scholarly journals Many Infants and Young Children Are Not Compliant with Mexican and International Complementary Feeding Recommendations for Milk and Other Beverages

Nutrients ◽  
2018 ◽  
Vol 10 (4) ◽  
pp. 466 ◽  
Author(s):  
Myriam Afeiche ◽  
Salvador Villalpando-Carrión ◽  
Kathleen Reidy ◽  
Lisa Fries ◽  
Alison Eldridge
Keyword(s):  
Young Children ◽  
Complementary Feeding ◽  
Infants And Young Children

scholarly journals Effect of Nutrition Education on Knowledge, Complementary Feeding, and Hygiene Practices of Mothers With Moderate Acutely Malnourished Children in Uganda

2019 ◽  
Vol 40 (2) ◽  
pp. 221-230 ◽  
Author(s):  
Richard B. Kajjura ◽  
Frederick J. Veldman ◽  
Susanna M. Kassier
Keyword(s):  
Young Children ◽  
Nutrition Education ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Acute Malnutrition ◽  
Maternal Knowledge ◽  
Test Analysis ◽  
Hygiene Practices ◽  
Moderate Acute Malnutrition ◽  
Infants And Young Children

Background: Inappropriate infant and young child complementary feeding practices related to a lack of maternal knowledge contributes to an increased risk of malnutrition, morbidity, and mortality. There is a lack of data regarding the effect of nutrition education on maternal knowledge, feeding, and hygiene practices as part of a supplementary feeding intervention targeting infants and young children with moderate acute malnutrition in low-income countries like Uganda. Objective: To determine whether nutrition education improves knowledge, feeding, and hygiene practices of mothers with infants and young children diagnosed with moderate acute malnutrition. Methods: A cross-sequential study using a pretest–posttest design included 204 mother–infant pairs conveniently sampled across 24 randomly selected clusters. Weekly nutrition education sessions were embedded in a supplementary porridge intervention for 3 months. Mean scores and proportions for knowledge, feeding, and hygiene practices were determined at baseline and end line. The difference between mean scores at the 2 time points were calculated with the paired t test analysis, while the proportions between baseline and end line were calculated using a z test analysis. Results: Mean scores for knowledge, dietary diversity, and meal frequency were higher at end line compared to baseline ( P < .001). Handwashing did not improve significantly ( P = .183), while boiling water to enhance water quality improved ( P < .001). Conclusion: Nutrition education in conjunction with a supplementary feeding intervention targeting infants and young children with moderate acute malnutrition improved meal frequency, dietary diversity and water quality.

scholarly journals Context-specific complementary feeding recommendations developed using Optifood could improve the diets of breast-fed infants and young children from diverse livelihood groups in northern Kenya

2016 ◽  
Vol 20 (6) ◽  
pp. 971-983 ◽  
Author(s):  
Marieke Vossenaar ◽  
Frances A Knight ◽  
Alison Tumilowicz ◽  
Christine Hotz ◽  
Peter Chege ◽  
...  
Keyword(s):  
Young Children ◽  
Complementary Feeding ◽  
Age Groups ◽  
Population Level ◽  
Age Group ◽  
Northern Kenya ◽  
Pastoralist Communities ◽  
Context Specific ◽  
Breast Fed ◽  
Infants And Young Children

AbstractObjectiveTo formulate age- and context-specific complementary feeding recommendations (CFR) for infants and young children (IYC) and to compare the potential of filling population-level nutrient gaps using common sets of CFR across age groups.DesignLinear programming was used to develop CFR using locally available and acceptable foods based on livelihood- and age-group-specific dietary patterns observed through 24 h dietary recalls. Within each livelihood group, the nutrient potential of age-group-specific v. consolidated CFR across the three age groups was tested.SettingThree food-insecure counties in northern Kenya; namely, settled communities from Isiolo (n 300), pastoralist communities from Marsabit (n 283) and agro-pastoralist communities from Turkana (n 299).SubjectsBreast-fed IYC aged 6–23 months (n 882).ResultsAge-specific CFR could achieve adequacy for seven to nine of eleven modelled micronutrients, except among 12–23-month-old children in agro-pastoralist communities. Contribution of Fe, Zn and niacin remained low for most groups, and thiamin, vitamin B6 and folate for some groups. Age-group-consolidated CFR could not reach the same level of nutrient adequacy as age-specific sets among the settled and pastoralist communities.ConclusionsContext- and age-specific CFR could ensure adequate levels of more modelled nutrients among settled and pastoralist IYC than among agro-pastoralist communities where use of nutrient-dense foods was limited. Adequacy of all eleven modelled micronutrients was not achievable and additional approaches to ensure adequate diets are required. Consolidated messages should be easier to implement as part of a behaviour change strategy; however, they would likely not achieve the same improvements in population-level dietary adequacy as age-specific CFR.

scholarly journals Evaluating the Effect of Appropriate Complementary Feeding Practices on Child Growth in Malawi Using Cross-Sectional Data: An Application of Propensity Score Matching

2021 ◽  
Vol 8 ◽  
Author(s):  
Halima S. Twabi ◽  
Samuel O. M. Manda ◽  
Dylan S. Small
Keyword(s):  
Propensity Score ◽  
Young Children ◽  
Propensity Score Matching ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
World Health ◽  
Z Score ◽  
Complementary Foods ◽  
Nutritional Needs ◽  
Infants And Young Children

