World Health Organization infant and young child feeding indicators and their associations with child anthropometry: A synthesis of recent findings

As the World Health Organization (WHO) infant and young child feeding (IYCF) indicators are increasingly adopted, a comparison of country‐specific analyses of the indicators' associations with child growth is needed to examine the consistency of these relationships across contexts and to assess the...

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Autores principales: Jones, Andrew D., Ickes, Scott B., Smith, Laura E., Mbuya, Mduduzi N. N., Chasekwa, Bernard, Heidkamp, Rebecca A., Menon, Purnima, Zongrone, Amanda, Stoltzfus, Rebecca J.
Formato: Journal Article
Lenguaje:Inglés
Publicado: Wiley 2014
Materias:
Acceso en línea:https://hdl.handle.net/10568/150603
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author Jones, Andrew D.
Ickes, Scott B.
Smith, Laura E.
Mbuya, Mduduzi N. N.
Chasekwa, Bernard
Heidkamp, Rebecca A.
Menon, Purnima
Zongrone, Amanda
Stoltzfus, Rebecca J.
author_browse Chasekwa, Bernard
Heidkamp, Rebecca A.
Ickes, Scott B.
Jones, Andrew D.
Mbuya, Mduduzi N. N.
Menon, Purnima
Smith, Laura E.
Stoltzfus, Rebecca J.
Zongrone, Amanda
author_facet Jones, Andrew D.
Ickes, Scott B.
Smith, Laura E.
Mbuya, Mduduzi N. N.
Chasekwa, Bernard
Heidkamp, Rebecca A.
Menon, Purnima
Zongrone, Amanda
Stoltzfus, Rebecca J.
author_sort Jones, Andrew D.
collection Repository of Agricultural Research Outputs (CGSpace)
description As the World Health Organization (WHO) infant and young child feeding (IYCF) indicators are increasingly adopted, a comparison of country‐specific analyses of the indicators' associations with child growth is needed to examine the consistency of these relationships across contexts and to assess the strengths and potential limitations of the indicators. This study aims to determine cross‐country patterns of associations of each of these indicators with child stunting, wasting, height‐for‐age z‐score (HAZ) and weight‐for‐height z‐score (WHZ). Eight studies using recent Demographic and Health Surveys data from a total of nine countries in sub‐Saharan Africa (nine), Asia (three) and the Caribbean (one) were identified. The WHO indicators showed mixed associations with child anthropometric indicators across countries. Breastfeeding indicators demonstrated negative associations with HAZ, while indicators of diet diversity and overall diet quality were positively associated with HAZ in Bangladesh, Ethiopia, India and Zambia (P < 0.05). These same complementary feeding indicators did not show consistent relationships with child stunting. Exclusive breastfeeding under 6 months of age was associated with greater WHZ in Bangladesh and Zambia (P < 0.05), although CF indicators did not show strong associations with WHZ or wasting. The lack of sensitivity and specificity of many of the IYCF indicators may contribute to the inconsistent associations observed. The WHO indicators are clearly valuable tools for broadly assessing the quality of child diets and for monitoring population trends in IYCF practices over time. However, additional measures of dietary quality and quantity may be necessary to understand how specific IYCF behaviours relate to child growth faltering.
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spelling CGSpace1506032024-10-25T07:53:58Z World Health Organization infant and young child feeding indicators and their associations with child anthropometry: A synthesis of recent findings Jones, Andrew D. Ickes, Scott B. Smith, Laura E. Mbuya, Mduduzi N. N. Chasekwa, Bernard Heidkamp, Rebecca A. Menon, Purnima Zongrone, Amanda Stoltzfus, Rebecca J. stunting infant feeding child feeding wasting disease (nutritional disorder) codex alimentarius child growth dietary diversity As the World Health Organization (WHO) infant and young child feeding (IYCF) indicators are increasingly adopted, a comparison of country‐specific analyses of the indicators' associations with child growth is needed to examine the consistency of these relationships across contexts and to assess the strengths and potential limitations of the indicators. This study aims to determine cross‐country patterns of associations of each of these indicators with child stunting, wasting, height‐for‐age z‐score (HAZ) and weight‐for‐height z‐score (WHZ). Eight studies using recent Demographic and Health Surveys data from a total of nine countries in sub‐Saharan Africa (nine), Asia (three) and the Caribbean (one) were identified. The WHO indicators showed mixed associations with child anthropometric indicators across countries. Breastfeeding indicators demonstrated negative associations with HAZ, while indicators of diet diversity and overall diet quality were positively associated with HAZ in Bangladesh, Ethiopia, India and Zambia (P < 0.05). These same complementary feeding indicators did not show consistent relationships with child stunting. Exclusive breastfeeding under 6 months of age was associated with greater WHZ in Bangladesh and Zambia (P < 0.05), although CF indicators did not show strong associations with WHZ or wasting. The lack of sensitivity and specificity of many of the IYCF indicators may contribute to the inconsistent associations observed. The WHO indicators are clearly valuable tools for broadly assessing the quality of child diets and for monitoring population trends in IYCF practices over time. However, additional measures of dietary quality and quantity may be necessary to understand how specific IYCF behaviours relate to child growth faltering. 2014 2024-08-01T02:52:29Z 2024-08-01T02:52:29Z Journal Article https://hdl.handle.net/10568/150603 en Limited Access Wiley Jones, Andrew D.; Ickes, Scott B.; Smith, Laura E. ; Mbuya, Mduduzi N. N.; Chasekwa, Bernard; Heidkamp, Rebecca A.; Menon, Purnima; Zongrone, Amanda; and Stoltzfus, Rebecca J. 2014. World Health Organization infant and young child feeding indicators and their associations with child anthropometry: A synthesis of recent findings. Maternal and Child Nutrition 10(1): 1-17. https://doi.org/10.1111/mcn.12070
spellingShingle stunting
infant feeding
child feeding
wasting disease (nutritional disorder)
codex alimentarius
child growth
dietary diversity
Jones, Andrew D.
Ickes, Scott B.
Smith, Laura E.
Mbuya, Mduduzi N. N.
Chasekwa, Bernard
Heidkamp, Rebecca A.
Menon, Purnima
Zongrone, Amanda
Stoltzfus, Rebecca J.
World Health Organization infant and young child feeding indicators and their associations with child anthropometry: A synthesis of recent findings
title World Health Organization infant and young child feeding indicators and their associations with child anthropometry: A synthesis of recent findings
title_full World Health Organization infant and young child feeding indicators and their associations with child anthropometry: A synthesis of recent findings
title_fullStr World Health Organization infant and young child feeding indicators and their associations with child anthropometry: A synthesis of recent findings
title_full_unstemmed World Health Organization infant and young child feeding indicators and their associations with child anthropometry: A synthesis of recent findings
title_short World Health Organization infant and young child feeding indicators and their associations with child anthropometry: A synthesis of recent findings
title_sort world health organization infant and young child feeding indicators and their associations with child anthropometry a synthesis of recent findings
topic stunting
infant feeding
child feeding
wasting disease (nutritional disorder)
codex alimentarius
child growth
dietary diversity
url https://hdl.handle.net/10568/150603
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