Complementary feeding of children in the municipality of Farroupilha-RS: a comparative analysis between public and private schools

Authors

DOI:

https://doi.org/10.12957/demetra.2025.85728

Keywords:

Child Nutrition Sciences. Infant Nutrition. Feeding Behavior. Physiological Phenomena of Infant Nutrition. Complementary Feeding. Food Introduction.

Abstract

Introduction: Complementary feeding is the child’s first exposure to foods other than breast milk, typically at six months of age. When introduced too early, too late, or inappropriately, it may compromise the child's healthy growth and development. Objective: To analyze complementary feeding practices among children attending one private and one public school in the city of Farroupilha, RS. Methods: A cross-sectional study was conducted with 25 children from a private school and 25 from a public school, all up to three years of age. Data were collected on caregivers, children, and on complementary feeding (caregiver age and education, the age at which children first received liquids and solid foods, among other variables). Differences between schools were assessed using Student’s t-test, Mann-Whitney U test, Chi-square test, or Fisher’s exact test, with statistical significance set at p < 0.05. Results: No significant difference was found in the average age of complementary feeding initiation between the two groups, with early introduction occurring in 32% of children in the private school and 40% in the public school. In both groups, fruit was the food group introduced earliest. In the public school, 38.9% of children consumed juice before 12 months of age, compared to 8% in the private school (p = 0.014). Sugar was consumed by 100% of public school children before 24 months, compared to 55% in the private school (p = 0.005). At 12 months of age, only 52.9% of public school children were eating food in pieces, compared to 100% of children in the private school (p < 0.001). Conclusions: Children continue to be introduced to foods either earlier or later than recommended, with a higher prevalence of inadequate practices regarding juice, sugar, and food consistency among public school children.

Downloads

Download data is not yet available.

Author Biographies

Maitê Telles dos Santos, Universidade de Caxias do Sul, Curso de Nutrição, Área do Conhecimento de Ciências da Vida. Caxias do Sul, RS, Brasil.

.

Bruna Bellincanta Nicoletto Gehrke, Universidade de Caxias do Sul, Curso de Nutrição, Área do Conhecimento de Ciências da Vida. Caxias do Sul, RS, Brasil.

Professora Doutora Nutricionista. Curso de Graduação em Nutrição. Área do Conhecimento de Ciências da Vida.

References

1. Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Promoção da Saúde. Guia alimentar para crianças brasileiras menores de 2 anos. Brasília, DF: Senado Federal; 2019. [Acesso em 22 mai 2024]. Disponível em: https://www.gov.br/saude/pt-br/assuntos/saude-brasil/eu-quero-me-alimentar-melhor/Documentos/pdf/guia-alimentar-para-criancas-brasileiras-menores-de-2-anos.pdf.

2. Sociedade Brasileira de Pediatria. Guia prático de alimentação da criança de 0 a 5 anos. São Paulo: SBP; 2021.

3. Antunes LS, Corvino MPF, Maia LC, Antunes LAA. Amamentação natural como fonte de prevenção em saúde. Ciênc Saúde Coletiva. 2008;13(1):103–9. https://doi.org/10.1590/S1413-81232008000100015

4. Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Guia alimentar para a população brasileira. 2ª ed. Brasília, DF: Senado Federal; 2014. [Acesso em 22 mai 2024]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf.

5. Silva KA, De C, Esteves EA. Sistema de classificação dos alimentos NOVA: material técnico para nutricionistas - versão consulta rápida. Carina de Sousa Santos (Edição independente) eBooks. 2021. https://doi.org/10.29327/543260

6. Gurmini J, Porello ÉB, Belleza MSS, Silva KN, Kusma SZ. Análise da alimentação complementar em crianças entre 0 e 2 anos de escolas públicas. Revista Médica da UFPR. 2017;4(2):55–60. https://doi.org/10.5380/rmu.v4i2.55187

7. Salles Costa R, Barroso G dos S, Cabral M, Castro MBT de. Parental dietary patterns and social determinants of children’s dietary patterns. Revista de Nutrição. 2016;29(4):483–93. https://doi.org/10.1590/1678-98652016000400004

8. Mondal T, Sarkar A, Shivam S, Thakur R. Assessment of infant and young child feeding practice among tribal women in Bhatar block of Burdwan district in West Bengal, India. Int J Med Sci Public Health. 2014;3(3):324–6. https://doi.org/10.5455/ijmsph.2013.291220131

9. Stiller CK, Golembiewski E, Mondal S, Biesalski HK, Scherbaum V. Maternal nutritional status and child feeding practices: a retrospective study in Santal communities, Birbhum District, West Bengal, India. Int Breastfeed J. 2020;15:50. https://doi.org/10.1186/s13006-020-00262-3

10. Simon VGN, Souza JMP, Souza SB. Introdução de alimentos complementares e sua relação com variáveis demográficas e socioeconômicas, em crianças no primeiro ano de vida, nascidas em Hospital Universitário no município de São Paulo. Rev Bras Epidemiol. 2003;6(1):29–38. https://doi.org/10.1590/s1415-790x2003000100005

11. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. Geneva: WHO; 1997. 252 p. (WHO Technical Report Series, n. 894). [Acesso em 22 mai 2024]. Disponível em: https://apps.who.int/iris/handle/10665/63854.

