Minimum Acceptable Diet and its Associated Factors among Children Aged 6–23 Months in Indonesia

Abstract

This study aimed to assess the fulfillment of the Minimum Dietary Diversity for children (MDD), the Minimum Meal Frequency (MMF), and the Minimum Acceptable Diet (MAD) and analyze the correlation between individual, socioeconomic, and demographic characteristics and the MAD in children between the ages of 6 and 23 months in Indonesia. This study used a cross-sectional study design. The subjects were 798 children between the ages of 6 and 23 months in Indonesia from a National Total Diet Study. The data collection on the MDD, the MMF, and the MAD used twenty-four-hour dietary recall. The chi-square and multiple logistic regression models were applied in this study with a p-value<0.05 considered significant predictors of outcome variables. The MDD, MMF, and MAD were met by 63.9%, 91.3%, and 61.8% of children, respectively. Significant positive relationships of child's age, mother's educational status, and area of residence (p<0.001) to the MAD. The determinants factors of MAD were the child's age (p<0.05; OR=7.06; 95% CI:3.46–14.38) and area of residence (p<0.05; OR=1.61; 95% CI:1.19–2.15). In conclusion, it is still necessary to improve the fulfillment of the MAD (a combined indicator of the MDD and the MMF). The government's role is to provide balanced nutritional child feeding programs based on local food, strengthen behavior change communication to meet nutritionally balanced complementary foods for children, and improve child nutrition services at posyandu.

Geospatial pattern of level of minimum acceptable diet and its determinants among children aged 6–23 months in Ethiopia. Spatial and multiscale geographically weighted regression analysis

“…In households with a family size above five, children fail to achieve the minimum acceptable diet in southern Ethiopia. Likewise, in another study, an increase in the number of children reduces the likelihood of attaining MAD ( 45 ). In southern Ethiopia, myths and misconceptions regarding family planning ( 46 ) might contribute to an increase in family size, leading to challenges in achieving the minimum acceptable diet.…”

Minimum acceptable diet and its predictors among children aged 6‐23 months in Ethiopia. A multilevel cloglog regression analysis

“…This study found a negative association between the number of children in the household and meeting MAD. Likewise, in another study, an increase in the number of children reduces the likelihood of attaining MAD (Pranita et al, 2023). The increasing number of children in a household can pose financial challenges and increase food demand, making it difficult to afford a diverse diet and maintain adequate meal frequency.…”

Mother’s Knowledge, Attitude and Practices and its Influence toward Nutritional Status of Children in Terengganu

“…Mother's education level is important to determine the practice level of mothers. Education levels is related to the maternal knowledge (Ikhsan et al 2018), and thus the higher the mothers with good nutritional knowledge, the higher the minimum acceptable diet of the children (Pranita et al 2023). Similarly, a study in the village of Kosona among 150 mothers, majority of them were older mothers who had low knowledge regarding stunting (Berisha et al 2017).…”