusions:
- Maternal education, age, healthcare access, and residence in smaller municipalities are key determinants of infant diet quality.
- Infants from disadvantaged backgrounds (low maternal education, public healthcare users, small towns) require prioritized nutritional interventions.
- Findings support the development of targeted educational programs to improve infant feeding practices, focusing on FV and reducing UPF intake.
Abstract:
The objective was to evaluate the influence of individual and contextual determinants on infant's consumption of fruits and vegetables (FV), and ultra-processed foods (UPF). The data was obtained from the Survey of Prevalence of Breastfeeding in Brazilian Municipalities, 2008. A representative sample of 14,326 infants 6-11.9 months old, from seventy-five municipalities of São Paulo state was evaluated. The influence of determinants on FV and UPF consumption was analyzed using Poisson multilevel regression. Mother's educational level and maternal age had positive dose-response effect for the consumption of FV (p trend < 0.001) and negative for UPF (p trend < 0.001). Infants of multiparous women and those who received outpatient care in public medical system showed lower prevalence of FV (p < 0.001 for both) and higher prevalence of UPF (respectively, p < 0.001 and p = 0.001). Moreover, the contextual variable related to population size indicated that the prevalence of consumption of FV decreased (p < 0.001) and UPF increased (p = 0.081) with decreased population size. Therefore, infants born to women with low education levels, who received outpatient care in the public health network, and who reside in small municipalities should be prioritized for educational programs related to feeding practices.
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