Elaboration and assessment of the nutritional suitability of multiple-mixture main porridge prepared with regional foods
DOI:
https://doi.org/10.12957/demetra.2021.61688Keywords:
Complementary food, regional foods, energy density, food introduction.Abstract
Introduction: Food should be introduced starting from the 6th month of life as a complement to breast milk, prioritizing the choice of regional foods. In the traditional approach, it is recommended that foods be offered in varieties and consistency of purees and porridge, which should be gradually increased. Objective: The aim of this study was to develop multiple-mixture main porridges (MMMP) with regional foods being targeted at children for food introduction and to compare their suitability with healthy recommendations for the intake of food groups and nutrients. Methods: This is an experimental, quantitative and descriptive study in which three different formulations were developed: chicken-based, fish-based, and meat-based, with a focus on children aged 6-8 months of life. The MMMPs were packed in jars similar to commercial products. Nutritional value was calculated using the Food Guide for Children Under Two Years (Guia Alimentar para Crianças Menores de Dois Anos), and alternatively using the Brazilian Table of Food Composition (Tabela Brasileira de Composição de Alimentos - TACO), based on the nutrient intake recommendations of the National Academies of Sciences, Engineering, and Medicine. Results: The results obtained after analysis by the guide in kcal/portion were: 129.94 (beef), 148.85 (chicken), and 134.00 (fish). The energy density values found by TACO in kcal/g were: 1.72 (beef), 4.01 (chicken), and 2.06 (fish). Each jar (110 g) contained less than one portion of MMMP, with the exception of the preparation containing chicken. Conclusion: The preparations were found to be nutritionally adequate by both evaluated methods and contained all the recommended food groups.
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References
World Health Organization - WHO. Guidance on ending the inappropriate promotion of foods for infants and young children: implementation manual. Geneva, 2017.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Dez passos para uma alimentação saudável: guia alimentar para crianças menores de dois anos: um guia para o profissional da saúde na atenção básica. 2ª ed. Brasília: Ministério da Saúde, 2013.
Scarpatto CH, Forte GC. Introdução convencional versus introdução com BLW. Clin Biomed Res.2018;38(3):292-296. https://doi.org/10.4322/2357-9730.83278.
Sociedade Brasileira de Pediatria. Guia Prático de Atualização: a alimentação complementar e o método BLW (Baby Led Weaning). Departamento Científico de Nutrologia, Rio de Janeiro, RJ: SBP, 2017.
Gomez MS, Novaes APT, Silva JP, Guerra LM, Possobon RF. Baby-led weaning, panorama da nova abordagem sobre introdução alimentar: revisão integrativa de literatura. Rev Paul Pediatr. 2020; 38: 1-7. https://doi.org/10.1590/1984-0462/2020/38/2018084.
Sociedade Brasileira de Pediatria. Manual de orientação para a alimentação do lactente, do pré-escolar, do escolar, do adolescente e na escola/Sociedade Brasileira de Pediatria. Departamento de Nutrologia, 3ª. ed. Rio de Janeiro, RJ: SBP, 2012.
Sociedade Brasileira de Pediatria. Manual de Alimentação: orientações para alimentação do lactente ao adolescente, na escola, na gestante, na prevenção de doenças e segurança alimentar / Sociedade Brasileira de Pediatria. Departamento Científico de Nutrologia. 4ª. ed., São Paulo: SBP, 2018.
Brasil. Ministério da Saúde. Secretaria Primaria de Atenção à Saúde. Departamento de Promoção da Saúde. Guia alimentar para crianças brasileiras menores de 2 anos. Brasília: Ministério da Saúde, 2019.
Balem TA, Alves EO, Coelho JC, Mello ALP. As transformações alimentares na sociedade moderna: a colonização do alimento natural pelo alimento industrial. Revista espacios.2017; 38(47): 1-13.
Silva JCP, Pereira Netto M. Papinhas industrializadas na introdução alimentar de lactentes e suas características. Nutrição Brasil.2018;17(2):127-135. https://doi.org/10.33233/nb.v17i2.1072.
Bielemann RM, Motta JVS, Minten GC, Horta BL, Gigante DP. Consumo de alimentos ultraprocessados e impacto na dieta de adultos jovens. Rev Saúde Públ. 2015; 49(28): 1-10. https://doi.org/10.1590/S0034-8910.2015049005572.
Monteiro CA, Cannon G, Levy RB, Moubarac JC, Louzada MLC, Rauber F et al. Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 2019;1-6. https://doi: 10.1017/S1368980018003762.
