Intervenções efetivas para a promoção da amamentação e da alimentação complementar saudável no contexto da Atenção Primária à Saúde

Venancio, Sonia Isoyama; Melo, Daiane Sousa; Relvas, Gláubia Rocha Barbosa; de Bortoli, Maritsa Carla; de Araújo, Bruna Carolina; Oliveira, Cintia de Freitas; da Silva, Letícia Aparecida Lopes Bezerra; de Melo, Roberta Crevelário; Moreira, Helissa de Oliveira Mendonça; Rodrigues, Juliano Mattos

Sonia Isoyama Venancio ^**Corresponding author. E-mail: soniav@isaude.sp.gov.br (S. I. Venancio).

Study design

Data collection

Data analysis

Writing of manuscript

Review of manuscript

Study supervision

São Paulo State Health Department, São Paulo, SP, Brazil.

http://orcid.org/0000-0001-7147-3292

Daiane Sousa Melo

Data collection

Data analysis

Writing of manuscript

Review of manuscript

Universidade de São Paulo, São Paulo, SP, Brazil.

http://orcid.org/0000-0002-0560-5645

Gláubia Rocha Barbosa Relvas

Data collection

Data analysis

Writing of manuscript

Review of manuscript

Mato Grosso State Health Department, Cuiabá, MT, Brazil.

http://orcid.org/0000-0002-0052-9292

Maritsa Carla de Bortoli

Data collection

Data analysis

Review of manuscript

São Paulo State Health Department, São Paulo, SP, Brazil.

http://orcid.org/0000-0001-8236-7233

Bruna Carolina de Araújo

Data collection

Data analysis

Review of manuscript

São Paulo State Health Department, São Paulo, SP, Brazil.

http://orcid.org/0000-0002-6280-9994

Cintia de Freitas Oliveira

Data collection

Data analysis

Review of manuscript

São Paulo State Health Department, São Paulo, SP, Brazil.

http://orcid.org/0000-0001-6331-6510

Letícia Aparecida Lopes Bezerra da Silva

Data collection

Data analysis

Review of manuscript

São Paulo State Health Department, São Paulo, SP, Brazil.

http://orcid.org/0000-0001-8913-2699

Roberta Crevelário de Melo

Data collection

Data analysis

Review of manuscript

São Paulo State Health Department, São Paulo, SP, Brazil.

http://orcid.org/0000-0002-2698-9211

Helissa de Oliveira Mendonça Moreira

Data collection

Data analysis

Review of manuscript

State Superintendence of the Ministry of Health in São Paulo, São Paulo, SP, Brazil.

http://orcid.org/0000-0002-5604-792X

Juliano Mattos Rodrigues

Data collection

Data analysis

Review of manuscript

Ministry of Health, House of Indigenous Health in São Paulo, São Paulo, SP, Brazil.

http://orcid.org/0000-0003-0861-208X

*Corresponding author. E-mail: soniav@isaude.sp.gov.br (S. I. Venancio).

Conflict of interests

The authors declare no conflict of interest.

Indicator	Criterion
Population	Mothers and other caregivers of children under two years of age and/or professionals who work with this population.
Intervention	Interventions to promote breastfeeding and/or healthy complementary feeding.
Comparator	Any usual approach or none.
Outcomes	Improvement in prevalence and/or duration of breastfeeding and exclusive breastfeeding and healthy complementary feeding practices.
Study design	Systematic reviews and overviews, with or without meta-analysis.

