Infant and Young Child Feeding Practices in Urban Philippines and Their Associations with Stunting, Anemia, and Deficiencies of Iron and Vitamin A
Autor: | Pura Rayco-Solon, Grant J Aaron, Fabian Rohner, Elizabeth A Yakes, Ofelia P. Saniel, Bradley A. Woodruff, May Antonnette O Lebanan |
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Rok vydání: | 2013 |
Předmět: |
Pediatrics
medicine.medical_specialty Urban Population Anemia Philippines Geography Planning and Development Population Environmental health Infant Mortality medicine Humans education Poverty Wasting Growth Disorders education.field_of_study Nutrition and Dietetics Anemia Iron-Deficiency Vitamin A Deficiency business.industry Malnutrition Infant Newborn Infant Iron Deficiencies Nutrition Surveys medicine.disease Micronutrient Infant mortality Diet Breast Feeding Cross-Sectional Studies Socioeconomic Factors Educational Status Underweight medicine.symptom business Breast feeding Food Science |
Zdroj: | Food and Nutrition Bulletin. 34:S17-S34 |
ISSN: | 1564-8265 0379-5721 |
DOI: | 10.1177/15648265130342s104 |
Popis: | Background The prevalence of stunting, underweight, and micronutrient deficiencies are persistently high in young children in the Philippines, and among other factors, suboptimal infant and young child feeding behavior may contribute to these forms of malnutrition. Objective To improve the understanding of contributors associated with the nutritional status of children 6 to 23 months of age living in urban areas of the Philippines. Methods A cross-sectional survey was conducted covering five urban centers in the Philippines. Data on infant and young child feeding and nutritional status (including wasting, stunting, underweight, anemia, iron deficiency, and vitamin A deficiency) were collected for 1,784 children. Results Among children from urban and predominantly poor and very poor households, 26% were stunted, 18% were underweight, and 5% were wasted. Forty-two percent were anemic, 28% were iron deficient, and 3% were vitamin A deficient. About half of the children were breastfed within an hour after birth, were breastfed at the time of the survey, and had been continuously breastfed up to 1 year of age. Of the factors investigated, low socio-economic status, use of cheaper cooking fuel, and nonuse of multivitamins were all independently associated with stunting. The prevalence of anemia, iron deficiency, and vitamin A deficiency were independently associated with the same factors and poorer sanitation facilities, lower maternal education, current unemployment, and inflammation. Conclusions These factors merit attention in future programming, and interventions may include promotion of the timely introduction of appropriate fortified complementary foods, the use of affordable multiple micronutrient preparations, and measures to reduce infections. |
Databáze: | OpenAIRE |
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