An Infant and Child Feeding Index Is Associated with the Nutritional Status of 6- to 23-Month-Old Children in Rural Burkina Faso

Sawadogo, Prosper; Martin‐Prével, Yves; Savy, Mathilde; Kameli, Yves; Traissac, Pierre; Traoré, Alfred S.; Delpeuch, Francis

doi:10.1093/jn/136.3.656

Cited by 126 publications

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“…Dietary diversity indicators consistently show positive relationships with child LAZ in many contexts (40)(41)(42) . Similar to findings from other studies (18,43,44) , the number of meals and snacks consumed in the previous day was also positively associated with child LAZ. Women in northern Potosí bear numerous responsibilities both in the home and on the farm that limit the amount of time they can dedicate to child feeding (13) .…”

Section: Associations Of Infant and Child Feeding Index With Child Ansupporting

confidence: 89%

The production diversity of subsistence farms in the Bolivian Andes is associated with the quality of child feeding practices as measured by a validated summary feeding index

Jones

2014

Public Health Nutr.

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Objective: To determine the validity of a summary infant and child feeding index (ICFI) and the association with the index of factors related to agricultural production. Design: A cross-sectional survey in eight health-post jurisdictions identified as priority nutrition regions. All households with children aged 6-23 months in eligible communities were administered an integrated survey on agricultural production and nutrition-related practices. Quantitative 24 h dietary recall, food frequency data and anthropometric measurements were collected for each child. Ninety-one per cent of eligible families participated. Setting: The northern region of the Potosí department in the Bolivian highlands. Subjects: Two hundred and fifty-one households with children aged 6-23 months. Results: In multiple regression models controlling for potential confounding variables, infant and young child feeding (IYCF) practices as measured by an ICFI showed positive associations with child length-for-age Z-score (mean difference of 0?47 in length-for-age Z-score between children in the high ICFI tertile compared with the low tertile), child energy intake (mean difference of 1500 kJ between tertiles) and the micronutrient adequacy of child diets (mean difference of 7?2 % in mean micronutrient density adequacy between tertiles; P , 0?05). Examining determinants of IYCF practices, mother's education, livestock ownership and the crop diversity of farms were positively associated with the ICFI, while amount of agricultural land cultivated was negatively associated with the ICFI. Crop diversity and IYCF practices were more strongly positively correlated among households at high elevations. Conclusions: Nutrition-sensitive investments in agriculture that aim to diversify subsistence agricultural production could plausibly benefit the adequacy of child diets. Keywords Infant and child feedingChild anthropometry Agriculture Crop diversity NutritionIn 2011, at least 165 million children under the age of 5 years suffered from linear growth faltering worldwide, a consequence of chronic undernutrition (1) . Chronic nutritional deficiencies in childhood can lead to an increased risk of morbidity and mortality (2,3) , as well as impaired growth and cognitive development, diminished reproductive and work capacity, poor school performance, lowered income-earning potential and an increased risk of several adult-onset chronic diseases (4,5) . The diets of children in their first years are predominantly determined by the decisions and behaviours of their mothers and other household members who feed and care for them. Caregivers' breast-feeding and complementary feeding practices then are essential to the healthy growth and development of children early in life.Providing education, counselling and complementary foods to caregivers has been shown to improve infant and young children feeding (IYCF) practices in many settings (6) . However, very little evidence is available to evaluate nutrition-sensitive approaches to improving these practices; that i...

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Section: Associations Of Infant and Child Feeding Index With Child Ansupporting

confidence: 89%

The production diversity of subsistence farms in the Bolivian Andes is associated with the quality of child feeding practices as measured by a validated summary feeding index

Jones

2014

Public Health Nutr.

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confidence: 67%

“…Our findings suggested adequate dietary diversity to be the indicator most strongly associated with better nutrition outcomes during this period. Other studies that have used a variety of indicators aimed at capturing food variety or dietary diversity have come to similar conclusions about the importance of the diversity of young children's diets (10,12,35,37,(39)(40)(41) . Building on these previous studies, and using nationally representative data, our analysis also showed a clear association between dietary diversity and , did not achieve MDD; , achieved MDD) among children aged 6-23 months, 2007 Bangladesh Demographic and Health Survey.…”

Section: Discussionmentioning

confidence: 91%

“…Using Demographic and Health Survey (DHS) data from these regions, chronic undernutrition was found to be significantly associated with dietary diversity (37) . Significant and positive associations between dietary diversity and nutritional status among young children have also been found in smaller-scale studies in rural Bangladesh (38) , rural Burkina Faso (12) , Kenya (39) , Mexico (40) and Mali (41) , and in a review in Africa (35) .The relationships between the newly established WHOrecommended IYCF indicators with nutritional outcomes have not been previously examined using national-level data from Bangladesh. The present research applied the newly established indicators to nationally representative data, to study and illustrate the associations between IYCF practices and growth in Bangladeshi children.…”

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confidence: 99%

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Infant and young child feeding practices and child undernutrition in Bangladesh: insights from nationally representative data

Zongrone

Winskell

Menon³

2012

Public Health Nutr.