Reason for exclusion	Authors/year
Not systematic reviews	Beake et al.¹²12. Beake S, Pellowe C, Dykes F, Schmied V, Bick D. A systematic review of structured compared with non-structured breastfeeding programmes to support the initiation and duration of exclusive and any breastfeeding in acute and primary health care settings. Matern Child Nutr. 2012;8:141-61. https://doi.org/10.1111/j.1740-8709.2011.00381.x https://doi.org/10.1111/j.1740-8709.2011... 2012
	Bhutta et al.¹³13. Bhutta ZA, Ahmed T, Black RE, Cousens S, Dewey K, Giugliani E, et al. What works? Interventions for maternal and child undernutrition and survival. Lancet. 2008;371:417-40. https://doi.org/10.1016/S0140-6736(07)61693-6 https://doi.org/10.1016/S0140-6736(07)61... 2008
	Bonilla et al.¹⁴14. Bonilla C, Híjar G, Márquez D, Aramburú A, Aparco JP, Gutiérrez EL. Intervenciones para prevenir la aparición de sobrepeso y obesidad en niños menores de cinco años. Rev Peru Med Exp Salud Pública. 2017;34:682-9. http://dx.doi.org/10.17843/rpmesp.2017.344.2636 http://dx.doi.org/10.17843/rpmesp.2017.3... 2017
	Marques et al.¹⁵15. Marques ES, Cotta RM, Magalhães KA, Sant’Ana LF, Gomes AP, Siqueira-Batista R. The influence of the social net of lactating mothers in the breastfeeding: the strategic role of the relatives and professionals of health. Ciênc Saúde Coletiva. 2010;1:1391-400. https://doi.org/10.1590/S1413-81232010000700049 https://doi.org/10.1590/S1413-8123201000... 2010
	Oliveira e Camacho¹⁶16. Oliveira MI, Camacho LA. Impact of primary health care units’ practice on the duration of exclusive breastfeeding. Rev Bras Epidemiol. 2002;1:41-51. https://doi.org/10.1590/S1415-790X2002000100006 https://doi.org/10.1590/S1415-790X200200... 2002
	Sangalli et al.¹⁷17. Sangalli CN, Henriques FN, Oliveira LD. Influência das avós no aleitamento materno exclusivo. Clin Biomed Res. 2010;30. 2010
	Watkins e Dodgson¹⁸18. Watkins AL, Dodgson JE. Breastfeeding educational interventions for health professionals: a synthesis of intervention studies. J Spec Pediatr Nurs. 2010;15:223-32. https://doi.org/10.1111/j.1744-6155.2010.00240.x https://doi.org/10.1111/j.1744-6155.2010... 2010
Do not present results of effectiveness for practices of breastfeeding or complementary feeding (outcome for the growth of the child).	Dewey et al.¹⁹19. Dewey KG, Adu-Afarwuah S. Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Matern Child Nutr. 2008;4(Suppl 1):24-85. https://doi.org/10.1111/j.1740-8709.2007.00124.x https://doi.org/10.1111/j.1740-8709.2007... 2008
	Imdad et al.²⁰20. Imdad A, Yakoob MY, Bhutta ZA. Impact of maternal education about complementary feeding and provision os complementary foods on child growth in developing countries. BMC Public Health. 2011;11(Suppl 3):S25. https://doi.org/10.1186/1471-2458-11-S3-S25 https://doi.org/10.1186/1471-2458-11-S3-... 2011
	Lassi et al.²¹21. Lassi ZS, Das JK, Zahid G, Imdad A, Bhutta ZA. Impact of education and provision of complementary feeding on growth and morbidity in children less than 2 years of age in developing countries: a systematic review. BMC Public Health. 2013;13(Suppl 3):S13. https://doi.org/10.1186/1471-2458-13-S3-S13 https://doi.org/10.1186/1471-2458-13-S3-... 2013
	Majamanda et al.²²22. Majamanda J, Maureen D, Munkhondia TM, Carrier J. The effectiveness of community-based nutrition education on the nutrition status of under-five children in developing countries. A systematic review. Malawi Med J. 2014;26:115-8. PMID: 26167260 2014
	Panjwani et al.²³23. Panjwani A, Heidkamp R. Complementary feeding interventions have a small but significant impact on linear and ponderal growth of children in low- and middle-income countries: a systematic review and meta-analysis. J Nutr. 2017:2169S-78S. https://doi.org/10.3945/jn.116.243857 https://doi.org/10.3945/jn.116.243857... 2017
