FEEDING PRACTICES AND ITS ASSOCIATION WITH NUTRITIONAL STATUS OF UNDER 5 CHILDREN - A CROSS-SECTIONAL STUDY IN NORTHERN PART OF INDIA
DOI:
https://doi.org/10.17501/24246735.2023.8103Keywords:
dietary diversity, feeding practices, malnutrition, nutritional status, stunting, wastingAbstract
Undernutrition is still a serious health concern for children, particularly in South-East Asia. An estimated 45% of all child deaths, are attributed to undernutrition. Malnutrition during early childhood can have lifelong consequences, including impaired cognitive development, increased susceptibility to infections, and reduced productivity in adulthood. The development and growth of young children under the age of five are significantly influenced by optimal feeding practices. The objectives of the study were to assess the feeding practices and nutritional status of children under 5 years of age, and to find out the association of feeding practices with their nutritional status. This was a community based cross-sectional study with a sample size of 815. The children aged 0-59 months from rural and urban areas of Aligarh were assessed using structured questionnaire, and WHO anthropometric indices and Z-score were calculated using WHO Anthro software. The data was analyzed using SPSS IBM 20.0. It was found that 45.2% were stunted and 13.4% of children were wasted, of which 17.3% and 3.1% were severely stunted and wasted respectively. 46.3% of children were exclusively breastfed, in 28.4% breast-feeding continued till 2 years of age or more while only 5.4% of children were started on complimentary feeding at 6 months of age. The Dietary Diversity Score (DDS) was seen to be appropriate in 51.4% of children only. The above findings indicate that inappropriate feeding practices were associated with stunting (p=<0.001) while poor dietary diversity was associated with wasting (p=0.002). There is a need to improve feeding practices and knowledge regarding dietary diversity for optimal growth and development of children. Hence, effective nutritional intervention is needed to enhance nutritional status.
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References
Aligarh District Population, Uttar Pradesh—Census India 2011. (n.d.). Censusindia2011.Com. Retrieved 15 August 2023, from https://www.censusindia2011.com/uttar-pradesh/aligarh-population.html
Arimond, M., & Ruel, M. T. (2004). Dietary Diversity Is Associated with Child Nutritional Status: Evidence from 11 Demographic and Health Surveys. The Journal of Nutrition, 134(10), 2579–2585. https://doi.org/10.1093/jn/134.10.2579
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., De Onis, M., Ezzati, M., Grantham-McGregor, S., Katz, J., Martorell, R., & Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X
Dabale, G. A., & Sharma, M. K. (2014). Determinants of Wasting Among Under-Five Children in Ethiopia: (A Multilevel Logistic Regression Model Approach). International Journal of Statistics in Medical Research, 3(4), 368–377. https://doi.org/10.6000/1929-6029.2014.03.04.5
Das, S., & Gulshan, J. (2017). Different forms of malnutrition among under five children in Bangladesh: A cross sectional study on prevalence and determinants. BMC Nutrition, 3(1), 1. https://doi.org/10.1186/s40795-016-0122-2
De Onis, M., Borghi, E., Arimond, M., Webb, P., Croft, T., Saha, K., De-Regil, L. M., Thuita, F., Heidkamp, R., Krasevec, J., Hayashi, C., & Flores-Ayala, R. (2019). Prevalence thresholds for wasting, overweight and stunting in children under 5 years. Public Health Nutrition, 22(1), 175–179. https://doi.org/10.1017/S1368980018002434
Dewey, K. G. (2016). Reducing stunting by improving maternal, infant and young child nutrition in regions such as South Asia: Evidence, challenges and opportunities. Maternal & Child Nutrition, 12(S1), 27–38. https://doi.org/10.1111/mcn.12282
