A child feeding index is superior to WHO IYCF indicators in explaining length-for-age Z-scores of young children in rural Cambodia

Autor:	Anika Reinbott, Ellen Muehlhoff, Michael B. Krawinkel, Judith Kuchenbecker, Irmgard Jordan, Ou Kevanna, J Herrmann
Jazyk:	angličtina
Rok vydání:	2015
Předmět:	Male Rural Population Pediatrics medicine.medical_specialty Index (economics) Cross-sectional study Breastfeeding Length-for-age Z-score Nutritional Status Complementary feeding Child feeding index Standard score Random Allocation Child Development Surveys and Questionnaires Medicine Humans Infant Nutritional Physiological Phenomena Meal Anthropometry business.industry Body Weight Infant Child development Body Height Diet Breast Feeding Cross-Sectional Studies Pediatrics Perinatology and Child Health Original Article Female business Cambodia Breast feeding Demography
Zdroj:	Paediatrics and International Child Health
ISSN:	2046-9055 2046-9047
Popis:	Background: Adequate young child feeding practices are influenced by a multitude of factors which affect growth and development. A combination of indicators is needed to explain the role of complementary feeding practices in growth retardation. Methods: A cross-sectional nutrition baseline survey was conducted in rural Cambodia in September 2012. Villages in pre-selected communes were randomly selected using stunting as a primary indicator. Data were collected from 803 randomly selected households with children aged 6–23 months, based on a standardised questionnaire and on length/height and weight measurements of mother and child. WHO Infant and Young Child Feeding (IYCF) indicators [minimum dietary diversity (MDD), minimum meal frequency (MMF), minimum acceptable diet (MAD)] and a child feeding index (CFI) were created. The latter consisted of five components: breastfeeding, use of bottle, dietary diversity, food frequency and meal frequency which were adjusted for three age groups: 6–8, 9–11 and 12–23 months. The highest possible score was 10. Associations between length-for-age Z-scores (LAZ) and WHO indicators or CFI were explored. Results: Mean (SD) LAZ was −1.25 (1.14) (n = 801). Mean (range) CFI was 6.7 (1–10) (n = 797). Mean CFI was highest in the 9–11-months age group (7.93) and lowest for those aged 12–23 months (5.96). None of the WHO IYCF indicators was associated with LAZ, whereas CFI showed significant association with LAZ (P < 0.01). The association between higher CFI scores and LAZ became weaker as age increased. Conclusion: The results highlight the need to include a wide range of information in the analysis in order to understand the association between appropriate infant feeding practices and child growth.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::959b9341918691f6b836b82be35c8fd3 http://europepmc.org/articles/PMC4462840 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.