Complementary feeding: Attitudes, knowledge and practices of urban families in northern Thailand

Kittisakmontri, Kulnipa; Fewtrell, Mary; Roekworachai, Koonkoaw; Phanpong, Chotiros; Lanigan, Julie

doi:10.1111/1747-0080.12474

Cited by 23 publications

(23 citation statements)

References 29 publications

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“…Introducing nontraditional food and adopting unfamiliar feeding practices may be a cause of argument in some families. The different attitude and knowledge gaps between mothers and other family members were also found in another study (Kittisakmontri et al, 2019). Narrowing these gaps is needed to create a supportive environment.…”

Section: Discussionsupporting

confidence: 72%

“…During early childhood, parents' feeding practices influence children's health and weight status. While feeding practices play a key role promoting children's health, previous research has found that Thai parents have inappropriate child feeding beliefs and practices, such as inadequate food diversity, and the early introduction of complementary foods and seasonings (Joshi et al, 2012; Kittisakmontri, Fewtrell, Roekworachai, Phanpong, & Lanigan, 2019; Roesler, Smithers, Winichagoon, Wangpakapattanawong, & Moore, 2018). The early introduction of rice and water is also the common reason of failure of exclusive breastfeeding (Winichagoon, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Child feeding practices and concerns: Thematic content analysis of Thai virtual communities

Supthanasup

Banwell

Kelly

et al. 2020

Maternal & Child Nutrition

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Parents' child feeding practices are influenced not only by family but also by a broader circle of networks, including online groups. Peer-to-peer platforms such as Facebook groups facilitate a learning environment and may influence the transmission of user-generated content into practice. These digital data not only benefit participants but also offer new opportunities for researchers to study related phenomena. Therefore, this study employs thematic content analysis to investigate peer

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Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Child feeding practices and concerns: Thematic content analysis of Thai virtual communities

Supthanasup

Banwell

Kelly

et al. 2020

Maternal & Child Nutrition

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“…To address this issue, we decided to adopt a sequential approach in 3 consecutive studies, beginning with a descriptive study to gather information on the attitudes, knowledge, and practices related to complementary feeding in Thai families. This study provided a clearer picture of complementary feeding among Thai parents and highlighted interesting findings that were used in the design of the current prospective cohort study [ 39 ]. For example, rice porridge and mashed banana were the most common first foods for Thai infants with or without a small amount of egg yolk.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Dietary Protein in Complementary Foods on Infant Growth and Body Composition in a Population Facing the Double Burden of Malnutrition: Protocol for a Multicenter, Prospective Cohort Study

Kittisakmontri¹,

Lanigan²,

Wells³

et al. 2020

JMIR Res Protoc

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Background Protein is an essential macronutrient with an important role during complementary feeding. Low protein intake contributes to undernutrition while high intake, especially from animal sources, may increase obesity risk. However, the influences of different protein sources (dairy, meat, and plants) on growth, and underlying mechanisms for these effects, are poorly understood. Animal-sourced foods provide both high-quality protein and iron and are recommended to improve iron status. However, it is unclear whether current dietary recommendations are adequate to support healthy growth and optimize iron status. These issues are of particular concern in countries facing the double burden of malnutrition, the coexistence of all forms of malnutrition. More evidence is needed to develop appropriate recommendations for these countries. Objective This study will investigate associations between protein intake during complementary feeding and growth, body composition, and iron status of infants in Thailand, a country facing the double burden of malnutrition. The study will also explore how different protein sources influence growth via the growth hormone—insulin-like growth factor I (IGF-1) axis and plasma amino acids. Methods A multicenter cohort study will be conducted in Chiang Mai, Thailand, in 150 healthy term infants aged 4-6 months with birth weight ≥2500 g. Demographic data, dietary intake, and anthropometry will be collected at 6, 9, and 12 months. Dietary intake will be assessed using 24-hour dietary recalls, 3-day food records, and food frequency questionnaires. Blood samples for iron status, growth hormone, IGF-1, insulin-like growth factor-binding protein III (IGFBP-3), and plasma amino acids and urine samples for body composition analysis using stable isotope dilution will be obtained at 12 months. Results The recruitment of study participants and data collection was undertaken from June 2018 to May 2019. Data and laboratory analyses are ongoing and are expected to be completed by December 2020. A total of 150 participants were enrolled, and 146 completed the study. We hypothesized that protein intake from animal-sourced foods in recommended quantities could support normal weight and length gain and lower the risk of undernutrition associated with similar amounts of plant-based protein. However, higher protein intake, especially from milk protein, may be linked to increased body fat via plasma amino acids and the growth hormone-IGF axis. Conclusions The results of this study will provide data on current complementary feeding practices, focusing on protein and iron intake in Thai infants. This information, combined with data on associations with infant growth and iron status, will help inform complementary feeding recommendations for this population and may be found relevant to other settings experiencing the double burden of malnutrition. International Registered Report Identifier (IRRID) DERR1-10.2196/18112

