Feeding practices and dietary intake in Brazilian children with Down syndrome: A cross-sectional study.
Children
Down's syndrome
Food intake
Infant feeding
Journal
Journal of intellectual disability research : JIDR
ISSN: 1365-2788
Titre abrégé: J Intellect Disabil Res
Pays: England
ID NLM: 9206090
Informations de publication
Date de publication:
13 May 2024
13 May 2024
Historique:
revised:
13
04
2024
received:
07
11
2023
accepted:
24
04
2024
medline:
14
5
2024
pubmed:
14
5
2024
entrez:
13
5
2024
Statut:
aheadofprint
Résumé
Studies investigating the quality of the diet and dietary intake of children with Down syndrome (DS) are required because the features attributed to the syndrome can affect growth, development and quality of life. This cross-sectional study was conducted with 77 Brazilian children with DS between 5 and 36 months of age receiving care at the multidisciplinary outpatient clinic of the University Hospital. Participants' sociodemographic, dietary and anthropometric data were collected from the care protocols. Dietary data were collected from 24-h recalls and dietary practices were assessed according to the WHO dietary guidelines. Associations between inadequate feeding practices and demographic variables were assessed using logistic regression models. Fruits, milk or infant formula, vegetables, beans and meat were among the five most consumed foods by the children investigated. Overall, we observed a high number of cases of early weaning (50.6%), low minimum dietary diversity (MDD; 40.3%), inadequate consistency for age (64.9%), early presence of ultra-processed foods (76.6%), sugars and sweets (33.8%) in the diet of the children with DS. In the associations of inadequate feeding practices by age group, low MDD [odds ratio (OR): 18.6; 95% confidence interval (CI): 3.4; 57.1] and inadequate consistency (OR: 6.65; 95% CI: 1.8; 24.7) were more frequent among children aged below 12 months while this relationship was inverse for early introduction of sugar and sweets (OR: 0.04; 95% CI: 0.01; 0.29). Our findings showed a high number of cases of inadequate dietary practices in children with DS investigated, which could adversely affect the long-term health of this population.
Sections du résumé
BACKGROUND
BACKGROUND
Studies investigating the quality of the diet and dietary intake of children with Down syndrome (DS) are required because the features attributed to the syndrome can affect growth, development and quality of life.
METHODS
METHODS
This cross-sectional study was conducted with 77 Brazilian children with DS between 5 and 36 months of age receiving care at the multidisciplinary outpatient clinic of the University Hospital. Participants' sociodemographic, dietary and anthropometric data were collected from the care protocols. Dietary data were collected from 24-h recalls and dietary practices were assessed according to the WHO dietary guidelines. Associations between inadequate feeding practices and demographic variables were assessed using logistic regression models.
RESULTS
RESULTS
Fruits, milk or infant formula, vegetables, beans and meat were among the five most consumed foods by the children investigated. Overall, we observed a high number of cases of early weaning (50.6%), low minimum dietary diversity (MDD; 40.3%), inadequate consistency for age (64.9%), early presence of ultra-processed foods (76.6%), sugars and sweets (33.8%) in the diet of the children with DS. In the associations of inadequate feeding practices by age group, low MDD [odds ratio (OR): 18.6; 95% confidence interval (CI): 3.4; 57.1] and inadequate consistency (OR: 6.65; 95% CI: 1.8; 24.7) were more frequent among children aged below 12 months while this relationship was inverse for early introduction of sugar and sweets (OR: 0.04; 95% CI: 0.01; 0.29).
CONCLUSION
CONCLUSIONS
Our findings showed a high number of cases of inadequate dietary practices in children with DS investigated, which could adversely affect the long-term health of this population.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 John Wiley & Sons and MENCAP.
Références
Anil M. A., Shabnam S. & Narayanan S. (2019) Feeding and swallowing difficulties in children with Down syndrome. Journal of Intellectual Disability Research 63, 992–1014.
Bertapelli F., Agiovlasitis S., Machado M. R., do Val Roso R. & Guerra‐Junior G. (2017) Growth charts for Brazilian children with Down syndrome: birth to 20 years of age. Journal of Epidemiology 27, 265–273.
Bertapelli F., Gorla J. I., Silva F. F. d. & Costa L. T. (2013) Prevalence of obesity and the body fat topography in children and teenagers with Down syndrome. Journal of Human Growth and Development. 23, 65.
Brasil. Ministério da Saúde Secretaria de Atenção Primaria à Saúde. Departamento de Promoção da Saúde, ed. (2019) Guia Alimentar para Crianças Brasileiras Menores de 2 Anos. Ministério da Saúde, Brasília Available at: http://189.28.128.100/dab/docs/portaldab/publicacoes/guia_da_crianca_2019.pdf.
Bull M. J., Trotter T., Santoro S. L., Christensen C., Grout R. W., Council on Genetics et al. (2022) Health supervision for children and adolescents with Down syndrome. Pediatrics 149, e2022057010.
Coentro V. S., Geddes D. T. & Perrella S. L. (2020) Altered sucking dynamics in a breastfed infant with Down syndrome: a case report. International Breastfeeding Journal. 15, 71.