12. World Health Organization. Recommended definitions, terminology and format for statistical tables related to the perinatal period and use of a new certificate for cause of perinatal deaths. WHO. Acta Obstet Gynecol Scand. 1977;56(3):247-53. PMID: 560099.

13. Sociedade Brasileira de Pediatria. Seguimento ambulatorial do prematuro de risco. São Paulo: SBP; 2012.

14. Dallazen C, Silva SA, Gonçalves VSS, Nilson EAF, Crispim SP, Lang RMF, et al. Introdução de alimentos não recomendados no primeiro ano de vida e fatores associados em crianças de baixo nível socioeconômico. Cad Saúde Pública. 2018;34(2):e00084317. https://doi.org/10.1590/0102-311X00202816

15. Souza JBPG, Mendes LL, Binotti ML. Perfil do aleitamento materno e da alimentação complementar em crianças menores de dois anos atendidas em um centro de referência da cidade de Juiz de fora - MG. Rev APS. 2016;19(1):67-76.

16. Moreira LCQ, Oliveira EB, Lopes LHK, Bauleo ME, Sarno F, Moreira LCQ, et al. Introduction of complementary foods in infants. Einstein (São Paulo). 2019;17(3) eA04412. https://doi.org/10.31744/einstein_journal/2019AO4412

17. Martins ML, Haack A. Conhecimentos maternos: influência na introdução da alimentação complementar. Com. Ciências Saúde. 2012; 23(3):263-27.

18. Pantoja Mendoza IY, Meléndez G, Guevara Cruz M, Serralde Zúñiga AE. Review of complementary feeding practices in Mexican children. Nutr Hosp. 2015;31(2):552–8. https://doi.org/10.3305/nh.2015.31.2.7668

19. World Health Organization. Guideline: Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. Geneva: WHO; 2017. 136 p. [Acesso em 25 mai 2024]. Disponível em: https://www.who.int/publications/i/item/9789241550086

20. Universidade Federal do Rio de Janeiro. Aleitamento materno: prevalência e práticas em crianças brasileiras menores de 2 anos – ENANI 2019. Rio de Janeiro: UFRJ; 2021. [Acesso em 30 mai 2024]. Disponível em: https://enani.nutricao.ufrj.br/download/relatorio-4-aleitamento-materno/

21. Golin CK, Toloni MHA, Longo‑Silva G, Taddei JA de AC. Erros alimentares na dieta de crianças frequentadoras de berçários em creches públicas no município de São Paulo, Brasil. Rev Paul Pediatr. 2011;29(1):35–40. https://doi.org/10.1590/S0103-05822011000100006

22. Barros AA, Sousa A da S, Melo AGS, Abreu LL de C, Maia SC da C, Irmão JJ de M. Práticas alimentares em crianças de 0 a 24 meses. Res Soc Dev. 2022;11(17):e215111727279. https://doi.org/10.33448/rsd-v11i17.38544

23. Brandão PR, Gomes FRM de S, Passos TU. Avaliação da introdução alimentar de crianças assistidas por uma Unidade de Atenção Primária à Saúde de Fortaleza, Ceará. Saúde Desenv Hum. 2021;9(1):1–12. https://doi.org/10.18316/sdh.v9i1.6343

24. Lacerda EM de A, Bertoni N, Alves‑Santos NH, Carneiro LBV, Schincaglia RM, Boccolini CS, et al. Minimum dietary diversity and consumption of ultra‑processed foods among Brazilian children 6–23 months of age. Cad Saúde Pública. 2023;39:e00260822. https://doi.org/10.1590/0102-311XEN081422

25. Contreras M, Zelaya Blandón E, Persson L-Å, Ekström E-C. Consumption of highly processed snacks, sugar‑sweetened beverages and child feeding practices in a rural area of Nicaragua. Matern Child Nutr. 2014;12(1):164–76. https://doi.org/10.1111/mcn.12144

26. Skinner JD, Carruth BR, Wendy, B, Ziegler PJ. Children’s food preferences: a longitudinal analysis. J Am Diet Assoc. 2002;102(11):1638–47. https://doi.org/10.1016/s0002-8223(02)90349-4

