Abstract:Our results provide strong evidence for the positive effects of following the current infant feeding recommendations on growth of infants and young children. Intervention programs should strive to improve conditions for enhancing current infant feeding recommendations, particularly in low-income countries.
“…One longitudinal study in Bangladesh constructed an infant feeding scale and found that children who scored higher on the infant feeding scale were more likely to have better growth later in infancy. Although that study was able to capture many of the core infant feeding practices outlined by the WHO in their scale, the relationship between food variety and child growth could not be evaluated due to lack of adequate data on foods fed to children (16) .While these studies have used composite infant feeding scales and indices that captured many of the WHO-recommended IYCF practices, many other studies have focused only on the relationship between specific aspects of IYCF and child growth. For example, the association between breast-feeding practices and child growth has been investigated in a number of settings: Bangladesh (17,18) , Malawi (19) , Brazil (20,21) , Columbia (22) , Turkey (23) , rural Senegal (24) and Mexico (25,26) .…”
Objective: To determine the association between indicators of infant and young child feeding (IYCF) and anthropometric measures of nutritional status among children aged 0-23 months in a nationally representative data set. Design: Data from the 2007 Bangladesh Demographic and Health Survey were used. Analyses were conducted using multiple linear regression and logistic regression analyses adjusted for the complex survey design of the survey, controlling for child, maternal and household characteristics, and including regional dummy variables. Setting: Bangladesh. Subjects: Pairs (n 2096) of last born infants and their mothers. Results: Exclusive breast-feeding under 6 months of age was associated with higher weight-for-height Z-score (effect size (ES) 5 0?29; P , 0?05). Appropriate complementary feeding in children aged 6-8 months was associated with higher height-for-age Z-score (HAZ; ES 5 0?63; P , 0?01) and higher weight-for-age Z-score (WAZ; ES 5 0?30; P , 0?05). Higher dietary diversity index (DDI) was associated with higher HAZ (ES 5 0?08; P , 0?01 for every 1 point higher DDI) and higher WAZ (ES 5 0?04; P , 0?05). Children who achieved minimum diet diversity had higher HAZ (ES 5 0?20; P , 0?05). Logistic regression models confirmed that exclusive breast-feeding was protective against wasting and DDI was protective against stunting and underweight. Conclusions: Our results highlight the importance of IYCF practices as determinants of child growth outcomes in this context, and reinforce the need for interventions that address the spectrum of IYCF practices, from exclusive breast-feeding to age-appropriate complementary feeding, especially diet diversity, in efforts to improve nutrition of infants and young children.
Keywords
Infant and young child feeding Exclusive breast-feeding Dietary diversity Nutrition BangladeshGlobally, childhood undernutrition is one of the most important public health challenges. When considering all causes of under-5s mortality worldwide, it is estimated that 35 % of these deaths are attributable to malnutrition (1) . The critical 'window of opportunity' for child growth is in the first 2 years of life; recent analyses have found that the effect of growth faltering during this period is more severe than previously thought (2) . In this critical period for the growth of children under 2 years of age, it is essential to ensure proper nutrition. According to the UNICEF conceptual framework for child nutrition (3) , both dietary intake and health care are critical determinants of child undernutrition.Aspects of infant and young child feeding (IYCF) that are important in the first 2 years of life include: early initiation of breast-feeding; exclusive breast-feeding for the first 6 months of life; adequate, timely and appropriate complementary feeding from 6 to 24 months of age; continued breast-feeding after the introduction of complementary foods; adequate dietary diversity in complementary foods; and adequate frequency of meals. A large body of research was conducted over alm...