Dodd K. W., Guenther P. M., Freedman L. S., Subar A. F., Kipnis V., Midthune D. et al. (2006) Statistical methods for estimating usual intake of nutrients and foods: a review of the theory. Journal of the American Dietetic Association 106, 1640–1650.
Du Y., Shan L. F., Cao Z. Z., Feng J. C. & Cheng Y. (2017) Prevalence of celiac disease in patients with Down syndrome: a meta‐analysis. Oncotarget 9, 5387–5396.
Ergaz‐Shaltiel Z., Engel O., Erlichman I., Naveh Y., Schimmel M. S. & Tenenbaum A. (2017) Neonatal characteristics and perinatal complications in neonates with Down syndrome. American Journal of Medical Genetics Part A. 173, 1279–1286.
Evangelista L. G. & Furlan R. M. M. M. (2019) Facilitating factors, main difficulties and strategies used in breastfeeding of Down syndrome infants: a systematic review. Audiology ‐ Communication Research 24, e2130.
Giesta J. M., Zoche E., Corrêa R. D. S. & Bosa V. L. (2019) Associated factors with early introduction of ultra‐processed foods in feeding of children under two years old. Ciência and Saúde Coletiva. 24, 2387–2397.
Gorla J. I., Duarte E., Costa L. T. & Freire F. (2011) Growth of children and adolescents with Down's syndrome. A brief review of the literature. Revista Brasileira de Cineantropometria e Desempenho Humano. 13, 230‐237.
Heyman M. B., Abrams S. A., Section on Gastroenterology, Hepatology, and Nutrition, Committee on Nutrition, Heitlinger L. A., Cabana M. C., Gilger M. A. et al. (2017) Fruit juice in infants, children, and adolescents: current recommendations. Pediatrics 139, e20170967.
Holmes G. (2014) Gastrointestinal disorders in Down syndrome. Gastroenterol Hepatol Bed Bench. 7, 6–8.
Instituto Brasileiro de Geografia e Estatística ‐ IBGE (2020). Pesquisa de Orçamentos Familiares. Análise do Consumo Alimentar Pessoal no Brasil. 2017–2018 – POF. Available at: https://biblioteca.ibge.gov.br/visualizacao/livros/liv101742.pdf>.
Instituto Brasileiro de Geografia e Estatística – IBGE (2011) Pesquisa de Orçamentos Familiares 2008–2009: Tabelas de Composição Nutricional dos Alimentos Consumidos no Brasil. IBGE Available at: https://biblioteca.ibge.gov.br/visualizacao/livros/liv50002.pdf.
Lima A. P. C., Nascimento D. D. S. & Martins M. M. F. (2018) The practice of breastfeeding and the factors that take to early weaning: an integrating review. Journal of Health & Biological Sciences 6, 189.
Lopes W. C., Marques F. K. S., Oliveira C. F. d., Rodrigues J. A., Silveira M. F., Caldeira A. P. et al. (2018) Infant feeding in the first two years of life. Revista Paulista de Pediatria. 36, 164–170.
Lopes W. C., Pinho L. D., Caldeira A. P. & Lessa A. D. C. (2020) Nutritional status and food consumption of children and adolescents with Down syndrome of the Parents and Friends of Special Children Association (APAE) – Laranjeiras do Sul, Paraná. Revista Paulista de Pediatria. 38, e2018277.
Magenis, M. L., de Faveri, W., Castro, K., Forte, G. C., Grande, A. J. & Perry, I. S., (2020). Down syndrome and breastfeeding: a systematic review. Journal of Intellectual Disabilities. 1744629520970078.
Magenis M. L., Machado A. G., Bongiolo A. M., Silva M. A. D., Castro K. & Perry I. D. S. (2017) Dietary practices of children and adolescents with Down syndrome. Journal of IntellectualDisabilities. 22, 125–134.
Mårild K., Stephansson O., Grahnquist L., Cnattingius S., Söderman G. & Ludvigsson J. F. (2013) Down syndrome is associated with elevated risk of celiac disease: a nationwide case‐control study. The Journal of Pediatrics 163, 237–242.
Mazurek D. & Wyka J. (2015) Down syndrome – genetic and nutritional aspects of accompanying disorders. Roczniki Panstwowego Zakladu Higieny. 66, 189–194.
Mohamed B., Alhamdan A. & Samarkandy M. (2013) Dietary practice and physical activity in children with Down syndrome and their siblings in Saudi Arabia. Canadian Journal of Clinical Nutrition. 1, 35–46.
Monteiro C. A., Cannon G., Lawrence M., Costa Louzada M. L. & Pereira Machado P. (2019) Ultra‐processed foods, diet quality, and health using the NOVA classification system. FAO, Rome.
Moshfegh A. J., Rhodes D. G., Baer D. J., Murayi T., Clemens J. C., Rumpler W. V. et al. (2008) The US Department of Agriculture automated multiple‐pass method reduces bias in the collection of energy intakes. The American Journal of Clinical Nutrition 88, 324–332.
