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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

Published online by Cambridge University Press:  09 December 2020

Bruna Lazzeri
Affiliation:
Department of Nutrition, Postgraduate Studies Program in Food, Nutrition and Health, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre90035003, Brazil
Vanessa Bielefeldt Leotti
Affiliation:
Department of Statistics, Institute of Mathematics and Statistics, Federal University of Rio Grande do Sul, Porto Alegre91509900, Brazil Department of Social Medicine, Postgraduate Studies Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre90035003, Brazil
Betina Soldateli
Affiliation:
Department of Nutrition, Postgraduate Studies Program in Food, Nutrition and Health, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre90035003, Brazil
Elsa Regina Giugliani
Affiliation:
Department of Social Medicine, Postgraduate Studies Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre90035003, Brazil Department of Pediatrics, Postgraduate Studies Program on Child and Adolescent Health, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre90035003, Brazil
Carlos Augusto Monteiro
Affiliation:
Department of Nutrition, School of Public Health, University of São Paulo, São Paulo01246904, Brazil
Eurídice Martinez Steele
Affiliation:
Department of Nutrition, School of Public Health, University of São Paulo, São Paulo01246904, Brazil
Luana Giongo Pedrotti
Affiliation:
Department of Social Medicine, Postgraduate Studies Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre90035003, Brazil
Michele Drehmer*
Affiliation:
Department of Nutrition, Postgraduate Studies Program in Food, Nutrition and Health, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre90035003, Brazil Department of Social Medicine, Postgraduate Studies Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre90035003, Brazil
*
*Corresponding author: Michele Drehmer, email michele.drehmer@gmail.com

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.

Type
Full Papers
Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of The Nutrition Society

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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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