title: Proposal of indicators to evaluate complementary feeding based on World Health Organization indicators.
abstract: This study compares complementary feeding World Health Organization (WHO) indicators with those built in accordance with Brazilian recommendations (Ten Steps to Healthy Feeding). A cross-sectional study was carried out during the National Immunization Campaign against Poliomyelitis in Guarapuava-Paraná, Brazil, in 2012. Feeding data from 1,355 children aged 6-23 months were obtained through the 24 h diet recall. Based on five indicators, the proportion of adequacy was evaluated: introduction of solid, semi-solid, or soft foods; minimum dietary diversity; meal frequency; acceptable diet; and consumption of iron-rich foods. Complementary feeding showed adequacy higher than 85% in most WHO indicators, while review by the Ten Steps assessment method showed a less favorable circumstance and a high intake of unhealthy foods. WHO indicators may not reflect the complementary feeding conditions of children in countries with low malnutrition rates and an increased prevalence of overweight/obesity. The use of indicators according to the Ten Steps can be useful to identify problems and redirect actions aimed at promoting complementary feeding.
authors: Midwestern State University, Department of Nutrition, Guarapuava, PR, Brazil.
authors: Paula Chuproski
authors: PC
authors: Saldan
authors: Health Institute, São Paulo State Health Department, São Paulo, SP, Brazil.
authors: Sonia Isoyama
authors: SI
authors: Venancio
authors: Health Institute, São Paulo State Health Department, São Paulo, SP, Brazil.
authors: Silvia Regina Dias Medici
authors: SR
authors: Saldiva
authors: University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, SP, Brazil.
authors: Débora Falleiros
authors: DF
authors: de Mello
mesh_terms: D001938:Brazil; D003430:Cross-Sectional Studies; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena / Q000592:standards*; D007231:Infant, Newborn; D008297:Male; D015397:Program Evaluation / Q000379:methods; D014944:World Health Organization / Q000458:organization & administration
keywords: Brazil; complementary feeding indicators; infant feeding; infant nutrition