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Background:
The aim of this study was to assess dietary intakes and complementary feeding practices of children aged 6-24 months who are from Bangladeshi ancestry and living in Tower Hamlets, London, and determine the feasibility of a larger, population-representative study.
Methods:
Questionnaires for demographic variables and feeding practices...
Context in source publication
Similar publications
Background:
Ready-to-use therapeutic foods (RUTF) are designed to cover the daily nutrient requirements of children with severe acute malnutrition (SAM). However, with the transfer of uncomplicated SAM care from the hospital environment to the community level, children will be able to consume complementary and family foods (CFF) in addition to RUT...
Citations
... The survey also highlighted that East Nusa Tenggara has the highest rates of underweight children under two (18.8%) and that stunting and wasting rates are alarmingly high in South Papua (11.9%) and West Sulawesi (26.5%) (Seviana et al.,2024). A lack of dietary diversity remains a significant issue, with children consuming predominantly carbohydrate-based diets, often lacking sufficient protein, fruits, and vegetables (Jabri et al., 2020;Khan et al., 2020). Additionally, malnutrition in early childhood is exacerbated by inadequate breastfeeding and complementary feeding practices (Das et al., 2020;Stiller et al., 2020). ...
Background: Limited dietary diversity among children is a critical public health concern across Indonesia, with Eastern Indonesia facing the most severe nutritional challenges among children.
Purpose: This study aims to identify factors influencing children’s dietary diversity in Eastern Indonesia.
Methods: A cross-sectional study design was employed, utilizing data from the 2017 Indonesia Demographic and Health Survey (n = 1,476). Dietary diversity was assessed using the dietary diversity score (DDS), categorized into adequate and inadequate levels.
Results: Key sociodemographic factors associated with DDS included the number of children in the household, place of residence, economic status, breastfeeding practices, and vitamin A supplementation, with p-values of 0.007, <0.001, 0.001, <0.001, and <0.001, respectively. Children who were not breastfed were 0.5 times more likely to have inadequate DDS compared to those who were breastfed (95% CI: 0.36–0.67). Urban-dwelling families had a 0.7 times lower risk of inadequate DDS than rural counterparts (p = 0.026; 95% CI: 0.47–0.95). Additionally, children from low-income families were twice as likely to experience inadequate DDS compared to those from higher-income families (p = 0.012; 95% CI: 1.14–2.99).
Conclusion: Rural residency, low income, lack of breastfeeding, and inadequate vitamin A supplementation significantly contribute to poor dietary diversity among children in Eastern Indonesia. These findings highlight the need for targeted government interventions to bridge gaps in maternal education, enhance healthcare access, and improve families’ socioeconomic conditions, ultimately advancing child nutrition and health in the region.
... Various studies have identified that low dietary intake, low birth weight, higher birth order, low parental education level, exclusive breastfeeding more than 6 months of age, illnesses such as diarrhea, and sex of child (male) are contributing factors to childhood undernutrition (15)(16)(17)(18). However, the birth interval or the time interval between successive live births is a risk factor that has received little attention. ...
Background
Although some studies have highlighted short birth interval as a risk factor for adverse child nutrition outcomes, the question of whether and to what extent long birth interval affects better nutritional outcomes in children remains unclear.
Methods
In this quantitative meta-analysis, we evaluate the relationship between different birth interval groups and child nutrition outcomes, including underweight, wasting, and stunting.
Results
Forty-six studies with a total of 898,860 children were included in the study. Compared with a short birth interval of <24 months, birth interval of ≥24 months and risk of being underweight showed a U-shape that the optimum birth interval group of 36–48 months yielded the most protective effect (OR = 0.54, 95% CI = 0.32–0.89). Moreover, a birth interval of ≥24 months was significantly associated with decreased risk of stunting (OR = 0.61, 95% CI = 0.55–0.67) and wasting (OR = 0.63, 95%CI = 0.50–0.79) when compared with the birth interval of <24 months.
Conclusion
The findings of this study show that longer birth intervals (≥24 months) are significantly associated with decreased risk of childhood undernutrition and that an optimum birth interval of 36–48 months might be appropriate to reduce the prevalence of poor nutritional outcomes in children, especially underweight. This information would be useful to government policymakers and development partners in maternal and child health programs, especially those involved in family planning and childhood nutritional programs.
