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Volumen 83 - Número 5
rev chil Pediatr 2012; 83 (5): 503
South cone of america
Esta sección contiene los artículos originales de las Revistas de Pediatría de las Sociedades de Pediatría del Cono Sur se-
leccionados para ser publicados por los países integrantes durante el año 2012
Complementary feeding: inappropriate practices
michelle cavalcante caetano1, thaíS tobaruela ortiz ortiz1,
Simone Guerra loPeS da Silva1, fabíola iSabel Suano de Souza2,
roSeli oSelka Saccardo Sarni3
1. Mestranda, Ciências Aplicadas à Pediatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
2. Mestre, Ciências Aplicadas à Pediatria, UNIFESP, São Paulo, SP, Brazil. Professora colaboradora, Faculdade de Medicina
do ABC (FMABC), Santo André, SP, Brazil.
3. Doutora, Medicina, UNIFESP, São Paulo, SP, Brazil. Professora assistente, FMABC, Santo André, SP, Brazil.
This study was conducted at the School of Medicine of Fundação do ABC (FMABC), Santo André, SP, Brazil. Financial support:
Nestlé Nutrition Institute.
No conflicts of interest declared concerning the publication of this article.
Roseli Oselka Saccardo Sarni
objective: to assess feeding practices and dietary intake of healthy infants in three brazilian municipalities.
Methods: by means of a prospective study, we analyzed the food record of 7 consecutive days of an inten-
tional sample (quota and weighted sampling) of 179 healthy infants, aged between 4 and 12 months, from the
municipalities of curitiba, São Paulo, and recife, who were not being exclusively breastfed. mothers received
oral and written information provided by a nutritionist with the purpose of standardizing the feeding data.
the computer program nutWin was used to calculate the dietary intake. results: the median of the infants’
age was 6.8 months (4.0-12.6 months). We found that 50.3% of the infants were no longer being exclusively
breastfed. of these, 12.0 and 6.7% among the infants younger and older than 6 months, respectively, were fed
with infant formulae instead of breast milk. therefore, most infants received whole cow’s milk. infant formula
dilution was correct in only 23.8 and 34.7% of the infants younger and older than 6 months old, respectively.
With regards to complementary feeding, we found that the median age was 4 months for its introduction and
5.5 months for the introduction of family diet. there was high quantitative inappropriateness of micronutrient
intake for infants between 6 and 12 months old who were not exclusively breastfed, mainly in terms of zinc
(75%) and iron (45%). Conclusion: the present study showed a high frequency of inappropriate feeding prac-
tices and dietary intake in very young infants. these practices may lead to an increased risk of development of
chronic diseases in the future.
(Key words: dietary behavior, disease prevention, infant’s nutritional disorders, infant care).
J Pediatr (rio J) 2010; 86 (3): 196-201
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