Factors contributing to inappropriate timing, quantity and consistency in complementary feeding
DOI:
https://doi.org/10.18203/2349-3291.ijcp20250768Keywords:
Complementary feeding, Breastfeeding, Malnutrition, Nutritional deficiencies, Maternal education, Feeding practicesAbstract
Background: An appropriate diet is critical in growth and development of children especially in the first two year of life. World Health Organization (WHO) recommends exclusive breast-feeding (BF) for the first 6-month, addition of complementary feeds at 6 months with continued BF till at least 2 years. These feeding recommendations if followed appropriately can decrease infant mortality by 19% and prevent malnutrition especially in developing countries as ours.
Methods: A hospital-based cross-sectional study was conducted at Navodaya Medical College, Raichur, over 6 months. A total of 200 children aged 6 months to 2 years attending Paediatrics OPD of our hospital for minor illness and children who came for immunization, were interviewed after a informed consent.
Results: Among 200 children studied, 32 (16%) were not started on CF at all, and only 35 (17.5%) received CF from 6 months. Of 168 who were started on CF, the mean age was 13.37 months, with adequate quantity in 25% and thick consistency in 38%. Only 3.5% of mothers met all criteria for CF. Knowledge of CF was linked to maternal education (P < 0.05). Most common reason for inappropriate practice in 154 mothers who delayed feeds was “tried but did not eat, vomits everything” (52%).
Conclusions: The study reveals a “practice gap” and “knowledge gap” in complementary feeding among mothers, emphasizing the need for education. Addressing these gaps through targeted interventions, during immunization sessions, and enhancing maternal education can significantly improve complementary feeding practices and outcomes in children.
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References
National Family Health Survey (NFHS-5), 2019-2021. International Institute for Population Sciences (IIPS), Mumbai. Available at: http://rchiips.org/nfhs. Accessed on 21 September 2024.
World Health Organization. Indicators for assessing infant and young child feeding practices. Geneva: WHO. 2008.
UNICEF. The state of the world’s children 2019: Children, food, and nutrition. New York: UNICEF. 2019.
Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev. 2012;8:3517. DOI: https://doi.org/10.1002/14651858.CD003517.pub2
Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475-90. DOI: https://doi.org/10.1016/S0140-6736(15)01024-7
Meshram II, Arlappa N, Balakrishna N, Rao KM, Laxmaiah A, Brahmam GNV. Trends in the prevalence of undernutrition, nutrient and food intake, and predictors of undernutrition among under-five children in India. Asia Pac J Clin Nutr. 2012;21(4):568-76.
Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427-51. DOI: https://doi.org/10.1016/S0140-6736(13)60937-X
Pan American Health Organization. Guiding principles for complementary feeding of the breastfed child. Washington, DC: PAHO; 2003.
Dewey KG, Brown KH. Update on technical issues concerning complementary feeding of young children in developing countries and implications for intervention programs. Food Nutr Bull. 2003;24(1):5-28. DOI: https://doi.org/10.1177/156482650302400102
Lutter CK, Rivera JA. Nutritional status of infants and young children and characteristics of their diets. J Nutr. 2003;133(9):2941-9. DOI: https://doi.org/10.1093/jn/133.9.2941S
Dewey KG. Nutrition, growth, and complementary feeding of the breastfed infant. Pediatr Clin North Am. 2001;48(1):87-104. DOI: https://doi.org/10.1016/S0031-3955(05)70287-X
Aggarwal A, Verma S, Faridi MMA, Dayachand. Complementary feeding. Reasons for inappropriateness in timing, quantity, and consistency. Indian J Pediatr. 2008;75(1):49-53. DOI: https://doi.org/10.1007/s12098-008-0006-9
Sharma M, Bhatnagar M, Singh S, Sharma S. Complementary feeding practices and their determinants in rural areas of Rajasthan, India. Indian J Public Health. 2018;62(4):278-83.
Patel A, Badhoniya N, Khadse S, Senarath U, Agho KE, Dibley MJ. Infant and young child feeding indicators and determinants of poor feeding practices in India: Secondary data analysis of National Family Health Survey 2005-06. Food Nutr Bull. 2010;31(2):314-33. DOI: https://doi.org/10.1177/156482651003100221
Kumar D, Goel NK, Mittal PC, Misra P. Influence of infant-feeding practices on nutritional status of under-five children. Indian J Pediatr. 2006;73(5):417-21. DOI: https://doi.org/10.1007/BF02758565
Senarath U, Godakandage SSP, Jayawickrama H, Siriwardena I, Dibley MJ. Comparisons of complementary feeding indicators and associated factors in children aged 6-23 months across five South Asian countries. Matern Child Nutr. 2012;8(1):89-106. DOI: https://doi.org/10.1111/j.1740-8709.2011.00370.x
Khan AM, Kayina P, Agrawal P, Gupta A, Kannan AT. A study on infant and young child feeding practices among mothers in an urban area of Delhi. Indian J Community Med. 2012;37(4):247-51. DOI: https://doi.org/10.4103/0019-557X.106420
Joshi N, Agho KE, Dibley MJ, Senarath U, Tiwari K. Determinants of inappropriate complementary feeding practices in young children in India: Secondary analysis of National Family Health Survey 2005-06. Matern Child Nutr. 2012;8(1):28-44. DOI: https://doi.org/10.1111/j.1740-8709.2011.00385.x
Imdad A, Yakoob MY, Bhutta ZA. Maternal education and complementary feeding practices among children aged 6-24 months in rural India. Matern Child Nutr. 2011;7(4):345-55.
Aboud FE, Akhter S. A cluster-randomized evaluation of a responsive stimulation and feeding intervention in Bangladesh. Pediatrics. 2011;127(5):1191-7. DOI: https://doi.org/10.1542/peds.2010-2160
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