Food security and fruit and vegetable consumption among preschoolers: an exploratory study during the COVID-19 pandemic

Authors

DOI:

https://doi.org/10.15343/0104-7809.202347e14552022P

Keywords:

Food Insecurity, Vegetables, Nutrition, Child

Abstract

Studies that assess food insecurity and its association with the consumption of fruits, legumes, and vegetables (FLV) can help identify groups and risk factors of inadequate food consumption, in order to propose assertive nutritional interventions. The aim of this study was to describe FLV consumption by children in different food security situations. This is an exploratory cross-sectional study, conducted with parents/guardians of 44 children from zero to four years old. The short version of the Brazilian Food Insecurity Scale and a Food Frequency Questionnaire were applied to parents/guardians via a telephone interview. The children were 2.6 years old on average, 56.8% were female, 67.5% were eutrophic, and 70.5% of the families were in a situation of food insecurity. For households in a situation of food security, the median consumption of FLV was 213.4 g/day (P25=97.89; P75=425.91). As for those in a situation of food insecurity, the median FLV was 105.4 g/day (P25=33.58; P75=205.16). It was concluded that the consumption of FLV by children from families in a situation of food security is higher than that of children in a situation of food insecurity, who are strongly influenced by the offer of cheap food with low nutritional quality. Public policies are needed to favor the guarantee of access to FLV of quality and at an affordable cost for all families.

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References

FAO, ESA. Concepts of Food Security [Internet]. Roma; 2006 jun [citado 11 de setembro de 2022]. Disponível em: http://www.foodsecinfoaction.org/

FAO, IFAD, UNICEF, WFP, WHO. The State of Food Security and Nutrition in the World 2022 [Internet]. FAO; 2022. Disponível em: http://www.fao.org/documents/card/en/c/cc0639en

USDA. Definitions of Food Security [Internet]. 2022 [citado 12 de setembro de 2022]. Disponível em: https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-u-s/definitions-of-food-security/

Gallegos D, Eivers A, Sondergeld P, Pattinson C. Food Insecurity and Child Development: A State-of-the-Art Review. Int J Environ Res Public Health. 26 de agosto de 2021;18(17):8990.

Rede Brasileira de Pesquisa em Soberania e Segurança Alimentar (Rede PENSSAN). II Inquérito Nacional sobre Insegurança Alimentar no Contexto da Pandemia da COVID-19 no Brasil: II VIGISAN [Internet]. II. São Paulo: VIGISAN; 2022 [citado 11 de fevereiro de 2023]. Disponível em: https://olheparaafome.com.br/

Fórum Intersetorial para Combate às DCNTs no Brasil. Carta Aberta de Prioridades às Autoridades 2022/2023 - FórumDCNTs [Internet]. Conselho Regional de Nutricionistas 3a Região. 2023 [citado 20 de fevereiro de 2023]. Disponível em: https://www.crn3.org.br/noticia/carta-aberta-de-prioridades-as-autoridades-20222023-forumdcnts

Nelson E, Bangham C, Modi S, Liu X, Codner A, Milton Hicks J, et al. Understanding the impacts of COVID-19 on the determinants of food insecurity: A state-specific examination. Prev Med Rep [Internet]. agosto de 2022;28:101871. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/35785406

UNIVERSIDADE FEDERAL DO RIO DE JANEIRO. Características sociodemográficas: aspectos demográficos, socioeconômicos e de insegurança alimentar [Internet]. Rio de Janeiro; 2021 [citado 12 de setembro de 2022]. Disponível em: https://enani.nutricao.ufrj.br/index.php/relatorios/

Antunes MML, Sichieri R, Salles-Costa R. Consumo alimentar de crianças menores de três anos residentes em área de alta prevalência de insegurança alimentar domiciliar. Cad Saude Publica [Internet]. agosto de 2010;26(8):1642–50. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2010000800017&lng=pt&tlng=pt

Martins M, Aires J, Dantas K, Sabino L, Alves M, Ximenes L. Consumo alimentar de famílias de pré-escolares em situação de (in)segurança alimentar. Ciencia y Enfermeria. 2015;21(3):63–71.

de Souza BF do NJ, Camargo DFM, Segall-Corrêa AM, Marín-León L, Francisco PMSB. Food insecurity, food expenses and consumption of sugar and soft drinks in households with and without children and/or adolescents. Revista de Nutricao. 2021;34.

Roger K, Vannasing P, Tremblay J, Bringas Vega ML, Bryce CP, Rabinowitz AG, et al. Impact of Early Childhood Malnutrition on Adult Brain Function: An Evoked-Related Potentials Study. Front Hum Neurosci. 1o de julho de 2022;16.

Klimek P, Leitner M, Kautzky-Willer A, Thurner S. Effect of Fetal and Infant Malnutrition on Metabolism in Older Age. Gerontology. 2014;60(6):502–7.