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“…If a mother has good or positive attitudes towards the provision of complementary feeding, the behavior in selecting the type of complementary feeding to be given to her baby will also be good or positive. In this case, this mother will choose the right type of complementary feeding that is complete in macro and micro-nutrient composition, so that the nutritional needs of the baby can be fulfilled (Kittisakmontri, Fewtrell, Roekworachai, Phanpong, & Lanigan, 2018). There are many factors that influence mothers' attitudes in selecting complementary feedings, including experience, cultural influences, religion and the influence of others (Yeganeh et al, 2018).…”

Section: Factors Associated With Mothers' Behavior In Selecting Complementary Feedingmentioning

confidence: 99%

Factors Associated with Mothers’ Behaviors in Selecting Complementary Feeding in Surabaya, Indonesia

Pradanie

Rachmawati

Cahyani

2020

Nurs. Med. J. Nursing

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Background: Complementary feeding is usually given to babies at 6 to 24 months of age. Appropriate types, amounts, and methods of complementary feeding are crucial for baby growth and development. Various factors influence mothers’ behavior in selecting complementary feeding. Purpose: This study aimed to investigate factors affecting mothers’ behaviors in selecting complementary feeding for their babies. Methods: A descriptive analytical study with a cross-sectional approach was conducted on 153 mothers having babies aged 6-12 months old in Surabaya, Indonesia, recruited using simple random sampling. The independent variables were knowledge, attitude, belief, family income, and family support, while the dependent variable was mothers’ behavior in selecting complementary feeding. Data were collected using questionnaires and analyzed using the Spearman rho’s test with a significance level of <0.05.Results: The results showed that knowledge (p=0.021), attitudes (p=0.030), beliefs (p=0.006), income (p=0.000), and family support (p=0.006) were factors affecting mothers’ behavior in selecting complementary feeding.Conclusion: Knowledge, attitudes, beliefs, income and family support had a significant correlation with mothers’ behaviors in selecting complementary feeding. This finding emphasizes pivotal needs to increase knowledge and attitude of complementary feeding for both mothers as the infant primary caregivers, and families as the closest support system for mothers.

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Complementary feeding: Attitudes, knowledge and practices of urban families in northern Thailand

Abstract: These findings suggest that nutritional education should be extended to all caregivers involved in CF to improve the adherence to feeding recommendations.

Cited by 23 publications

References 29 publications

Child feeding practices and concerns: Thematic content analysis of Thai virtual communities

Child feeding practices and concerns: Thematic content analysis of Thai virtual communities

The Impact of Dietary Protein in Complementary Foods on Infant Growth and Body Composition in a Population Facing the Double Burden of Malnutrition: Protocol for a Multicenter, Prospective Cohort Study

Factors Associated with Mothers’ Behaviors in Selecting Complementary Feeding in Surabaya, Indonesia

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