Feeding practices and dietary intake in Brazilian children with Down syndrome: A cross-sectional study

IF 2.1 2区 医学 Q1 EDUCATION, SPECIAL Journal of Intellectual Disability Research Pub Date : 2024-05-13 DOI:10.1111/jir.13148
M. C. R. S. Genovesio, L. S. Monteiro, A. V. da Silva, P. R. M. Rodrigues, A. P. Baumblatt, S. A. Ribas
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Abstract

Background

Studies investigating the quality of the diet and dietary intake of children with Down syndrome (DS) are required because the features attributed to the syndrome can affect growth, development and quality of life.

Methods

This cross-sectional study was conducted with 77 Brazilian children with DS between 5 and 36 months of age receiving care at the multidisciplinary outpatient clinic of the University Hospital. Participants' sociodemographic, dietary and anthropometric data were collected from the care protocols. Dietary data were collected from 24-h recalls and dietary practices were assessed according to the WHO dietary guidelines. Associations between inadequate feeding practices and demographic variables were assessed using logistic regression models.

Results

Fruits, milk or infant formula, vegetables, beans and meat were among the five most consumed foods by the children investigated. Overall, we observed a high number of cases of early weaning (50.6%), low minimum dietary diversity (MDD; 40.3%), inadequate consistency for age (64.9%), early presence of ultra-processed foods (76.6%), sugars and sweets (33.8%) in the diet of the children with DS. In the associations of inadequate feeding practices by age group, low MDD [odds ratio (OR): 18.6; 95% confidence interval (CI): 3.4; 57.1] and inadequate consistency (OR: 6.65; 95% CI: 1.8; 24.7) were more frequent among children aged below 12 months while this relationship was inverse for early introduction of sugar and sweets (OR: 0.04; 95% CI: 0.01; 0.29).

Conclusion

Our findings showed a high number of cases of inadequate dietary practices in children with DS investigated, which could adversely affect the long-term health of this population.

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巴西唐氏综合症儿童的喂养方式和饮食摄入量:横断面研究。
背景:需要对唐氏综合征(DS)患儿的饮食质量和饮食摄入量进行调查研究,因为该综合征的特征会影响患儿的生长、发育和生活质量:这项横断面研究的对象是在大学医院多学科门诊接受治疗的 77 名 5 至 36 个月大的巴西唐氏综合征患儿。参与者的社会人口学、饮食和人体测量数据均从护理协议中收集。膳食数据则根据世界卫生组织的膳食指南进行评估。采用逻辑回归模型评估了喂养不当与人口统计学变量之间的关系:水果、牛奶或婴儿配方奶、蔬菜、豆类和肉类是被调查儿童食用最多的五种食物。总体而言,我们发现 DS 儿童的饮食中存在大量过早断奶的情况(50.6%)、最低膳食多样性(MDD;40.3%)较低、与年龄不符的膳食一致性不足(64.9%)、过早食用超加工食品(76.6%)、糖和甜食(33.8%)。在各年龄组喂养方式不足的关联中,12 个月以下儿童的 MDD 偏低[几率比(OR):18.6;95% 置信区间(CI):3.4;57.1]和一致性不足(OR:6.65;95% CI:1.8;24.7)更为常见,而过早引入糖和甜食则与此关系相反(OR:0.04;95% CI:0.01;0.29):我们的研究结果表明,在接受调查的 DS 儿童中,饮食习惯不当的情况较多,这可能会对这一人群的长期健康产生不利影响。
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来源期刊
CiteScore
5.60
自引率
5.60%
发文量
81
期刊介绍: The Journal of Intellectual Disability Research is devoted exclusively to the scientific study of intellectual disability and publishes papers reporting original observations in this field. The subject matter is broad and includes, but is not restricted to, findings from biological, educational, genetic, medical, psychiatric, psychological and sociological studies, and ethical, philosophical, and legal contributions that increase knowledge on the treatment and prevention of intellectual disability and of associated impairments and disabilities, and/or inform public policy and practice. Expert reviews on themes in which recent research has produced notable advances will be included. Such reviews will normally be by invitation.
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