Infant and young child feeding practices and child undernutrition in Bangladesh: Insights from nationally representative data

To determine the association between indicators of infant and young child feeding (IYCF) and anthropometric measures of nutritional status among children aged 0–23 months in a nationally representative data set.Data from the 2007 Bangladesh Demographic and Health Survey were used. Analyses were cond...

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Main Authors: Zongrone, Amanda, Winskell, Kate, Menon, Purnima
Format: Journal Article
Language:Inglés
Published: Cambridge University Press 2012
Subjects:
Online Access:https://hdl.handle.net/10568/153098
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author Zongrone, Amanda
Winskell, Kate
Menon, Purnima
author_browse Menon, Purnima
Winskell, Kate
Zongrone, Amanda
author_facet Zongrone, Amanda
Winskell, Kate
Menon, Purnima
author_sort Zongrone, Amanda
collection Repository of Agricultural Research Outputs (CGSpace)
description To determine the association between indicators of infant and young child feeding (IYCF) and anthropometric measures of nutritional status among children aged 0–23 months in a nationally representative data set.Data from the 2007 Bangladesh Demographic and Health Survey were used. Analyses were conducted using multiple linear regression and logistic regression analyses adjusted for the complex survey design of the survey, controlling for child, maternal and household characteristics, and including regional dummy variables.Bangladesh.Pairs (n 2096) of last born infants and their mothers.Exclusive breast-feeding under 6 months of age was associated with higher weight-for-height Z-score (effect size (ES) = 0·29; P < 0·05). Appropriate complementary feeding in children aged 6–8 months was associated with higher height-for-age Z-score (HAZ; ES = 0·63; P < 0·01) and higher weight-for-age Z-score (WAZ; ES = 0·30; P < 0·05). Higher dietary diversity index (DDI) was associated with higher HAZ (ES = 0·08; P < 0·01 for every 1 point higher DDI) and higher WAZ (ES = 0·04; P < 0·05). Children who achieved minimum diet diversity had higher HAZ (ES = 0·20; P < 0·05). Logistic regression models confirmed that exclusive breast-feeding was protective against wasting and DDI was protective against stunting and underweight.Our results highlight the importance of IYCF practices as determinants of child growth outcomes in this context, and reinforce the need for interventions that address the spectrum of IYCF practices, from exclusive breast-feeding to age-appropriate complementary feeding, especially diet diversity, in efforts to improve nutrition of infants and young children.
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spelling CGSpace1530982024-11-15T08:53:11Z Infant and young child feeding practices and child undernutrition in Bangladesh: Insights from nationally representative data Zongrone, Amanda Winskell, Kate Menon, Purnima infants developing countries nutrition undernutrition infant feeding child feeding children To determine the association between indicators of infant and young child feeding (IYCF) and anthropometric measures of nutritional status among children aged 0–23 months in a nationally representative data set.Data from the 2007 Bangladesh Demographic and Health Survey were used. Analyses were conducted using multiple linear regression and logistic regression analyses adjusted for the complex survey design of the survey, controlling for child, maternal and household characteristics, and including regional dummy variables.Bangladesh.Pairs (n 2096) of last born infants and their mothers.Exclusive breast-feeding under 6 months of age was associated with higher weight-for-height Z-score (effect size (ES) = 0·29; P < 0·05). Appropriate complementary feeding in children aged 6–8 months was associated with higher height-for-age Z-score (HAZ; ES = 0·63; P < 0·01) and higher weight-for-age Z-score (WAZ; ES = 0·30; P < 0·05). Higher dietary diversity index (DDI) was associated with higher HAZ (ES = 0·08; P < 0·01 for every 1 point higher DDI) and higher WAZ (ES = 0·04; P < 0·05). Children who achieved minimum diet diversity had higher HAZ (ES = 0·20; P < 0·05). Logistic regression models confirmed that exclusive breast-feeding was protective against wasting and DDI was protective against stunting and underweight.Our results highlight the importance of IYCF practices as determinants of child growth outcomes in this context, and reinforce the need for interventions that address the spectrum of IYCF practices, from exclusive breast-feeding to age-appropriate complementary feeding, especially diet diversity, in efforts to improve nutrition of infants and young children. 2012-09 2024-10-01T13:55:37Z 2024-10-01T13:55:37Z Journal Article https://hdl.handle.net/10568/153098 en Limited Access Cambridge University Press Zongrone, Amanda; Winskell, Kate; Menon, Purnima 2012. Infant and young child feeding practices and child undernutrition in Bangladesh: Insights from nationally representative data. Public Health Nutrition 15(9): 1697-1704
spellingShingle infants
developing countries
nutrition
undernutrition
infant feeding
child feeding
children
Zongrone, Amanda
Winskell, Kate
Menon, Purnima
Infant and young child feeding practices and child undernutrition in Bangladesh: Insights from nationally representative data
title Infant and young child feeding practices and child undernutrition in Bangladesh: Insights from nationally representative data
title_full Infant and young child feeding practices and child undernutrition in Bangladesh: Insights from nationally representative data
title_fullStr Infant and young child feeding practices and child undernutrition in Bangladesh: Insights from nationally representative data
title_full_unstemmed Infant and young child feeding practices and child undernutrition in Bangladesh: Insights from nationally representative data
title_short Infant and young child feeding practices and child undernutrition in Bangladesh: Insights from nationally representative data
title_sort infant and young child feeding practices and child undernutrition in bangladesh insights from nationally representative data
topic infants
developing countries
nutrition
undernutrition
infant feeding
child feeding
children
url https://hdl.handle.net/10568/153098
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AT winskellkate infantandyoungchildfeedingpracticesandchildundernutritioninbangladeshinsightsfromnationallyrepresentativedata
AT menonpurnima infantandyoungchildfeedingpracticesandchildundernutritioninbangladeshinsightsfromnationallyrepresentativedata