Infant and young child feeding indicators are positively associated with length and family care indicators in the children of the Women First trial participants

Abstract This research describes the proportion of children in four low‐ and middle‐income countries with adequate dietary practices at 6, 12, 18 and 24 months of age and how these practices changed over time using the World Health Organisation and UNICEF's infant young child feeding (IYCF) ind...

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Main Authors: Julie M. Long, Giovanna Gatica‐Domínguez, Jamie E. Westcott, Douglas Taren, Gabriela Tejeda, Tshilenge S. Diba, Shivanand C. Mastiholi, Umber S. Khan, Ana Garcés, Lester Figueroa, Adrien Lokangaka, Shivaprasad S. Goudar, Sumera Aziz Ali, K. Michael Hambidge, Nancy F. Krebs, the Women First Preconception Maternal Nutrition Study Group
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Maternal and Child Nutrition
Subjects:
Online Access:https://doi.org/10.1111/mcn.13572
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author Julie M. Long
Giovanna Gatica‐Domínguez
Jamie E. Westcott
Douglas Taren
Gabriela Tejeda
Tshilenge S. Diba
Shivanand C. Mastiholi
Umber S. Khan
Ana Garcés
Lester Figueroa
Adrien Lokangaka
Shivaprasad S. Goudar
Sumera Aziz Ali
K. Michael Hambidge
Nancy F. Krebs
the Women First Preconception Maternal Nutrition Study Group
author_facet Julie M. Long
Giovanna Gatica‐Domínguez
Jamie E. Westcott
Douglas Taren
Gabriela Tejeda
Tshilenge S. Diba
Shivanand C. Mastiholi
Umber S. Khan
Ana Garcés
Lester Figueroa
Adrien Lokangaka
Shivaprasad S. Goudar
Sumera Aziz Ali
K. Michael Hambidge
Nancy F. Krebs
the Women First Preconception Maternal Nutrition Study Group
author_sort Julie M. Long
collection DOAJ
description Abstract This research describes the proportion of children in four low‐ and middle‐income countries with adequate dietary practices at 6, 12, 18 and 24 months of age and how these practices changed over time using the World Health Organisation and UNICEF's infant young child feeding (IYCF) indicators. The associations between the IYCF indicators and anthropometric z‐scores from 6 to 24 months, and between the IYCF indicators and the family care indicators (FCIs) at 24 months are described. This was a longitudinal study of offspring from participants in the Women First Preconception Maternal Nutrition Trial conducted in Sud‐Ubangi, Democratic Republic of Congo; Chimaltenango, Guatemala; Belagavi, North Karnataka, India; and Thatta, Sindh Province, Pakistan. The frequency of the minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum adequate diet (MAD) increased between 6 and 24 months, but even at 24 months MAD remained below 50% at all sites. MDD (β = 0.12; 95% CI = 0.04−0.22) and MMF (β = 0.10; 95% CI = 0.03−0.17) were positively associated with length‐for‐age z‐score at 24 months. All IYCF indicators were positively associated with mean total FCI score: MDD (proportion ratio [PR] = 1.04; 95% CI = 1.02−1.07), MMF (PR = 1.02; 95% CI = 1.01−1.04), MAD (PR = 1.05; 95% CI = 1.02−1.08). Although there are multiple barriers to young children having an adequate diet, our results support a positive association between familial interactions and improved IYCF feeding practices.
