G182(P) Systematic review of infant and young children complementary feeding practices in south asian families: The developed countries perspective

Background: Nutritional factors like breast feeding practices, weaning practices and diet during illness influence the growth and development of children. Recurrent infections are other important factors that lead to malnutrition.Methods: This was a non-randomized prospective study using pretested, predesigned questionnaires. Study was done in a single centre to determine the pattern of feeding practices and malnutrition among infant and young children. This study was carried out in the Department of Paediatrics at Sri Manakula Vinayagar Medical College and hospital, Puducherry.Results: Out of the 200 babies studied, 22% of the babies were exclusively breast fed and 5% of the babies were bottle fed. The remaining 73% of the babies were on both breasts feeding and bottle feeding. A 52% of children in the age group 6-12 months, 50% children under12-24 months and 52% of children >24 months were found to be malnourished according to WHO growth standards.Conclusions: Quantity and quality of complementary feeds given is inadequate due to lake of awareness, fear and food stigmata. Hence feeding practices are far from satisfactory. Complementary feeding and weaning practice guidelines are better practiced as the age advances but their practice at a younger age would lead to a better outcome.

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Complementary Feeding Practices among Infant and Young Children in Southern Ethiopia: Review of the Findings from a Canada-Ethiopia Project

Journal of Agricultural Science ◽

10.5539/jas.v7n10p29 ◽

2015 ◽

Vol 7 (10) ◽

Cited By ~ 2

Author(s):

Carol Jean Henry ◽

Susan J. Whiting ◽

Nigatu Regassa

Keyword(s):

Young Children ◽

Complementary Feeding ◽

Feeding Practices ◽

Southern Ethiopia ◽

Infant And Young Children

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Complementary Feeding Practices for South Asian Young Children Living in High-Income Countries: A Systematic Review

Nutrients ◽

10.3390/nu10111676 ◽

2018 ◽

Vol 10 (11) ◽

pp. 1676 ◽

Cited By ~ 3

Author(s):

Logan Manikam ◽

Raghu Lingam ◽

Isabel Lever ◽

Emma Alexander ◽

Chidi Amadi ◽

...

Keyword(s):

Systematic Review ◽

Global Health ◽

South Asian ◽

Complementary Feeding ◽

Dietary Diversity ◽

Feeding Practices ◽

High Income ◽

World Health ◽

Weight Of Evidence ◽

Cochrane Library

Sub-optimal nutrition among South Asian (SA) children living in high-income countries is a significant problem. High rates of obesity have been observed in this population, and differential complementary feeding practices (CFP) have been highlighted as a key influence. Our aim was to undertake a systematic review of studies assessing CFP in children under two years of age from SA communities living in high-income countries, including dietary diversity, timing, frequency and promotors/barriers. Searches covered January 1990–July 2018 using MEDLINE, EMBASE, Global Health, Web of Science, BanglaJOL, OVID Maternity and Infant Care, CINAHL, Cochrane Library, POPLINE and World Health Organisation (WHO) Global Health Library. Eligible studies were primary research on CFP in SA children aged 0–2 years. Search terms were “children”, “feeding” and “South Asian”, and derivatives. Quality appraisal used the Evidence for Policy and Practice Information (EPPI) Weight of Evidence scoring. From 50,713 studies, 13 were extracted with ten from the UK, and one each from the USA, Canada and Singapore. Sub-optimal CFP were found in all studies. All ten studies investigating timing reported complementary feeding (CF) being commenced before six months. Promoters/barriers influencing CFP included income, lack of knowledge, and incorrect advice. This is the first systematic review to evaluate CFP in SA children living in high-income countries and these findings should inform the development of effective interventions for SA infants in these settings.

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Inadequate management of complementary foods contributes to the risk of aflatoxin exposure and low nutrition status among children

World Mycotoxin Journal ◽

10.3920/wmj2018.2354 ◽

2019 ◽

Vol 12 (1) ◽

pp. 67-76 ◽

Cited By ~ 1

Author(s):

N. Makori ◽

A. Matemu ◽

M. Kimanya ◽

N. Kassim

Keyword(s):

Young Children ◽

Nutritional Status ◽

Multivariate Logistic Regression Analysis ◽

Dietary Exposure ◽

Feeding Practices ◽

Complementary Food ◽

Nutrition Status ◽

Complementary Foods ◽

Cross Sectional ◽

Infant And Young Children

Early exposure to aflatoxins through complementary food is linked to impaired growth in childhood. The current study assessed the household’s practices on management of complementary foods in relation to the risk of aflatoxin exposure and poor nutritional status among infant and young children in Tanzania. A cross-sectional study of complementary feeding practices, aflatoxin exposure and nutritional status was conducted to 101 infants and young children aged between 6-23 months in Dodoma region of Tanzania. The intake of complementary food was estimated by using repeated 24 h dietary recall. Flour used as complementary food was sampled from each of the 101 families and aflatoxins were analysed using high-performance liquid chromatography. A deterministic approach was used to estimate dietary exposure of aflatoxins in the complementary foods. Anthropometric measurements were taken and rates of stunting, underweight and wasting estimated according to the WHO standard procedures. Multivariate logistic regression analysis was used to assess the association between feeding practices and aflatoxin exposure or the growth performance among subjects. The average consumption of complementary flour was 118 g per child per day and 52% of the flours contained groundnuts. AFB1was detected in 42.5% of the flour and levels ranged from 0.3 to 2,128.0 μg/kg (mean 228.11±49.84 μg/kg). Dietary exposures of aflatoxin B1ranged from 0.1 to 23,172.81 ng/kg body weight per day (mean 1,337±392.5 ng/kg). Of the subjects, 40.4% (95% CI; 29.8; 50.9) were stunted and significant association was found between stunted growth and dietary exposure of AFB1(adjusted odd ratio (AOR)=5.9; 95% CI: 0.019-0.028). Early introduction of cereal-and groundnut-based complementary foods in Tanzania is associated with high risk of aflatoxin exposure and impaired growth in children. There is need to integrate aflatoxin management measures in the guidelines for Infant and Young Children Feeding of Tanzania.

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