... Regarding complementary feeding, 52.7% of mothers practiced proper complementary feeding. This finding is higher than studies carried out elsewhere [39, [44][45][46]. The disparities might be attributed to the study period and the engagement of governmental and non-governmental organizations that are encouraging the worth of complementary feeding all through mass media at the instant. ...
Background
Essential nutrition action(ENA) is a framework for managing advocacy, establishing a foundation, and implementing a comprehensive package of preventive nutritional activities. Essential Nutrition Actions study studies provide current information on each nutrition action, allowing health systems to focus more on nutrition, which is critical in tackling the "double burden" of malnutrition: underweight and overweight. Hence, this study aimed at assessing the level of ENA practice and its predictors among mothers of children aged 6 to 24 months in southern Ethiopia.
Methods
A community-based cross-sectional study was conducted from May 1 to 30, 2021 among randomly selected 633 mothers of children aged 6–24 months. A multi-stage sampling technique was used to access study participants. Data were collected by using a pretested, structured interviewer-administered questionnaire. To identify predictors of ENA practice, bivariable and multivariable logistic regression were used. The strength of the association was measured using an adjusted odds ratio with 95 percent confidence intervals. The statistical significance was declared at a p-value less than 0.05.
Results
A total of 624 participants took part in the study, with a response rate of 98.6%. The uptake of key ENA messages among mothers was measured using 27 items, and it was found to be 47.4% (95% CI: 43.8, 51.4). Complementary feeding was the commonest ENA message practiced by 66.7% of respondents, while prevention of iodine deficiency disorder was practiced by only 33.7% of respondents. Variables namely, mother’s education level of college and above [AOR: 3.90, 95% CI: 1.79, 8.51], institutional delivery [AOR: 2.75, 95% CI: 1.17,6.49], having PNC service [AOR: 2.95, 95% CI: 1.91, 4.57], being knowledgeable on ENA message [AOR: 2.37, 95% CI: 1.81, 3.26] and being a model household [AOR: 3.83,95% CI: 2.58, 5.69] were positively associated with a good uptake of key ENA messages. On the other hand, primiparity [AOR: 0.32, 95% CI: 0.21,0.56] was identified as a negative predictor.
Conclusion
The overall practice of key Essential nutrition action messages in the study area was low as compared to studies. Stakeholders must step up their efforts to improve and hasten the utilization of maternal and child health services, especially institutional delivery and Postnatal care by focusing on uneducated women to promote compliance to key ENA messages. Furthermore, health workers need to focus on awareness-raising and model household creation.
... A study conducted among the Bangladeshi population in the United Kingdom found CFI is important to measure the status of nutrition among children with the feeding practices, but the process is challenging to implement. The very small study sample size would be difficult to make a judgment about the outcome of CFI [28]. In addition, developing CFI other than RCT designs may not be methodically robust to use in a health system as carried out some epidemiological studies following other study design as reported in a recent systematic review [29]. ...
Background
Timely, adequate and appropriate Complementary Feeding (CF) is essential for the growth and cognitive development of infants, but until today, evidence-based information is scarce in terms of impact evaluation of CF index (CFI). The study aimed to examine the effect of the short-term intervention of promoting CF practices on the nutritional status of infants in rural Bangladesh.
Methods
An educational-intervention study followed a randomized controlled trial (RCT) design (NCT03024710). Mothers and family members in the intervention arm received intensive counselling on CF through community health workers (CHWs), whereas existing healthcare services were received in the comparison arm. The study was carried out in the rural Matlab sub-district of Bangladesh between April 2011 and March 2013. In the specified study areas among 360 mother-infant pairs systematically assigned into intervention group and comparison group. Short-term educational intervention on CF was provided for the intervention group and existing services were un-intervened for the comparison group. The outcome of interventions was evaluated after the implementation period using Generalized equation estimation model.
Results
At baseline, the study participants were not different except mean height (p = 0.04), weight-for-age Z score (WAZ) (p = 0.03) and religion (p = 0.04) in between two groups. The mean CFI was significantly higher at intervention area than the comparison and higher category of CFI (score 10 or more) was significantly higher at intervention area than comparison. After adjustment, one-unit CFI increased height-for-age z score by 0.07 units and decreased WAZ by 0.13 units in the intervention group but not significantly changed observed at comparison group.
