Influence of infant-feeding practices on nutritional status of under-five children

Kumar, Deepak; Goel, Naveen Krishan; Mittal, Poonam; Misra, Purnima

doi:10.1007/bf02758565

Cited by 224 publications

(243 citation statements)

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“…The factors they assessed which had high proportion of malnutrition were low birth weight, under nourishment in mother, maternal illiteracy, low family income and food insecurity. But the prevalence of stunting, wasting and under nutrition in study in Allahabad, India in 2006 was 51.6%, 10.6% and 36.4% which was similar to our study 4 . Similarly in same study by Bantamen G et.…”

Section: Discussionsupporting

confidence: 88%

Assessment of Nutritional Status of Children Attending Paediatrics OPD of a Tertiary Care Hospital in Eastern Nepal

Thakur

Bhatta

Poudel

et al. 2018

J. Nepal Paedtr. Soc.

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Section: Discussionsupporting

confidence: 88%

Assessment of Nutritional Status of Children Attending Paediatrics OPD of a Tertiary Care Hospital in Eastern Nepal

Thakur

Bhatta

Poudel

et al. 2018

J. Nepal Paedtr. Soc.

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“…While the causes of malnutrition are complex, inappropriate feeding practices during the complementary feeding period have been identified as major factors contributing to inadequate nutrient intakes among infants and young children (5)(6)(7)(8)(9) . While consuming a variety of foods is important for meeting essential nutrient requirements needed to promote growth, traditional diets fed to children in developing countries are based predominantly on starchy staples and include few or no nutrient-rich food sources such as animal protein, fruits and vegetables (10)(11)(12) .…”

Section: Nutrition Education Complementary Feeding Dietary Diversity mentioning

confidence: 99%

Community-based educational intervention improved the diversity of complementary diets in western Kenya: results from a randomized controlled trial

Waswa

Jordan

Herrmann

et al. 2015

Public Health Nutr.

126

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Objective: Lack of diversity is a major factor contributing to inadequate nutrient intakes among children during the complementary feeding period in many rural areas in developing countries. This has been attributed to inadequate feeding practices and nutrition knowledge among their caregivers. The aim of the present study was to assess the effect of an educational intervention on children's dietary diversity and nutrition knowledge of caregivers. Design: Cluster randomization was applied and twenty matched village pairs were randomly assigned to the intervention or control group. The nutrition education intervention consisted of four sessions comprising of group trainings and cooking demonstrations that were conducted over a period of 5 months. Setting: Households in rural communities in Bondo and Teso South sub-counties, western Kenya. Subjects: Caregivers with children aged 6-17 months receiving nutrition education. Results: The children's dietary diversity scores (CDDS) and nutrition knowledge scores of the caregivers improved significantly in the intervention group at endline. The treatment effect on CDDS was positive and significant (P = 0·001). The CDDS rate of the children in the intervention group was 27 % larger than it would have been without the treatment effect. The intervention also had a significant effect on the caregivers' nutrition knowledge scores (incidence rate ratio = 2·05; P < 0·001). However, the nutrition knowledge of the caregivers did not have a significant effect on CDDS (P = 0·731). Conclusions: The nutrition education intervention led to improvements in children's dietary diversity and nutrition knowledge of the caregivers. Keywords Nutrition education Complementary feeding Dietary diversity Caregivers InterventionMalnutrition among children under 5 years of age is still a widespread problem in many developing countries. Worldwide, approximately 162 million children under 5 years are stunted, while 99 million and 51 million are underweight and wasted, respectively (1) . An analysis of data from the Kenya Demographic and Health Surveys (KDHS) over the last three decades shows that there has been a slow decline in the prevalence of malnutrition among young children in Kenya (2,3) . Data from the 2008-2009 KDHS showed that in Kenya, 35 % of children aged <5 years were stunted, 16 % were underweight and 7 % were wasted. The prevalence of stunting was highest (46 %) among children aged 18-24 months and 42 % among those aged 6-12 months. Stunting rates were highest among children living in rural areas (37 %) compared with those living in urban areas (26 %) (4) .While the causes of malnutrition are complex, inappropriate feeding practices during the complementary feeding period have been identified as major factors contributing to inadequate nutrient intakes among infants and young children (5)(6)(7)(8)(9) . While consuming a variety of foods is important for meeting essential nutrient requirements needed to promote growth, traditional diets fed to children in developing countries ...

