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Complementary Feeding Pattern and Nutritional Status of Children
Ramlah Mehmood1, Khadija Nuzhat Humayun, Ali Faisal Saleem
1Department of Paediatrics, The Aga Khan University Hospital, Karachi, Pakistan.
Insights
Only 60% of infants received timely complementary feeding, impacting infant nutrition. Myths and challenges like bottle feeding hinder optimal practices, contributing to malnutrition and stunting in urban settings.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Optimal complementary feeding is crucial for infant growth and development.
- Malnutrition, including stunting and wasting, remains a significant global health challenge.
- Understanding feeding patterns is key to addressing nutritional deficiencies in infants.
Purpose of the Study:
- To investigate complementary feeding patterns in infants aged 6-24 months.
- To determine the association between these feeding patterns and malnutrition status.
- To identify factors influencing the initiation of complementary feeding.
Main Methods:
- A prospective observational study was conducted in Pakistan.
- 207 infants aged 6-24 months were enrolled from outpatient clinics.
- Data on feeding practices and nutritional status were collected and analyzed using Chi-square tests.
Main Results:
- 60% of infants started complementary feeding at the recommended age.
- 35.3% of infants were underweight, and 21.3% presented with stunting.
- Reasons for early initiation included difficulty breastfeeding; late initiation was linked to bottle feeding.
Conclusions:
- Appropriate complementary feeding initiation was observed in only 60% of urban infants.
- Maternal myths and feeding practices, such as bottle feeding, negatively impact infant nutrition.
- Interventions are needed to improve complementary feeding practices and reduce malnutrition.
Objective:
To determine the complementary feeding patterns and their association with malnutrition.
Study Design:
Prospective observational study. Place and Duration of the Study: Outpatient clinics of Aga Khan University Hospital, Pakistan, from June to November 2019.
Methodology:
A total of 207 children from age six to twenty-four months, who presented in the outdoor clinics of the study place, were enrolled. Data were recorded in a predesigned data sheet adopted from the infant and young child feeding module. Chi-square test was applied post-stratification and a p-value of <0.05 was taken as significant.
Results:
Among a total of 207 children, 115 (55.6%) were males and 92 (44.4%) were females, with a mean age of 14.15 ± 5.6 months. Complementary feeding was started at an appropriate age in 124 (60%) children. Normal weight was seen in 133 (64.3%) children, while 73 (35.3%) were underweight. Stunting was presented in 44 (21.3%) children, whereas 163 (78.7%) children were of normal length. The most common reason for early initiation of complementary feeding was difficulty in continuing to breastfeed (n=50, 24.2%); the most common reason behind late complementary feeding was bottle feeding (n=45, 21.7%).
Conclusion:
Only sixty percent of mothers living in an urban setting started complementary feeding at an appropriate age. Various myths are counteracting complementary feeding practices.
Key Words:
Complementary feeding, Infant's nutrition, Stunting, Wasting, Z-score.
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