Timing and types of fluids and foods first introduced in a representative sample of toddlers attending day care programs across Lebanon: Are parents following international recommendations?

Issa, Carine; Hobeika, Maria; Khairallah, Walid; El-Jawladeh, Ayoub; Batal, Malek

doi:10.1016/j.pedn.2021.07.003

Cited by 4 publications

(12 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All children aged 6 to 23 months that were not given iron-rich infant formula on the previous day had higher odds of suffering from anemia as compared to those that received it. A randomized controlled trial was recently conducted in European young children aged 1 to 3 years whereby they found that the probability of iron deficiency after the intervention was lower in the formula group than the cow’s milk product group [ 86 ]. Despite its potential to prevent anemia among young children, the relatively high use of infant formula products, which was also noticed in recent studies from Lebanon, is of concern due to its impact on reducing the duration of breastfeeding [ 87 , 88 ].…”

Section: Discussionmentioning

confidence: 99%

Anemia among Syrian Refugee Children Aged 6 to 23 Months Living in Greater Beirut, Lebanon, including the Voices of Mothers’ and Local Healthcare Staff: A Mixed-Methods Study

et al. 2023

View full text Add to dashboard Cite

Globally, the prevalence of anemia among children during the period of complementary feeding is high. A cross-sectional, mixed-methods study was conducted to examine the main determinants of anemia among Syrian refugee children aged 6 to 23 months (n = 215) and to illuminate the knowledge, attitudes and perceptions of their mothers and Lebanese healthcare staff on its causes and available treatment options. 42% of the children and 20% of their mothers were anemic. Determinants of child anemia were the mother having anemia or not knowing that fish/seafood is a source of iron; the child having been acutely ill the last two weeks or receiving cow’s milk, but not consuming iron-rich infant formula, added fats/oils, or fruits in the previous 24 hours. Several Syrian mothers knew some causes of anemia and named dizziness as a leading symptom but did not mention flesh foods as a key source of heme iron. They reported financial constraints in accessing iron-rich foods and supplements. Lebanese doctors largely gave appropriate dietary advice and prescribed iron supplements as treatment. Multisectoral interventions are needed that combine medical and financial support with nutrition counseling for mothers to reduce the high burden of anemia among young children living in a multiple crises situation.

show abstract

Section: Discussionmentioning

confidence: 99%

Anemia among Syrian Refugee Children Aged 6 to 23 Months Living in Greater Beirut, Lebanon, including the Voices of Mothers’ and Local Healthcare Staff: A Mixed-Methods Study

et al. 2023

View full text Add to dashboard Cite

show abstract

“…In India, 10% of infants from the Santal tribe had not yet been introduced to CF at 9 months [34]. Only 1-8% of parents introduced CF before the age of 4 months in China [40], India [34], Lebanon [41], and the United Arab Emirates [42]. In Ethiopia, 60-68% of parents introduced CF at the recommended 6 months of age [43][44][45].…”

Section: Timing Of Cf Introductionmentioning

confidence: 99%

“…In Ethiopia, 60-68% of parents introduced CF at the recommended 6 months of age [43][44][45]. Moreover, a large number of studies conducted across all continents suggest that water is commonly offered during the first 6 months of life, for instance in Mexico [14], Brazil [46][47][48], Lebanon [41], China [40], Nepal [49], Sri Lanka [50], and Nigeria [51].…”

Section: Timing Of Cf Introductionmentioning

confidence: 99%

“…Similarly, in Thailand, eggs were often the first animal-based protein to be introduced [37]. Yet, this was not consistent across Asia, where the introduction of eggs was often delayed in Malyasia [92], India [93], and Lebanon [41].…”

Section: Timing Of Introduction Of Food Allergens (Peanuts and Eggs)mentioning

confidence: 99%

“…The prevalence of very early CF was low (1-8%) in China [40], India [34], Lebanon [41], and the United Arab Emirates [42].…”

mentioning

confidence: 96%

See 2 more Smart Citations

Are Complementary Feeding Practices Aligned with Current Recommendations? A Narrative Review

Nantel

Gingras

2023

Children

View full text Add to dashboard Cite

The complementary feeding introduction period (introduction of solid foods alongside breastmilk or formula) is defining in children’s health; however, it appears that many parents do not follow complementary feeding guidelines. Our aim was to describe current parental feeding practices during complementary feeding in relation to current recommendations and explore determinants of adherence to guidelines. We included any relevant studies published within the last decade in French or English and summarized findings by recommendation category. The timing of complementary food introduction varied widely across and within continents (earlier in North America and often delayed in Asia). The introduction of allergenic foods tended to be delayed globally. Although some parents now begin complementary feeding with solid foods (i.e., baby-led weaning), delayed introduction of lumpy textures was still prevalent in the United States and in Europe. The consumption of iron-rich foods was predominantly low in Africa. Added sugars were globally introduced early, especially in America. Evidence for the prevalence of responsive feeding practices among parents is unclear due to the small number of studies. Determinants of complementary feeding practices included parental characteristics, such as age, education, socio-economic status, and race/ethnicity. Interventions aiming to increase adherence to complementary feeding guidelines must account for parental characteristics.

show abstract

Complementary feeding challenges: Insights from Swiss parents’ perspectives

Hässig-Wegmann,

Román,

Sánchez-Siles

et al. 2024

Appetite

View full text Add to dashboard Cite

Timing and types of fluids and foods first introduced in a representative sample of toddlers attending day care programs across Lebanon: Are parents following international recommendations?

Cited by 4 publications

References 42 publications

Anemia among Syrian Refugee Children Aged 6 to 23 Months Living in Greater Beirut, Lebanon, including the Voices of Mothers’ and Local Healthcare Staff: A Mixed-Methods Study

Anemia among Syrian Refugee Children Aged 6 to 23 Months Living in Greater Beirut, Lebanon, including the Voices of Mothers’ and Local Healthcare Staff: A Mixed-Methods Study

Are Complementary Feeding Practices Aligned with Current Recommendations? A Narrative Review

Complementary feeding challenges: Insights from Swiss parents’ perspectives

Contact Info

Product

Resources

About