scholarly journals PROTOCOL: Effects of interventions for infant and young child feeding (IYCF) promotion on optimal IYCF practices, nutrition, growth and health in low‐ and middle‐income countries: a systematic review

2018 ◽  
Vol 14 (1) ◽  
pp. 1-26 ◽  
Author(s):  
Zohra S Lassi ◽  
Omar Irfan ◽  
Rabia Hadi ◽  
Jai K Das ◽  
Zulfiqar A Bhutta
Keyword(s):  
Systematic Review ◽  
Young Child ◽  
Child Feeding ◽  
Middle Income ◽  
Young Child Feeding ◽  
Middle Income Countries ◽  
Infant And Young Child ◽  
Low And Middle Income

scholarly journals Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic Review

Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 722 ◽  
Author(s):  
Zohra S. Lassi ◽  
Fahad Rind ◽  
Omar Irfan ◽  
Rabia Hadi ◽  
Jai K. Das ◽  
...  
Keyword(s):  
Young Child ◽  
Data Extraction ◽  
Child Feeding ◽  
Middle Income ◽  
Young Child Feeding ◽  
Middle Income Countries ◽  
Breastfeeding Practices ◽  
Breastfeeding Education ◽  
Infant And Young Child ◽  
Low And Middle Income

Undernutrition is associated with 45% of total infant deaths, totalling 2.7 million globally per year. The vast majority of the burden is felt in low- and middle-income countries (LMICs). This review aims to assess the effectiveness of infant and young child feeding (IYCF) interventions. We searched multiple databases including Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE. Title/abstract screening and full-text screening and data extraction filtered 77 studies for inclusion. Breastfeeding education interventions (n = 38) showed 20% increase in rates of early initiation of breastfeeding, 102% increase in exclusive breastfeeding (EBF) at 3 months and 53% increase in EBF at 6 months and 24% decreases in diarrheal diseases. Complementary feeding education intervention (n=12) showed a 0.41 standard deviation (SD) increase in WAZ, and 0.25 SD in HAZ in food secure setting. Complementary food provision with or without education (n=17) showed a 0.14 SD increase in HAZ and 36% decrease in stunting. Supplementary food interventions (n=12) showed a significant 0.15 SD increase in WHZ. Subgroup analyses showed healthcare professional led interventions were largely more effective, especially on breastfeeding outcomes. We believe this is a comprehensive review of the existing literature on IYCF studies in LMICs. Though breastfeeding education is well supported in its effectiveness on breastfeeding practices, limited evidence exists for growth outcomes. Supplementation interventions seem to have better effects at improving growth. However, more research is required to reach more substantial conclusions.

scholarly journals Concurrent of stunting and overweight/obesity among children: evidence from Ethiopia

2020 ◽  
Author(s):  
Alinoor Mohamed Farah ◽  
Tahir Yousuf Nour ◽  
Bilal Shikur Endris ◽  
Seifu Hagos Gebreyesus
Keyword(s):  
Young Child ◽  
Nutrition Transition ◽  
Household Wealth ◽  
Birth Size ◽  
Child Feeding ◽  
Middle Income ◽  
Young Child Feeding ◽  
Middle Income Countries ◽  
Feeding Programs ◽  
Infant And Young Child

AbstractBackgroundNutrition transition in many low- and middle-income countries (LMICs) has led to childhood nutritional outcomes to shift from a predominance of undernutrition to a dual burden of under- and overnutrition. Yet, Infant and young child feeding programs in Ethiopia mainly focus on undernutrition. It is therefore crucial to assess the prevalence and determinants to better inform infant young child feeding programs.MethodsWe analyzed anthropometric, sociodemographic and dietary data of children aged 6-23 months from 2016 Ethiopian Demographic and Health Survey (EDHS). A total of 2,674 children were included in the current study. Concurrent of Stunting and Overweight/Obesity (CSO) prevalence was estimated by distal, intermediate and proximal factors. To identify factors associated with CSO, we conducted hierarchical logistic regression analyses.ResultsThe overall prevalence of CSO was 2.45%. The odds of CSO was significantly higher in children of low household wealth category, compared to their counter parts in the richest category (AOR=2.07, 95%CI=1.06–4.03, P=0.033). In boys, the likelihood of CSO was 1.60 times that of girls (95%CI =1.03–2.49, P=0.038). Above 12months of age was significantly associated with a higher odd of CSO, compared to below 12months of age (AOR=1.76, 95% CI=1.07– 2.88, P=0.026).Small birth size was significantly associated with a higher odd of CSO, compared to large birth size (AOR=2.53, 95%CI=1.45–4.41, P=0.001). Children who did not take vitamin A supplement within the previous six months had a higher odd of CSO, compared to those who took (AOR=1.91, 95%CI =1.19–3.07, P =0.007).ConclusionOur study provided evidence on the co-existence of stunting and overweight/obesity among infants and young children in Ethiopia. CSO was associated with various factors originating from community and child levels. Therefore, identifying children at risk of growth flattering and excess weight gain provides IYCF programs in Ethiopia and beyond with an opportunity of earlier interventions.

