Effect of a healthy eating intervention in the first months of life on ultraprocessed food consumption at the age of 4–7 years: a randomised clinical trial with adolescent mothers and their infants
This randomised clinical trial aimed to evaluate the effect of a pro-breast-feeding (BF) and healthy complementary feeding intervention performed during infants’ first months of life on ultraprocessed food (UPF) consumption at 4–7 years. We enrolled 323 teenage mothers and their infants from South B...
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| Veröffentlicht in: | British journal of nutrition 2021-10, Vol.126 (7), p.1048-1055 |
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| creator | Lazzeri, Bruna Leotti, Vanessa Bielefeldt Soldateli, Betina Giugliani, Elsa Regina Monteiro, Carlos Augusto Martinez Steele, Eurídice Pedrotti, Luana Giongo Drehmer, Michele |
| description | This randomised clinical trial aimed to evaluate the effect of a pro-breast-feeding (BF) and healthy complementary feeding intervention performed during infants’ first months of life on ultraprocessed food (UPF) consumption at 4–7 years. We enrolled 323 teenage mothers and their infants from South Brazil, 163 allocated to the intervention group and 160 to the control group. Intervention consisted of sessions on BF and healthy complementary feeding promotion and was carried out in the maternity ward and at home after delivery. Food consumption was assessed using three 24-h food recalls at child’s age of 4–7 years. Foods were classified according to NOVA classification. Dietary contribution of UPF was adjusted for intra-individual variability by the SPADE method and categorised into tertiles. We used Poisson regression models with robust variance, adjusted for confounders, to estimate the effect of the intervention and duration of BF on the risk of high consumption of UPF. Our final analysis included 194 children, with mean age of 6·1 (sd 0·5) years. Mean dietary contribution of UPF was 38 % in the intervention group and 42·7 % in the control group, from total daily intakes. Results adjusted for BF duration, propensity score, income and total energy content demonstrated that the intervention reduced the risk of high consumption of UPF by 35 % (relative risk 0·65, 95 % CI 0·43, 0·98). BF duration was not associated with UPF consumption. The intervention was effective in reducing the risk of high UPF consumption at the age of 4–7 years. |
| doi_str_mv | 10.1017/S0007114520004869 |
| format | Article |
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We enrolled 323 teenage mothers and their infants from South Brazil, 163 allocated to the intervention group and 160 to the control group. Intervention consisted of sessions on BF and healthy complementary feeding promotion and was carried out in the maternity ward and at home after delivery. Food consumption was assessed using three 24-h food recalls at child’s age of 4–7 years. Foods were classified according to NOVA classification. Dietary contribution of UPF was adjusted for intra-individual variability by the SPADE method and categorised into tertiles. We used Poisson regression models with robust variance, adjusted for confounders, to estimate the effect of the intervention and duration of BF on the risk of high consumption of UPF. Our final analysis included 194 children, with mean age of 6·1 (sd 0·5) years. Mean dietary contribution of UPF was 38 % in the intervention group and 42·7 % in the control group, from total daily intakes. Results adjusted for BF duration, propensity score, income and total energy content demonstrated that the intervention reduced the risk of high consumption of UPF by 35 % (relative risk 0·65, 95 % CI 0·43, 0·98). BF duration was not associated with UPF consumption. The intervention was effective in reducing the risk of high UPF consumption at the age of 4–7 years.</description><identifier>ISSN: 0007-1145</identifier><identifier>EISSN: 1475-2662</identifier><identifier>DOI: 10.1017/S0007114520004869</identifier><identifier>PMID: 33292886</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adolescent Mothers ; Age ; Brazil ; Breast ; Breast Feeding ; Breastfeeding & lactation ; Child ; Child, Preschool ; Children ; Children & youth ; Clinical trials ; Data collection ; Diet ; Diet, Healthy ; Dietary Surveys and Nutritional Epidemiology ; Eating behavior ; Fast Foods ; Feeding ; Female ; Food ; Food consumption ; Humans ; Infant ; Infant Nutritional Physiological Phenomena ; Infants ; Intervention ; Low income groups ; Male ; Mothers ; Nutrition research ; Pregnancy ; Processed foods ; Recipes ; Regression analysis ; Regression models ; Risk ; Risk reduction ; Robustness (mathematics) ; Software ; Teenagers</subject><ispartof>British journal of nutrition, 2021-10, Vol.126 (7), p.1048-1055</ispartof><rights>The Author(s), 2020. Published by Cambridge University Press on behalf of The Nutrition Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-d726ccd1b67af74e18ad64151ff9c87438fb6a513ae2a6dd7eaa611bfaa55ae33</citedby><cites>FETCH-LOGICAL-c373t-d726ccd1b67af74e18ad64151ff9c87438fb6a513ae2a6dd7eaa611bfaa55ae33</cites><orcidid>0000-0003-0599-908X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007114520004869/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27924,27925,55628</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33292886$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lazzeri, Bruna</creatorcontrib><creatorcontrib>Leotti, Vanessa Bielefeldt</creatorcontrib><creatorcontrib>Soldateli, Betina</creatorcontrib><creatorcontrib>Giugliani, Elsa Regina</creatorcontrib><creatorcontrib>Monteiro, Carlos Augusto</creatorcontrib><creatorcontrib>Martinez Steele, Eurídice</creatorcontrib><creatorcontrib>Pedrotti, Luana Giongo</creatorcontrib><creatorcontrib>Drehmer, Michele</creatorcontrib><title>Effect of a healthy eating intervention in the first months of life on ultraprocessed food consumption at the age of 4–7 years: a randomised clinical trial with adolescent mothers and their infants</title><title>British journal of nutrition</title><addtitle>Br J Nutr</addtitle><description>This