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Breastfeeding Duration, Diet, and Sports Engagement in Immigrant Children

2025-04Artigo científico Acesso aberto
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dc.contributor.authorMuggli, Zélia
dc.contributor.authorLoesch, Regina
dc.contributor.authorAlves, Iolanda
dc.contributor.authorRamos, Iliete
dc.contributor.authorMartins, Maria Rosario O.
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionLaboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo IHMT)
dc.contributor.pblMDPI AG
dc.date.accessioned2025-09-27T21:44:08Z
dc.date.available2025-09-27T21:44:08Z
dc.date.issued2025-04
dc.descriptionFunding Information: The authors received financial support for their research, authorship, and publication. The National Foundation for Science and Technology (FCT) granted funding through PTDC/SAU-SER/4664/2020. The project received support from the Multiannual Financial Framework 2014/20 and the Global Health and Tropical Medicine (GHTM) unit, with the identifier UID/04413/2020. Additionally, the authors acknowledge the FCT for providing funds through GHTM—UID/04413/2020 and LA-REAL—LA/P/0117/2020. Publisher Copyright: © 2025 by the authors.
dc.description.abstractBackground: Being breastfed, following a healthy diet and staying active during childhood shape health trajectories across the life course, promoting long-term well-being. Despite the growing immigrant child population in Portugal, evidence on these behaviours, particularly among preschool-aged children, remains limited. In this context, this study examines the associations between migrant status and breastfeeding patterns, fruit and vegetable consumption, and participation in sports among children living in the Lisbon Metropolitan Area. Methods: A cross-sectional study nested within a cross-sequential cohort was carried out in the Lisbon region between May 2022 and April 2024. Approximately 760 children (49.4% immigrants) born in 2018 and 2020 were enrolled in the study. Data were collected through a face-to-face interview with parents, using a structured questionnaire with information on socioeconomic variables, migration history, breastfeeding habits, and children’s diet (fruit and vegetable consumption) and physical activity. We used parametric and non-parametric tests to compare migrant and non-migrant children. To quantify factors associated with the main outcomes, we estimated a logistic regression model and calculated crude and adjusted odds ratios and their respective 95%CI. Results: Immigrant children were disproportionately represented in socioeconomically disadvantaged families. Breastfeeding initiation rates were higher among immigrant mothers (96.3% vs. 87.6%, p < 0.001). Additionally, immigrant mothers had a longer median duration of any breastfeeding (14 vs. 8 months, p < 0.001) and of exclusive breastfeeding (6 vs. 4 months, p < 0.001). Immigrant children had significantly lower odds of consuming three or more portions of fruit (aOR = 0.700; 95%CI: 0.511–0.959; p = 0.027) and two or more portions of vegetables per day (aOR = 0.489; 95%CI: 0.350–0.684; p < 0.001) compared with non-immigrant children. They were also twice as likely to not engage in sports (aOR = 2.185; 95%CI: 1.512–3.158; p < 0.001). Conclusions: Breastfeeding was better implemented in immigrant children. The findings highlight the need to address social determinants of health and the challenges faced by immigrant families in promoting a balanced diet and sports participation for their children. Multisectoral, culturally appropriate interventions that sustain and promote good breastfeeding practices, improve access to healthy food, and encourage sports are crucial to reducing health inequalities.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent293548
dc.identifier.doi10.3390/nu17081350
dc.identifier.issn1422-8599
dc.identifier.otherPURE: 123155901
dc.identifier.otherPURE UUID: 639f0fe3-bcfa-47c7-ba65-1b4c6fba34ef
dc.identifier.otherScopus: 105003457981
dc.identifier.otherWOS: 001476105300001
dc.identifier.otherPubMed: 40284215
dc.identifier.otherPubMedCentral: PMC12030760
dc.identifier.otherORCID: /0000-0002-7941-0285/work/192930658
dc.identifier.urihttp://hdl.handle.net/10362/188685
dc.identifier.urlhttps://www.scopus.com/pages/publications/105003457981
dc.language.isoeng
dc.peerreviewedyes
dc.subjectbreastfeeding practices
dc.subjectfruit and vegetables intake
dc.subjectimmigrant children
dc.subjectmigrant children in Portugal
dc.subjectphysical activity
dc.subjectsocial determinants of health
dc.subjectFood Science
dc.subjectNutrition and Dietetics
dc.subjectSDG 3 - Good Health and Well-being
dc.titleBreastfeeding Duration, Diet, and Sports Engagement in Immigrant Childrenen
dc.title.subtitleA Quantitative Study in the Lisbon Region, Portugalen
dc.typejournal article
degois.publication.issue8
degois.publication.titleNutrients
degois.publication.volume17
dspace.entity.typePublication
rcaap.rightsopenAccess

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