Evidence map›Paper›PMID 29697043›Full record

ArticlePublic health nutrition2018

Infant feeding practices and determinant variables for early complementary feeding in the first 8 months of life: results from the Brazilian MAL-ED cohort site.

Bll Maciel, M L Moraes, A M Soares, Ifs Cruz, Mir de Andrade, J Q Filho, F S Junior, P N Costa, C B Abreu, R Ambikapathi and 3 more

Abstract read
In one paragraph

Article in Public health nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Biocultural Determinants of Mothers' Complementary Feeding Decisions in the Urban Brazilian Amazon.American journal of human biology : the official journal of the Human Biology Council · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Bll Maciel1Departamento de Nutrição, Saúde Coletiva e Nesc,Universidade Federal do Rio Grande do Norte,Campus Central,Av. Senador Salgado Filho 3000,Lagoa Nova, 59078-970 - Natal/RN,Brazil.ORCID 0000-0002-0724-1961
M L Moraes2Department of Human Nutrition,Faculty of Medicine,Universidad Nacional de Colombia,Bogotá,Colombia.
A M Soares3INCT - Instituto de Biomedicina do Semiárido Brasileiro (IBISAB),Federal University of Ceará,Fortaleza,CE,Brazil.
Ifs Cruz3INCT - Instituto de Biomedicina do Semiárido Brasileiro (IBISAB),Federal University of Ceará,Fortaleza,CE,Brazil.
Mir de Andrade3INCT - Instituto de Biomedicina do Semiárido Brasileiro (IBISAB),Federal University of Ceará,Fortaleza,CE,Brazil.
J Q Filho3INCT - Instituto de Biomedicina do Semiárido Brasileiro (IBISAB),Federal University of Ceará,Fortaleza,CE,Brazil.
F S Junior3INCT - Instituto de Biomedicina do Semiárido Brasileiro (IBISAB),Federal University of Ceará,Fortaleza,CE,Brazil.
P N Costa1Departamento de Nutrição, Saúde Coletiva e Nesc,Universidade Federal do Rio Grande do Norte,Campus Central,Av. Senador Salgado Filho 3000,Lagoa Nova, 59078-970 - Natal/RN,Brazil.
C B Abreu3INCT - Instituto de Biomedicina do Semiárido Brasileiro (IBISAB),Federal University of Ceará,Fortaleza,CE,Brazil.
R Ambikapathi4Fogarty International Center,National Institutes of Health,Bethesda,MD,USA.
R L Guerrant6Center for Global Health, Division of Infectious Diseases and International Health,University of Virginia,Charlottesville,VA,USA.
L E Caulfield7Center for Human Nutrition,Department of International Health,The Johns Hopkins Bloomberg School of Public Health,Baltimore,MD,USA.
Aam Lima3INCT - Instituto de Biomedicina do Semiárido Brasileiro (IBISAB),Federal University of Ceará,Fortaleza,CE,Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe present study aimed to describe breast-feeding, complementary feeding and determining factors for early complementary feeding from birth to 8 months of age in a typical Brazilian low-income urban community.

designA birth cohort was conducted (n 233), with data collection twice weekly, allowing close observation of breast-feeding, complementary feeding introduction and description of the WHO core indicators on infant and young child feeding. Infant feeding practices were related to socio-economic status (SES), assessed by Water/sanitation, wealth measured by a set of eight Assets, Maternal education and monthly household Income (WAMI index). Two logistic regression models were constructed to evaluate risk factors associated with early complementary feeding.

resultsBased on twice weekly follow-up, 65 % of the children received exclusive breast-feeding in the first month of life and 5 % in the sixth month. Complementary feeding was offered in the first month: 29 % of the children received water, 15 % infant formulas, 13 % other milks and 9·4 % grain-derived foods. At 6 months, dietary diversity and minimum acceptable diet were both 47 % and these increased to 69 % at 8 months. No breast-feeding within the first hour of birth was a risk factor for the early introduction of water (adjusted OR=4·68; 95 % CI 1·33, 16·47) and low WAMI index a risk factor for the early introduction of other milks (adjusted OR=0·00; 95 % CI 0·00, 0·02).

conclusionsData suggest local policies should promote: (i) early breast-feeding initiation; (ii) SES, considering maternal education, income and household conditions; (iii) timely introduction of complementary feeding; and (iv) dietary diversity.

Indexed as

Feeding BehaviorBrazilBreast FeedingCohort StudiesDietFemaleHumansInfantInfant FoodInfant, NewbornInfant Nutritional Physiological PhenomenaMalePovertySocioeconomic FactorsTime FactorsUrban PopulationDietary diversityMinimum acceptable dietWAMI indexWHO core indicators

Identifiers

PMID29697043
PMCPMC6137371

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.