Evidence map›Paper›PMID 39957417›Full record

Trial reportJournal of human nutrition and dietetics : the official journal of the British Dietetic Association2025

Effectiveness of an Intervention to Prevent Ultra-Processed Foods and Added Sugar in the First Year of Life: A Multicentre Randomised Controlled Trial in Brazil.

Paola S Baratto, Daniel J Hoffman, Júlia L Valmórbida, Paula S Leffa, Carlos A Feldens, Márcia R Vitolo

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
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

6 authors.

Paola S BarattoGraduate Program in Pediatrics, Child and Adolescent Health, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0001-8712-9971
Daniel J HoffmanDepartment of Nutritional Sciences, New Jersey Institute for Food, Nutrition, and Health, Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA.
Júlia L ValmórbidaGraduate Program in Pediatrics, Child and Adolescent Health, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
Paula S LeffaGraduate Program in Health Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
Carlos A FeldensDepartment of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil, Porto Alegre, Brazil.
Márcia R VitoloGraduate Program in Pediatrics, Child and Adolescent Health, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0001-9137-3854

Funding

This study was funded by the National Council for Scientific and Technological Development (CNPq) N°408125/2017-9.
6 · The paper itself

Abstract

backgroundThe early consumption of ultra-processed foods (UPFs) and added sugars (AS) has been linked to adverse outcomes in infancy. The objective of this study was to determine the effectiveness of a dietary counselling strategy to prevent the consumption of UPFs and AS in the first year of life. METHODOLOGY: A multicentre randomised controlled trial was conducted with 516 mother-child pairs in three state capitals of Brazil. Mothers were randomly assigned to the control group (CG) or intervention group (IG) after childbirth. The IG received orientation based on UNICEF dietary guidelines and five monthly telephone calls to reinforce the intervention. Dietary intake was measured using food introduction questionnaires and 24-h recalls during home visits at 6 and 12 months. Between-group differences were analysed by generalised estimating equations and presented as mean difference (95% CI).

resultsChildren in the IG had lower UPF intake at 6 and 12 months of age (-20.69 g/day; 95% CI: -37.87 to -3.50; p = 0.018 and -32.51 g/day; 95% CI: -61.03 to -3.99; p = 0.025) and lower AS intake at 12 months of age (-4.92 g/day; 95% CI: -9.43 to -0.41; p = 0.033). The intervention also had a positive impact on the period of exclusive breastfeeding, reducing the offer of infant formula, cow's milk, and toddler milk in the first year of life. PRINCIPAL

conclusionsThe dietary counselling strategy was effective at preventing the early consumption of UPFs and AS in the first year of life. Future research should focus on social and cultural barriers to improve adherence to infant feeding interventions.

Indexed as

CounselingDietDietary SugarsFast FoodsAdultBrazilBreast FeedingFemaleFood, ProcessedHumansInfantInfant FormulaInfant, NewbornInfant Nutritional Physiological PhenomenaMaleMothersDietary Sugarsdietary sugarsearly interventioninfant and child feedingnutrition education interventionultra‐processed foods

Identifiers

PMID39957417
PMCPMC11831244

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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.