SOCIODEMOGRAPHIC INEQUALITIES IN THE AGE OF INTRODUCTION OF ULTRA-PROCESSED FOOD IN THE FIRST YEAR OF LIFE. THE CLAB-BRAZIL STUDY
Introduction: Food inadequacies in the first year of life are considered a global problem, especially the introduction of extremely palatable ultra-processed foods (UPFs) with low nutritional value to infant diets. Objective: To identify sociodemographic differences related to the median age of intr...
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Format: | Article |
Language: | English |
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Universidade do Estado do Rio de Janeiro
2019-11-01
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Series: | Demetra |
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Online Access: | https://www.e-publicacoes.uerj.br/index.php/demetra/article/view/43615 |
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author | Maiara Aparecida Mialich Almeida Caroline de Barros Gomes Michelly da Silva Alves Maria Antonieta Barros Leite Carvalhaes |
author_facet | Maiara Aparecida Mialich Almeida Caroline de Barros Gomes Michelly da Silva Alves Maria Antonieta Barros Leite Carvalhaes |
author_sort | Maiara Aparecida Mialich Almeida |
collection | DOAJ |
description | Introduction: Food inadequacies in the first year of life are considered a global problem, especially the introduction of extremely palatable ultra-processed foods (UPFs) with low nutritional value to infant diets. Objective: To identify sociodemographic differences related to the median age of introduction of UPFs in the first year of life in a cohort of infants. Methods: Prospective cohort study collecting data on the diet of 641 babies during their first year of life through face-to-face and telephone interviews. Socioeconomic and demographic data were obtained at the baseline. The UPFs were grouped according to their nature, composition and purpose of consumption. The median ages at onset of the UPF groups were estimated by Kaplan-Meier survival curves using the Log Rank test (Mantel-Cox) with p <0.05 as the critical value to determine significant differences in median ages according to sociodemographic variables. Results: Nonwhite mothers introduced sandwich cookies, snacks, and ultra-processed sweetened drinks 25 days earlier than white mothers; adolescents offered ultra-processed sweetened and ultra-processed dairy drinks 120 days earlier than adults. Absence of a partner led to the lowest median age of introduction of the “margarine and spreads” group. Primiparas introduced ultra-processed sweetened drinks, milk flours, children's cereals and powdered chocolate earlier, with a median age of 190 and 290 days, respectively. Conclusions: There were sociodemographic differences in the age of introduction of UPFs, with unfavorable results for infants whose mothers were non-white, adolescents, primiparous and did not live with a partner.
DOI: 10.12957/demetra.2019.43615 |
first_indexed | 2024-04-11T13:48:37Z |
format | Article |
id | doaj.art-97f859b1c0b24f199f2d5aec2542bbfd |
institution | Directory Open Access Journal |
issn | 2238-913X |
language | English |
last_indexed | 2024-04-11T13:48:37Z |
publishDate | 2019-11-01 |
publisher | Universidade do Estado do Rio de Janeiro |
record_format | Article |
series | Demetra |
spelling | doaj.art-97f859b1c0b24f199f2d5aec2542bbfd2022-12-22T04:20:51ZengUniversidade do Estado do Rio de JaneiroDemetra2238-913X2019-11-01140e43615e4361510.12957/demetra.2019.4361524472SOCIODEMOGRAPHIC INEQUALITIES IN THE AGE OF INTRODUCTION OF ULTRA-PROCESSED FOOD IN THE FIRST YEAR OF LIFE. THE CLAB-BRAZIL STUDYMaiara Aparecida Mialich Almeida0Caroline de Barros Gomes1Michelly da Silva Alves2Maria Antonieta Barros Leite Carvalhaes3Departamento de Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual “Júlio de Mesquita Filho” – UNESPDepartamento de Saúde Pública, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista “Júlio de Mesquita Filho” – UNESPDepartamento de Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista “Júlio de Mesquita Filho” – UNESPDepartamento de Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista “Júlio de Mesquita Filho” – UNESPIntroduction: Food inadequacies in the first year of life are considered a global problem, especially the introduction of extremely palatable ultra-processed foods (UPFs) with low nutritional value to infant diets. Objective: To identify sociodemographic differences related to the median age of introduction of UPFs in the first year of life in a cohort of infants. Methods: Prospective cohort study collecting data on the diet of 641 babies during their first year of life through face-to-face and telephone interviews. Socioeconomic and demographic data were obtained at the baseline. The UPFs were grouped according to their nature, composition and purpose of consumption. The median ages at onset of the UPF groups were estimated by Kaplan-Meier survival curves using the Log Rank test (Mantel-Cox) with p <0.05 as the critical value to determine significant differences in median ages according to sociodemographic variables. Results: Nonwhite mothers introduced sandwich cookies, snacks, and ultra-processed sweetened drinks 25 days earlier than white mothers; adolescents offered ultra-processed sweetened and ultra-processed dairy drinks 120 days earlier than adults. Absence of a partner led to the lowest median age of introduction of the “margarine and spreads” group. Primiparas introduced ultra-processed sweetened drinks, milk flours, children's cereals and powdered chocolate earlier, with a median age of 190 and 290 days, respectively. Conclusions: There were sociodemographic differences in the age of introduction of UPFs, with unfavorable results for infants whose mothers were non-white, adolescents, primiparous and did not live with a partner. DOI: 10.12957/demetra.2019.43615https://www.e-publicacoes.uerj.br/index.php/demetra/article/view/43615alimentação complementar. nutrição da criança. comportamento alimentar. |
spellingShingle | Maiara Aparecida Mialich Almeida Caroline de Barros Gomes Michelly da Silva Alves Maria Antonieta Barros Leite Carvalhaes SOCIODEMOGRAPHIC INEQUALITIES IN THE AGE OF INTRODUCTION OF ULTRA-PROCESSED FOOD IN THE FIRST YEAR OF LIFE. THE CLAB-BRAZIL STUDY Demetra alimentação complementar. nutrição da criança. comportamento alimentar. |
title | SOCIODEMOGRAPHIC INEQUALITIES IN THE AGE OF INTRODUCTION OF ULTRA-PROCESSED FOOD IN THE FIRST YEAR OF LIFE. THE CLAB-BRAZIL STUDY |
title_full | SOCIODEMOGRAPHIC INEQUALITIES IN THE AGE OF INTRODUCTION OF ULTRA-PROCESSED FOOD IN THE FIRST YEAR OF LIFE. THE CLAB-BRAZIL STUDY |
title_fullStr | SOCIODEMOGRAPHIC INEQUALITIES IN THE AGE OF INTRODUCTION OF ULTRA-PROCESSED FOOD IN THE FIRST YEAR OF LIFE. THE CLAB-BRAZIL STUDY |
title_full_unstemmed | SOCIODEMOGRAPHIC INEQUALITIES IN THE AGE OF INTRODUCTION OF ULTRA-PROCESSED FOOD IN THE FIRST YEAR OF LIFE. THE CLAB-BRAZIL STUDY |
title_short | SOCIODEMOGRAPHIC INEQUALITIES IN THE AGE OF INTRODUCTION OF ULTRA-PROCESSED FOOD IN THE FIRST YEAR OF LIFE. THE CLAB-BRAZIL STUDY |
title_sort | sociodemographic inequalities in the age of introduction of ultra processed food in the first year of life the clab brazil study |
topic | alimentação complementar. nutrição da criança. comportamento alimentar. |
url | https://www.e-publicacoes.uerj.br/index.php/demetra/article/view/43615 |
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