Dietary practices and nutritional status of 0-24-month-old children from Brazilian Amazonia.

Abstract:

OBJECTIVE:To assess the nutritional status and dietary practices of 0-24-month-old children living in Brazilian Amazonia. DESIGN:Cross-sectional study. Information on children's dietary intakes was obtained from diet history data. Weight and length were measured for anthropometric evaluation. Fe status was assessed using fasting venous blood samples; Hb, serum ferritin and soluble transferrin receptor concentrations were measured. SETTING:The towns of Assis Brasil and Acrelândia in the state of Acre, north-west Brazil. SUBJECTS:A total of sixty-nine randomly selected 0-24-month-old children. RESULTS:Of these children, 40.3 % were anaemic, 63.1 % were Fe-deficient, 28.1 % had Fe-deficiency anaemia and 11.6 % were stunted. Breast-feeding was initiated by 97.1 % of mothers, followed by early feeding with complementary foods. The dietary pattern reflected a high intake of carbohydrate-rich foods and cow's milk, with irregular intakes of fruit, vegetables and meat. All infants and 92.3 % of toddlers were at risk of inadequate Fe intakes. Fe from animal foods contributed on average 0.5 % and 14.3 % to total dietary Fe intake among infants and toddlers, respectively. CONCLUSIONS:Poor nutritional status and inadequate feeding practices in this study population reinforce the importance of exclusive breast-feeding during the first 6 months of life. Greater emphasis is required to improve the bioavailability of dietary Fe during complementary feeding practices.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Castro TG,Baraldi LG,Muniz PT,Cardoso MA

doi

10.1017/S1368980009004923

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

2335-42

issue

12

eissn

1368-9800

issn

1475-2727

pii

S1368980009004923

journal_volume

12

pub_type

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