27. Huffman SL, Piwoz EG, Vosti SA, Dewey KG. Babies, soft drinks and snacks: a concern in low‑ and middle‑income countries? Matern Child Nutr. 2014;10(4):562–74. https://doi.org/10.1111/mcn.12126

28. Longo‑Silva G, Toloni MH de A, Menezes RCE de, Asakura L, Oliveira MAA, Taddei JA de AC, et al. Introduction of soft drinks and processed juice in the diet of infants attending public day care centers. Rev Paul Pediatr. 2015;33(1):34–41. https://doi.org/10.1016/j.rpped.2014.06.009

29. Crume TL, Crandell J, Norris JM, Dabelea D, Fangman MT, Pettitt DJ, et al. Timing of complementary food introduction and age at diagnosis of type 1 diabetes: the SEARCH Nutrition Ancillary Study (SNAS). Eur J Clin Nutr. 2014;68(11):1258–60. https://doi.org/10.1038/ejcn.2014.159

30. Rauber F, Campagnolo PDB, Hoffman DJ, Vítolo MR. Consumption of ultra‑processed food products and its effects on children’s lipid profiles: a longitudinal study. Nutr Metab Cardiovasc Dis. 2015;25(1):116–22. https://doi.org/10.1016/j.numecd.2014.08.001

31. Pearce J, Langley‑Evans SC. The types of food introduced during complementary feeding and risk of childhood obesity: a systematic review. Int J Obes (Lond). 2013;37(4):477–85. https://doi.org/10.1038/ijo.2013.8

32. Wen LM, Baur LA, Rissel C, Xu H, Simpson JM. Correlates of body mass index and overweight and obesity of children aged 2 years: findings from the Healthy Beginnings Trial. Obesity (Silver Spring). 2014;22(7):1723–30. https://doi.org/10.1002/oby.20700

33. Nsiah‑Asamoah C, Adjei G, Agblorti S, Doku DT. Association of maternal characteristics with child feeding indicators and nutritional status of children under‑two years in rural Ghana. BMC Pediatr. 2022;22(1). https://doi.org/10.1186/s12887-022-03651-1

34. Fein SB, Labiner‑Wolfe J, Scanlon KS, Grummer‑Strawn LM. Selected complementary feeding practices and their association with maternal education. Pediatrics. 2008;122(Suppl 2):S91–7. https://doi.org/10.1542/peds.2008-1315l

35. Skafida V. The relative importance of social class and maternal education for breastfeeding initiation. Public Health Nutr. 2009;12(12):2285–92. https://doi.org/10.1017/s1368980009004947

36. Darmon N, Drewnowski A. Does social class predict diet quality? Am J Clin Nutr. 2008;87(5):1107–17. https://doi.org/10.1093/ajcn/87.5.1107

37. Mullie P, Clarys P, Hulens M, Vansant G. Dietary patterns and socioeconomic position. Eur J Clin Nutr. 2010;64(3):231–8. https://doi.org/10.1038/ejcn.2009.145

38. Ng CS, Dibley MJ, Agho KE. Complementary feeding indicators and determinants of poor feeding practices in Indonesia: a secondary analysis of 2007 Demographic and Health Survey data. Public Health Nutr. 2011;15(5):827–39. https://doi.org/10.1017/s1368980011002485

39. Jingxiong J, Rosenqvist U, Huishan W, Koletzko B, Guangli L, Jing H, et al. Relationship of parental characteristics and feeding practices to overweight in infants and young children in Beijing, China. Public Health Nutr. 2009;12(7):973–8. https://doi.org/10.1017/s1368980008003509

40. Musher‑Eizenman DR, Lauzon‑Guillain BD, Holub SC, Leporc E, Charles MA. Child and parent characteristics related to parental feeding practices: a cross‑cultural examination in the US and France. Appetite. 2009;52(1):89–95. https://doi.org/10.1016/j.appet.2008.08.007

41. Haycraft E, Karasouli E, Meyer C. Maternal feeding practices and children’s eating behaviours: a comparison of mothers with healthy weight versus overweight/obesity. Appetite. 2017;116:395–400. https://doi.org/10.1016/j.appet.2017.05.033

42. Roberts LT, Goodman LC, Musher‑Eizenman DR. Parental correlates of food parenting practices: socioeconomic status, weight, and dieting status. Ecol Food Nutr. 2018;57(4):330–45. https://doi.org/10.1080/03670244.2018.1492381

Published

2025-11-17

How to Cite

1.
Telles dos Santos M, Bellincanta Nicoletto Gehrke B. Complementary feeding of children in the municipality of Farroupilha-RS: a comparative analysis between public and private schools. DEMETRA [Internet]. 2025 Nov. 17 [cited 2025 Nov. 23];20:e85728. Available from: https://www.e-publicacoes.uerj.br/demetra/article/view/85728

Issue

Section

Clinical Nutrition