Systematic review of infant and young child complementary feeding practices in South Asian families: the India perspective

Manikam, Logan; Prasad, Anand Mohan; Dharmaratnam, Abina; Moen, Christy; Robinson, Alexandra; Light, Alexander; Ahmed, Sonia; Lingam, Raghu; Lakhanpaul, Monica

doi:10.1017/s136898001700297x

Cited by 34 publications

(54 citation statements)

References 64 publications

(347 reference statements)

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“…The present review (PROSPERO registration number CRD42014014025) summarizes publications on CFP in SA families in Pakistan only, with concurrent reviews summarizing publications on CFP in SA families in India ( 18 ) , Bangladesh ( 19 ) and high-income countries (L Manikam, R Lingam, I Lever et al ., unpublished results), respectively.…”

Section: Methodsmentioning

confidence: 99%

Systematic review of infant and young child complementary feeding practices in South Asian families: the Pakistan perspective

Manikam

Sharmila

Dharmaratnam

et al. 2017

Public Health Nutr.

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ObjectiveSuboptimal nutrition among children remains a problem among South Asian (SA) families. Appropriate complementary feeding (CF) practices can greatly reduce this risk. Thus, we undertook a systematic review of studies assessing CF (timing, dietary diversity, meal frequency and influencing factors) in children aged <2 years in Pakistan.DesignSearches between January 2000 and June 2016 in MEDLINE, EMBASE, Global Health, Web of Science, OVID Maternity & Infant Care, CINAHL, Cochrane Library, BanglaJOL, POPLINE and WHO Global Health Library. Eligibility criteria: primary research on CF practices in SA children aged 0–2 years and/or their families. Search terms: ‘children’, ‘feeding’ and ‘Asians’ with their derivatives. Two researchers undertook study selection, data extraction and quality appraisal (EPPI-Centre Weight of Evidence).ResultsFrom 45 712 results, seventeen studies were included. Despite adopting the WHO Infant and Young Child Feeding guidelines, suboptimal CF was found in all studies. Nine of fifteen studies assessing timing recorded CF introduced between 6 and 9 months. Five of nine observed dietary diversity across four of seven food groups; and two of four, minimum meal frequency in over 50 % of participants. Influencing factors included lack of CF knowledge, low maternal education, socio-economic status and cultural beliefs.ConclusionsThis is the first systematic review to evaluate CF practices in Pakistan. Campaigns to change health and nutrition behaviour are needed to meet the substantial unmet needs of these children.

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Section: Methodsmentioning

confidence: 99%

Systematic review of infant and young child complementary feeding practices in South Asian families: the Pakistan perspective

Manikam

Sharmila

Dharmaratnam

et al. 2017

Public Health Nutr.

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“…About one-fifth of mother practiced MAD among their children, having no knowledge of child feeding might be due to the association of knowledge on child feeding with MAD. The evidence from systematic review showed that lack of knowledge was a key barriers of optimal complementary feeding practice [37]. In Nepal, a study showed the inadequate minimum acceptable diet practices would be due to poor knowledge on child feeding practices [19].…”

Section: Discussionmentioning

confidence: 99%

Minimum acceptable diet and stunting among children aged 6-23 months in Dalit and Non-Dalit and associated factors: A cross-sectional comparative study of Dhanusha district, Nepal

