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

Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1676 ◽  
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.

scholarly journals Systematic review of infant and young child complementary feeding practices in South Asian families: the Pakistan perspective

2017 ◽  
Vol 21 (4) ◽  
pp. 655-668 ◽  
Author(s):  
Logan Manikam ◽  
Anika Sharmila ◽  
Abina Dharmaratnam ◽  
Emma C Alexander ◽  
Jia Ying Kuah ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young Child ◽  
Global Health ◽  
Influencing Factors ◽  
South Asian ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Cultural Beliefs ◽  
Meal Frequency ◽  
Infant And Young Child

AbstractObjectiveSuboptimal nutrition among children remains a problem among South Asian (SA) families. Appropriate complementary feeding (CF) practices can greatly reduce this risk. Thus, we undertook a systematic review of studies assessing CF (timing, dietary diversity, meal frequency and influencing factors) in children aged <2 years in Pakistan.DesignSearches between January 2000 and June 2016 in MEDLINE, EMBASE, Global Health, Web of Science, OVID Maternity & Infant Care, CINAHL, Cochrane Library, BanglaJOL, POPLINE and WHO Global Health Library. Eligibility criteria: primary research on CF practices in SA children aged 0–2 years and/or their families. Search terms: ‘children’, ‘feeding’ and ‘Asians’ with their derivatives. Two researchers undertook study selection, data extraction and quality appraisal (EPPI-Centre Weight of Evidence).ResultsFrom 45 712 results, seventeen studies were included. Despite adopting the WHO Infant and Young Child Feeding guidelines, suboptimal CF was found in all studies. Nine of fifteen studies assessing timing recorded CF introduced between 6 and 9 months. Five of nine observed dietary diversity across four of seven food groups; and two of four, minimum meal frequency in over 50 % of participants. Influencing factors included lack of CF knowledge, low maternal education, socio-economic status and cultural beliefs.ConclusionsThis is the first systematic review to evaluate CF practices in Pakistan. Campaigns to change health and nutrition behaviour are needed to meet the substantial unmet needs of these children.

scholarly journals Systematic review of infant and young child complementary feeding practices in South Asian families: the India perspective

2017 ◽  
Vol 21 (4) ◽  
pp. 637-654 ◽  
Author(s):  
Logan Manikam ◽  
Ankita Prasad ◽  
Abina Dharmaratnam ◽  
Christy Moen ◽  
Alexandra Robinson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young Child ◽  
Global Health ◽  
Influencing Factors ◽  
South Asian ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Cultural Influences ◽  
Meal Frequency ◽  
Infant And Young Child

AbstractObjectiveSuboptimal nutrition among children remains a problem among South Asian (SA) families. Appropriate complementary feeding (CF) practices can greatly reduce this risk. Thus, we undertook a systematic review of studies assessing CF (timing, dietary diversity, meal frequency and influencing factors) in children aged <2 years in India.DesignSearches between January 2000 and June 2016 in MEDLINE, EMBASE, Global Health, Web of Science, OVID Maternity & Infant Care, CINAHL, Cochrane Library, BanglaJOL, POPLINE and WHO Global Health Library. Eligibility criteria: primary research on CF practices in SA children aged 0–2 years and/or their families. Search terms: ‘children’, ‘feeding’ and ‘Asians’ and derivatives. Two researchers undertook study selection, data extraction and quality appraisal (EPPI-Centre Weight of Evidence).ResultsFrom 45 712 abstracts screened, sixty-four cross-sectional, seven cohort, one qualitative and one case–control studies were included. Despite adopting the WHO Infant and Young Child Feeding guidelines, suboptimal CF practices were found in all studies. In twenty-nine of fifty-nine studies, CF was introduced between 6 and 9 months, with eight studies finding minimum dietary diversity was achieved in 6–33 %, and ten of seventeen studies noting minimum meal frequency in only 25–50 % of the study populations. Influencing factors included cultural influences, poor knowledge on appropriate CF practices and parental educational status.ConclusionsThis is the first systematic review to evaluate CF practices in SA in India. Campaigns to change health and nutrition behaviour and revision of nationwide child health nutrition programmes are needed to meet the substantial unmet needs of these children.

scholarly journals Complementary Feeding Practices and Associated Factors Among Nursing Mothers in Southwestern Nigeria

2020 ◽  
Vol 9 (2) ◽  
pp. 223-231
Author(s):  
Folake Olukemi Samuel ◽  
Ebunoluwa Grace Ibidapo
Keyword(s):  
Global Health ◽  
Associated Factors ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
World Health ◽  
Child Feeding ◽  
Southwestern Nigeria ◽  
Composite Indices ◽  
Nursing Mothers

