145 The association of acculturation and complementary infant and young children feeding practices amongst new chinese immigrant mother in england: a mixed methods study

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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Prelacteal feeding practices in Pakistan: a mixed-methods study

International Breastfeeding Journal ◽

10.1186/s13006-020-00295-8 ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Muhammad Asim ◽

Zarak Husain Ahmed ◽

Mark D. Hayward ◽

Elizabeth M. Widen

Keyword(s):

Mixed Methods ◽

Feeding Practices ◽

Mixed Methods Study ◽

Prelacteal Feeding

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

10.1136/archdischild-2017-313087.181 ◽

2017 ◽

Author(s):

L Manikam ◽

C Amadi ◽

A Robinson ◽

L Stephenson ◽

T Shafi ◽

...

Keyword(s):

Systematic Review ◽

Young Children ◽

South Asian ◽

Complementary Feeding ◽

Feeding Practices ◽

Developed Countries ◽

Infant And Young Children ◽

The Developed Countries

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Association of infant and young child feeding practices and acute lower respiratory infections

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20214161 ◽

2021 ◽

Vol 8 (11) ◽

pp. 1866

Author(s):

Bibin Varghese ◽

Mehul M. Gosai ◽

Asha V. Patel ◽

Akash Patel

Keyword(s):

Young Child ◽

Young Children ◽

Respiratory Infections ◽

Feeding Practices ◽

Routine Immunization ◽

Acute Lower Respiratory Infection ◽

Child Feeding ◽

Young Child Feeding ◽

Infant And Young Child ◽

Infant And Young Children

Background: Suboptimal maternal–child nutrition leading to malnutrition is the major cause increasing morbidity and mortality from severe acute lower respiratory infection (ALRI) among under two children. This research compares the infant and young child feeding (IYCF) practices in children with ALRI and children coming for routine immunization to find out the independent risk factors.Methods: The study was a hospital-based case control study. Infant and young children from 6 months to two years with ALRI admitted to the pediatric ward were studied as cases. Infant and young children of same age coming for routine immunization to the pediatric immunization clinic were studied as controls. Feeding patterns, socio-demographic, environmental and parenting factors were obtained from them in between May 2019 to April 2020.Results: Mixed feeding till 6 months (adjusted OR=34.191; 95% CI, 2.158–541.801; p=0.012), early initiation of complimentary feeding (AOR=30.389; 95% CI, 1.426–647.603; p=0.029), late initiation of complimentary feeding (AOR=28.696; 95% CI, 1.217–676.566; p=0.037) and inadequate amount of complimentary feeding (AOR=14.406; 95% CI, 1.898–109.371; p=0.010) were significant in multivariate analysis.Conclusions: Interventions to increase awareness of breastfeeding and complimentary feeding practices seldom reach lower sections of the society. Feeding visits, mother support groups and community projects to provide home based counselling on IYCF are needed to improve the situation.

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