Steinberger J, Daniels SR, Hagberg N, Isasi CR, Kelly AS, Lloyd-Jones D, et al. Cardiovascular Health Promotion in Children: Challenges and Opportunities for 2020 and Beyond: A Scientific Statement From the American Heart Association. Circulation. 20 de setembro de 2016;134(12).

Silva S, Mura J. Tratado de Alimentação, Nutrição e Dietoterapia. 3a ed. São Paulo: Editora Payá Eirelli; 2016. 401–415 p.

Collese TS, de Moraes ACF, Rendo-Urteaga T, Luzia LA, Rondó PH de C, Marchioni DML, et al. The Validity of Children’s Fruit and Vegetable Intake Using Plasma Vitamins A, C, and E: The SAYCARE Study. Nutrients. 6 de agosto de 2019;11(8):1815.

Lynch S, Pfeiffer CM, Georgieff MK, Brittenham G, Fairweather-Tait S, Hurrell RF, et al. Biomarkers of Nutrition for Development (BOND)—Iron Review. J Nutr. 1o de junho de 2018;148(suppl_1):1001S-1067S.

Tanumihardjo SA, Russell RM, Stephensen CB, Gannon BM, Craft NE, Haskell MJ, et al. Biomarkers of Nutrition for Development (BOND)—Vitamin A Review. J Nutr. setembro de 2016;146(9):1816S-1848S.

Klimek P, Leitner M, Kautzky-Willer A, Thurner S. Effect of Fetal and Infant Malnutrition on Metabolism in Older Age. Gerontology. 2014;60(6):502–7.

ISA-Capital. Inquérito de Saúde do Município de São Paulo [Internet]. Prefeitura de São Paulo. 2015 [citado 26 de fevereiro de 2023]. Disponível em: https://www.prefeitura.sp.gov.br/cidade/secretarias/saude/epidemiologia_e_informacao/isacapitalsp/index.php?p=216392

Santos LP dos, Lindemann IL, Motta JV dos S, Mintem G, Bender E, Gigante DP. Proposal of a short-form version of the Brazilian Food Insecurity Scale. Rev Saude Publica [Internet]. outubro de 2014;48(5):783–9. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000500783&lng=en&tlng=en

Saravia L, González-Zapata LI, Rendo-Urteaga T, Ramos J, Collese TS, Bove I, et al. Development of a Food Frequency Questionnaire for Assessing Dietary Intake in Children and Adolescents in South America. Obesity. março de 2018;26:S31–40.

Rendo-Urteaga T, Saravia L, Sadalla Collese T, Monsalve-Alvarez JM, González-Zapata LI, Tello F, et al. Reliability and validity of an FFQ for South American children and adolescents from the SAYCARE study. Public Health Nutr. 12 de janeiro de 2020;23(1):13–21.

World Health Organization. Body mass index-for-age (BMI-for-age) [Internet]. 2022 [citado 11 de setembro de 2022]. Disponível em: https://www.who.int/toolkits/child-growth-standards/standards/body-mass-index-for-age-bmi-for-age

Weir CB, Jan A. BMI Classification Percentile And Cut Off Points [Internet]. 2022 [citado 11 de setembro de 2022]. Disponível em: https://www.ncbi.nlm.nih.gov/books/NBK541070/

World Health Organization. Child Growth Standards [Internet]. WHO. 2023 [citado 20 de janeiro de 2023]. Disponível em: https://www.who.int/tools/child-growth-standards/standards

World Health Organization., Food and Agriculture Organization. Diet, nutrition, and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Geneva: World Health Organization; 2003. 149.

Cristofar SP, Basiotis PP. Dietary intakes and selected characteristics of women ages 19–50 years and their children ages 1–5 years by reported perception of food sufficiency. J Nutr Educ. março de 1992;24(2):53–8.

Rose D, Oliveira V. Nutrient intakes of individuals from food-insufficient households in the United States. Am J Public Health. dezembro de 1997;87(12):1956–61.

Hanson KL, Connor LM. Food insecurity and dietary quality in US adults and children: a systematic review. Am J Clin Nutr. agosto de 2014;100(2):684–92.

Correia LL, Rocha HAL, Leite ÁJM, Cavalcante e Silva A, Campos JS, Machado MMT, et al. The relation of cash transfer programs and food insecurity among families with preschool children living in semiarid climates in Brazil. Cad Saude Colet [Internet]. março de 2018;26(1):53–62. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2018000100053&lng=en&tlng=en

Leung CW, Ding EL, Catalano PJ, Villamor E, Rimm EB, Willett WC. Dietary intake and dietary quality of low-income adults in the Supplemental Nutrition Assistance Program. Am J Clin Nutr. 1o de novembro de 2012;96(5):977–88.

