Influence of infant-feeding practices on nutritional status of under-five children

被引：106

作者：

Kumar D. ^{[1
,4
]}

Goel N.K. ^{[1
]}

Mittal P.C. ^{[2
,3
]}

Misra P. ^{[3
]}

机构：

[1] Department of Community Medicine, GMCH, Chandigarh

[2] Biochemistry Department, Centre of Food Technology, University of Allahabad, Allahabad

[3] Centre of Food Technology, University of Allahabad, Allahabad

[4] Department of Community Medicine, Govt. Medical College and Hospital, Chandigarh

来源：

The Indian Journal of Pediatrics | 2006年 / 73卷 / 5期

关键词：

Colostrum feeding; Complementary feeding (CF); Exclusive breastfeeding; Odds ratio (OR); Two-stage Random sampling technique;

D O I：

10.1007/BF02758565

中图分类号：

学科分类号：

摘要：

Objectives: To study the nutritional status of under-five children and to assess whether infant feeding practices are associated with the undernutrition in anganwari (AW) areas of urban Allahabad. Methods: Under-five-years children and their mothers in selected four anganwari areas of urban Allahbad (UP) participated in the study. Nutritional assessment by WHO criterion (SD- classification) using summary indices of nutritional status: weight-for-age, height-for-age and weight-for-height was done. Normal test of proportions, Chi-square test for testing association of nutritional status with different characteristics and risk analysis using odds ratios with 95% confidence intervals was also done. Results: Among all under five children surveyed, 36.4% underweight (<2SD weight- for -age), 51.6% stunted (<2SD height- for- age), and 10.6% wasted (<2SD weight- for- height). Proportions of underweight (45.5%) and stunting (81.8%) were found maximum among children aged 13-24 months. Wasting was most prevalent (18.2%) among children aged 37-48 months. Initiation of breast-feeding after six hours of birth, deprivation from colostrum and improper complementary feeding were found significant (P<0.05) risk factors for underweight. Wasting was not significantly associated (P<0.10) with any infant feeding practice studied. ICDS benefits received by children failed to improve the nutritional status of children. Conclusion: Delayed initiation of breast-feeding, deprivation from colostrum, and improper weaning are significant risk factors for undernutrition among under-fives. There is need for promotion and protection of optimal infant feeding practices for improving nutritional status of children.

引用

页码：417 / 421

页数：4

共 20 条

[1]

National Family Health Survey (NHFS-2), (1998)

[2]

Brennan L., McDonald J., Shlomowitz R., Infant feeding practices and chronic child malnutrition in the Indian states of Karnataka and Uttar Pradesh, Economics and Human Biology, 21, pp. 139-158, (2004)

[3]

Sethi V., Kashyap S., Seth V., Effect of nutrition education of mothers on infant feeding practices, Indian Journal of Pediatrics, 70, 6, pp. 463-466, (2003)

[4]

Kapur D., Sharma S., Agarwal K.N., Dietary Intake and Growth Pattern of Children 9-36 months of Age in an Urban Slum in Delhi, Indian Pediatrics, 42, pp. 351-356, (2005)

[5]

Caulfield L.E., Huffman S.I., Piwoz E.G., Intervention to improve intake of complementary foods by infant 6-12 months of age in developing countries. Impact on growth and on the prevalence of malnutrition and potential contribution to child survival, Food Nutr Bull, 20, pp. 183-200, (1999)

[6]

Sachdev H.P.S., Krishna J., Puri R.K., Satya-narayana L., Kumar S., Water supplementation in exclusively breastfed infants during summer in the tropics, Lancet, 337, 8747, pp. 929-933, (1991)

[7]

Narayanan I., Prakash K., Murthy N.S., Gujral V.V., Randomised controlled trial of effect of raw and holder pasteurised human milk and of formula supplements on incidence of neonatal infection, Lancet, 2, pp. 1111-1113, (1984)

[8]

National Family Health Survey (NHFS-2), (1998)

[9]

Kumar P., Social classification - Need for constant updating, Indian Journal of Community Medicine, 18, 2, pp. 60-61, (1993)

[10]

Nutritional Status of Women and Children in Uttar Pradesh, (1999)

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