scholarly journals Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic Review

Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 722 ◽  
Author(s):  
Zohra S. Lassi ◽  
Fahad Rind ◽  
Omar Irfan ◽  
Rabia Hadi ◽  
Jai K. Das ◽  
...  
Keyword(s):  
Young Child ◽  
Data Extraction ◽  
Child Feeding ◽  
Middle Income ◽  
Young Child Feeding ◽  
Middle Income Countries ◽  
Breastfeeding Practices ◽  
Breastfeeding Education ◽  
Infant And Young Child ◽  
Low And Middle Income

Undernutrition is associated with 45% of total infant deaths, totalling 2.7 million globally per year. The vast majority of the burden is felt in low- and middle-income countries (LMICs). This review aims to assess the effectiveness of infant and young child feeding (IYCF) interventions. We searched multiple databases including Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE. Title/abstract screening and full-text screening and data extraction filtered 77 studies for inclusion. Breastfeeding education interventions (n = 38) showed 20% increase in rates of early initiation of breastfeeding, 102% increase in exclusive breastfeeding (EBF) at 3 months and 53% increase in EBF at 6 months and 24% decreases in diarrheal diseases. Complementary feeding education intervention (n=12) showed a 0.41 standard deviation (SD) increase in WAZ, and 0.25 SD in HAZ in food secure setting. Complementary food provision with or without education (n=17) showed a 0.14 SD increase in HAZ and 36% decrease in stunting. Supplementary food interventions (n=12) showed a significant 0.15 SD increase in WHZ. Subgroup analyses showed healthcare professional led interventions were largely more effective, especially on breastfeeding outcomes. We believe this is a comprehensive review of the existing literature on IYCF studies in LMICs. Though breastfeeding education is well supported in its effectiveness on breastfeeding practices, limited evidence exists for growth outcomes. Supplementation interventions seem to have better effects at improving growth. However, more research is required to reach more substantial conclusions.

scholarly journals Concurrent of stunting and overweight/obesity among children: evidence from Ethiopia

2020 ◽  
Author(s):  
Alinoor Mohamed Farah ◽  
Tahir Yousuf Nour ◽  
Bilal Shikur Endris ◽  
Seifu Hagos Gebreyesus
Keyword(s):  
Young Child ◽  
Nutrition Transition ◽  
Household Wealth ◽  
Birth Size ◽  
Child Feeding ◽  
Middle Income ◽  
Young Child Feeding ◽  
Middle Income Countries ◽  
Feeding Programs ◽  
Infant And Young Child

AbstractBackgroundNutrition transition in many low- and middle-income countries (LMICs) has led to childhood nutritional outcomes to shift from a predominance of undernutrition to a dual burden of under- and overnutrition. Yet, Infant and young child feeding programs in Ethiopia mainly focus on undernutrition. It is therefore crucial to assess the prevalence and determinants to better inform infant young child feeding programs.MethodsWe analyzed anthropometric, sociodemographic and dietary data of children aged 6-23 months from 2016 Ethiopian Demographic and Health Survey (EDHS). A total of 2,674 children were included in the current study. Concurrent of Stunting and Overweight/Obesity (CSO) prevalence was estimated by distal, intermediate and proximal factors. To identify factors associated with CSO, we conducted hierarchical logistic regression analyses.ResultsThe overall prevalence of CSO was 2.45%. The odds of CSO was significantly higher in children of low household wealth category, compared to their counter parts in the richest category (AOR=2.07, 95%CI=1.06–4.03, P=0.033). In boys, the likelihood of CSO was 1.60 times that of girls (95%CI =1.03–2.49, P=0.038). Above 12months of age was significantly associated with a higher odd of CSO, compared to below 12months of age (AOR=1.76, 95% CI=1.07– 2.88, P=0.026).Small birth size was significantly associated with a higher odd of CSO, compared to large birth size (AOR=2.53, 95%CI=1.45–4.41, P=0.001). Children who did not take vitamin A supplement within the previous six months had a higher odd of CSO, compared to those who took (AOR=1.91, 95%CI =1.19–3.07, P =0.007).ConclusionOur study provided evidence on the co-existence of stunting and overweight/obesity among infants and young children in Ethiopia. CSO was associated with various factors originating from community and child levels. Therefore, identifying children at risk of growth flattering and excess weight gain provides IYCF programs in Ethiopia and beyond with an opportunity of earlier interventions.

