Guidelines for Complementary Feeding of Infants in the Asia Pacific Region: APACPH Public Health Nutrition Group

Binns, Colin; Lee, Mi Kyung; Low, Wah Yun; Baker, Philip; Bulgiba, Awang; Dahlui, Maznah; Duong, Doan Thi Thuy; Guldan, Georgia S.; Hairi, Noran Naqiah; Hokama, Tomiko; Kagawa, Masaharu; Karunathilake, Indika; Majid, Hazreen Abdul; Maycock, Bruce; Nanishi, Keiko; Qiu, Liming; Raheem, Raheema Abdul; Scott, Jane; Tang, Li

doi:10.1177/1010539520931328

Cited by 25 publications

(26 citation statements)

References 55 publications

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“…Appropriate CF is characterized by fulfilment of its general principles, including starting the CF at 6 months with continuing breastfeeding; meet the minimum dietary frequency, amount, and variation; gradually increasing texture; practicing responsive feeding, good hygiene, and proper food handling. 3 Furthermore, based on this study result, we find that mother CF knowledge (P = .002), child's age (P = .019), and household food security(P = .006) were the factors associated with appropriate CF practices in the context of COVID-19 outbreaks.…”

Section: Factors Related To Cf Practicesmentioning

confidence: 65%

Complementary Feeding Practices During COVID-19 Outbreak in Daerah Istimewa Yogyakarta, Indonesia, and Its Related Factor

Widyaningrum

Safitri

Ramadhani

et al. 2020

Asia Pac J Public Health

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Indonesia still faces a challenge in achieving an appropriate complementary feeding (CF) practice for the child aged 6 to 24 months. However, this condition became more critical due to the COVID-19 (coronavirus disease-2019) outbreak. The social limitation policy, market disruption, and changes in income may change the state of family food security and altering child CF practices. Besides, infant age, mother education and occupation, information availability, and CF knowledge may also affect the practice. Therefore, we aimed to explore the CF practice and its related factors during the COVID-19 outbreak through an online cross-sectional study of the mothers of children aged 6 to 24 months in Daerah Istimewa Yogyakarta. The results showed that a child’s age ( P = .019), household food security ( P = .006), and mother’s CF knowledge ( P = .002) had an association with CF practices. We concluded that a child’s age, household food security, and mother’s CF knowledge are the determinant factors for appropriate CF practices during the outbreak.

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Section: Factors Related To Cf Practicesmentioning

confidence: 65%

Complementary Feeding Practices During COVID-19 Outbreak in Daerah Istimewa Yogyakarta, Indonesia, and Its Related Factor

Widyaningrum

Safitri

Ramadhani

et al. 2020

Asia Pac J Public Health

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“…A previous review from Indonesia indicated that nearly all children under 5 y of age consumed snacks daily ( 96 ). However, the consumption of energy-dense/nutrient‐poor snacks or SSBs during the CF period was not reported by other reviews ( 34 , 51 , 97 ). The consumption of SSBs and fast food has been associated with an increased risk of overweight/obesity among older children in Asia ( 49 , 82 ).…”

Section: Discussionmentioning

confidence: 88%

Complementary Feeding Practices among Young Children in China, India, and Indonesia: A Narrative Review

Sirkka¹,

Abrahamse‐Berkeveld²,

Beek³

2022

Current Developments in Nutrition

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Under- and overnutrition are co-existing health issues in several countries across Asia. Poor complementary feeding (CF) is a significant determinant of malnutrition in children and a major cause of morbidity and mortality. The purpose of this narrative review is to summarize the most recent evidence regarding the CF practices in three countries with a high prevalence of stunting and overweight, and currently undergoing rapid economical and nutritional transition: China, India and Indonesia. We focused particularly on the adequacy of CF, based on the WHO feeding indicators (2021) regarding timing, frequency, diversity as well as the consumption of specific food groups. According to the findings, the majority of infants in the 3 countries are introduced to CF at an impropriate time; either too early (particularly in urban/rural areas of China and Indonesia) or too late (India), compared to the WHO recommendation. Furthermore, in all countries, diets are characterized by a low variety and frequency of CF and consist mainly of staple foods with poor nutritional quality, such as rice, cereals or noodles. Nutrient-dense and protein-rich foods, such as foods of animal origin are either inadequately consumed (rural areas of China and India) or introduced too late (urban areas of China and Indonesia) in the diets of children. In all countries the consumption of fruit and vegetables, especially during the early CF period is poor. In contrast, a significant proportion of both urban and rural children, particularly in Indonesia and India are consuming energy-dense/nutrient-poor snacks and sugary drinks during the CF period. The described practices may pose a significant risk for the development of energy- and/or nutrient gaps, magnifying the double- and triple burden of malnutrition present in these countries. Further research is warranted to understand the significance of the observed practices for stunting and/or overweight/obesity risk.

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“…The special needs of some population groups, including infants, children, pregnant women, and the elderly, should be considered in planning responses to climate changes and healthy eating. In many countries, complementary diets given to infants after the age of six months are high volume and often low nutrient density, limiting nutrient intake (e.g., iron) (18). While nutrient density is important in infants and young children, a diet high in fiber becomes more important in adults for the prevention of chronic disease.…”

Section: Special Population Groupsmentioning

confidence: 99%

“…Reduction of both undernutrition and overconsumption (obesity) simultaneously implies a compression of the food consumption curve by balancing increased physical activity with energy intake. This approach requires improvements in food and nutrition equity within and between countries (18,109,145). Swinburn et al (132) describe an international pandemic of obesity, undernutrition, and climate change causing major health problems for humanity as a "syndemic."…”

Section: Implementing Change: What Will Be Needed?mentioning

confidence: 99%

Climate Change, Food Supply, and Dietary Guidelines

Binns

Lee

Maycock

et al. 2021

Annu. Rev. Public Health

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Food production is affected by climate change, and, in turn, food production is responsible for 20–30% of greenhouse gases. The food system must increase output as the population increases and must meet nutrition and health needs while simultaneously assisting in achieving the Sustainable Development Goals. Good nutrition is important for combatting infection, reducing child mortality, and controlling obesity and chronic disease throughout the life course. Dietary guidelines provide advice for a healthy diet, and the main principles are now well established and compatible with sustainable development. Climate change will have a significant effect on food supply; however, with political commitment and substantial investment, projected improvements will be sufficient to provide food for the healthy diets needed to achieve the Sustainable Development Goals. Some changes will need to be made to food production, nutrient content will need monitoring, and more equitable distribution is required to meet the dietary guidelines. Increased breastfeeding rates will improve infant and adult health while helping to greenhouse gases. Expected final online publication date for the Annual Review of Public Health, Volume 42 is April 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

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Guidelines for Complementary Feeding of Infants in the Asia Pacific Region: APACPH Public Health Nutrition Group

Cited by 25 publications

References 55 publications

Complementary Feeding Practices During COVID-19 Outbreak in Daerah Istimewa Yogyakarta, Indonesia, and Its Related Factor

Complementary Feeding Practices During COVID-19 Outbreak in Daerah Istimewa Yogyakarta, Indonesia, and Its Related Factor

Complementary Feeding Practices among Young Children in China, India, and Indonesia: A Narrative Review

Climate Change, Food Supply, and Dietary Guidelines

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