IDEC (Instituto Brasileiro de Defesa do Consumidor). As cinco dimensões dos sistemas alimentares no Brasil: uma revisão de literatura. 2021.

Triches RM. Dietas saudáveis e sustentáveis no âmbito do sistema alimentar no século XXI. Saúde em Debate. setembro de 2020;44(126):881–94.

Bélanger J, Pilling D. The State of the World’s Biodiversity for Food and Agriculture [Internet]. Rome; 2019 [citado 7 de março de 2023]. Disponível em: http://www.fao.org/3/CA3129EN/CA3129EN.pdf

Tilman D, Balzer C, Hill J, Befort BL. Global food demand and the sustainable intensification of agriculture. Proceedings of the National Academy of Sciences. 13 de dezembro de 2011;108(50):20260–4.

Altieri MA, Nicholls CI, Henao A, Lana MA. Agroecology and the design of climate change-resilient farming systems. Agron Sustain Dev. 1o de julho de 2015;35(3):869–90.

Araneda J, Pinheiro AC, Pizarro T. Inseguridad alimentaria y hábitos alimentarios durante la pandemia de COVID-19 en hogares chilenos Effects of COVID-19 pandemic on food insecurity perception in Chilean households. Vol. 149, Rev Med Chile. 2021.

Sidor A, Rzymski P. Dietary choices and habits during COVID-19 lockdown: Experience from Poland. Nutrients. 1o de junho de 2020;12(6).

Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of COVID-19 home confinement on eating behaviour and physical activity: Results of the ECLB-COVID19 international online survey. Nutrients. 1o de junho de 2020;12(6).

NEVES JA, MACHADO ML, OLIVEIRA LD de A, MORENO YMF, MEDEIROS MAT de, VASCONCELOS F de AG de. Unemployment, poverty, and hunger in Brazil in Covid-19 pandemic times. Revista de Nutrição. 2021;34.

Instituto Brasileiro de Geografia e Estatística (IBGE). PNAD Contínua - Pesquisa Nacional por Amostra de Domicílios Contínua [Internet]. Taxa de desocupação, por idade, 1o trimestre 2012 - 3o trimestre 2022. 2023 [citado 20 de fevereiro de 2023]. Disponível em: https://www.ibge.gov.br/estatisticas/sociais/trabalho/9173-pesquisa-nacional-por-amostra-de-domicilios-continua-trimestral.html?=&t=series-historicas&utm_source=landing&utm_medium=explica&utm_campaign=desemprego

Morais D de C, Dutra LV, Franceschini S do CC, Priore SE. Insegurança alimentar e indicadores antropométricos, dietéticos e sociais em estudos brasileiros: uma revisão sistemática. Cien Saude Colet. maio de 2014;19(5):1475–88.

Bezerra TA, Olinda RA de, Pedraza DF. Insegurança alimentar no Brasil segundo diferentes cenários sociodemográficos. Cien Saude Colet. fevereiro de 2017;22(2):637–51.

Sousa LRM de, Segall-Corrêa AM, Ville A saint, Melgar-Quiñonez H. Food security status in times of financial and political crisis in Brazil. Cad Saude Publica. 2019;35(7).

Silva Filho OJ da, Gomes Júnior NN. O amanhã vai à mesa: abastecimento alimentar e COVID-19. Cad Saude Publica. 2020;36(5).

Proença RP da C, Kraemer MV dos S, Rodrigues VM, Proença LC, Camargo RGM, Domene SMÁ. Cenário e perspectivas do sistema alimentar brasileiro frente à pandemia de Covid-19. DEMETRA: Alimentação, Nutrição & Saúde. 29 de julho de 2021;16.

Cook JT, Frank DA, Berkowitz C, Black MM, Casey PH, Cutts DB, et al. Food Insecurity Is Associated with Adverse Health Outcomes among Human Infants and Toddlers. J Nutr. 1o de outubro de 2004;134(6):1432–8.

Lindsay AC, Ferarro M, Franchello A, la Barrera R de, Machado MMT, Pfeiffer ME, et al. Child feeding practices and household food insecurity among low-income mothers in Buenos Aires, Argentina. Cien Saude Colet [Internet]. março de 2012;17(3):661–9. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232012000300012&lng=en&tlng=en

Bortolini GA, Vitolo MR, Gubert MB, Santos LMP. Iniquidades sociais influenciam a qualidade e a diversidade da dieta de crianças brasileiras de 6 a 36 meses. Cad Saude Publica. 1o de novembro de 2015;31(11):2413–24.

Published

2023-04-05

How to Cite

Segui, E. M., Castro, A. G. P. de, Silva, J. T. da, & Collese, T. S. (2023). Food security and fruit and vegetable consumption among preschoolers: an exploratory study during the COVID-19 pandemic. O Mundo Da Saúde, 47. https://doi.org/10.15343/0104-7809.202347e14552022P