BACKGROUND:Malnutrition in infants during weaning has been attributed to inappropriate complementary feeding practices and it underlies more than one-third of child mortality in Nigeria. Thus, addressing the influence of complementary feeding practice on nutritional status may be an important approach to reducing the burden of child malnutrition. This cross-sectional study investigated the association between complementary feeding practices among mothers and nutritional status of their infants in Akpabuyo Local Government Area, Nigeria. The study enrolled 330 mother-child pairs from 10 randomly selected out of 32 Health Facilities in Akpabuyo. Socio-demographic information, child and maternal characteristics were obtained using an interviewer-administered questionnaire. Complementary feeding practices were assessed with World Health Organization infant and young child feeding indicators. Nutritional indicators wasting, underweight and stunting were determined. RESULTS:Prevalence of timely introduction of complementary feeding among infants aged 6-8 months was 85.4%, minimum dietary diversity rate was 31.5%, and minimum meal frequency 36.7%, the rate of minimum acceptable diet was 7.3%. One-third (33.3%) of the infants were underweight, 26.4%, wasted and 24.6%, stunted. Children who did not receive timely complementary foods had higher odds for wasting (OR 5.15; 95% CI 1.50-17.73). Children who did not receive the minimum dietary diversity had higher odds for underweight than children who received the minimum dietary diversity (OR 2.07; 95% CI 1.17-3.70). Children who did not receive the minimum feeding frequency were more likely to be stunted than their peers who received the minimum feeding frequency (OR 1.57; 95% CI 1.53-4.03). CONCLUSION:Sub-optimal complementary feeding predisposed to infant's malnutrition.

译文

摘要背景:断奶期间婴儿的营养不良归因于不适当的补充喂养方法,它占尼日利亚儿童死亡率的三分之一以上。因此,解决补充喂养做法对营养状况的影响可能是减轻儿童营养不良负担的重要途径。这项横断面研究调查了尼日利亚阿克帕布约地方政府地区母亲的辅助喂养方式与婴儿营养状况之间的关系。该研究从Akpabuyo的32个医疗机构中随机选择的10个中招募了330对母子。社会人口信息,儿童和孕产妇特征是由访问员管理的调查表获得的。使用世界卫生组织的婴幼儿喂养指标评估了补充喂养方法。确定营养指标的浪费,体重不足和发育迟缓。
结果:6-8月龄婴儿及时引入辅助喂养的发生率为85.4%,最低饮食多样化率为31.5%,最低进餐频率为36.7%,最低可接受饮食率为7.3%。三分之一(33.3%)的婴儿体重不足,体重不足的比例为26.4%,发育迟缓的比例为24.6%。没有及时吃辅食的孩子浪费的几率更高(OR 5.15; 95%CI 1.50-17.73)。未获得最低饮食多样性的儿童体重过轻的几率高于获得最低饮食多样性的儿童(OR 2.07; 95%CI 1.17-3.70)。与未接受最低喂养频率的孩子相比,未接受最低喂养频率的孩子更容易发育迟缓(OR 1.57; 95%CI 1.53-4.03)。
结论:次优补充喂养易导致婴儿营养不良。

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