Effect of feeding practices on nutritional status of infant and young children residing in urban slums of berhampur: A decision tree approach

Background: Appropriate infant and young child feeding (IYCF) practices in the early years of life will ensure optimal growth and development of the child. However, many children are not fed in the recommended way. Objectives: To assess the risk of malnutrition as a result of various feeding practic...

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Main Authors: Durga Madhab Satapathy, Nivedita Karmee, Sanjaya Kumar Sahoo, Sithun Kumar Patro, Debasish Pandit
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Indian Journal of Public Health
Subjects:
Online Access:http://www.ijph.in/article.asp?issn=0019-557X;year=2021;volume=65;issue=2;spage=147;epage=151;aulast=Satapathy
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author Durga Madhab Satapathy
Nivedita Karmee
Sanjaya Kumar Sahoo
Sithun Kumar Patro
Debasish Pandit
author_facet Durga Madhab Satapathy
Nivedita Karmee
Sanjaya Kumar Sahoo
Sithun Kumar Patro
Debasish Pandit
author_sort Durga Madhab Satapathy
collection DOAJ
description Background: Appropriate infant and young child feeding (IYCF) practices in the early years of life will ensure optimal growth and development of the child. However, many children are not fed in the recommended way. Objectives: To assess the risk of malnutrition as a result of various feeding practice patterns among the children with the application of the decision tree algorithm. Methods: It was a community-based cross-sectional study conducted in the urban slums of Berhampur Municipal Corporation in Ganjam District, Odisha, India, from January to December 2019. Among a sample of 360 children of 6–23 months, nutritional status and feeding practices were determined. Data were analyzed using R version 3.6.1 developed by R Foundation for Statistical Computing, Vienna, Austria. The effect of IYCF practices on nutritional status was explained with the decision tree method with the use of a Chi-squared automatic interaction detection algorithm. Results: The prevalence of children with early initiation of breastfeeding (EIBF), exclusive breastfeeding (EBF), minimum meal frequency (MMF), and minimum dietary diversity (MDD) was 62.2%, 59.7%, 41.9%, and 19.4%, respectively. The prevalence of wasting, stunting, and underweight among the participants was 36.4%, 31.1%, and 35.3%, respectively. The significant factors which classified and predicted wasting were EBF, EIBF, and MDD, for stunting factors were EBF, MMF, and MDD and for underweight, significant factors were EBF, EIBF, and MDD. Conclusion: With the decision tree approach, the probability of malnutrition in relation to various feeding practices patterns can be easily explained to the mothers and health workers as compared to interpreting odds ratio and strict adherence to IYCF guidelines can also be ensured.
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spelling doaj.art-95dd50a96d2a4240bebd7cd32e0f1a452022-12-21T18:00:07ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2021-01-0165214715110.4103/ijph.IJPH_1272_20Effect of feeding practices on nutritional status of infant and young children residing in urban slums of berhampur: A decision tree approachDurga Madhab SatapathyNivedita KarmeeSanjaya Kumar SahooSithun Kumar PatroDebasish PanditBackground: Appropriate infant and young child feeding (IYCF) practices in the early years of life will ensure optimal growth and development of the child. However, many children are not fed in the recommended way. Objectives: To assess the risk of malnutrition as a result of various feeding practice patterns among the children with the application of the decision tree algorithm. Methods: It was a community-based cross-sectional study conducted in the urban slums of Berhampur Municipal Corporation in Ganjam District, Odisha, India, from January to December 2019. Among a sample of 360 children of 6–23 months, nutritional status and feeding practices were determined. Data were analyzed using R version 3.6.1 developed by R Foundation for Statistical Computing, Vienna, Austria. The effect of IYCF practices on nutritional status was explained with the decision tree method with the use of a Chi-squared automatic interaction detection algorithm. Results: The prevalence of children with early initiation of breastfeeding (EIBF), exclusive breastfeeding (EBF), minimum meal frequency (MMF), and minimum dietary diversity (MDD) was 62.2%, 59.7%, 41.9%, and 19.4%, respectively. The prevalence of wasting, stunting, and underweight among the participants was 36.4%, 31.1%, and 35.3%, respectively. The significant factors which classified and predicted wasting were EBF, EIBF, and MDD, for stunting factors were EBF, MMF, and MDD and for underweight, significant factors were EBF, EIBF, and MDD. Conclusion: With the decision tree approach, the probability of malnutrition in relation to various feeding practices patterns can be easily explained to the mothers and health workers as compared to interpreting odds ratio and strict adherence to IYCF guidelines can also be ensured.http://www.ijph.in/article.asp?issn=0019-557X;year=2021;volume=65;issue=2;spage=147;epage=151;aulast=Satapathydecision treeinfantsinfant and young child feedingmalnutritionslumsyoung children
spellingShingle Durga Madhab Satapathy
Nivedita Karmee
Sanjaya Kumar Sahoo
Sithun Kumar Patro
Debasish Pandit
Effect of feeding practices on nutritional status of infant and young children residing in urban slums of berhampur: A decision tree approach
Indian Journal of Public Health
decision tree
infants
infant and young child feeding
malnutrition
slums
young children
title Effect of feeding practices on nutritional status of infant and young children residing in urban slums of berhampur: A decision tree approach
title_full Effect of feeding practices on nutritional status of infant and young children residing in urban slums of berhampur: A decision tree approach
title_fullStr Effect of feeding practices on nutritional status of infant and young children residing in urban slums of berhampur: A decision tree approach
title_full_unstemmed Effect of feeding practices on nutritional status of infant and young children residing in urban slums of berhampur: A decision tree approach
title_short Effect of feeding practices on nutritional status of infant and young children residing in urban slums of berhampur: A decision tree approach
title_sort effect of feeding practices on nutritional status of infant and young children residing in urban slums of berhampur a decision tree approach
topic decision tree
infants
infant and young child feeding
malnutrition
slums
young children
url http://www.ijph.in/article.asp?issn=0019-557X;year=2021;volume=65;issue=2;spage=147;epage=151;aulast=Satapathy
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