Conclusion
Guided short-term nutritional intervention and developed CFI indicated a significantly better score in intervention area than comparison groups and would be a well adaptable tool for future studies.
Trial registration
The trial was registered (NCT03024710) at clinical trial registration website. Date of registration: 1/19/2017.
Name of the registry: Clinical Trial.gov.
Date of registration: 19/1/2017 (retrospective registered).
URL of trial:https://clinicaltrials.gov/ct2/show/NCT03024710
... More than half of the jobs in Tower Hamlets are in the financial, professional and technical sectors, but just 34% of residents are employed in these sectors (THBC, 2020b). The median household income for the borough was £29,937 in 2018 (Jabri et al., 2020). ...
... These foods are generally nutrient-poor compared to home-cooked meals or even the large franchised fast-food chains (Jaworowska et al., 2013) which are fewer compared to the independent outlets in the borough. The excess consumption of these types of foods tends to have dire health implications such as the prevalence of cardiovascular disease, hypertension, obesity and type 2 diabetes (Jabri et al., 2020;Stender et al., 2007). Related mortality rates are significantly higher in the borough (Caraher et al., 2014). ...
Purpose:
Despite the UK being ranked 6th out of 113 countries in 2021 on the Economist Intelligence Unit’s global Food Security Index, there are about 10.2 million British residents living in food deserts, approximately 12% of these in deprived areas. This paper takes a closer look at the food systems in four UK cities (Plymouth, Tower Hamlets, Whitley-Reading and Brighton and Hove) and how food supply chains (FSC) can better supply food to the disadvantaged in these communities.
Design/methodology/approach:
The report gathers and analyses under a systematic manner secondary data from academic literature, books, reports, online publications, government reports and local newspapers on the state of the local food systems as they are experienced by the disadvantaged in these communities.
Findings:
Findings indicate that, despite the variety and uniqueness of the challenges in the four communities, the role that FSCs play within the current systems and how the principles of supply chain management could help address them are woefully underexplored.
Social and Practical implications:
The findings give a better understanding of the food systems in terms of access and affordability inequalities in the UK and provides a strong basis for appropriate practical interventions.
Original/value:
The paper presents one of the first studies into the role of supply chain management in food supply to disadvantaged communities in the UK by exploring existent food systems from a supply chain perspective.
... A good-quality weaning food has balanced protein and calorie contents, adequate vitamins and minerals, and low fiber with a soft texture. A previous study on complementary feeding in London reported that high protein intake at age 6-24 months is positively associated with the proper growth of the children (Jabri et al., 2020). However, in formulated sample Q2, the protein was 27.70 g in 100 g, which was the highest protein content than the other six market available weaning foods. ...
... Complementary feeding was introduced early, around 4 months, through additional liquid or semifluid food. According to various sources (Callen & Pinelli, 2004;Agostoni et al., 2009), it is recommended that children be exclusively breastfeed up to six months of age, and this practice should be accompanied by complementary foods up to two years or beyond this age (Lanigan et al., 2001;Wasser et al., 2011;Carlett et al., 2017;Jabri et al., 2020). ...
Background. Besides breastfeeding, complementary feeding is necessary to meet the nutritional needs that foster healthy growth in children 6-23 months old. In 2007, WHO, UNICEF, USAID, UCDAVIS, IFPRI experts elaborated a set of indicators to evaluate infants and young feeding practices. These indicators are specific to children under 6 months and respectively 6-23 months. In this study three key indicators were used to measure complementary feeding practices: minimum acceptable diet (MAD), minimum meal frequency (MMF), and minimum dietary diversity (MDD). Aims. The aims of the present study were to determine the prevalence of adequate and inadequate minimum acceptable diet (MAD), minimum meal frequency (MMF), and minimum dietary diversity (MDD) among children 6-23 months of age, in relation to infant or mother's risk of demographic factors. Methods. A nationally representative sample with 1,532 children (713 girls and 819 boys) 6 to 23 months of age (M = 14.26; SD = 5.15) was included in our analyses. All eight macro-development regions within Romania were represented and participants were randomly recruited from at least two counties in each of these regions. Results. It was found that the rates of achieved minimum acceptable diet were relatively high (72.3%), as well as the minimum acceptable dietary diversity (76.1%), and minimum meal frequency (96.1%). Conclusions. The results of the study showed that the prevalence of children 6-23 months who have an adequate complementary diet in terms of the three indicators exceeds 72%. But there are also population groups that do not reach this prevalence. Adequate complementary nutrition is generally achieved around the age of 1 year and less than 6-9 months, when the development needs of children already require animal foods rich in micronutrients.
