Antônia Karoline dos Santos de Sousa, Carlos Eduardo Batista de Lima, M. Mascarenhas, M. Rodrigues
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引用次数: 0
摘要
目的:分析2015-2019年巴西6 - 23月龄儿童肥胖与持续母乳喂养增加的趋势及相关性。方法:利用食品和营养监测系统(Sistema de vigilicia Alimentar e nutrition)数据进行生态时间序列研究。因变量是肥胖的流行程度。采用Prais-Winsten线性回归对趋势进行验证。斯皮尔曼相关性被用来验证肥胖的流行与持续母乳喂养的增加之间的关系。结果:巴西所有地区的肥胖患病率呈下降趋势(年百分比变化[APV]: -4.14;CI95% = -4.50;-3.79)。继续母乳喂养的流行率在北方呈上升趋势(APV=4.89;CI95% = 2.92;6.90),东南部(APV=3.36;CI95% = 2.32;4.41)和南方(APV=2.67;CI95% = 0.98;4.38)。在北部、东北部、东南部和南部地区,肥胖与持续母乳喂养呈显著负相关。结论:肥胖患病率的下降和持续母乳喂养的增加只发生在一些地区,需要在全国范围内实施有效的战略。促进、保护和支持持续母乳喂养和健康饮食的行动应更加优先,以促进儿童的健康成长。
Trend and correlation of obesity and continued breastfeeding in children from six to 3 months old
Abstract Objectives: to analyze the trend and correlation of obesity and the increase in continued breastfeeding in children aged six to 23 months in Brazil, from 2015-2019. Methods: ecological time series study with data from the Sistema de Vigilância Alimentar e Nutricional (Food and Nutritional Surveillance System). The dependent variable was the prevalence of obesity. Prais-Winsten linear regression was used to verify the trend. Spearman’s correlation was used to verify the relationship between the prevalence of obesity and the increase in continued breastfeeding. Results: there was a trend towards a reduction in the prevalence of obesity in all regions in Brazil (Annual Percentage Variation [APV]: -4.14; CI95%=-4.50; -3.79). The prevalence of continued breastfeeding showed an upward trend in the North (APV=4.89; CI95%=2.92; 6.90), Southeast (APV=3.36; CI95%=2.32; 4 .41) and South (APV=2.67; CI95%=0.98; 4.38). There was a negative and significant correlation between obesity and continued breastfeeding in the North, Northeast, Southeast and South regions. Conclusion: the reduction in the prevalence of obesity and the increase in continued breastfeeding occurred only in some regions, requiring the implementation of effective strategies to be present throughout the country. Actions to promote, protect and support continued breastfeeding and healthy eating should be more prioritized to promote the child’s healthy growth.
期刊介绍:
The Brazilian Journal of Mother and Child Health is published every three months (March, June, September and December) by Institute of Mother and Child Health, continuing the Revista do IMIP. Aiming at publishing scientific research articles in the field of mother and child health. Contributions should approach different aspects of mother’s health, women’s health and children’s health, covering biomedical, sociocultural and epidemiological determinants.