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Compliance with ESPGHAN Position on Complementary Feeding in a Multicultural European Community. Does Ethnicity Matter?

dc.contributor.authorNóbrega, S
dc.contributor.authorAndrade, M
dc.contributor.authorHeleno, B
dc.contributor.authorAlves, M
dc.contributor.authorPapoila, A
dc.contributor.authorSassetti, L
dc.contributor.authorVirella, D
dc.date.accessioned2015-07-06T11:21:25Z
dc.date.available2015-07-06T11:21:25Z
dc.date.issued2014
dc.description.abstractIntroduction: In 2008, ESPGHAN published a position paper on complementary feeding providing recommendations to health care professionals. Cultural and socio-economic factors might affect the compliance to these orientations. Aim: To estimate the prevalence of inadequacies during complementary feeding (ESPGHAN, 2008) and its association with different ethnic backgrounds. Methods: Cross-sectional survey of a convenience sample of caretakers of children up to 24 months of age in a single community health centre in Greater Lisbon, through a volunteer, self-applied questionnaire. Results: From a sample of children with wide cultural diversity, 161 valid questionnaires were obtained (median child’s age 9 months, median mother’s age 32 years). The prevalence rate of at least one complementary feeding inadequacy was 46% (95%CI: 38.45-53.66). The commonest inadequacies were: avoiding lumpy solid foods after 10 months of age (66.7%), avoidance or delayed introduction of foods beyond 12 months (35.4%), introduction of gluten beyond 7 months (15.9%) or salt before 12 months (6.7%). For each increase of 1 month in the age of the child, the odds of inadequacies raised 36.7% (OR = 1.37; 95%CI: 1.20-1.56; p < 0.001). The odds for inadequacies in children of African or Brazilian offspring was three times higher that of Portuguese ancestry (OR = 3.31; 95%CI: 0.87-12.61; p = 0.079). The influence of grandparents was related to an increase in the odds of inadequacies (OR = 3.69; 95%CI: 0.96-14.18; p = 0.058).Conclusion: Inadequacies during complementary feeding are frequent and may be influenced by the cultural background.por
dc.identifier.citationGE Port J Gastroenterol. 2014;21(6):231-240por
dc.identifier.urihttp://hdl.handle.net/10400.17/2252
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElsevier Doymapor
dc.subjectFeedingpor
dc.subjectWeaningpor
dc.subjectInadequaciespor
dc.subjectCulturepor
dc.subjectESPGHANpor
dc.subjectCriançapor
dc.subjectHDE PEDpor
dc.titleCompliance with ESPGHAN Position on Complementary Feeding in a Multicultural European Community. Does Ethnicity Matter?por
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage240por
oaire.citation.startPage231por
oaire.citation.volume21por
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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