Comunicaciones e-póster

https://doi.org/10.37527/2021.71.S1

PO 035. NUTRIENT ADEQUACY OF CHILDREN 4-13.9 YEARS IN 3 REGIONS OF BRAZIL. THE KIDS NUTRITION AND HEALTH STUDY (KNHS) BRAZIL 2019

Andrea Anater1, Joel Hampton1, Vanessa Campos2, Daniela Prozorovscaia2, Eliana Bistriche Giuntini3, Eduardo Purgatto3, Tassia V. Lopes3, Alison L. Eldridge2

1RTI International, Research Triangle Park, United States, 2Nestle Research, Switzerland, 3Food Research Center - FoRC / University of Sao Paulo, Brazil


Background and objective. Brazil is a large country with diverse diets that vary by region, reflecting the country’s mix of native and immigrant populations. The aims of these analyses were to assess nutrient adequacy and test for associations between diet and region among Brazilian children.

Methods. The KNHS is a dietary intake survey of cross-sectional samples of caregivers of Brazilian children 4-13.9 years old (n=983) from 3 regions. Northeast (n=334), South (n=311) and Southeast (n=318). Nutrient intake was assessed by 24-hour diet recalls; a random 25% subsample completed a second recall to estimate usual intakes. Regional intakes were compared with reference values (Estimated Average Requirement (EAR), Adequate Intake (AI) and upper level (UL)) and then to other regions.

Results. Among 4-8.9 year olds, mean energy intake ranged from 1465 kcal (Northeast) to 1614 kcal (South) and among 9-13.9 year olds from 1672 kcal (Southeast) to 1825 kcal (South). A considerable proportion among all regions and ages had intakes below EAR for vitamins D, E and calcium (>68%). Vitamin A and phosphorus were below EAR for >60% of older children. The prevalence of exceeding the AI was very low for fiber (<1%) and potassium (<20%). All regions exceeded the UL by over 50% for sodium. The Northeast (>93%) and young children in the South (65%) exceeded the UL for niacin. The percent of children below EAR for Vitamin C among young children for the Northeast (6.5%) and Souheast (3.8%) was low compared to the South (20.1%). For older children, inadequate vitamin C was higher in all three regions, led again by the South (56.0%) compared to Southeast (23.3%), and Northeast (14.2%).

Conclusions. While there is variability in nutrient intake by region, the patterns of inadequacy and excess tend to be similar across all regions. Targeted implementation and policy work is warranted.