Adherence to Child Feeding Practices and Child Growth: A Retrospective Cohort Analysis in Cambodia.
Cambodia
concurrent wasting and stunting
early child growth
feeding practices
longitudinal study
stunting
wasting
Journal
Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595
Informations de publication
Date de publication:
31 Dec 2020
31 Dec 2020
Historique:
received:
26
11
2020
revised:
27
12
2020
accepted:
28
12
2020
entrez:
5
1
2021
pubmed:
6
1
2021
medline:
7
9
2021
Statut:
epublish
Résumé
Appropriate feeding in the first 1000 days of a child's life is critical for their health and growth. We determined associations between adherence to age-appropriate feeding practices and child growth in Cambodia. Children (n = 1079) were included in the first follow-up (FU) data analyses and followed for 30 months (six FUs). Data were analyzed by generalized linear mixed-effect models. Children who adhered to feeding practices on at least three FUs, with an adequate minimal dietary diversity (MDD), a minimal acceptable diet (MAD), and age-appropriate daily feeding (ADF) were less stunted (14.8%, 12.3%, and 6.4%, respectively) than children who never adhered to these indicators (25.2%, 30.1%, and 24.8%, respectively). A higher adherence to MDD and ADF was associated with a higher height-for-age Z-score (HAZ) (β: 0.13, 95% CI: 0.01-0.25 and β: 0.36, 95% CI: 0.22-0.50), while a higher adherence to the MDD and MAD was associated with a higher weight-for-height Z-score (WHZ) (β: 0.19, 95% CI: 0.08-0.30; and β: 0.16, 95% CI: 0.05-0.27). A higher adherence to a minimum meal frequency (MMF) was associated with a lower HAZ (β: -0.99, 95% CI: -1.28--0.70). Our findings showed that to reduce wasting and stunting in Cambodia, interventions should focus on improving both the quality and quantity of food intake of children under two while targeting the whole complementary feeding period.
Identifiants
pubmed: 33396559
pii: nu13010137
doi: 10.3390/nu13010137
pmc: PMC7823716
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : UNICEF National Committees of Australia, Korea, and Canada, and the French National Research Institute for Sustainable Development (IRD).
ID : None
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