Breastfeeding Protection, Promotion, and Support in Humanitarian Emergencies: A Systematic Review of Literature

2020 ◽  
Vol 36 (4) ◽  
pp. 687-698
Author(s):  
Immacolata Dall’Oglio ◽  
Francesca Marchetti ◽  
Rachele Mascolo ◽  
Patrizia Amadio ◽  
Orsola Gawronski ◽  
...  
Keyword(s):  
Young Child ◽  
Young Children ◽  
Feeding Practices ◽  
Cochrane Library ◽  
Child Feeding ◽  
Humanitarian Emergencies ◽  
Young Child Feeding ◽  
Breastfeeding Practices ◽  
Child Feeding Practices ◽  
Infant And Young Child

Background Infants, young children, and their mothers are vulnerable in humanitarian emergencies. The health benefits of optimal breastfeeding practices in emergency settings have been demonstrated by many researchers. Infant and Young Children Feeding in Emergency guidelines illustrate a series of interventions to protect, promote, and support breastfeeding, but unfortunately, these recommendations are still scarcely applied. Research Aims (1) To review the literature describing the effectiveness of breastfeeding protection, promotion, and support interventions in humanitarian emergency contexts; (2) to describe the influence of interventions on breastfeeding initiation, exclusivity, and duration; and (3) to evaluate relevant mother and infant/child outcomes available in the literature. Methods PubMed, CINAHL, Cochrane Library, Psychology Database, JSTOR, Web of Science, EMBASE, and Ovid were searched for articles that examined breastfeeding protection, promotion, or support interventions and the resulting outcomes without any time limits ( N = 10). Articles that did not include the interventions and related outcomes were excluded ( n = 1,391). Results Improved breastfeeding outcomes were reported in four (40%) papers, and three (30%) highlighted a behavioral change in infant and young child feeding practices following the implementation of the interventions. Increased knowledge about appropriate infant and young child feeding practices among mothers and humanitarian/health staff was reported in eight (80%) papers. However, outcomes were sometimes only generically reported, and some of the included papers had a low strength of evidence. Conclusion In the literature, there is a great dearth of studies evaluating the influence of interventions aimed at improving breastfeeding in emergency settings. More evidence is urgently needed to encourage and implement optimal breastfeeding practices.

scholarly journals Systematic evidence and gap map of research linking food security and nutrition to mental health

2021 ◽  
Author(s):  
Thalia Sparling ◽  
Megan Deeney ◽  
Bryan Cheng ◽  
Xuerui Han ◽  
Chiara Lier ◽  
...  
Keyword(s):  
Mental Health ◽  
Food Security ◽  
Mental Wellbeing ◽  
Child Feeding ◽  
Middle Income ◽  
Young Child Feeding ◽  
Middle Income Countries ◽  
Analytical Studies ◽  
Infant And Young Child ◽  
Food Security And Nutrition

Abstract Connections between food security and nutrition (FSN) and mental health have been analytically investigated, but conclusions are difficult to draw given the breadth of literature. Furthermore, there is little guidance for continued research. We searched three databases for analytical studies linking FSN to mental health. Out of 30,896 records, we characterized and mapped 1945 studies onto an interactive Evidence and Gap Map (EGM). Anthropometry (especially BMI) and diets were most linked to mental health (predominantly depression). There were fewer studies on infant and young child feeding, birth outcomes and nutrient biomarkers related to anxiety, stress and mental wellbeing. Two-thirds of studies hypothesized FSN measures as the ‘exposure’ influencing mental health outcomes. Studies were overwhelmingly observational, followed by systematic reviews. One-third of studies were from low- and middle-income countries. This map visualizes the extent and nature of analytical studies relating FSN to mental health, guides further research, and solidifies strategic planning.

scholarly journals Breastfeeding practices and policies in WHO European Region Member States

2015 ◽  
Vol 19 (4) ◽  
pp. 753-764 ◽  
Author(s):  
Ayse Tulay Bagci Bosi ◽  
Kamilla Gehrt Eriksen ◽  
Tanja Sobko ◽  
Trudy MA Wijnhoven ◽  
João Breda
Keyword(s):  
Young Child ◽  
Exclusive Breastfeeding ◽  
European Region ◽  
National Data ◽  
Child Feeding ◽  
Member States ◽  
Young Child Feeding ◽  
Breastfeeding Practices ◽  
Infant And Young Child ◽  
Existing Data

AbstractObjectiveTo provide an update on current practices and policy development status concerning breastfeeding in the WHO European Region.DesignNational surveys and studies conducted by national health institutions were prioritized. Sub-national data were included where no national data or studies existed. Information on national breastfeeding policies was collected mainly from the WHO Seventh Meeting of Baby-Friendly Hospital Initiative Coordinators and European Union projects. Owing to the different data sources and methods, any comparisons between countries must be made with caution.SettingWHO European Member States.ResultsData from fifty-three WHO European Member States were investigated; however, a large proportion had not reported any data. Rates of early initiation of breastfeeding, exclusive breastfeeding and continued breastfeeding to 1 year all varied considerably within the WHO European Region. Exclusive breastfeeding rates declined considerably after 4 months, and were low in infants under 6 months and at 6 months of age. The majority of the countries with existing data reported having a national infant and young child feeding policy and the establishment of a national committee on breastfeeding or infant and young child feeding. The majority of the countries with existing data reported having baby-friendly hospitals, although the proportion of baby-friendly hospitals to the total number of national hospitals with maternity units was low in most countries.ConclusionsBreastfeeding practices within the WHO European Region, especially exclusive breastfeeding rates, are far from complying with the WHO recommendations. There are marked differences between countries in breastfeeding practices, infant and young child feeding policy adoption and proportion of baby-friendly hospitals.

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