Background and Objectives: The period of transition from breastfeeding to other foods and liquids, is a very vulnerable period when malnutrition is likely to start in many infants and young children, if appropriate feeding practices are not employed. This study assessed using composite indices, the appropriateness of complementary feeding practices and associated factors among nursing mothers in Ijebu-Ode, Ogun State. Methods: This descriptive cross sectional study was conducted in selected primary health facilities in Ijebu-Ode. Multi stage sampling technique was employed to select 283 mother-child pairs. Data was collected using a pre-tested interviewer administered questionnaire which included the World Health Organization Infant and Young Child Feeding Indicators (WHO IYCF) and the Infant and Child Feeding Index (ICFI). Results: Of the total 283 mother-child pairs studied, 33.6% met minimum meal frequency, 14.5% received minimum dietary diversity (?4 food groups) and 9.2% received minimum acceptable diet when assessed using the WHO IYCF indicators. Overall, appropriate complementary feeding was low (4.2%) and associated (p?0.05) with factors such as antenatal care visits, child welfare clinic attendance and mother’s workplace. On the other hand, the ICFI categorized respondents into low (11.7%), medium (24.7%) and high (63.6%) ICFI scores and were associated (p?0.05) with mother’s education and household size. Conclusion and Global Health Implications: This study revealed a high prevalence of inappropriate complementary feeding practices. The use of composite indices reflected these practices and their associated factors holistically as they revealed different dimensions of complementary feeding. This may be useful for monitoring, evaluation, research and the required advocacy for complementary feeding. Key words: • Appropriate complementary feeding • IYCF indicators • Feeding practices • Infant and child feeding index   Copyright © 2020 Samuel and Ibidapo. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

scholarly journals Infant and young children complementary feeding practices in South Asian families: a systematic review

The Lancet ◽  
2016 ◽  
Vol 388 ◽  
pp. S74 ◽  
Author(s):  
Logan Manikam ◽  
Abina Dharmaratnam ◽  
Alexandra Robinson ◽  
Ankita Prasad ◽  
Jia Ying Kuah ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young Children ◽  
South Asian ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Infant And Young Children

scholarly journals A systematic review of complementary feeding practices in South Asian infants and young children: the Bangladesh perspective

BMC Nutrition ◽  
2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Logan Manikam ◽  
Alexandra Robinson ◽  
Jia Ying Kuah ◽  
Hrisheekesh J. Vaidya ◽  
Emma C. Alexander ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young Children ◽  
South Asian ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Infants And Young Children

scholarly journals Determinants of inadequate complementary feeding practices among children aged 6–23 months in Ghana

2014 ◽  
Vol 18 (4) ◽  
pp. 669-678 ◽  
Author(s):  
Abukari I Issaka ◽  
Kingsley E Agho ◽  
Penelope Burns ◽  
Andrew Page ◽  
Michael J Dibley
Keyword(s):  
Risk Factors ◽  
Health Survey ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Demographic And Health Survey ◽  
Meal Frequency ◽  
Factors Associated ◽  
Minimum Dietary Diversity ◽  
Breast Fed

AbstractObjectiveTo explore complementary feeding practices and identify potential risk factors associated with inadequate complementary feeding practices in Ghana by using the newly developed WHO infant feeding indicators and data from the nationally representative 2008 Ghana Demographic and Health Survey.DesignThe source of data for the analysis was the 2008 Ghana Demographic and Health Survey. Analysis of the factors associated with inadequate complementary feeding, using individual-, household- and community-level determinants, was done by performing multiple logistic regression modelling.SettingGhana.SubjectsChildren (n 822) aged 6–23 months.ResultsThe prevalence of the introduction of solid, semi-solid or soft foods among infants aged 6–8 months was 72·6 % (95 % CI 64·6 %, 79·3 %). The proportion of children aged 6–23 months who met the minimum meal frequency and dietary diversity for breast-fed and non-breast-fed children was 46·0 % (95 % CI 42·3 %, 49·9 %) and 51·4 % (95 % CI 47·4 %, 55·3 %) respectively and the prevalence of minimum acceptable diet for breast-fed children was 29·9 % (95 % CI 26·1 %, 34·1 %). Multivariate analysis revealed that children from the other administrative regions were less likely to meet minimum dietary diversity, meal frequency and acceptable diet than those from the Volta region. Household poverty, children whose mothers perceived their size to be smaller than average and children who were delivered at home were significantly less likely to meet the minimum dietary diversity requirement; and children whose mothers did not have any postnatal check-ups were significantly less likely to meet the requirement for minimum acceptable diet. Complementary feeding was significantly lower in infants from illiterate mothers (adjusted OR=3·55; 95 % CI 1·05, 12·02).ConclusionsThe prevalence of complementary feeding among children in Ghana is still below the WHO-recommended standard of 90 % coverage. Non-attendance of postnatal check-up by mothers, cultural beliefs and habits, household poverty, home delivery of babies and non-Christian mothers were the most important risk factors for inadequate complementary feeding practices. Therefore, nutrition educational interventions to improve complementary feeding practices should target these factors in order to achieve the fourth Millennium Development Goal.

