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Influence of infant-feeding practices on nutritional status of under-five children
Dinesh Kumar1, N K Goel, Poonam C Mittal
1Department of Community Medicine, GMCH, Sector 32A, Chandigarh, India. dinesh_walia@rediffmail.com
Insights
Delayed breastfeeding, lack of colostrum, and improper weaning significantly increase undernutrition risk in children under five. Promoting optimal infant feeding is crucial for better child nutrition outcomes.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Undernutrition remains a critical public health issue among children under five in urban settings.
- Infant feeding practices are recognized as key determinants of nutritional status.
Purpose of the Study:
- To evaluate the nutritional status of children under five in urban Allahabad's anganwari (AW) areas.
- To determine the association between infant feeding practices and undernutrition in this population.
Main Methods:
- Nutritional assessment using WHO criteria (weight-for-age, height-for-age, weight-for-height) for under-five children.
- Statistical analysis including Chi-square tests and odds ratios to assess associations with feeding practices.
Main Results:
- High prevalence of underweight (36.4%), stunting (51.6%), and wasting (10.6%) was observed.
- Delayed breastfeeding, no colostrum, and improper complementary feeding were significant risk factors for underweight (P<0.05).
- Wasting was not significantly linked to infant feeding practices; ICDS benefits did not improve nutritional status.
Conclusions:
- Suboptimal infant feeding practices, including delayed breastfeeding initiation, lack of colostrum, and improper weaning, are significant contributors to undernutrition.
- Interventions promoting and protecting optimal infant feeding are essential for improving child nutritional status.
Objectives:
To study the nutritional status of under-five children and to assess whether infant feeding practices are associated with the undernutrition in anganwari (AW) areas of urban Allahabad.
Methods:
Under-five-years children and their mothers in selected four anganwari areas of urban Allahbad (UP) participated in the study. Nutritional assessment by WHO criterion (SD- classification) using summary indices of nutritional status: weight-for-age, height-for-age and weight-for-height was done. Normal test of proportions, Chi-square test for testing association of nutritional status with different characteristics and risk analysis using odds ratios with 95% confidence intervals was also done.
Results:
Among all under five children surveyed, 36.4% underweight (< 2SD weight- for -age), 51.6% stunted (< 2SD height- for- age) and 10.6% wasted (< 2SD weight- for- height). Proportions of underweight (45.5%) and stunting (81.8%) were found maximum among children aged 13-24 months. Wasting was most prevalent (18.2%) among children aged 37-48 months. Initiation of breast-feeding after six hours of birth, deprivation from colostrum and improper complementary feeding were found significant (P< 0.05) risk factors for underweight. Wasting was not significantly associated (P>0.10) with any infant feeding practice studied. ICDS benefits received by children failed to improve the nutritional status of children.
Conclusion:
Delayed initiation of breast-feeding, deprivation from colostrum and improper weaning are significant risk factors for undernutrition among under-fives. There is need for promotion and protection of optimal infant feeding practices for improving nutritional status of children.
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