Age-Appropriate Feeding Practices in Cambodia and the Possible Influence on the Growth of the Children: A Longitudinal Study

Hondru, Gabriela; Laillou, Arnaud; Wieringa, Frank T.; Poirot, Etienne; Berger, Jacques; Christensen, Dirk L.; Roos, Nanna

doi:10.3390/nu12010012

Cited by 20 publications

(21 citation statements)

References 37 publications

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“…A recent community-based intervention which included oral health education and fluoride varnish by non-dental health workers in rural Cambodia led to a lower ECC prevalence in children aged two years [ 43 ]. Regarding nutritional interventions, adaptation of age-appropriating feeding practices from an early age has contributed to improving child growth and development in Cambodia [ 44 ]. This integrated approach could help to reduce the incidence of both ECC and underweight among young rural children.…”

Section: Discussionmentioning

confidence: 99%

Underweight and early childhood caries among young children in rural Cambodia: a pilot study

et al. 2021

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Objectives To investigate the association between underweight and early childhood caries (ECC) among children aged one to three years in rural Cambodia. Materials and methods A total of 200 Cambodian children aged one to three years at several villages in Kampong Cham province participated in this study. The children whose Z scores were below two and three standard deviations were considered as moderately-underweight and severely-underweight. Children whose mid-upper arm circumstance (MUAC) was below 12.5 cm, were regarded as having malnutrition. ECC was recorded following the WHO guidelines. Associated factors were obtained through interviews with caregivers. Results 33.5% and 7.0% of the children were identified as being moderately-underweight and severely-underweight, respectively. The prevalence of ECC was 61.5%. ECC was significantly associated with children being moderately-underweight (P < 0.05). The prevalence of ECC was higher prevalence of those who with severely-underweight, although significant differences were not observed (P = 0.054). Logistic regressions showed that those with low birth weight (OR = 2.57; 95% CI = 1.03–6.40) and malnutrition (OR = 4.71; 95% CI = 1.08–20.62) were likely to be moderately-underweight and severely-underweight, whereas those who with ECC had more moderately-underweight, although it was not significant (OR = 2.21; 95% CI = 0.97–5.00). Those with low birth weight (OR = 10.68; 95% CI = 2.95–38.65) and ECC (OR = 6.67; 95% CI = 1.02–43.61) were likely to be severely-underweight. Conclusion The findings of this study suggest that low birth weight, malnutrition and ECC were associated factors of underweight in this population.

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Section: Discussionmentioning

confidence: 99%

Underweight and early childhood caries among young children in rural Cambodia: a pilot study

et al. 2021

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“…Twenty-four-hour recall information was used for the construction of related indicators, namely, type of breastfeeding, frequency of feedings (breast milk and complementary foods), and quantity of food consumed [23]. Feeding practices were considered for the following age groups: (I) 0–5.99 months, (II) 6–8.99 months, (III) 9–11.99 months, (IV) 12–23.99 months, and (IV) 24 months+ [24]. Appropriateness of feeding practices was measured at each follow-up round through a binary value of appropriate (0) or not appropriate (1) and further used in the analysis as: Appropriate at all times (0), Sometimes appropriate (1), or Not appropriate (2).…”

Section: Methodsmentioning

confidence: 99%

The Interaction between Morbidity and Nutritional Status among Children under Five Years Old in Cambodia: A Longitudinal Study

Hondru¹,

Wieringa

Poirot³

et al. 2019

Nutrients

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Even though limited evidence is available, the relationship between morbidity and under-nutrition among children under-five is likely to be a strong two-way association. This study aims to explore this vicious cycle by employing longitudinal data of four periods within a 24 month follow-up, whereby morbidity was captured between two subsequent anthropometric measures. Malnutrition was classified according to z-scores of anthropometric measures and morbidity by number of sick days experienced inbetween. Mixed-effects models were used to assess this relation, where dependency of morbidity and nutritional status were interchanged; models were adjusted for province, age, gender, wealth index score, maternal education level, diet, and Water, Sanitation, and Hygiene indicators. Stunting and wasting prevalences were 29.9% and 8.9%, respectively, where 21.3% of the children hadmultiple anthropometric failures. Children identified as wasted were 35% more likely to experience prolonged illness periods (OR: 1.35, 95% CI: 1.02–1.56). Those experiencing high proportion of sick days were found to be 64% more likely to become stunted (OR: 1.64, 95% CI: 1.18–2.29). This study suggests that the link between wasting and stunting could be partly explained by acute illness, where wasting increases the likelihood of prolonged epiosed of illness, which increases the risk of stunting.

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“…Mothers who can increase their capacity in childcare based on the child's age can assure that their child's nutritional consumption will be fulfilled. The practice of feeding children based on 4 indicators of child feeding globally was not taken seriously in this study by caregivers (15) . The same study also reported from Guatemala, 2014 that the indicators of the quality of child feeding always differ between regions.…”

Section: Discussionmentioning

confidence: 99%

The Exposure of Gap Competence causes in Stunting Children Ages 0-12 Months in Makassar Indonesia: Cross-Sectional Study

2021

IJFMT

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Introduction, The parenting gap is believed to be one of the variables that influence stunting. The Objectives of this study to identify gaps in care (feeding practices, care, hygiene, and treatment of children) and incidence of stunting. Method this study is a cross-sectional, conducted in March-June 2020 in Makassar City Indonesia. The sample size was 82 people, of children aged 0-12 months. The data collectors are alumni of applied nutrition and dietetics degrees, trained for 2 days in health protocol, interviews, and anthropometry. The instrument in this study was developed from the UNICEF. The result, found that mothers and fathers graduated from high school, 43% and 59.8%, respectively. The work of mothers as housewives is 84.1% and fathers are private employees as much as 36.6%. The parenting competency gap in the feeding practice of children aged 0-6 months, 7-9 months, and 10-12 months is 20.9%, 71.79%, and 92.31%, respectively. The results of statistical analysis showed that there was an effect of parenting competency gaps on stunting (p = 0.000). The conclusion is that the parenting competency gap is proven to affect the incidence of stunting. The suggestion is that it is necessary to increase the capacity of mothers in child care practices/

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Age-Appropriate Feeding Practices in Cambodia and the Possible Influence on the Growth of the Children: A Longitudinal Study

Cited by 20 publications

References 37 publications

Underweight and early childhood caries among young children in rural Cambodia: a pilot study

Underweight and early childhood caries among young children in rural Cambodia: a pilot study

The Interaction between Morbidity and Nutritional Status among Children under Five Years Old in Cambodia: A Longitudinal Study

The Exposure of Gap Competence causes in Stunting Children Ages 0-12 Months in Makassar Indonesia: Cross-Sectional Study

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