scholarly journals Interventions to improve infant and young child feeding practices in Ethiopia: a systematic review

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e048700
Author(s):  
Kedir Y. Ahmed ◽  
Kingsley Emwinyore Agho ◽  
Andrew Page ◽  
Amit Arora ◽  
Felix Akpojene Ogbo
Keyword(s):  
Systematic Review ◽  
Young Child ◽  
Health Facility ◽  
Breast Feeding ◽  
Experimental Studies ◽  
Risk Of Bias ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Quasi Experimental

ObjectiveIn Ethiopia, despite the implementation of several interventions to improve infant and young child feeding (IYCF) practices, no published studies have highlighted the most effective IYCF interventions in the country. This systematic review investigated the impacts of various interventions on IYCF in Ethiopia.Source of informationA systematic search was conducted on seven computerised bibliographic databases (Embase, ProQuest Central, Scopus, PsycINFO, Web of Science, MEDLINE/PubMed and CINAHL) to locate experimental or quasi-experimental studies published between the year 2000 and May 2021.Study eligibility criteriaInterventional studies that measured IYCF indicators (early initiation of breast feeding (EIBF), exclusive breast feeding (EBF), the introduction of complementary foods, minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet) as outcome variables were included.Study appraisal and synthesisAll included studies were examined for biases related to interventional studies (ie, selection bias, performance bias, attrition bias, detection bias and reporting bias). Author reports of effect size measures were used to narratively report the findings of each study.ResultsOf the 23 eligible studies, 14 studies were quasi-experimental and 9 studies were cluster randomised trials (CRTs). Eight quasi-experimental studies had a serious risk of bias, while two CRTs had a high risk of bias. Four studies for EBF and six studies for EIBF showed significant impacts of policy advocacy, health service strengthening, interpersonal communication, community mobilisation and mass media campaigns. Six studies for MDD and three studies for MMF indicated significant effects of community-level and health facility complementary feeding promotions on infants and young children. Interventions that delivered in combination increased the impacts in improving EIBF, MDD and MMF compared with a single intervention.ConclusionOur review showed that 12 out of 21 eligible studies that implemented in the form of community-level and health facility interventions improved EIBF, EBF, and/or MDD in Ethiopia.Protocol registration numberPROSPERO, CRD42020155519.

scholarly journals Systematic evidence and gap map of research linking food security and nutrition to mental health

2021 ◽  
Author(s):  
Thalia Sparling ◽  
Megan Deeney ◽  
Bryan Cheng ◽  
Xuerui Han ◽  
Chiara Lier ◽  
...  
Keyword(s):  
Mental Health ◽  
Food Security ◽  
Mental Wellbeing ◽  
Child Feeding ◽  
Middle Income ◽  
Young Child Feeding ◽  
Middle Income Countries ◽  
Analytical Studies ◽  
Infant And Young Child ◽  
Food Security And Nutrition

Abstract Connections between food security and nutrition (FSN) and mental health have been analytically investigated, but conclusions are difficult to draw given the breadth of literature. Furthermore, there is little guidance for continued research. We searched three databases for analytical studies linking FSN to mental health. Out of 30,896 records, we characterized and mapped 1945 studies onto an interactive Evidence and Gap Map (EGM). Anthropometry (especially BMI) and diets were most linked to mental health (predominantly depression). There were fewer studies on infant and young child feeding, birth outcomes and nutrient biomarkers related to anxiety, stress and mental wellbeing. Two-thirds of studies hypothesized FSN measures as the ‘exposure’ influencing mental health outcomes. Studies were overwhelmingly observational, followed by systematic reviews. One-third of studies were from low- and middle-income countries. This map visualizes the extent and nature of analytical studies relating FSN to mental health, guides further research, and solidifies strategic planning.

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