scholarly journals Child Development and Nutritional Status in Ecuador

2019 ◽  
Vol 6 ◽  
pp. 2333794X1882194
Author(s):  
Lourdes Huiracocha-Tutiven ◽  
Adriana Orellana-Paucar ◽  
Victoria Abril-Ulloa ◽  
Mirian Huiracocha-Tutiven ◽  
Gicela Palacios-Santana ◽  
...  
Keyword(s):  
Child Development ◽  
Nutritional Status ◽  
Developmental Delay ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
High Energy ◽  
Child Growth ◽  
World Health ◽  
Nutrient Supplementation ◽  
Nutrient Density

We assessed the development, nutritional status, and complementary feeding of 12- to 23-month-old children from Cuenca, Ecuador in 2013. Ecuador, an upper-middle-income country, developed a child policy in accordance with World Health Organization (WHO) guidelines. We collected cross-sectional survey data. Child development was assessed using the Integrated Management of Childhood Illness Guide–2011. The nutritional status was defined with WHO Child Growth Standards−2006. We investigated nutrient density, WHO Infant and Young Child Feeding Indicators, and nutrient supplementation intake of the complementary feeding. In all, 11.7% of children had “possible developmental delay,” stunting was identified in 29.4% of the children, and 25.3% faced overnutrition (overweight risk/overweight/obesity). The complementary feeding composition can be summarized as having adequate fat, high energy (MJ/day) and protein, and low iron and zinc. Children with “possible developmental delay” received less iron ( P < .05) than children with normal development. Overall, 30.4% of children had minimum dietary diversity. A total of 47.7% of children received nutrient supplementation. This epidemiological profile of infants remains a challenge for Ecuador’s health programs.

scholarly journals An Integrated Micronutrient Powder Intervention Improved IYCF Practices Among Caregivers of Children 6–23 Months in Eastern Uganda (P10-131-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Nicole Ford ◽  
Laird Ruth ◽  
Sarah Ngalombi ◽  
Abdelrahman Lubowa ◽  
SIti Halati ◽  
...  
Keyword(s):  
Vitamin A ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Household Wealth ◽  
Bottle Feeding ◽  
World Health ◽  
Double Difference ◽  
Household Food Security ◽  
Micronutrient Powder ◽  
Eastern Uganda

Abstract Objectives We evaluated the impact of an integrated infant and young child feeding (IYCF) – micronutrient powder intervention on IYCF practices among caregivers of children 12–23 mo in Eastern Uganda. Methods We used pre-/post- data from two population-based, cross-sectional surveys representative of children aged 12–23 mo in Amuria (intervention) and Soroti (non-intervention) districts. Caregivers were interviewed in June/July at baseline 2015 (N = 1260) and 12 mo after implementation in 2016 (N = 1490) about their IYCF practices the day preceding the survey. Logistic regression estimated the double-difference effect of the intervention on core World Health Organization (WHO) IYCF indicators: child ever breastfed, current breastfeeding, bottle feeding, complementary foods introduced at age 6 mo, consumption of vitamin A-rich fruits or vegetables, consumption of animal-flesh foods, minimum meal frequency (MMF) (received food ≥3 times for breastfed children and ≥4 times for non-breastfed children), minimum dietary diversity (MDD) (received foods from ≥4 of 7 WHO food groups), and minimum acceptable diet (MAD) (MDD and MMF among breastfed children, and ≥2 milk feeds, MDD not including milk feeds, and MMF among non-breastfed children). Analyses were weighted and accounted for complex sampling design. Results After controlling for child age and sex, household wealth, household food security, and caregiver education, the intervention was positively associated with MMF (Adjusted Prevalence Difference-in-Difference [APDiD] 18.6%; 95% Confidence Interval [CI] 11.2, 26.0) and MAD (APDiD 5.6%; 95% CI 0.02, 11.2). The intervention was associated with 21.8% higher prevalence of timely introduction of complementary feeding (95% CI 13.4, 30.1) and with increased consumption of both vitamin A-rich fruits/vegetables (APDiD 23.5%; 95% CI 12.5, 34.5) and animal-flesh foods (APDiD 9.1%; 95% CI 1.5, 16.7). The intervention did not affect breastfeeding or bottle feeding practices. Despite program impact, prevalence of some IYCF practices were low in Amuria at endline including MAD (19%) and MMF (21%). Conclusions The integrated IYCF intervention had a positive impact on many core WHO IYCF practices; however, low endline prevalence of some indicators suggests a continued need to improve complementary feeding practices in Eastern Uganda. Funding Sources Funding or in kind technical support provided by the Ministry of Health Uganda, World Food Programme, and the U.S. Centers for Disease Control and Prevention (CDC).

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