	Park et al.²⁴24. Park JJ, Fang ML, Harari O, Dron L, Siden EG, Majzoub R. et al. Association of early interventions with birth outcomes and child linear growth in low-income and middle-income countries: bayesian network meta-analyses of randomized clinical trials. JAMA Netw Open. 2019;2:e197871. https://doi.org/10.1001/jamanetworkopen.2019.7871 https://doi.org/10.1001/jamanetworkopen.... 2019
	Sguassero et al.²⁵25. Sguassero Y, Onis M, Carroli G. Efectividad de la alimentación suplementaria en países en vías de desarrollo: revisión sistemática. Arch Argent Pediatr. 2007;105:198-205. 2007
Not found for full reading	Kim et al.²⁶26. Kim SK, Ahn S, Park S, Kim J, Lee M, Oh J. Breastfeeding support interventions allowing mothers to exclusively breastfeed for 6 months: a systematic review and meta-analysis of randomized controlled trials. Women’s Health. 2017;26:A29. 2017
	Mushtaq et al.²⁷27. Mushtaq N, Skaggs VJ, Thompson DM. Effect of breastfeeding education and support on promoting breastfeeding: a literature review. J Okla State Med Assoc. 2008;101:231-6. PMID: 19097343 2008
	Renfrew et al.²⁸28. Renfrew MJ, Dyson L, Wallace L. The effectiveness of public health interventions to promote the duration of breastfeeding: systematic reviews of the evidence. London: National Institute for Health and Clinical Excellence; 2005. 2005
	Witten et al.²⁹29. Witten CB, Kruger S, Taljaard C, Kahler B, Verstraeten R, Booth A. A systematic review of reviews on effective home, family and community based interventions from low- and middle-in-come countries to inform the breastfeeding action plan for South Africa. Ann Nutr Metab. 2017;71(suppl 2):872. https://doi.org/10.1159/000480486 https://doi.org/10.1159/000480486... 2017
Did not address interventions	Blaney et al.³⁰30. Blaney S, Februhartanty J, Sukotjo S. Feeding practices among Indonesian children above six months of age: a literature review on their magnitude and quality (part 1). Asia Pac J Clin Nutr. 2015;24:16-27. https://doi.org/10.6133/apjcn.2015.24.1.13 https://doi.org/10.6133/apjcn.2015.24.1.... ,³¹31. Blaney S, Februhartanty J, Sukotjo S. Feeding practices among Indonesian children above six months of age: a literature review on their potential determinants (part 2). Asia Pac J Clin Nutr. 2015;24:28-37. https://doi.org/10.6133/apjcn.2015.24.1.14 https://doi.org/10.6133/apjcn.2015.24.1.... 2015
Did not address interventions	Garcia et al.³²32. Garcia AH, Voortman T, Baena CP, Chowdhurry R, Muka T, Jaspers L, et al. Maternal weight status, diet, and supplement use as determinants of breastfeeding and complementary feeding: a systematic review and meta-analysis. Nutr Rev. 2016;74:490-516. https://doi.org/10.1093/nutrit/nuw016 https://doi.org/10.1093/nutrit/nuw016... 2016
Interventions only in hospital environment	Carfoot et al.³³33. Carfoot S, Williamson PR, Dickson R. A systematic review of randomised controlled trials evaluating the effect of mother/baby skin-to-skin care on successful breast feeding. In: Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York: Centre for Reviews and Dissemination; 2003. 2003
Interventions only in hospital environment	Spiby et al.³⁴34. Spiby H, McCormick F, Wallace L, Renfrew MJ, D’Souza L, Dyson L. A systematic review of education and evidence-based practice interventions with health professionals and breast feeding counsellors on duration of breast feeding. Midwifery. 2009;25:50-61. https://doi.org/10.1016/j.midw.2007.01.006 https://doi.org/10.1016/j.midw.2007.01.0... 2009