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spelling doaj.art-f1ed5db1acc64832833b3671f708c83f2023-12-26T05:21:00ZengWileyMaternal and Child Nutrition1740-86951740-87092024-01-01201n/an/a10.1111/mcn.13572Infant and young child feeding indicators are positively associated with length and family care indicators in the children of the Women First trial participantsJulie M. Long0Giovanna Gatica‐Domínguez1Jamie E. Westcott2Douglas Taren3Gabriela Tejeda4Tshilenge S. Diba5Shivanand C. Mastiholi6Umber S. Khan7Ana Garcés8Lester Figueroa9Adrien Lokangaka10Shivaprasad S. Goudar11Sumera Aziz Ali12K. Michael Hambidge13Nancy F. Krebs14the Women First Preconception Maternal Nutrition Study GroupDepartment of Pediatrics, Section of Nutrition University of Colorado School of Medicine Aurora Colorado USAMaternal and Infant Health Center Instituto de Nutrición de Centro América y Panamá Guatemala City GuatemalaDepartment of Pediatrics, Section of Nutrition University of Colorado School of Medicine Aurora Colorado USADepartment of Pediatrics, Section of Nutrition University of Colorado School of Medicine Aurora Colorado USAMaternal and Infant Health Center Instituto de Nutrición de Centro América y Panamá Guatemala City GuatemalaKinshasa School of Public Health, Democratic Republic of Congo Kinshasa Democratic Republic of the CongoWomen's and Children's Health Research Unit KLE Academy of Higher Education and Research's Jawaharlal Nehru Medical College Belagavi IndiaDepartment of Community Health Sciences Aga Khan University Karachi PakistanMaternal and Infant Health Center Instituto de Nutrición de Centro América y Panamá Guatemala City GuatemalaMaternal and Infant Health Center Instituto de Nutrición de Centro América y Panamá Guatemala City GuatemalaKinshasa School of Public Health, Democratic Republic of Congo Kinshasa Democratic Republic of the CongoWomen's and Children's Health Research Unit KLE Academy of Higher Education and Research's Jawaharlal Nehru Medical College Belagavi IndiaDepartment of Community Health Sciences Aga Khan University Karachi PakistanDepartment of Pediatrics, Section of Nutrition University of Colorado School of Medicine Aurora Colorado USADepartment of Pediatrics, Section of Nutrition University of Colorado School of Medicine Aurora Colorado USAAbstract This research describes the proportion of children in four low‐ and middle‐income countries with adequate dietary practices at 6, 12, 18 and 24 months of age and how these practices changed over time using the World Health Organisation and UNICEF's infant young child feeding (IYCF) indicators. The associations between the IYCF indicators and anthropometric z‐scores from 6 to 24 months, and between the IYCF indicators and the family care indicators (FCIs) at 24 months are described. This was a longitudinal study of offspring from participants in the Women First Preconception Maternal Nutrition Trial conducted in Sud‐Ubangi, Democratic Republic of Congo; Chimaltenango, Guatemala; Belagavi, North Karnataka, India; and Thatta, Sindh Province, Pakistan. The frequency of the minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum adequate diet (MAD) increased between 6 and 24 months, but even at 24 months MAD remained below 50% at all sites. MDD (β = 0.12; 95% CI = 0.04−0.22) and MMF (β = 0.10; 95% CI = 0.03−0.17) were positively associated with length‐for‐age z‐score at 24 months. All IYCF indicators were positively associated with mean total FCI score: MDD (proportion ratio [PR] = 1.04; 95% CI = 1.02−1.07), MMF (PR = 1.02; 95% CI = 1.01−1.04), MAD (PR = 1.05; 95% CI = 1.02−1.08). Although there are multiple barriers to young children having an adequate diet, our results support a positive association between familial interactions and improved IYCF feeding practices.https://doi.org/10.1111/mcn.13572child feedingcomplementary feedingDemocratic Republic of CongogrowthGuatemalaIndia
spellingShingle Julie M. Long
Giovanna Gatica‐Domínguez
Jamie E. Westcott
Douglas Taren
Gabriela Tejeda
Tshilenge S. Diba
Shivanand C. Mastiholi
Umber S. Khan
Ana Garcés
Lester Figueroa
Adrien Lokangaka
Shivaprasad S. Goudar
Sumera Aziz Ali
K. Michael Hambidge
Nancy F. Krebs
the Women First Preconception Maternal Nutrition Study Group
Infant and young child feeding indicators are positively associated with length and family care indicators in the children of the Women First trial participants
Maternal and Child Nutrition
child feeding
complementary feeding
Democratic Republic of Congo
growth
Guatemala
India
title Infant and young child feeding indicators are positively associated with length and family care indicators in the children of the Women First trial participants
title_full Infant and young child feeding indicators are positively associated with length and family care indicators in the children of the Women First trial participants
title_fullStr Infant and young child feeding indicators are positively associated with length and family care indicators in the children of the Women First trial participants
title_full_unstemmed Infant and young child feeding indicators are positively associated with length and family care indicators in the children of the Women First trial participants
title_short Infant and young child feeding indicators are positively associated with length and family care indicators in the children of the Women First trial participants
title_sort infant and young child feeding indicators are positively associated with length and family care indicators in the children of the women first trial participants
topic child feeding
complementary feeding
Democratic Republic of Congo
growth
Guatemala
India
url https://doi.org/10.1111/mcn.13572
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