EFFECTIVENESS OF COMPLEMENTARY FEEDING TRAINING FOR HEALTH PROFESSIONALS ON THE DIETARY PRACTICES OF CHILDREN UNDER ONE YEAR OF AGE ATTENDING THE FAMILY HEALTH STRATEGY IN RIO DE JANEIRO
DOI:
https://doi.org/10.12957/demetra.2019.43801Keywords:
Complementary feeding. Ultra-processed foods. Health education.Abstract
Objective: To assess the effectiveness of complementary feeding (CF) training on diets of children aged under 1 year enrolled in the Rio de Janeiro Estratégia de Saúde da Família (Family Health Strategy - ESF). Method: Controlled randomized community trial with six primary health units. The intervention consisted of complementary feeding training of health professionals coupled with supporting materials for the professionals and educational materials for the families. Children’s diets were analyzed when they were four, six, nine and 12 months old. The intervention’s effectiveness was assessed according to “intention to treat” and dose-response. Results: We studied 220 children in the Intervention Group (IG) and 225 in the Control Group (CG). The IG had higher proportions of breast feeding and lower proportions of nipple use than the CG at 12 months. The CG had lower proportion of consumption of ultra-processed or non-recommended foods at 4 months and higher proportion of adequate number of meals at 12 months. The energy density of foods and diet variety fell short of recommendations in both groups. The dose-response effect was only observed for nipple use at nine months. Discussion: The low level of exposure to the intervention among mothers and children in the IG and the fact that guidance from professionals, when provided, was not always correct, may largely explain results. Conclusion: Although IG professionals had greater knowledge of CF than those in the CG, the diet profiles of children of both groups were similar and far from recommendations for practically all indicators analyzed.
DOI: 10.12957/demetra.2019.43801
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