A meta-analysis of compliance with revised WHO-infant and young child feeding indicators in data generation

Iheme, Gideon; Nzeagwu, Ogechi Chinyere; Uzokwe, Chinwe; Matthew, Silverline; Edafioghor, Linda Obianuju

doi:10.1016/j.clnesp.2021.03.016

Cited by 3 publications

(2 citation statements)

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“…Complementary feeding practices and nutritional status in Nigeria are well documented (Omotoye and Adesanmi, 2019;Sosanya et al, 2019;Ibrahim et al, 2019;Tobi et al, 2019;Oluwaseyi et al, 2019;Yusuf and Jibrin, 2020), however there is a dearth of recent evidence in Southeast Nigeria (Ayogu et al, 2015;Okereke et al, 2015;Ndiokwelu et al, 2014). Also, a good number of these local studies failed to apply either the revised WHO infant and young child feeding recommendations or the WHO 2006 growth reference in their data generation (Iheme et al, 2021). Therefore this study will add to the existing but limited body of knowledge to provide evidence on complementary feeding practices and anthropometric status of children in South East Nigeria using current and universally accepted indicators and guidelines.…”

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confidence: 98%

Maternal complementary feeding practices and anthropometric status of children (6-23 months) in Abakaliki Nigeria, a facility based study

Edafioghor¹,

Asiegbu²,

Ezeonu³

et al. 2021

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Sub-optimal complementary feeding practices among children aged 6-23 months is a major cause of under-nutrition in developing countries. This study was designed to assess the complementary feeding practices and nutritional status of children 6-23 months attending an immunization clinic at Alex-Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria. The study was descriptive and cross-sectional in design. A total of 320 children were selected using a two-stage sampling technique. WHO/PAHO/UNICEF recommendations and WHO Child Growth Standard charts were used to categorize their complementary feeding and anthropometric indices, respectively. Statistical analysis was performed using descriptive statistics and inferential statistics. Complementary feeding indicators such as timely complementary feed introduction (54.1%) and minimum dietary diversity (68.7%) were met by more than half of the respondents. But overall, complementary feeding practices were considerably poor. Low minimum meal frequency, minimum adequate diet and continued breastfeeding at one year were reported. Wasting, stunting and underweight prevalences were 12.5%, 11.3% and 8.3% respectively. Children who continued breastfeeding at one year (AOR = 0.34; CI= 0.15-0.76) or met minimum dietary diversity criteria (AOR = 0.43; CI= 0.17-1.05) were less likely to be stunted. Increased attention towards breastfeeding continuation and dietary diversity improvement using locally available/affordable food stuffs is needed.

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Section: Introductionmentioning

confidence: 98%

Maternal complementary feeding practices and anthropometric status of children (6-23 months) in Abakaliki Nigeria, a facility based study

Edafioghor¹,

Asiegbu²,

Ezeonu³

et al. 2021

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“…Particularly during the first two years of life, it can increase the risk of diseases that may lead to mental and behavioral dysfunction in adulthood [8][9][10]. Hence, complementary feeding must supplement breastfeeding and provide infants with the required level of nutrition [11]. According to the latest statistics, malnutrition accounts for at least 35% of child mortality under the age of 5 years, 6% of which could be prevented with proper complementary feeding [12].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of maternal performance about food security in dietary diversity for children aged 12-24 months and its relationship with anthropometric measurements

et al. 2023

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Background Despite growing awareness of the problem of food security, some areas of Iran continue to experience food insecurity. The aim of the present study was to evaluate maternal performance about food security in dietary diversity for children aged between 12-24 months and its relationship with anthropometric measurements in Bushehr. Methods A cross-sectional study was carried out using 400 mothers of children aged from 12 to 24 months in Bushehr selected via quota sampling. Data were collected using a reliable localized version of a 32-item food frequency questionnaire, consisting of six subscales, with a Cronbach's α: 0.81. The anthropometric measurements of height and weight were also calculated. Data analysis was performed using median, Mean±SD and multinomial logistic regression test, and odds ratio in SPSS, version 18. Results According to standard servings, only 24% of the mothers fed their infants cereals, whereas 54.8%, 36.3%, 39.8%, and 20.3% of the mothers used meat, fruits, vegetables, and dairy products, respectively. The strongest associations were between attendance at educational classes and vegetable consumption (OR=2.09, CI=1.03-4.21), age at the onset of complementary feeding and the consumption of meat (OR=1.30, CI=1.02-1.66) and fruits (OR=1.44, CI=1.03-2.03), and the mothers’ level of education and use of dairy products (OR=0.29, CI=0.09-0.90). No evidence of a significant association was found between consumption of any food groups and the anthropometric measurements. Conclusions Mothers in Bushehr performed poorly in providing their infants with the required nutrition with regard to dietary diversity and amount of food. However, their performance can be improved by enhancing their basic nutrition knowledge, holding practical classes on food preparation for them, and focusing on mothers with infants in high-risk groups, e.g. infants suffering from excessive weight gain, obesity, and malnutrition.

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Exploring disparities in malnutrition among under-five children in Nigeria and potential solutions: a scoping review

John,

Poh,

Jalaludin

et al. 2024

Front. Nutr.

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IntroductionTriple burden of malnutrition in children remains a significant public health issue. This scoping review aims to assess the information on undernutrition, micronutrient deficiencies and the quality of complementary feeding in various regions in Nigeria.MethodsA literature search was conducted using PubMed and Google Scholar databases from January 1, 2018 to January 31, 2023 to include studies focusing on 0 to 5 years old children in Nigeria, reporting data on nutritional status, nutrient deficiencies, and published in English.Results73 out of 1,545 articles were included. Stunting remained alarmingly high ranging from 7.2% (Osun, South West) to 61% (Kaduna, North Central), while wasting varied from 1% (Ibadan, South West) to 29% (FCT Abuja, Central) and underweight from 5.9% (Osun, South West) to 42.6% (Kano, North West) respectively. The overall prevalence of anemia and vitamin A deficiency ranged between 55.2 to 75.1 % and 5.3 to 67.6%, respectively. Low rates of achieving minimum dietary diversity and minimum meal frequency were reported across different states depicting the suboptimal quality of complementary feeding. The prevalence of overweight/obesity ranged from 1.5% (Rivers, South South) to 25.9% (Benue, North Central).ConclusionMultiple early childhood malnutrition issues exist with a wide disparity across states in Nigeria, particularly in the Northern region. Targeted nutrition interventions must be implemented to improve the situation.

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A meta-analysis of compliance with revised WHO-infant and young child feeding indicators in data generation

Cited by 3 publications

References 13 publications

Maternal complementary feeding practices and anthropometric status of children (6-23 months) in Abakaliki Nigeria, a facility based study

Maternal complementary feeding practices and anthropometric status of children (6-23 months) in Abakaliki Nigeria, a facility based study

Evaluation of maternal performance about food security in dietary diversity for children aged 12-24 months and its relationship with anthropometric measurements

Exploring disparities in malnutrition among under-five children in Nigeria and potential solutions: a scoping review

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