Feeding practices and nutrient content of complementary meals in rural central Tanzania: implications for dietary adequacy and nutritional status

Kulwa, Kissa; Mamiro, Peter; Kimanya, Martin; Mziray, Rajab; Kolsteren, Patrick

doi:10.1186/s12887-015-0489-2

Cited by 44 publications

(62 citation statements)

References 28 publications

(25 reference statements)

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“…In this study, more than half of the children both in rural and urban areas who were already commenced on semisolid feed had it introduced between age of 6 and 8 months. This was similar to 58.2% observed among infants in Kano,16 Nigeria, higher than 40% in rural central Tanzania,17 and lower than 65.5% among infants in rural Shaanxi province in China 18. The implication is that the remaining children are likely to be at risk of malnutrition.…”

Section: Discussionsupporting

confidence: 74%

Dietary practices and nutritional status of under-five children in rural and urban communities of Lagos State, Nigeria

2016

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Background:Evidence shows that urban children generally have a better nutritional status than their rural counterparts. However, data establishing whether this difference in prevalence of undernutrition could be ascribed to difference in dietary practices are few.Objective:The aim of this study was to compare dietary practices and nutritional status of children in rural and urban communities of Lagos State, Nigeria.Methods:This was a comparative-analytical study conducted using the multistage sampling technique to select the study cases. A total of 300 mother–child pairs were studied, including 150 each from rural and urban communities. Data collected include demographics, socioeconomic characteristics, feeding practices and anthropometric measurements of the participants. Food intake data were collected using 24-h dietary recall. Malnutrition in children was determined by calculating the prevalence of low height-for-age (stunting), low weight-for-age (underweight), and low weight-for-height (wasting) using the World Health Organization cutoff points.Results:The prevalence of exclusive breastfeeding for 6 months (25.3% vs. 28.7%; P = 0.516), use of formula feeds (48.7% vs. 44%; P = 0.077), and mean age of child at introduction of semisolid foods (7.54 ± 4.0 months vs. 8.51 ± 7.3 months; P = 0.117) were not significantly different between urban and rural communities. The diversity of food choices and frequencies of consumption were similar between urban and rural communities. However, prevalence levels of underweight and stunted children were significantly higher in rural than that of urban communities (19.4% vs. 9.3%, P < 0.001 and 43.3% vs. 12.6%, P < 0.001, respectively).Conclusions:Other risk factors besides inappropriate feeding practices need to be considered for higher prevalence of undernutrition among children in rural communities.

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Section: Discussionsupporting

confidence: 74%

Dietary practices and nutritional status of under-five children in rural and urban communities of Lagos State, Nigeria

2016

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“…Untimely introduction of CF appeared as a concern within the study area. Similar findings were observed in Tanzania and India where age of introduction was estimated at 3.30 months and 3-5 months, respectively [17,18]. Counseling from parents and healthcare workers and mothers' perceptions were important factors influencing the beginning of complementary feeding.…”

Section: Discussionsupporting

confidence: 77%

Complementary Feeding Practices of Children Aged 6-23 Months in Rural Area, Southern-Benin: Challenges and Opportunities

Mitchodigni

Hounkpatin

Ntandou-Bouzitou

et al. 2017

IJTDH

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Aims:This study aims to provide in-depth knowledge of current infant feeding practices in order to create an evidence base and develop well-targeted strategies to reduce the prevalence of child malnutrition. Study Design: This study is designed by using a descriptive cross-sectional survey. Place and Duration of Study:This study was carried out in two rural districts, Bopa and Mitchodigni et al.; IJTDH, 24(2): 1-12, 2017; Article no.IJTDH.33877 2 Houeyogbe, in Southern Benin from October to December 2013. Methodology: A total of 1225 mother-infant pairs, aged 6-23 months were randomly selected in seventeen villages through exhaustive sampling. Socio-demographic data of participants were obtained through semi-structured interviews. Complementary feeding practices were assessed using recommended Infant and Young Child Feeding (IYCF) indicators. Statistical analysis were performed with SPSS version 20. Statistical significance was set at P<0.05. Results: Overall, 20% had timely initiation of complementary feeding, whereas 61% and 17% had early and delayed initiation of complementary feeding, respectively. The mean age of introducing solid foods was 4.9 ± 2.3 months. Prevalence of MDD, MMF and MAD was 60%, 71% and 46% respectively. There is no specific complementary foods (CFs) for Benin children. Cereal porridges and extracts from family diets were two categories of complementary foods identified. Complementary food (CF) is characterized by unenriched porridges, mashed family diets and low consumption of fruits and eggs. Most of the children (70%) were fed vegetables consumed individually or mixed with other leaves. The most popular vegetables consumed by the children were Corchorus olitorius (48%), Hibiscus esculentus (22%), Solanum macrocarpon (18%). Conclusion: Untimely initiation of complementary feeding was predominant. Complementary feeding practices in this area of Benin were suboptimal. The valorization of local biodiversity and traditional recipes was an opportunity to improve quality of child's diet. Reinforcing the capacity building of stakeholders focused on child feeding may be a crucial step for child well-being. Original Research Article

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“…The research shows stunting is a significant health problem among infants and young children in Tanzania (Kulwa, Mamiro, Kimanya, Mziray, & Kolsteren, 2015; Safari, Kimambo, & Lwelamira, 2013). Stunting affected 55% of male children which is twice as high as the reported regional prevalence of stunting (27%) reported by Tanzania National Nutrition Survey (TFNC, 2014) and slightly higher than the 36% prevalence reported in the TDHS (National Bureau of Statistics & Macro, 2015).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of undernutrition among underfive children in Arusha District, Tanzania

Kejo

Mosha

Petrucka

et al. 2018

Food Science & Nutrition

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Childhood undernutrition is a global health challenge impacting child growth and survival rates. This deficit in nutritional status contributes to the increasing chronic disease prevalence and economic burden in individuals and throughout developing contexts. A community‐based cross‐sectional study was conducted in Arusha District of Tanzania to determine the prevalence and predictors of undernutrition in 436 children. A structured questionnaire was used to collect data on demographic and socio‐economic factors as well as feeding practices and prevalence of preventable childhood diseases. Anthropometric data were collected through the measurement of length/height and weight of all children. The prevalence of undernutrition was estimated based on Z‐scores indices below −2SD of the reference population for weight for age (underweight), height for age (stunting), and weight for height (wasting). Fifty percent, 28%, and 16.5% of the children were stunted, underweight, and wasted, respectively. The age above 2 years and being a male were associated with stunting. The age above 2 years, nonexclusive breastfeeding children, and living at Seliani and Oturumeti were associated with being underweight. Similarly, morbidity, none exclusively breastfed children, living at Oturumeti, and being born to a mother 35 years and above were associated with wasting. In this study, we found the prevalence of child undernutrition in Arusha District is high in comparison with national and regional trends and appears to be associated with being a male. It is recommended that nutritionists and health planners should focus on these key predictors when planning nutrition interventions to address the problem of undernutrition among underfive children in Arusha District.

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Feeding practices and nutrient content of complementary meals in rural central Tanzania: implications for dietary adequacy and nutritional status

Cited by 44 publications

References 28 publications

Dietary practices and nutritional status of under-five children in rural and urban communities of Lagos State, Nigeria

Dietary practices and nutritional status of under-five children in rural and urban communities of Lagos State, Nigeria

Complementary Feeding Practices of Children Aged 6-23 Months in Rural Area, Southern-Benin: Challenges and Opportunities

Prevalence and predictors of undernutrition among underfive children in Arusha District, Tanzania

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