Neuhouser M. L. (2019) The importance of healthy dietary patterns in chronic disease prevention. Nutrition Research. 70, 3–6.
Nordstrøm M., Retterstøl K., Hope S. & Kolset S. O. (2020) Nutritional challenges in children and adolescents with Down syndrome. The Lancet Child and Adolescent Health. 4, 455–464.
Ortelan N., Neri D. A. & Benicio M. H. D. (2020) Feeding practices of low birth weight Brazilian infants and associated factors. Revista de Saúde Pública. 54, 14.
Ou‐Yang M.‐C., Sun Y., Liebowitz M., Chen C.‐C., Fang M.‐L., Dai W. et al. (2020) Accelerated weight gain, prematurity, and the risk of childhood obesity: a meta‐analysis and systematic review. PLoS ONE 15, e0232238.
Pires C. L. S., Vieira D. G., Brecailo M. K., Franco S., da Silva C. C. & Ferreira A. J. C. (2016) Nutritional status and food consumption of children and adolescents with Down syndrome of the Parents and Friends of Special Children Association (APAE) – Laranjeiras do Sul, Paraná. Braspen J. 31, 197–202.
Pisacane A., Toscano E., Pirri I., Continisio P., Andria G., Zoli B. et al. (2003) Down syndrome and breastfeeding. Acta Paediatrica 92, 1479–1481.
Ptomey L. T., Oreskovic N. M., Hendrix J. A., Nichols D. & Agiovlasitis S. (2023) Weight management recommendations for youth with Down syndrome: expert recommendations. Frontiers in Pediatrics. 10, 1064108.
Reis R. A., Cunha I. P. d., Cainelli E. C., Gondinho B. V. C., Cortellazzi K. L., Guerra L. M. et al. (2022) Analysis of the prevalence of sugar consumption in child care consultations. Revista Brasileira de Saúde Materno Infantil. 22, 631–640.
Rocha R. C., Lacerda K. C., Melo M. M. & Nunes L. C. (2015) Anthropometric and food consumption assessment of children and adolescents with Down Syndrome in Ubá, MG: assistance for promoting healthy eating. Rev. APS. 18, 151–156.
Rogers S. L., Smith B. & Mengoni S. E. (2021) Relationships between feeding problems, eating behaviors and parental feeding practices in children with Down syndrome: a cross‐sectional study. Journal of Applied Research in Intellectual Disabilities. 35, 596–606.
Samarkandy M. M., Mohamed B. A. & Al‐Hamdan A. A. (2012) Nutritional assessment and obesity in Down syndrome children and their siblings in Saudi Arabia. Saudi Medical Journal 33, 1216–1221.
dos Santos J. V., Ponce A. J., Dourado C. M., Pacheco P. M. & Mendes R. H. (2018) Classificação do índice de massa corporal e consumo alimentar de indivíduos portadores de síndrome de Down da APAE de dois municípios do noroeste do Rio Grande do Sul. Nutrição Brasil. 16, 373–381.
Serel Arslan S. (2022) Swallowing related problems of toddlers with Down syndrome. Journal of Developmental and Physical Disabilities., 1–11.
Silva F. G. & Miraglia F. (2017) Analysis of food intake of subjects with Down's syndrome from the metropolitan region of Porto Alegre. Cinergis 18, 93–98.
de Souza S. A. V. & Silva V. d. S. (2021) Avaliação do consumo de frutas e vegetais da população durante a pandemia. Revista Saúde em Foco. 13, 605–613.
Subar A. F., Kipnis V., Troiano R. P., Midthune D., Schoeller D. A., Bingham S. et al. (2003) Using intake biomarkers to evaluate the extent of dietary misreporting in a large sample of adults: the OPEN study. American Journal of Epidemiology 158, 1–13.
Universidade Federal do Rio de Janeiro ‐ UFRJ (2021). Alimentação Infantil I: Prevalência de Indicadores de Alimentação de Crianças Menores de 5 Anos: ENANI 2019. 135 p. Available at: https://enani.nutricao.ufrj.br/index.php/relatorios/.
Van Dijk M. & Lipke‐Steenbeek W. (2018) Measuring feeding difficulties in toddlers with Down syndrome. Appetite 126, 61–65.
Versacci P., Di Carlo D., Digilio M. C. & Marino B. (2018) Cardiovascular disease in Down syndrome. Current Opinion in Pediatrics. 30, 616–622.
Wernio E., Kłosowska A., Kuchta A., Ćwiklińska A., Sałaga‐Zaleska K., Jankowski M. et al. (2022) Analysis of dietary habits and nutritional status of children with Down syndrome in the context of lipid and oxidative stress parameters. Nutrients 14, 2390.
World Health Organization (2023) Guideline for complementary feeding of infants and young children 6–23 months of age. World Health Organization; 2023, Geneva Available at: https://www.who.int/publications‐detail‐redirect/9789240081864.
World Health Organization and the United Nations Children's Fund (ed.) (2021) Indicators for assessing infant and young child feeding practices: definitions and measurement methods. Geneva Available at: https://www.who.int/publications/i/item/9789240018389.