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[Complementary feeding time among 0-5 years old children in 2013 in China]
Xiaoli Xu1, Dongmei Yu1, Liyun Zhao1
1National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Insights
In China, 2013 data shows many children aged 0-5 started complementary feeding too early or too late, especially in rural areas. Significant regional differences highlight the need for targeted nutritional guidance.
Area of Science:
- Pediatric Nutrition
- Public Health Surveillance
- Infant Feeding Practices
Background:
- Complementary feeding is crucial for child development and health.
- Optimal timing of complementary feeding is essential to prevent malnutrition and ensure adequate nutrient intake.
- Understanding current feeding patterns is vital for public health interventions.
Purpose of the Study:
- To analyze the timing of complementary feeding initiation in Chinese children aged 0-5 years.
- To identify regional disparities in complementary feeding practices across China.
- To assess the prevalence of early (<4 months) and late (>9 months) complementary feeding.
Main Methods:
- Utilized data from the 2013 China Nutrition and Health Surveillance.
- Employed stratified multistage cluster sampling across 31 provinces.
- Collected data on 24,580 children aged 0-5 years via questionnaires.
Main Results:
- Average complementary feeding initiation was 6.1 months, with urban areas starting earlier (5.7 months) than rural areas (6.4 months).
- 10.2% of children experienced early complementary feeding and 9.5% experienced late complementary feeding.
- Poor rural areas showed the highest rate of early feeding (19.6%), while general rural areas had the highest rate of late feeding (15%).
Conclusions:
- Significant variations in complementary feeding timing exist among Chinese children.
- Rural children, particularly in poor rural areas, are more prone to early or late complementary feeding.
- Findings underscore the need for tailored interventions to improve infant feeding practices in diverse regions of China.
Objective:
To describe complementary feeding time among 0-5 years old children in 2013 in China.
Methods:
Data was from the China Nutrition and Health Surveillance in 2013. A stratified multistage cluster sampling was used from 31 provinces( autonomous regions and municipalities) and selected 55 districts/counties. The study included 24 580 children aged 0-5 years. The basic situation and complementary feeding of children aged 0-5 years were collected by questionnaires.
Results:
The average time for children aged 0-5 years in China to start complementary foods was 6. 1 months. The urban( 5. 7 months) was earlier than the rural( 6. 4 months), large cities, medium and small cities, general rural and poor rural areas were 5. 5, 5. 8, 6. 9 and 5. 5 months, respectively. The proportions of early complementary feeding( < 4 months) and late complementary feeding( > 9 months) were 10. 2 %( n = 2496) and 9. 5%( n = 2336), which were 7. 3% and 5. 5% respectively in urban area and 13. 1% and 13. 7%respectively in rural area. The proportions of early complementary feeding was the highest( 19. 6%) in poor rural areas, the proportions of late complementary feeding was the highest( 15%) in the general rural areas. The rate of introduction of solid, semi-solid or soft foods was 82. 3%, the urban( 89. 4%) was higher than the rural( 73. 6%), and it was the lowest( 63. 4%) in the poor rural areas.
Conclusion:
There were both early complementary feeding and late complementary feeding among 0-5 years children in China in 2013, and the regional difference were significant. It is more likely to add complementary foods too early or too late in rural areasthan in urban areas, especially in poor rural areas.
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