Dewey, K. G., & Adu-Afarwuah, S. (2008). Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Maternal & Child Nutrition, 4(s1), 24–85. https://doi.org/10.1111/j.1740-8709.2007.00124.x
Dhok, R., & Thakre, S. (2016). Measuring undernutrition by composite index of anthropometric failure (CIAF): A community-based study in a slum of Nagpur city. International Journal of Medical Science and Public Health, 5(10), 2013. https://doi.org/10.5455/ijmsph.2016.07022016398
Gebre, A., Reddy, P. S., Mulugeta, A., Sedik, Y., & Kahssay, M. (2019). Prevalence of Malnutrition and Associated Factors among Under-Five Children in Pastoral Communities of Afar Regional State, Northeast Ethiopia: A Community-Based Cross-Sectional Study. Journal of Nutrition and Metabolism, 2019, 9187609. https://doi.org/10.1155/2019/9187609
Group, W. M. G. R. S., & de Onis, M. (2006). WHO Child Growth Standards based on length/height, weight and age. Acta Paediatrica, 95(S450), 76–85. https://doi.org/10.1111/j.1651-2227.2006.tb02378.x
Guidelines for Estimating the Month and Year of Birth of Young Children. (n.d.). Retrieved 28 August 2023, from https://www.fao.org/3/aj984e/aj984e00.htm
Indicators for assessing infant and young child feeding practices: definitions and measurement & methods. Geneva: World Health Organization and the United Nations Children’s Fund (UNICEF), 2021. Licence: CC BYNC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo. (n.d.). Indicators for assessing infant and young child feeding practices: Definitions and measurement methods. Retrieved 20 March 2023, from https://www.who.int/publications-detail-redirect/9789240018389
Infant and young child feeding. (n.d.). Retrieved 20 March 2023, from https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
Khan, S., Zaheer, S., & Safdar, N. F. (2019). Determinants of stunting, underweight and wasting among children < 5 years of age: Evidence from 2012-2013 Pakistan demographic and health survey. BMC Public Health, 19(1), 358. https://doi.org/10.1186/s12889-019-6688-2
Malnutrition. (n.d.). Retrieved 19 July 2023, from https://www.who.int/news-room/questions-and-answers/item/malnutrition
Mane, V. P., Sagar, M. V., & R, R. (2018). Prevalence of undernutrition and its determinants among preschool children in a rural community of Shimoga, Karnataka. International Journal Of Community Medicine And Public Health, 5(9), 4149–4154. https://doi.org/10.18203/2394-6040.ijcmph20183610
NFHS-5_Phase-II_0.pdf. (n.d.). Retrieved 14 August 2023, from https://main.mohfw.gov.in/sites/default/files/NFHS-5_Phase-II_0.pdf
Ruel, M. T., & Alderman, H. (2013). Nutrition-sensitive interventions and programmes: How can they help to accelerate progress in improving maternal and child nutrition? The Lancet, 382(9891), 536–551. https://doi.org/10.1016/S0140-6736(13)60843-0
The UNICEF/WHO/WB Joint Child Malnutrition Estimates (JME) group released new data for 2021. (n.d.). Retrieved 19 July 2023, from https://www.who.int/news/item/06-05-2021-the-unicef-who-wb-joint-child-malnutrition-estimates-group-released-new-data-for-2021
Tiwari, R., Ausman, L. M., & Agho, K. E. (2014). Determinants of stunting and severe stunting among under-fives: Evidence from the 2011 Nepal Demographic and Health Survey. BMC Pediatrics, 14, 239. https://doi.org/10.1186/1471-2431-14-239
Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., & Sachdev, H. S. (2008). Maternal and Child Undernutrition 2. 371.
Victora, C. G., Bahl, R., Barros, A. J. D., França, G. V. A., Horton, S., Krasevec, J., Murch, S., Sankar, M. J., Walker, N., & Rollins, N. C. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475–490. https://doi.org/10.1016/S0140-6736(15)01024-7
WHO_TRS_854.pdf. (n.d.). Retrieved 27 April 2023, from https://apps.who.int/iris/bitstream/handle/10665/37003/WHO_TRS_854.pdf?sequence=1&isAllowed=y
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