Introduction: Appropriate complementary foods have been found to provide infants and young children with nutritional needs for their growth and development. In the absence of a randomized control trial (RCT), this study used observational data to evaluate the effect of appropriate complementary feeding practices on the nutritional status of children aged 6–23 months in Malawi using a propensity score matching statistical technique.Methods: Data on 4,722 children aged 6 to 23 months from the 2015–16 Malawi Demographic and Health Survey (MDHS) were analyzed. Appropriate complementary feeding practices were assessed using the core indicators recommended by the World Health Organization (WHO)/United Nations Children's Fund (UNICEF), and consist of the introduction of complementary feeding, minimum dietary diversity, minimum meal frequency and minimum acceptable diet based on a dietary intake during a most recent 24-h period.Results: The prevalence of stunting (height-for-age z-score &lt; −2 SD) was 31.9% (95% CI: 29.3%, 34.6%), wasting (weight-for-height z-score &lt; −2 SD) 3.5% (95% CI: 2.6%, 4.7%) and underweight (weight-for-age z-score &lt; −2 SD) 9.9% (95% CI: 8.4%, 11.8%). Of the 4,722 children, 7.7% (95% CI: 6.9%, 8.5%) were provided appropriate complementary foods. Appropriate complementary feeding practices were found to result in significant decrease in stunting (OR = 0.7, 95% CI: 0.4, 0.95). They also resulted in the decrease of wasting (OR = 0.4, 95% CI: 0.1, 1.7) and underweight (OR = 0.6, 95% CI: 0.2, 1.7).Conclusion: Appropriate complementary feeding practices resulted in a reduction of stunting, wasting, and underweight among children 6 to 23 months of age in Malawi. We recommend the continued provision of appropriate complementary foods to infants and young children to ensure that the diet has adequate nutritional needs for their healthy growth.

scholarly journals Prevalence of Complementary Feeding Indicators and Associated Factors Among 6- to 23-Month Breastfed Infants and Young Children in Poor Rural Areas of China

2021 ◽  
Vol 9 ◽  
Author(s):  
Jing Liu ◽  
Junsheng Huo ◽  
Jing Sun ◽  
Jian Huang ◽  
Weiyi Gong ◽  
...  
Keyword(s):  
Young Children ◽  
Rural Areas ◽  
Maternal Employment ◽  
Associated Factors ◽  
Complementary Feeding ◽  
Scale Up ◽  
Improvement Project ◽  
Breastfed Infants ◽  
The Status ◽  
Infants And Young Children

This study aimed to estimate the status of complementary feeding (CF) and its associated factors among 6–23-month breastfed infants and young children (IYC). We used secondary data from the China Nutrition Improvement Project on Children in Poor Areas in 2018. The status of CF was provided by parents of IYC through 24-h dietary recall. The study included 13,972 6–23-month-old breastfed IYC comprising 24.7% 6–8-month, 28.5% 9–11-month, 31.4% 12–17-month, and 18–23-month IYC. The highest percentage of IYC introduced to cereal foods was 84.8%. Nearly, 83.6% of 6–8-month infants were introduced to solid or semi-solid food. The prevalence of meeting requirements of non-dairy animal source food and minimum acceptable diet (MAD) was 75.3 and 35.1% of 6–23-month IYC, respectively, and was significantly higher in older than younger IYC (p &lt; 0.001). Age of IYC, education level of parents, paternal employment, and nutrition knowledge of parents were positively associated factors for the prevalence of meeting requirements of MAD, and diarrhea at 2 weeks and maternal employment were negatively associated with MAD. Totally, the prevalence of meeting the requirements of MAD was relatively lower in breastfed IYC. The government should scale up appropriate CF with consideration of food availability.

scholarly journals Complementary Feeding: Is It The Forgotten Factor of The First 1000 Days of Life?

2021 ◽  
Author(s):  
Catherine Muthoni Njeru ◽  
Anthony Ngugi ◽  
Caroline Kathomi ◽  
Mary Slessor Limbe
Keyword(s):  
Young Children ◽  
Quantitative Data ◽  
Complementary Feeding ◽  
Tertiary Education ◽  
Feeding Practices ◽  
Urban Setting ◽  
Information Support ◽  
World Health ◽  
Practical Guidelines ◽  
Infants And Young Children

Abstract Background:Appropriate complementary feeding is a practice with great potential for reduction of nutrition-related diseases and mortalities in children. However, uptake of the recommended World Health Organisation (WHO) infant and young child feeding practices in Kenya remains low. Most previous studies have been done in rural or urban poor populations hence the need to provide practical guidelines for the complementary feeding period in a typical middle-class urban setting. This study investigated complementary feeding practices by caregivers of infants and young children on follow up at Aga Khan University Hospital-Nairobi (AKUH-N) well-baby clinic and the factors influencing compliance with the WHO guidelines.Methods:A total of 290 caregivers of infants and young children aged between nine and twenty-four months were interviewed using a questionnaire. Out of these, 21 were purposively sampled to participate in a qualitative study using in-depth interviews. Thematic analysis was used to analyse qualitative data while descriptive statistics, univariate and multivariate regression analysis were used for quantitative data. A convergent parallel design was used to integrate the qualitative and quantitative data.Results:Out of 290 caregivers interviewed, 125 (43.1%) complied with WHO complementary feeding guidelines. Proportions of underweight and stunting were 6.9% and 1.7%, respectively, while that of overweight was 8.6%. Factors that affected complementary feeding practices included education level of the caregiver, access to information, support from healthcare workers and fear of allergic reactions. Conclusions:Full compliance to WHO complementary feeding guidelines remained below 50%. In addition, the proportion of children who were overweight in this study was double the national average, highlighting a growing trend of obesity in childhood. Some of the factors positively associated with compliance with complementary feeding guidelines included access to multiple sources of information, and support from health workers and family members. Lack of tertiary education of the caregiver, absence of specific and practical guidelines, resource constraints and fear of allergies were found to negatively impact compliance with complementary feeding guidelines.

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