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Trends in Complementary Feeding Indicators and Intake from Specific Food Groups among Children Aged 6-23 Months in

Sabuj Kanti Mistry1,2,3,4, Md Belal Hossain1,5, Nafis Md Irfan6,7,8

  • 1BRAC James P Grant School of Public Health, BRAC University, 68 Shahid Tajuddin Ahmed Sharani, Mohakhali, Dhaka 1212, Bangladesh.

International Journal of Environmental Research and Public Health
|January 11, 2022
PubMed

Insights

Complementary feeding practices in Bangladesh showed a decline until 2014, but improved significantly by 2017-2018. Key indicators like Minimum Dietary Diversity (MDD) and Minimum Acceptable Diet (MAD) saw substantial gains, highlighting recent progress in child nutrition.

Area of Science:

  • Public Health Nutrition
  • Child Health and Nutrition
  • Global Health Studies

Background:

  • Complementary feeding is crucial for child development and preventing malnutrition.
  • Trends in complementary feeding practices in Bangladesh have varied over time.
  • Monitoring key indicators is essential for assessing nutritional status in young children.

Purpose of the Study:

  • To analyze trends in complementary feeding indicators among children aged 6-23 months in Bangladesh from 2007 to 2017-2018.
  • To identify changes in the introduction of solid foods, dietary diversity, meal frequency, and acceptable diet.
  • To examine trends in the consumption of specific food groups during the complementary feeding period.

Main Methods:

  • Utilized data from four rounds (2007, 2011, 2014, 2017-2018) of the nationally representative Bangladesh Demographic and Health Surveys (BDHS).
  • Analyzed complementary feeding indicators: Introduction of solid, semi-solid, and soft foods (INTRO), Minimum Dietary Diversity (MDD), Minimum Meal Frequency (MMF), and Minimum Acceptable Diet (MAD).
  • Employed the Cochran-Armitage test to assess trends in practices and food group intake among 8116 children aged 6-23 months.

Main Results:

  • A decreasing trend in most complementary feeding indicators was observed from 2007 to 2014, with improvements noted in 2017-2018.
  • Significant increases in MDD, MMF, and MAD were recorded in the 2017-2018 survey round.
  • Consumption of legumes/nuts, dairy, and vitamin-A-rich/other fruits and vegetables decreased, while grains/roots/tubers and meat/fish/egg consumption increased.

Conclusions:

  • Despite a prior decline, complementary feeding indicators in Bangladesh have shown recent improvement.
  • Sustaining progress requires integrated, multisectoral, and multicomponent interventions.
  • Continued monitoring of child nutrition practices is vital for public health policy in Bangladesh.

Keywords:
complementary feedinginfant and young child feedingminimum acceptable dietminimum dietary diversityminimum meal frequency

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