Poster Topical Area: Maternal, Perinatal and Pediatric Nutrition
Location: Hall D
Poster Board Number: 399
Objective. To demonstrate differences of complementary feeding practices of Mexican toddlers of low income families aged 15 to 24 months according to age strata and sex.
Methodology. In analytical cross-sectional study 211 apparently healthy toddlers aged 15 to 24 months of age attending the outpatient clinic of pediatrics at the New Civil Hospital of Guadalajara were included. Feeding practices were evaluated using a questionnaire specially designed for the study which included complementary feeding and lactation variables, in addition to a food frequency dietary assessment and 24 hour recall dietary assessment of which energy, macro and micronutrients were obtained. ANOVA, Student t test, Mann–Whitney U test and OR were obtained.
Results. From the total sample 34% female and 66% males. Introduction of soft drinks and sweets occurred around 12 months. The natural water consumed (380 mL/d) was lower than the recommended intake. Sugar consumption was six times higher than recommended. The mean consumption sweetened beverages was of 320 mL/d (five times a week); and, it was significantly higher in males than females (P=0.014). The frequency of cereal consumption was 2.4 times higher in males than in females [OR= 2.4 (95% CI 1.0, 5.6), P=0.034], and juice consumption was also higher in boys [OR= 1.9 (95% CI 0.92, 4.09), P=0.078]. The addition of sugar to foods was frequent (93%). The probability of energy intake less than 80% of adequacy was 4.4 times higher in toddlers between 15-18 vs >18 age group [OR= 4.44 (95% CI 1.4, 14.1)), P<0.007]. The percentage of adequacy <80% of fat intake in toddlers aged 15-18 months was 2.2 times higher in toddlers 19-21 months [OR= 2.2 (95% CI 1.02, 4.67), P=0.043] and 3.3 times greater than in males aged 22-24 months [OR= 3.3 (95% CI 1.36, 8.29), P<0.007]. Fiber consumption was less than 80% of the recommended intake in 75% of the population studied.
Conclusion. There are deviations in the complementary feeding practices on Mexican toddlers of 15 to 24 months of low income families; and, the consumption of sugar, sweetened beverages and sodium are associated to sex and quarterly age group periods.
Nacional Council of Science and Technology (CONACYT)
Edgar Vasquez Garibay
Institute of Human Nutrition, University of Guadalajara
Guadalajara, Jalisco, Mexico