Sah

Paudel

Devkota

et al. 2019

Preprint

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Background The complementary feeding practices are essential for development and survival of infant and young child, it reduces the risk of under-nutrition. The aim of the study was to assess the status and identify factors associated with minimum acceptable diet and stunting among children aged 6-23 months in Dalit and Non-Dalit.Methods A cross-sectional comparative study was conducted in Dhanusha district among mother who has 6-23 months children. Altogether 599 respondents were taken of which 299 were from Dalit and 300 from Non-Dalit and used multistage simple random sampling. Interview and anthropometry measurement were used for data collection technique and structure questionnaire as a tool. Descriptive and inferential analyses were done by using Statistical Package for the Social Science (SPSS).Results The prevalence of minimum acceptable diet (MAD) and stunting were 43.8% and 49.9% among Dalit while 44.3%, and 39% among Non-Dalit. The MAD were significantly associated with the age of child (AOR=0.25, 95 CI: 0.11-0.54), child illness in the past two weeks (AOR=4.31, 95% CI: 1.56-11.88) and child of mother who had no knowledge on child feeding (AOR=0.31, 95% CI: 0.16-0.61) among Dalit while age of child (AOR=0.37, 95 CI: 0.21-0.64), child illness in past two weeks (AOR=4.80, 95% CI: 2.23-10.32, child mother who had no knowledge on child feeding (AOR=0.26, 95% CI: 0.16-0.42) and birth interval (AOR=1.92, 95% CI: 1.56-3.19) among Non-Dalit. Stunting was significantly associated with family types (AOR=1.93, 95% CI: 1.11-3.34) among Dalits while Ante Natal Care (ANC) visit (AOR=3.20, 95% CI: 1.15-8.90), media exposure (AOR=3.10, 95% CI: 1.11-8.64 and age of child (AOR=0.24, 95% CI: 0.10-0.57) in Non-Dalit.Conclusion This study shows that the age of child, child illness and knowledge on child feeding are the key associated factors of the MAD practices in both Dalits and Non-Dalits, while birth interval also among Non-Dalits. Similarly, family type is a key associated factors of stunting in Dalits while age of child, ANC visit and media exposure among Non-Dalits. Community based awareness raising appropriates child feeding and nutrition and related implementation program could be needed for improving the nutritional status of children.

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“…Other papers published by our group as part of this project reviewed CF practices in Bangladesh, Pakistan, and India [ 16 , 17 , 18 ]. As reported in this review, the most common CF food groups for SA infants in high-income countries were “fruits and vegetables”, “flesh foods” and “dairy products”, described by six studies each, whereas the other reviews found “Grains, roots and tubers” were most commonly used for CF in the SA countries themselves.…”

Section: Discussionmentioning

confidence: 99%

“…This left 978 potentially eligible full text articles, which were independently reviewed by two researchers. One hundred and thirty-nine full text articles were ultimately extracted, of which 13 were relevant to high-income countries and the remainder relevant to India, Bangladesh and Pakistan [ 16 , 17 , 18 ].…”

Section: Methodsmentioning

confidence: 99%

“…We therefore aimed to review CFP in line with WHO IYCF guidelines for SA families residing in high-income countries. As part of the same project, we simultaneously reviewed CF practices for SAs in India, Pakistan, and Bangladesh, with these countries being the most populous SA countries; these three reviews are published elsewhere [ 16 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Complementary Feeding Practices for South Asian Young Children Living in High-Income Countries: A Systematic Review

Manikam¹,

Lingam

Lever³

et al. 2018

Nutrients

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Sub-optimal nutrition among South Asian (SA) children living in high-income countries is a significant problem. High rates of obesity have been observed in this population, and differential complementary feeding practices (CFP) have been highlighted as a key influence. Our aim was to undertake a systematic review of studies assessing CFP in children under two years of age from SA communities living in high-income countries, including dietary diversity, timing, frequency and promotors/barriers. Searches covered January 1990–July 2018 using MEDLINE, EMBASE, Global Health, Web of Science, BanglaJOL, OVID Maternity and Infant Care, CINAHL, Cochrane Library, POPLINE and World Health Organisation (WHO) Global Health Library. Eligible studies were primary research on CFP in SA children aged 0–2 years. Search terms were “children”, “feeding” and “South Asian”, and derivatives. Quality appraisal used the Evidence for Policy and Practice Information (EPPI) Weight of Evidence scoring. From 50,713 studies, 13 were extracted with ten from the UK, and one each from the USA, Canada and Singapore. Sub-optimal CFP were found in all studies. All ten studies investigating timing reported complementary feeding (CF) being commenced before six months. Promoters/barriers influencing CFP included income, lack of knowledge, and incorrect advice. This is the first systematic review to evaluate CFP in SA children living in high-income countries and these findings should inform the development of effective interventions for SA infants in these settings.

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Systematic review of infant and young child complementary feeding practices in South Asian families: the India perspective

Abstract: This is the first systematic review to evaluate CF practices in SA in India. Campaigns to change health and nutrition behaviour and revision of nationwide child health nutrition programmes are needed to meet the substantial unmet needs of these children.

Cited by 34 publications

References 64 publications

Systematic review of infant and young child complementary feeding practices in South Asian families: the Pakistan perspective

Systematic review of infant and young child complementary feeding practices in South Asian families: the Pakistan perspective

Minimum acceptable diet and stunting among children aged 6-23 months in Dalit and Non-Dalit and associated factors: A cross-sectional comparative study of Dhanusha district, Nepal

Complementary Feeding Practices for South Asian Young Children Living in High-Income Countries: A Systematic Review

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