Avaliação do consumo alimentar em creches públicas em São Paulo, Brasil

Abstract

Objective: To evaluate the energy intake and dietary adequacy of children attending nurseries of public and not-for-profit daycare centers in the city of São Paulo, Brazil. Methods: Cross-sectional study conducted at 16 nurseries, attended by 236 children between the ages of 12 and 29 months. Data collection was carried out by the direct weighing method over three nonconsecutive days. The DietWin® 2.0 Professional software was used for nutritional calculations. The adequacy of energy, protein, iron, vitamin A and vitamin C intake was calculated, also with the aforementioned software, using 2002 National Research Council Estimated Average Requirements as a reference. Adequate Intake (1999) was used as the reference for calcium intake, and Estimated Energy Requirements (2002), for evaluation of energy intake. Data were analyzed using the Epi-Info 3.4.3 software. Results: We identified deficiencies in energy, iron, and calcium intake (mean deficits of 49.78%, 81.67%, and 57.44% respectively), as well as excessive intake of protein (183.27%) and vitamins A and C (126.86% and 57.44% respectively). Regarding macronutrients, fat intake was also found to be inadequate. Conclusions: Although the meals served at public daycare centers in Brazil are planned by dietitians, the findings of this study reveal potential flaws in the way food is prepared, portioned, and offered to children. These results demonstrate the need for further recycling and ongoing supervision to ensure the provision of adequate levels of food consumption to this population.