Relationship between breastfeeding duration and undernutrition conditions among children aged 0-3 Years in Pakistan.

Autor:	Syeda B; Western Sydney University, School of Science and Health, Narellan Road, Campbelltown, NSW, 2570, Australia.; Peoples University of Medical and Health Sciences for Women, Department of Community Medicine, Hospital Road, Nawabshah, 67450, Pakistan., Agho K; Western Sydney University, School of Science and Health, Narellan Road, Campbelltown, NSW, 2570, Australia., Wilson L; Western Sydney University, School of Science and Health, Narellan Road, Campbelltown, NSW, 2570, Australia.; University of Sydney, Faculty of Health Science, 75 East Street, Lidcombe, NSW, 2141, Australia., Maheshwari GK; Peoples University of Medical and Health Sciences for Women, Department of Community Medicine, Hospital Road, Nawabshah, 67450, Pakistan., Raza MQ; Medicine Unit 2, Sir Ganga Ram Hospital, Queens Road, Lahore, 54000, Pakistan.
Jazyk:	angličtina
Zdroj:	International journal of pediatrics & adolescent medicine [Int J Pediatr Adolesc Med] 2021 Mar; Vol. 8 (1), pp. 10-17. Date of Electronic Publication: 2020 Jan 25.
DOI:	10.1016/j.ijpam.2020.01.006
Abstrakt:	Background: The World Health Organization recommends that a child should be breastfed up to 2 years of age as it is essential for proper growth and development but population-based studies around the world have found conflicting results on the subject. Our study aims to analyze whether there is a relationship between the duration of breastfeeding and undernutrition among children aged from birth up to 3 years of age in Pakistan. Methods: A secondary analysis of the Pakistan Demographic and Health Survey 2013-2014 with 1072 children aged 3 years and under was conducted. The relationship between breastfeeding duration and undernutrition status was estimated through multiple logistic regression analysis. Results: The prevalence of stunting, wasting and underweight were 40.6%, 15.8% and 33.9% respectively, while prevalence of severe stunting is at 22.5%; severe wasting at 4.5% and severe underweight at 12.2% in children in our study. Odds of being stunted were significantly higher for children in their 3rd year of life [AOR: 4.35, CI 95% = (2.01, 9.33)] compared to children being breastfed in their 2nd year of life [AOR: 2.43, CI 95% = (1.55, 3.79) after being adjusted for maternal, child, demographic and healthcare access variables. Similarly, children being breastfed in their third year of life were more susceptible to developing severe stunting [AOR: 6.19, CI 95% = (3.31, 11.56)] in comparison to children in their second year [AOR: 2.84, CI 95% = (1.81, 4.46)]. There was no significant association between breastfeeding and wasting/severe wasting, or between breastfeeding and underweight/severe underweight. Conclusion: Breastfeeding in the 2nd and 3rd year of life was found to have significant relationship with stunting and severe stunting. Mothers need to be educated about the risks of prolonged breastfeeding to reduce the burden of undernutrition in the country. Competing Interests: None. (© 2020 Publishing services provided by Elsevier B.V. on behalf of King Faisal Specialist Hospital & Research Centre (General Organization), Saudi Arabia.)
Databáze:	MEDLINE
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