Rossetti FX, Winnie LWY, Silva MV. O Programa Nacional de Alimentação Escolar (PNAE) e o desafio da aquisição de alimentos regionais e saudáveis. Segurança Alimentar e Nutricional. 2016, 23(2):912-923. https://doi.org/10.20396/san.v23i2.8647528.
Universidade Estadual de Campinas - UNICAMP. Tabela brasileira de composição de alimentos - TACO. 4. ed. rev. e ampl. Campinas: UNICAMP/NEPA, 2011.
National academies of sciences, engineering, and medicine. Dietary Reference Intakes for sodium and potassium. Washington (DC): The National Academies Press, 2019. https://doi.org/10.17226/25353.
Brasil. Ministério da Saúde. Organização Pan-Americana da Saúde. Guia alimentar para crianças menores de 2 anos. Brasília: Editora do Ministério da Saúde, 2005.
World Health Organization - WHO. Complementary feeding of young children in developing countries: a review of current scientific knowledge. Geneva: WHO, 1998a.
Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária – ANVISA. Resolução – RDC N° 216, de 15 de setembro de 2004. Aprova Regulamento Técnico de Boas Práticas para Serviços de Alimentação. Diário Oficial da União. 15 de set de 2004.
Fewtrell M, Bronsky J, Campoy C, Domello¨FM, Embleton N, Mis NF, Hojsak I et al. Complementary Feeding: A Position Paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2017;64(1):119-132. https://doi.org/10.1097/MPG.0000000000001454.
Cameron SL, Taylor RW, Heath ALM. Development and pilot testing of Baby-Led Introduction to SolidS - a version of Baby-Led Weaning modified to address concerns about iron deficiency, growth faltering and choking. BMC Pediatrics. 2015;15(99):1-11. https://doi.org/10.1186/s12887-015-0422-8.
Arantes ALA, Neves FS, Campos AAL, Pereira Netto M. Método Baby-Led Weaning (BLW) no contexto da alimentação complementar: uma revisão. Rev Paul Pediatr. 2018; 36(3): 353-363. https://doi.org/10.1590/1984-0462/;2018;36;3;00001.
Kleinman RE. American Academy of Pediatrics recommendations for complementary feeding. Pediatrics. 2000 ;106(5):1274.
World Health Organization - WHO. Complementary feeding: Report of the global consultation Summary of guiding principles. Geneva, 2002.
Brasil. Procuradoria-Geral da República. Secretaria de Serviços Integrados de Saúde. Guia prático da alimentação complementar. Brasília: MPF, 2016.
Nestlés Brasil ltda. Nestlé NaturNes® Papinha sabor Carne com Legumes[Acesso em 23 de feb de 2021]. Disponivel em: .
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde da criança: aleitamento materno e alimentação complementar. 2. ed. Brasília: Ministério da Saúde, 2015.
World Health Organization - WHO. Collaborative study team on the role of breastfeeding on the prevention of infant mortality: effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. Lancet. 2000; 355(9202):451-455.
Pereira M.D, Sousa APM, Sousa JG, Perricone PMB, Carvalho CMRG, Santos MM. Análise comparativa dos guias alimentares para a população brasileira e argentina. Saúde e Pesqui. 2019;12(3):563-572. https://doi.org/10.17765/2176-9206.2019v12n3p563-572.
Carvalho CA, Fonsêca PCA, Priore SE, Franceschini SCC, Novaes JF. Consumo alimentar e adequação nutricional em crianças brasileiras: revisão sistemática. Rev Paul Pediatr.2015;33(2): 211-221. https://doi.org/10.1016/j.rpped.2015.03.002.
Bonotto GM, Schneide BC, Santos IS, Gigante DP, Assunção MCF. Adequação do consumo energético e de macronutrientes de crianças menores de seis anos. Rev Paul Pediatr.2012; 30(4): 513-519. https://doi.org/10.1590/S0103-05822012000400009.
Menezez RCE, Osório MM. Consumo energético-protéico e estado nutricional de crianças menores de cinco anos, no estado de Pernambuco, Brasil. Rev Nutr.2007;20 (4):337-347. https://doi.org/10.1590/S1415-52732007000400001.
Can eating fruits and vegetables help people to manage their weight? – CDC. Research to Practice Series, No. 1, 2005. [acesso em 12 de abril 2021]. Disponível em: .
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