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“…18 Soon after birth the baby is awake, alert and biologically ready to breast feed and initiation is very easy. Later on, the baby goes to a prolonged sleep and therefore initiation maybe difficult leading to feeding problems and malnutrition.…”

Section: Time Of Initiation Of Breastfeed Vs Sammentioning

confidence: 99%

“…Similar observations were made by Kumar et al in their study showing deprivation from colostrum was associated with malnutrition (p value <0.05). 18 …”

Section: Colostrum Feeding and Sammentioning

confidence: 99%

Study of risk factors of severe acute malnutrition (SAM) in children 6 months to 5 years of age and evaluation of effect of micronutrient supplementation (WHO protocol) on serum zinc and magnesium levels: a case control study

Madhusudhan

P.K

Shireesha

et al. 2017

Int J Contemp Pediatr

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Background: Although risk factors for malnutrition have been identified earlier, individual factors potentially change in specific areas over time and a current characterization of risk factors provide the basis for preventative intervention strategies. No guidelines in relation to duration of micronutrient supplementation for treatment of SAM are available. Thus, the study was done to know the adequacy of dose of micronutrients that are presently being supplemented (WHO Protocols) for treating SAM. Methods: It is a case-control study involving 100 cases with severe acute malnutrition and 100 controls having normal nutrition status 6 months to 5 years of age. Detailed clinical data (using a predesigned questionnaire) and anthropometric measurements were recorded for analysis. Blood assay of Zinc, Magnesium and serum Proteins were done on the day of admission (day 1) and again after 2 weeks of treatment with nutritional supplementation (WHO protocols). Results: Out of 100 SAM Cases, 42% were from rural area whereas 76% of controls belonged to urban region (p value 0.03). Twenty-four (24%) mothers of SAM cases were Illiterate, whereas only 6 % of mothers in controls were illiterate. 57 % SAM cases were given breast feeding after 4 hours of life, where as 61% controls were given their first feed within 1 hour of birth with p value <0.01. Eighty-eight controls (88%) were given colostrum, whereas only 62 % SAM cases were given colostrum feeds with p value <0.01. Seventy controls (70%) were given exclusive breast feeding for 6 months whereas only 40% of cases (SAM) was given exclusive breast feeding till 6months of age (p value of <0.01). 57% of top fed cases were given over diluted feeds, only 27% of top fed controls were given over diluted feeds (p value 0.02). 53% of cases were bottle fed and 14% of controls were bottle fed with p value <0.01. Mean value of magnesium and zinc before supplementation was 2.4 mg/dl and 117 mcg/dl respectively with no significant rise after supplementation. Conclusions:Here is a correlation of severe acute malnutrition with rural area, maternal Illiteracy and low socioeconomic status, deprivation of colostrums feeding, lack of exclusive breast feeding for 6 months, over dilution of top feeds and use of bottle feeding. There is no correlation between SAM and immunization status and demographic parameters like age, sex and religion. SAM is inversely related to duration of exclusive breast feeding. 23% of severely malnourished children had delay of developmental milestones. No significant rise of serum levels was seen with WHO recommended doses of micronutrient supplementation

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Influence of infant-feeding practices on nutritional status of under-five children

Abstract: Delayed initiation of breast-feeding, deprivation from colostrum and improper weaning are significant risk factors for undernutrition among under-fives. There is need for promotion and protection of optimal infant feeding practices for improving nutritional status of children.

Cited by 224 publications

References 5 publications

Assessment of Nutritional Status of Children Attending Paediatrics OPD of a Tertiary Care Hospital in Eastern Nepal

Assessment of Nutritional Status of Children Attending Paediatrics OPD of a Tertiary Care Hospital in Eastern Nepal

Community-based educational intervention improved the diversity of complementary diets in western Kenya: results from a randomized controlled trial

Study of risk factors of severe acute malnutrition (SAM) in children 6 months to 5 years of age and evaluation of effect of micronutrient supplementation (WHO protocol) on serum zinc and magnesium levels: a case control study

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