103

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Objective: To determine the association between indicators of infant and young child feeding (IYCF) and anthropometric measures of nutritional status among children aged 0-23 months in a nationally representative data set. Design: Data from the 2007 Bangladesh Demographic and Health Survey were used. Analyses were conducted using multiple linear regression and logistic regression analyses adjusted for the complex survey design of the survey, controlling for child, maternal and household characteristics, and including regional dummy variables. Setting: Bangladesh. Subjects: Pairs (n 2096) of last born infants and their mothers. Results: Exclusive breast-feeding under 6 months of age was associated with higher weight-for-height Z-score (effect size (ES) 5 0?29; P , 0?05). Appropriate complementary feeding in children aged 6-8 months was associated with higher height-for-age Z-score (HAZ; ES 5 0?63; P , 0?01) and higher weight-for-age Z-score (WAZ; ES 5 0?30; P , 0?05). Higher dietary diversity index (DDI) was associated with higher HAZ (ES 5 0?08; P , 0?01 for every 1 point higher DDI) and higher WAZ (ES 5 0?04; P , 0?05). Children who achieved minimum diet diversity had higher HAZ (ES 5 0?20; P , 0?05). Logistic regression models confirmed that exclusive breast-feeding was protective against wasting and DDI was protective against stunting and underweight. Conclusions: Our results highlight the importance of IYCF practices as determinants of child growth outcomes in this context, and reinforce the need for interventions that address the spectrum of IYCF practices, from exclusive breast-feeding to age-appropriate complementary feeding, especially diet diversity, in efforts to improve nutrition of infants and young children. Keywords Infant and young child feeding Exclusive breast-feeding Dietary diversity Nutrition BangladeshGlobally, childhood undernutrition is one of the most important public health challenges. When considering all causes of under-5s mortality worldwide, it is estimated that 35 % of these deaths are attributable to malnutrition (1) . The critical 'window of opportunity' for child growth is in the first 2 years of life; recent analyses have found that the effect of growth faltering during this period is more severe than previously thought (2) . In this critical period for the growth of children under 2 years of age, it is essential to ensure proper nutrition. According to the UNICEF conceptual framework for child nutrition (3) , both dietary intake and health care are critical determinants of child undernutrition.Aspects of infant and young child feeding (IYCF) that are important in the first 2 years of life include: early initiation of breast-feeding; exclusive breast-feeding for the first 6 months of life; adequate, timely and appropriate complementary feeding from 6 to 24 months of age; continued breast-feeding after the introduction of complementary foods; adequate dietary diversity in complementary foods; and adequate frequency of meals. A large body of research was conducted over alm...

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“…In Ethiopia (Arimond and Ruel, 2002), the results were identical for the rural context only. In Burkina Faso (Sawadogo et al, 2006), there was a relationship between a slightly modified ICFI and HAZ of 6-to 36-month-old children, but in Senegal (Ntab et al, 2005) no association was found with either HAZ or linear growth velocity of 12-to 42-month-old children.…”

Section: Introductionmentioning

confidence: 81%

Association of a summary index of child feeding with diet quality and growth of 6–23 months children in urban Madagascar

Moursi

Trèche²,

Martin‐Prével

et al. 2008

Eur J Clin Nutr

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Background/Objectives: The assessment of child feeding practices has received renewed attention through the development of an infant and child feeding index (ICFI). However, the advantages and shortcomings of such a summary index are still not well known. The aim of this study was to assess the usefulness of ICFI as an analytical tool (1) by studying its association with complementary food energy intake and mean micronutrient density adequacy (MMDA) and (2) by testing whether ICFI and its components are associated with length-for-age z-score (LAZ) of 6-23 months children in urban Madagascar. Subjects/Methods: ICFI was constructed using data from questionnaires on feeding practices and quantitative 24-h recalls (n ¼ 1589). Multivariate analysis was used to control for household wealth and other confounding factors. Results: ICFI was positively correlated with complementary food energy intake (Po0.0001) and MMDA (Po0.0001). ICFI was associated with LAZ among 6-8 months children (P ¼ 0.02). For all ages combined, there was a tendency towards an association that did not reach statistical significance (P ¼ 0.08). Among feeding practices that formed ICFI, breastfeeding was associated with LAZ (P ¼ 0.03) but not in the expected direction with þ 0.16 z-score difference in favour of non-breast-fed children. When breastfeeding was removed and introduced separately into the multivariate model, the relationship between the modified ICFI and LAZ became significant (P ¼ 0.02). Conclusions: Findings suggest that the ICFI could be a useful analytical tool, which needs however to be constructed according to its final use and which should be adapted to each context.

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An Infant and Child Feeding Index Is Associated with the Nutritional Status of 6- to 23-Month-Old Children in Rural Burkina Faso

Cited by 126 publications

References 13 publications

The production diversity of subsistence farms in the Bolivian Andes is associated with the quality of child feeding practices as measured by a validated summary feeding index

The production diversity of subsistence farms in the Bolivian Andes is associated with the quality of child feeding practices as measured by a validated summary feeding index

Infant and young child feeding practices and child undernutrition in Bangladesh: insights from nationally representative data

Association of a summary index of child feeding with diet quality and growth of 6–23 months children in urban Madagascar

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