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Food-Based Dietary Guidelines for Infants in Latin America and the Caribbean: A Systematic Review
Isabelle Cristina Daniel1, Mariana Sofia Moro Siqueira1, Gabriela Ulbricht Romaneli1
1Graduate Program in Dentistry, School of Medicine and Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba 80242 980, Brazil.
Insights
Food-based dietary guidelines (FBDGs) for children under two in Latin America and the Caribbean (LAC) are scarce and of variable quality. This review highlights the need for improved, accessible FBDGs to promote child nutrition and health education.
Area of Science:
- Public Health Nutrition
- Child Health
- Dietary Guidelines
Background:
- Food-based dietary guidelines (FBDGs) are crucial for promoting healthy eating habits.
- A significant gap exists in the analysis of FBDGs quality for children under two years old in Latin America and the Caribbean (LAC).
Purpose of the Study:
- To systematically evaluate the quality of publicly available FBDGs for children under two years old in LAC until mid-2023.
- To assess FBDGs using established assessment tools and principles for healthy, sustainable diets.
Main Methods:
- Systematic review of FBDGs for caregivers of children under two, sourced from government websites and the FAO portal.
- Qualitative analysis using the Agree II tool and FAO guide principles.
- Exclusion of guidelines targeted solely at healthcare professionals.
Main Results:
- More recent and revised FBDGs, with greater page count, scored higher in quality assessments.
- Only 13 out of 32 LAC countries provide public access to these essential FBDGs online.
- Challenges were encountered in standardizing website searches for guideline retrieval.
Conclusions:
- There is a critical need to develop and improve FBDGs for the under-two population in LAC.
- Guidelines should align with current health and sustainability requirements.
- Enhanced FBDGs can effectively promote child nutrition and health education.
Abstract:
Food-based dietary guidelines (FBDGs) are tools for promoting healthy eating habits. For the population of children under two years old in Latin America and the Caribbean (LAC), there is a lack of reviews analyzing the quality of these guidelines. The objective of this systematic review is to evaluate publicly available FBDGs for the population under two years old in LAC until mid-2023. Guidelines aimed at caregivers of children were included, sourced from government websites in LAC countries and the Food and Agriculture Organization (FAO) portal. Documents targeted at healthcare professionals were excluded. For qualitative analysis, the Agree II guidelines assessment tool and the FAO guide principles for developing healthy and sustainable diets were used. The results showed that more recently released and revised FBDGs with a greater number of pages obtained better scores in both assessments. Additionally, out of the 32 LAC countries, only 13 had these FBDGs available on websites for public access. As a limitation, this study faced challenges in standardizing the searches on government websites. The authors emphasize the need to develop FBDGs for the population under two years old that align with current health and sustainability needs and promote health education.
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