0294/2025 - Redução no consumo de aditivos alimentares no primeiro ano de vida: impacto de um ensaio randomizado focado em aconselhamento dietético Reduction in food additive consumption in the first year of life: impact of a randomized trial focused on dietary counseling
O objetivo do estudo foi avaliar o impacto do aconselhamento dietético materno para não oferecer alimentos ultraprocessados e açúcar no primeiro ano de idade no consumo diário de aditivos alimentares. Foi conduzido ensaio de campo multicêntrico randomizado realizado em maternidades de Porto Alegre, Salvador e Manaus. A intervenção consistiu em orientações com base na cartilha desenvolvida pelo UNICEF (“Os 10 passos para alimentação e hábitos saudáveis: do nascimento até os 2 anos de idade”) e ligações telefônicas nos cinco meses seguintes. A coleta de dados aos 12 meses foi realizada por meio de visitas domiciliares, em que foi aplicado o inquérito alimentar recordatório de 24 horas e posterior identificação dos aditivos presentes nos rótulos de cada alimento. A análise dietética aos 12 meses foi composta de 172 crianças no grupo intervenção (GI) e 155 no grupo controle (GC). As crianças do grupo intervenção apresentaram menor consumo de aditivos alimentares diários (GI: 17,4±14,3 vs. GC: 21,2±18,0; p=0,030). A proporção de crianças consumindo mais de 22 aditivos por dia foi menor no grupo intervenção (GI: 13% vs. GC: 24%; p=0,048). A intervenção foi eficaz para reduzir o consumo de aditivos alimentares em crianças de 12 meses de idade.
The objective of this study was to evaluate the impact of maternal dietary counseling to avoid offering ultra-processed foods and sugar in the first year of life on the daily consumption of food additives. A multicenter field trial was conducted in maternity hospitals in Porto Alegre, Salvador and Manaus. The intervention consisted of one session of dietary counseling based on the booklet developed by UNICEF (“The 10 steps to healthy eating and habits: from birth to 2 years old”) and telephone calls over the following five months. Data collection at 12 months was performed through home visits, in which a 24-hour recall was applied and the additives present on the labels of each food were subsequently identified. The dietary analysis at 12 months consisted of 172 children in the intervention group (IG) and 155 in the control group (CG). Children in the intervention group had lower daily consumption of food additives (IG: 17.4±14.3 vs. CG: 21.2±18.0; p=0.030). The proportion of children consuming more than 22 additives per day was lower in the intervention group (IG: 13% vs. CG: 24%; p=0.048). The intervention was effective in reducing the consumption of food additives in 12-month-old children.
Reduction in food additive consumption in the first year of life: impact of a randomized trial focused on dietary counseling
Resumo (abstract):
The objective of this study was to evaluate the impact of maternal dietary counseling to avoid offering ultra-processed foods and sugar in the first year of life on the daily consumption of food additives. A multicenter field trial was conducted in maternity hospitals in Porto Alegre, Salvador and Manaus. The intervention consisted of one session of dietary counseling based on the booklet developed by UNICEF (“The 10 steps to healthy eating and habits: from birth to 2 years old”) and telephone calls over the following five months. Data collection at 12 months was performed through home visits, in which a 24-hour recall was applied and the additives present on the labels of each food were subsequently identified. The dietary analysis at 12 months consisted of 172 children in the intervention group (IG) and 155 in the control group (CG). Children in the intervention group had lower daily consumption of food additives (IG: 17.4±14.3 vs. CG: 21.2±18.0; p=0.030). The proportion of children consuming more than 22 additives per day was lower in the intervention group (IG: 13% vs. CG: 24%; p=0.048). The intervention was effective in reducing the consumption of food additives in 12-month-old children.
Germann, LD, Baratto, PS, Gama, CM, Vitolo, MR. Redução no consumo de aditivos alimentares no primeiro ano de vida: impacto de um ensaio randomizado focado em aconselhamento dietético. Cien Saude Colet [periódico na internet] (2025/ago). [Citado em 24/09/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/reducao-no-consumo-de-aditivos-alimentares-no-primeiro-ano-de-vida-impacto-de-um-ensaio-randomizado-focado-em-aconselhamento-dietetico/19770?id=19770