Not related to breastfeeding or complementary feeding	Hesketh e Campbell³⁵35. Hesketh KD, Campbell KJ. Interventions to prevent obesity in 0-5 year olds: an updated systematic review of the literature. Obesity (Silver Spring). 2010;18 Suppl:S27-35. https://doi.org/10.1038/oby.2009.429 https://doi.org/10.1038/oby.2009.429... 2010
Not related to breastfeeding or complementary feeding	McNeill et al.³⁶36. McNeill J, Lynn F, Alderdice F. Public health interventions in midwifery: a systematic review of systematic reviews. BMC Public Health. 2012;12:955. https://doi.org/10.1186/1471-2458-12-955 https://doi.org/10.1186/1471-2458-12-955... 2012
Results on the effectiveness of breastfeeding practices not reported	Anderson et al.³⁷37. Anderson L, Kynoch K, Kildea S, Lee N. Effectiveness of breast massage for the treatment of women with breastfeeding problems: a systematic review. JBI Database System Rev Implement Rep. 2019;17:1668-94. https://doi.org/10.11124/JBISRIR-2017-003932 https://doi.org/10.11124/JBISRIR-2017-00... 2019
Interventions in specific contexts	Prudhon et al.³⁸38. Prudhon C, Benelli P, Maclaine A, Harrigan P, Frize J. Informing infant and young child feeding programming in humanitarian emergencies: an evidence map of reviews including low and middle income countries. Matern Child Nutr. 2018;14:e12457. https://doi.org/10.1111/mcn.12457 https://doi.org/10.1111/mcn.12457... 2018
	Whitford et al.³⁹39. Whitford HM, Wallis SK, Dowswell T, West HM, Renfrew MJ. Breastfeeding education and support for women with twins or higher order multiples. Cochrane Database Syst Rev. 2017;2:CD012003. https://doi.org/10.1002/14651858.CD012003.pub2. https://doi.org/10.1002/14651858.CD01200... 2017
	Sipsma et al.⁴⁰40. Sipsma HL, Jones KL, Cole-Lewis H. Breastfeeding among adolescent mothers: a systematic review of interventions from high-income countries. J Hum Lact. 2015;31:221-9; quiz 321-2. https://doi.org/10.1177/0890334414561264 https://doi.org/10.1177/0890334414561264... 2015
Interventions not focused on changing dietary practices	Zhang⁴¹41. Zhang JS. Efficacy and effectiveness of 20 child health interventions in China: systematic review of Chinese literature. J Glob Health. 2011;1:87-95. PMID: 23198106 2011
All interventions combined with dietary supplements	Arikpo et al.⁴²42. Arikpo D, Edet ES, Chibuzor MT, Odey F, Caldwell DM. Educational interventions for improving primary caregiver complementary feeding practices for children aged 24 months and under. Cochrane Database Syst Rev. 2018;5:CD011768. https://doi.org/10.1002/14651858.CD011768.pub2 https://doi.org/10.1002/14651858.CD01176... 2018
New version of systematic review included	Sikorski et al.⁴³43. Sikorski J, Renfrew MJ, Pindoria S, Wade A. Support for breastfeeding mothers: a systematic review. Paediatric Perinatal Epidemiol. 2003;17:407-17. https://doi.org/10.1046/j.1365-3016.2003.00512.x https://doi.org/10.1046/j.1365-3016.2003... 2003
Qualitative systematic review	Sousa et al.⁴⁴44. Sousa AM, Fracolli LA, Zoboli EL. Práticas familiares relacionadas à manutenção da amamentação: revisão da literatura e metassíntese. Rev Panam Salud Publica. 2013;34:127-34. 2013

Income levels	Number of systematic reviews	References
High	26	45-60,62-68,70,72,73
Medium-high	22	46-48,50-58,61-64, 66,70,72,73,75,76
Medium-low	14	50-53,61,63,64, 67,69-72,75,76
Low	7	51,63,64,69,70,75,76
Multicenter studies*	6	51-53,63,72,76
Not reported	1	74

[1] *Corresponding author. E-mail: soniav@isaude.sp.gov.br (S. I. Venancio).

Brasil

Brasil

Intervenções efetivas para a promoção da amamentação e da alimentação complementar saudável no contexto da Atenção Primária à Saúde

Resumo

Objetivo:

Fontes de dados:

Síntese dos dados:

Conclusões: