CoDAS
https://codas.org.br/article/doi/10.1590/2317-1782/e20240160pt
CoDAS
Artigo Original

Dificuldade alimentar em crianças típicas, fatores sociodemográficos e percepção da família

Feeding difficulties in typical children, sociodemographic factors, and family perception

Bruna Franciele Guimarães Trofino; Amélia Augusta de Lima Friche; Denise Brandão de Oliveira e Britto

Downloads: 1
Views: 88

Resumo

RESUMO: Objetivo: Verificar a associação entre sinais de dificuldade alimentar em crianças típicas e aspectos sociodemográficos, econômicos, idade e escolaridade dos pais e percepção da família sobre as dificuldades alimentares.

Método: Estudo observacional, analítico, transversal com amostra probabilística. Participaram 113 crianças de 2 anos a 5 anos e 11 meses cadastradas no SUS de cidade do interior do estado. Foram aplicados questionário de amostra, Escala Brasileira de Alimentação Infantil (EBAI) e Critério de Classificação Econômica Brasil (CCEB). Realizadas análises descritiva, uni e multivariada, por meio de regressão logística múltipla.

Resultados: Foi observada a tendência de crianças com 2 e 3 anos apresentarem maior dificuldade para se alimentar (p=0,002) quando comparadas às crianças mais velhas. Crianças pré-termo tiveram 3,64 mais chances de apresentar dificuldades alimentares (p=0,033) do que seus pares. Verificou-se que crianças com sinais de dificuldades alimentares demonstraram maior dificuldade no processo de introdução alimentar (p=0,007), se alimentaram mal até os dois anos (p=0,014) e apresentam 3,7 mais chances de apresentar sinais de alterações sensoriais (p=0,001) do que as demais.

Conclusão: Crianças de 2 e 3 anos demonstram tendência de apresentar mais dificuldades alimentares que as crianças maiores. A prematuridade, dificuldade na introdução alimentar e alterações sensoriais são fatores associados a dificuldade alimentar na infância.

Palavras-chave

Comportamento Alimentar, Fatores Sociodemográficos, Seletividade Alimentar, Nutrição Infantil, Fonoaudiologia

Abstract

Purpose  To verify the association between signs of feeding difficulties in typical children and sociodemographic and economic aspects, parental age and education level, and family perception of feeding difficulties.

Methods  Observational, analytical, cross-sectional study with a probabilistic sample of 113 children aged 2 years to 5 years and 11 months, registered at the Unified Health System in a town in inland Minas Gerais, Brazil. The study applied a sample characterization questionnaire, the Brazilian Child Feeding Scale (EBAI), and the Brazilian Economic Classification Criteria (CCEB) and performed descriptive, univariate, and multivariate analyses with multiple logistic regression.

Results  Children aged 2 and 3 years tended to have more feeding difficulties (p = 0.002) than older children. Preterm children were 3.64 times more likely to have feeding difficulties (p = 0.033) than their peers. Children with signs of feeding difficulties had greater difficulty in food introduction (p = 0.007), ate poorly until 2 years old (p = 0.014), and were 3.7 times more likely to have signs of sensory changes (p = 0.001) than the others.

Conclusion  Children aged 2 and 3 years tend to have more feeding difficulties than older ones. Prematurity, difficulty in introducing foods, and sensory changes are associated with childhood feeding difficulties.

Keywords

Feeding Behavior; Sociodemographic Factors; Food Fussiness; Child Nutrition; Speech, Language and Hearing Sciences

Referências

1 Villares JMM, Collado MC, Larqué E, Leis Trabazo R, Saenz De Pipaón M, Moreno Aznar LA. Los primeros 1000 días: una oportunidad para reducir la carga de las enfermedades no transmisibles. Nutr Hosp. 2019;36(1):218-32. PMid:30836758.

2 Vasconcelos IN, de Brito IMVP, Arruda SPM, de Azevedo DV. Diretrizes de amamentação e alimentação infantil: padrões alimentares e efeitos potenciais na saúde e nutrição de crianças menores de dois anos. Rev Bras Saúde Mater Infant. 2021;21(2):419-28. http://doi.org/10.1590/1806-93042021000200005.

3 De Cosmi V, Scaglioni S, Agostoni C. Early taste experiences and later food choices. Nutrients. 2017;9(2):107. http://doi.org/10.3390/nu9020107. PMid:28165384.

4 Nicklaus S. The role of food experiences during early childhood in food pleasure learning. Appetite. 2016;104:3-9. http://doi.org/10.1016/j.appet.2015.08.022. PMid:26298009.

5 Nicklaus S. The role of dietary experience in the development of eating behavior during the first years of life. Ann Nutr Metab. 2017;70(3):241-5. http://doi.org/10.1159/000465532. PMid:28301856.

6 Paglia L. Taste development and prenatal prevention. Eur J Paediatr Dent. 2019;20(4):257. PMid:31850766.

7 Benjasuwantep B, Chaithirayanon S, Eiamudomkan M. Feeding problems in healthy young children: prevalence, related factors and feeding practices. Pediatr Rep. 2013;5(2):38-42. http://doi.org/10.4081/pr.2013.e10. PMid:23904965.

8 Diniz PB, Fagondes SC, Ramsay M. Cross-cultural adaptation and validation of the Montreal Children’s Hospital Feeding Scale into Brazilian Portuguese. Rev Paul Pediatr. 2021;39:e2019377. http://doi.org/10.1590/1984-0462/2021/39/2019377. PMid:33656142.

9 Yang HR. How to approach feeding difficulties in young children. Korean J Pediatr. 2017;60(12):379-84. http://doi.org/10.3345/kjp.2017.60.12.379. PMid:29302261.

10 Goday PS, Huh SY, Silverman A, Lukens CT, Dodrill P, Cohen SS, et al. Pediatric Feeding Disorder: Consensus Definition and Conceptual Framework. J Pediatr Gastroenterol Nutr. 2019;68(1):124-9. http://doi.org/10.1097/MPG.0000000000002188. PMid:30358739.

11 Junqueira P, Maximino P, Ramos CC, Machado PHV, Assumpção I, Fisberg M. O papel do fonoaudiólogo no diagnóstico e tratamento multiprofissional da criança com dificuldade alimentar: uma nova visão. Rev CEFAC. 2015;17(3):1004-11. http://doi.org/10.1590/1982-021620151614.

12 Dovey TM, Kumari V, Blissett J. Eating behaviour, behavioural problems and sensory profiles of children with avoidant/restrictive food intake disorder (ARFID), autistic spectrum disorders or picky eating: same or different? Eur Psychiatry. 2019;61:56-62. http://doi.org/10.1016/j.eurpsy.2019.06.008. PMid:31310945.

13 ABEP: Associação Brasileira de Empresas de Pesquisa. CCEB 2020 [Internet]. São Paulo: ABEP; 2020 [citado em 2023 Jun 12]. Disponível em: https://abep.org/criterio-brasil/

14 Ramsay M, Martel C, Porporino M, Zygmuntowicz C. The Montreal Children’s Hospital feeding scale: a brief bilingual screening tool for identifying feeding problems. Paediatr Child Health. 2011;16(3):147-e17. http://doi.org/10.1093/pch/16.3.147. PMid:22379377.

15 Utter J, Scragg R, Schaaf D. Associations between television viewing and consumption of commonly advertised foods among New Zealand children and young adolescents. Public Health Nutr. 2006;9(5):606-12. http://doi.org/10.1079/PHN2005899. PMid:16923292.

16 Mascola AJ, Bryson SW, Agras SW. Picky eating during childhood: A longitudinal study to age 11 years. Eat Behav. 2010;11(4):253-7. http://doi.org/10.1016/j.eatbeh.2010.05.006. PMid:20850060.

17 Nederkoorn C, Jansen A, Havermans RC. Feel your food. The influence of tactile sensitivity on picky eating in children. Appetite. 2015;84:7-10. http://doi.org/10.1016/j.appet.2014.09.014. PMid:25261102.

18 Machado BC, Dias P, Lima VS, Campos J, Gonçalves S. Prevalence and correlates of picky eating in preschool-aged children: A population-based study. Eat Behav. 2016;22:16-21. http://doi.org/10.1016/j.eatbeh.2016.03.035. PMid:27077700.

19 Migraine A, Nicklaus S, Parnet P, Lange C, Monnery-Patris S, Des Robert C, et al. Effect of preterm birth and birth weight on eating behavior at 2 y of age. Am J Clin Nutr. 2013;97(6):1270-7. http://doi.org/10.3945/ajcn.112.051151. PMid:23615831.

20 Cheong JL, Doyle LW, Burnett AC, Lee KJ, Walsh JM, Potter CR, et al. Association between moderate and late preterm birth and neurodevelopment and socio-emotional development at 2 years of age. JAMA Pediatr. 2017;171(4):e164805. http://doi.org/10.1001/jamapediatrics.2016.4805. PMid:28152144.

21 Koca RB, Huri M. Investigation of the relationship between feeding problems and cognitive functions in premature children. Appetite. 2022;177:106156-106156. http://doi.org/10.1016/j.appet.2022.106156. PMid:35780938.

22 Johnson S, Matthews R, Draper ES, Field DJ, Manktelow BN, Marlow N, et al. Eating difficulties in children born late and moderately preterm at 2 y of age: a prospective population-based cohort study. Am J Clin Nutr. 2016;103(2):406-14. http://doi.org/10.3945/ajcn.115.121061. PMid:26718420.

23 Souza S, Marques KC, Reuter CP. Tempo de tela acima das recomendações em crianças e adolescentes: análise dos fatores nutricionais, comportamentais e parentais associados. J Hum Growth Dev. 2020;3(30):363-70. http://doi.org/10.7322/jhgd.v30.11067.

24 Duran S, Duran R, Acunaş B, Cesur G, Çiftdemir NA. Eating behaviors of late and moderate preterm babies at two years of age and their associations with mothers’ mental health. J Pediatr Gastroenterol Nutr. 2021;72(2):311-5. http://doi.org/10.1097/MPG.0000000000002947. PMid:32960828.

25 Bahadur Eİ, Akkuş PZ, Yoldaş TÇ, Özmert EN. How effective is family counselling on screen exposure of pre-school children? Turk J Pediatr. 2021;63(2):282-90. http://doi.org/10.24953/turkjped.2021.02.012. PMid:33929118.

26 Melo NKL, Antonio RSC, Passos LSF, Furlan RMMM. Aspectos influenciadores da introdução alimentar infantil. Distúrb Comun. 2021;33(1):14-24. http://doi.org/10.23925/2176-2724.2021v33i1p14-24.

27 Adamson M, Morawska A. Early feeding, child behavior, and parenting as correlates of eating problems. J Child Fam Stud. 2017;26(11):3167-78. http://doi.org/10.1007/s10826-017-0800-y.

28 Moriarty CM, Harrison K. Television exposure and eating disorders among children: a longitudinal panel study. J Commun. 2020;58(2):361-81. http://doi.org/10.1111/j.1460-2466.2008.00389.x.

29 Coulthard H, Sealy A. Play with your food! Sensory play is associated with tasting of fruits and vegetables in preschool children. Appetite. 2017;113:84-90. http://doi.org/10.1016/j.appet.2017.02.003. PMid:28202412.

30 Ehrenberg S, Leone LA, Sharpe B, Reardon K, Anzman-Frasca S. Using repeated exposure through hands-on cooking to increase children’s preferences for fruits and vegetables. Appetite. 2019;142:104347. http://doi.org/10.1016/j.appet.2019.104347. PMid:31278956.
 


Submetido em:
27/05/2024

Aceito em:
20/08/2024

67bf736ca9539503f671ed35 codas Articles

CoDAS

Share this page
Page Sections