“…One longitudinal study in Bangladesh constructed an infant feeding scale and found that children who scored higher on the infant feeding scale were more likely to have better growth later in infancy. Although that study was able to capture many of the core infant feeding practices outlined by the WHO in their scale, the relationship between food variety and child growth could not be evaluated due to lack of adequate data on foods fed to children (16) .While these studies have used composite infant feeding scales and indices that captured many of the WHO-recommended IYCF practices, many other studies have focused only on the relationship between specific aspects of IYCF and child growth. For example, the association between breast-feeding practices and child growth has been investigated in a number of settings: Bangladesh (17,18) , Malawi (19) , Brazil (20,21) , Columbia (22) , Turkey (23) , rural Senegal (24) and Mexico (25,26) .…”
Objective: To determine the association between indicators of infant and young child feeding (IYCF) and anthropometric measures of nutritional status among children aged 0-23 months in a nationally representative data set. Design: Data from the 2007 Bangladesh Demographic and Health Survey were used. Analyses were conducted using multiple linear regression and logistic regression analyses adjusted for the complex survey design of the survey, controlling for child, maternal and household characteristics, and including regional dummy variables. Setting: Bangladesh. Subjects: Pairs (n 2096) of last born infants and their mothers. Results: Exclusive breast-feeding under 6 months of age was associated with higher weight-for-height Z-score (effect size (ES) 5 0?29; P , 0?05). Appropriate complementary feeding in children aged 6-8 months was associated with higher height-for-age Z-score (HAZ; ES 5 0?63; P , 0?01) and higher weight-for-age Z-score (WAZ; ES 5 0?30; P , 0?05). Higher dietary diversity index (DDI) was associated with higher HAZ (ES 5 0?08; P , 0?01 for every 1 point higher DDI) and higher WAZ (ES 5 0?04; P , 0?05). Children who achieved minimum diet diversity had higher HAZ (ES 5 0?20; P , 0?05). Logistic regression models confirmed that exclusive breast-feeding was protective against wasting and DDI was protective against stunting and underweight. Conclusions: Our results highlight the importance of IYCF practices as determinants of child growth outcomes in this context, and reinforce the need for interventions that address the spectrum of IYCF practices, from exclusive breast-feeding to age-appropriate complementary feeding, especially diet diversity, in efforts to improve nutrition of infants and young children.
Keywords
Infant and young child feeding Exclusive breast-feeding Dietary diversity Nutrition BangladeshGlobally, childhood undernutrition is one of the most important public health challenges. When considering all causes of under-5s mortality worldwide, it is estimated that 35 % of these deaths are attributable to malnutrition (1) . The critical 'window of opportunity' for child growth is in the first 2 years of life; recent analyses have found that the effect of growth faltering during this period is more severe than previously thought (2) . In this critical period for the growth of children under 2 years of age, it is essential to ensure proper nutrition. According to the UNICEF conceptual framework for child nutrition (3) , both dietary intake and health care are critical determinants of child undernutrition.Aspects of infant and young child feeding (IYCF) that are important in the first 2 years of life include: early initiation of breast-feeding; exclusive breast-feeding for the first 6 months of life; adequate, timely and appropriate complementary feeding from 6 to 24 months of age; continued breast-feeding after the introduction of complementary foods; adequate dietary diversity in complementary foods; and adequate frequency of meals. A large body of research was conducted over alm...
“…The WHO and United Nations Children Fund have articulated a global strategy for infant-and young child-feeding. Optimal infant-and young child-feeding (IYCF) practices are crucial for nutritional status, growth, development, health, and ultimately the survival of infants and young children [3][4][5] . Worldwide, suboptimal breastfeeding still accounts for deaths of 1.4 million children aged less than five years (under-five mortality).…”
Section: Introductionmentioning
confidence: 99%
“…It was estimated that, if 90% of infants are covered with a package of intervention to protect, promote, and support the optimal IYCF practices, almost one-fifth of overall under-five mortality can be averted 6 . The poor complementary feeding practices mean that many children continue to be vulnerable to irreversible outcomes of stunting, poor cognitive development, and significantly increased risk of infectious diseases, such as diarrhoea and acute respiratory infection 5,7,8 .…”
“…Scientific evidence indicates that inappropriate feeding practices can have profound consequences for the growth, development and survival of infants and children. Various in appropriate complementary feeding practices such as; untimely introduction of complementary food, improper feeding frequency and low dietary diversity of complementary foods have been shown to have numerous negative effects on children's health [1,[6][7][8]. Appropriate complementary feeding entails; introduction of complementary foods at 6 months with continued breastfeeding up to at least 2 years and beyond, correct feeding frequency for age and consumption of adverse diet [9].…”
Background: Infant and child feeding practices are the major determinants of nutritional status. The period of complementary feeding is the time of peak incidence of growth faltering, micronutrient deficiencies and infectious illnesses. The aim this study was to assess timely initiation complementary feeding and associated factors of mothers of children 6-23 months of age in Dejen District, Northwest Ethiopia 2015.
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