... Furthermore, 18.5% of children between 0-3 months, 40.0% of children between 4-6 months, and 51.9% of children above 6 months faced possible risk of overweight. This high percentage of obesity can be associated to the consumption of high energy dense complementary food [38]. The results in Table 6, presented the percentage distribution of weight for height with regards to the socio-economic status of the care givers (Table 5). ...
Aims: Malnutrition remains an issue of public health concern in Cameroon. Optimal infant feeding habits and maternal risk factors influence the prevalence of malnutrition. This work aimed to evaluate the influence of feeding habits and risk factors on the nutritional status of infants in Kumba hospitals. Study design: A descriptive cross-sectional study was carried out for a period of 3 months at the Maternal and Child Protection (PMI) and Kumba District hospitals. Methodology: The age of the children were recorded from their immunization cards. The measurements of length and weight of children were recorded. Questionnaires were administered through simple random sampling to care givers of 227 infants at the welfare clinics from which information on feeding habits, anthropometric parameters and socio-demographic status was obtained. The Z-score classifications for malnutrition was used to estimate the deterioration in weight and height of children in reference to the children of same age and sex. Results: There was a low prevalence (14%) of exclusive breast feeding. A high prevalence of early initiation of breast feeding within the first hour of birth at 85% was observed. Early introduction to energy dense complementary food at 67.2% was observed in infants between 0-5 months accounting for the high prevalence of overweight, and possible risk obesity. Furthermore, it was found that 17% of children were stunted, 14.60% were wasted, and 11.70% were underweight. Among them, stunting was highest in children 0-3 months who were on breast milk. Moreover, a significant relationship was observed between marital status and stunting (P<0.05), and underweight and unemployment (P<0.05). Conclusion: This study revealed that exclusive breast feeding from 0 to 6 months was poorly practiced. Thus leading to a high prevalence of wasting, overweight and obesity among admitted children in Kumba hospitals. This was also found to be linked to malnutrition, marital and professional status.
... [30][31][32][33][34] In a feasibility study conducted among Bangladeshi mothers of children aged 6 to 24 months living in London, there was no significant correlation between ICFI categories and maternal education but this finding may be due to the small sample size. [35] Similar to our study, a study conducted in Nepal among children aged 6 to 23 months shows that growth monitoring of children was associated with the minimum acceptable diet. [36] This may be due to the fact that growth monitoring of children provides an opportunity for educating mothers regarding good feeding practices. ...
Background:
The nutritional status of children is influenced by feeding practices. Infant and Child Feeding Index (ICFI) is an age-specific composite index to assess the feeding practices of children.
Objectives:
To determine the association between ICFI and the nutritional status of children aged 6 to 24 months. To find whether ICFI has value as a tool for detecting poor nutritional status. To determine the association of ICFI and nutritional status with sociodemographic and other factors.
Methods:
A cross-sectional study was conducted in the urban field practice area of a tertiary care institute among 149 children aged 6 to 24 months and their mothers. Data on feeding practices were obtained and ICFI scores were calculated. The weight and length of the children were measured and Z scores (WAZ, LAZ, and WLZ) were calculated. A Chi-square test was used to find the association between the categorical variables.
Results:
We found no association between ICFI and any of the three nutritional indicators such as WAZ, LAZ, and WLZ. The sensitivity of the ICFI was low for detecting underweight (10.0%), stunting (29.4%), and wasting (11.1%). ICFI was significantly associated with the growth monitoring of children and mothers' education. WAZ was significantly associated with mother's education and socioeconomic class.
Conclusions:
There is no association between ICFI and the nutritional status of children. ICFI has limited value in detecting the poor nutritional status of children in this urban setting. Maternal education and growth monitoring of children play an important role in infant and child feeding practices.
Diet and Nutrition for Non-communicable Diseases in Low and Middle-Income Countries
