Related Experiment Video
Updated: Jan 1, 2026

Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development
Published on: April 19, 2024
Complementary feeding practices and nutritional status in infants living in Turkey: Iowa infant feeding attitude
Bilge Meral Koc1, Tugce Ozlu Karahan2, Ezgi Arslan Yuksel1
1Department of Nutrition and Dietetics Ihlamur Yildiz Cad., Faculty of Health Sciences, Bahcesehir University, Istanbul, Turkey.
Insights
Maternal attitudes and complementary feeding (CF) practices significantly impact infant nutrition. Lower scores in CF index and infant feeding attitude scale were linked to malnutrition in infants, highlighting the need for improved public health monitoring.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Complementary feeding (CF) and maternal attitudes are crucial for infant nutrition but are understudied.
- Limited research exists on CF practices and maternal feeding attitudes in Turkey.
Purpose of the Study:
- To assess CF practices and maternal attitudes in Turkish infants aged 6-12 months.
- To examine the influence of CF practices and maternal attitudes on infant nutritional status.
Main Methods:
- A study involving 720 infants (6-12 months) and their mothers in Turkey.
- Assessed CF using the CF index (CFI) and maternal attitudes with the Iowa infant feeding attitude scale (IIFAS).
- Nutritional status evaluated using z-scores (WAZ, WLZ); malnutrition defined as z-scores <-2 SD.
Main Results:
- Mothers of malnourished infants had lower CFI and IIFAS scores (p<0.05).
- Consistent fruit and complementary food introduction in early CF correlated with better weight-for-age z-scores (WAZ).
- Maternal knowledge and appropriate CF practices significantly influenced infant nutritional status.
Conclusions:
- Maternal knowledge and appropriate CF practices are key determinants of infant nutritional status.
- The study tools for monitoring CF practices should be integrated into public health programs.
- Early and consistent introduction of diverse foods is important for infant growth.
Abstract:
Although complementary feeding (CF) and maternal attitudes towards infant feeding are known to affect the nutritional status of infants during the neonatal period, studies in this field remain limited. The present study aimed to determine CF practices for infants aged 6-12 months who live in Turkey and maternal attitudes towards infant feeding. In addition, the effects of CF practices and maternal attitudes on the nutritional status of infants were examined. This study included 720 infants, of whom 289 were aged 6-8 months and 431 were aged 9-12 months. CF status was assessed using the CF index (CFI), and maternal attitudes towards infant feeding were measured using the Iowa infant feeding attitude scale (IIFAS). The weight and length measurements of infants were categorized using z-scores. Infants with weight-for-age z-score (WAZ) and weight-for-length z-score (WLZ) of less than -2 standard deviation were categorized as malnourished. Mothers of malnourished infants were found to have lower CFI and IIFAS scores (p < 0.05). Consistency of fruit feeding and complementary foods in the first 3 days of CF was associated with WAZ. The mothers' level of knowledge about CF and appropriate CF practices significantly affects the nutritional status of infants. The tools used in the present study to monitor CF practices should be incorporated into public health programmes.
Related Concept Videos
Enteral Nutrition I: Orogastric and Nasogastric Feeding
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Assessment of the Gastrointestinal System II: Health Perception Pattern
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...