randomised clinical trial aimed to evaluate the effect of a pro-breast-feeding (BF) and healthy complementary feeding intervention performed during infants’ first months of life on ultraprocessed food (UPF) consumption at 4–7 years. We enrolled 323 teenage mothers and their infants from South Brazil, 163 allocated to the intervention group and 160 to the control group. Intervention consisted of sessions on BF and healthy complementary feeding promotion and was carried out in the maternity ward and at home after delivery. Food consumption was assessed using three 24-h food recalls at child’s age of 4–7 years. Foods were classified according to NOVA classification. Dietary contribution of UPF was adjusted for intra-individual variability by the SPADE method and categorised into tertiles. We used Poisson regression models with robust variance, adjusted for confounders, to estimate the effect of the intervention and duration of BF on the risk of high consumption of UPF. Our final analysis included 194 children, with mean age of 6·1 (sd 0·5) years. Mean dietary contribution of UPF was 38 % in the intervention group and 42·7 % in the control group, from total daily intakes. Results adjusted for BF duration, propensity score, income and total energy content demonstrated that the intervention reduced the risk of high consumption of UPF by 35 % (relative risk 0·65, 95 % CI 0·43, 0·98). BF duration was not associated with UPF consumption. The intervention was effective in reducing the risk of high UPF consumption at the age of 4–7 years.</description><subject>Adolescent</subject><subject>Adolescent Mothers</subject><subject>Age</subject><subject>Brazil</subject><subject>Breast</subject><subject>Breast Feeding</subject><subject>Breastfeeding & lactation</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Clinical trials</subject><subject>Data collection</subject><subject>Diet</subject><subject>Diet, Healthy</subject><subject>Dietary Surveys and Nutritional Epidemiology</subject><subject>Eating behavior</subject><subject>Fast Foods</subject><subject>Feeding</subject><subject>Female</subject><subject>Food</subject><subject>Food consumption</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Nutritional Physiological Phenomena</subject><subject>Infants</subject><subject>Intervention</subject><subject>Low income groups</subject><subject>Male</subject><subject>Mothers</subject><subject>Nutrition research</subject><subject>Pregnancy</subject><subject>Processed foods</subject><subject>Recipes</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Risk</subject><subject>Risk reduction</subject><subject>Robustness 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Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lazzeri, Bruna</au><au>Leotti, Vanessa Bielefeldt</au><au>Soldateli, Betina</au><au>Giugliani, Elsa Regina</au><au>Monteiro, Carlos Augusto</au><au>Martinez Steele, Eurídice</au><au>Pedrotti, Luana Giongo</au><au>Drehmer, Michele</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of a healthy eating intervention in the first months of life on ultraprocessed food consumption at the age of 4–7 years: a randomised clinical trial with adolescent mothers and their infants</atitle><jtitle>British journal of nutrition</jtitle><addtitle>Br J Nutr</addtitle><date>2021-10-14</date><risdate>2021</risdate><volume>126</volume><issue>7</issue><spage>1048</spage><epage>1055</epage><pages>1048-1055</pages><issn>0007-1145</issn><eissn>1475-2662</eissn><abstract>This randomised clinical trial aimed to evaluate the effect of a pro-breast-feeding (BF) and healthy complementary feeding intervention performed during infants’ first months of life on ultraprocessed food (UPF) consumption at 4–7 years. We enrolled 323 teenage mothers and their infants from South Brazil, 163 allocated to the intervention group and 160 to the control group. Intervention consisted of sessions on BF and healthy complementary feeding promotion and was carried out in the maternity ward and at home after delivery. Food consumption was assessed using three 24-h food recalls at child’s age of 4–7 years. Foods were classified according to NOVA classification. Dietary contribution of UPF was adjusted for intra-individual variability by the SPADE method and categorised into tertiles. We used Poisson regression models with robust variance, adjusted for confounders, to estimate the effect of the intervention and duration of BF on the risk of high consumption of UPF. Our final analysis included 194 children, with mean age of 6·1 (sd 0·5) years. Mean dietary contribution of UPF was 38 % in the intervention group and 42·7 % in the control group, from total daily intakes. Results adjusted for BF duration, propensity score, income and total energy content demonstrated that the intervention reduced the risk of high consumption of UPF by 35 % (relative risk 0·65, 95 % CI 0·43, 0·98). BF duration was not associated with UPF consumption. The intervention was effective in reducing the risk of high UPF consumption at the age of 4–7 years.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>33292886</pmid><doi>10.1017/S0007114520004869</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0599-908X</orcidid></addata></record> |
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| subjects | Adolescent Adolescent Mothers Age Brazil Breast Breast Feeding Breastfeeding & lactation Child Child, Preschool Children Children & youth Clinical trials Data collection Diet Diet, Healthy Dietary Surveys and Nutritional Epidemiology Eating behavior Fast Foods Feeding Female Food Food consumption Humans Infant Infant Nutritional Physiological Phenomena Infants Intervention Low income groups Male Mothers Nutrition research Pregnancy Processed foods Recipes Regression analysis Regression models Risk Risk reduction Robustness (mathematics) Software Teenagers |
| title | Effect of a healthy eating intervention in the first months of life on ultraprocessed food consumption at the age of 4–7 years: a randomised clinical trial with adolescent mothers and their infants |
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