Sawadogo Prosper S, Martin-Prével Yves, Savy Mathilde, Kameli Yves, Traissac Pierre, Traoré Alfred S, Delpeuch Francis
Unité de Formation et de Recherche, Sciences de la Vie et de la Terre, Laboratoire de Biochimie-Microbiologie, Université de Ouagadougou, Burkina Faso.
J Nutr. 2006 Mar;136(3):656-63. doi: 10.1093/jn/136.3.656.
The measurement of child feeding practices is complex and the relation between the quality of feeding and children's nutritional status is difficult to establish. We examined this relation in rural Burkina Faso, West Africa, using an adapted version of the Infant and Child Feeding Index (ICFI). A cross-sectional study was conducted on a random sample of children (n = 2466) aged 6-35 mo in 2002. Feeding practices were assessed through a qualitative 24-h recall. ICFIs were made age specific for children aged 6-11 mo (n = 614), 12-23 mo (n = 987), 24-35 mo (n = 865), and were divided into terciles. The association between height-for-age Z-scores (HAZ), weight-for-height Z-scores (WHZ), and ICFIs were examined separately in each age group. Multivariate analyses were performed to control for sociodemographic and economic factors. Adjusted mean HAZ in low, medium, and high categories of ICFI were, respectively, -1.67, -1.53, and -1.21 (P = 0.003) among children aged 6-11 mo; -2.54, -2.24, and -2.11 (P = 0.0002) among children aged 12-23 mo; and -2.18, -2.20, and -2.45 (P = 0.05) among children aged 24-35 mo. There was also a positive association between ICFI and WHZ in children aged 12-23 mo (P = 0.05) but a negative association in children aged 6-11 mo (P = 0.02). Among the components of ICFI, dietary diversity or variety scores and frequency of meals or snacks supported the positive associations with anthropometric indices, except for WHZ in children aged 6-11 mo, whereas breast-feeding exhibited a reverse association among older children. A suitable ICFI and/or some of its components could be used to identify vulnerable age groups and to monitor interventions in similar rural areas of Africa.
儿童喂养方式的测量很复杂，而且喂养质量与儿童营养状况之间的关系很难确定。我们在西非布基纳法索的农村地区，使用改良版的婴幼儿喂养指数（ICFI）对这种关系进行了研究。2002年，我们对2466名年龄在6至35个月的儿童进行了随机抽样，开展了一项横断面研究。通过定性的24小时回顾法评估喂养方式。针对6至11个月（n = 614）、12至23个月（n = 987）、24至35个月（n = 865）的儿童，制定了特定年龄的ICFI，并将其分为三个等级。在每个年龄组中分别研究年龄别身高Z评分（HAZ）、身高别体重Z评分（WHZ）与ICFI之间的关联。进行多变量分析以控制社会人口统计学和经济因素。在6至11个月的儿童中，ICFI低、中、高组的调整后平均HAZ分别为-1.67、-1.53和-1.21（P = 0.003）；在12至23个月的儿童中分别为-2.54、-2.24和-2.11（P = 0.0002）；在24至35个月的儿童中分别为-2.18、-2.20和-2.45（P = 0.05）。在12至23个月的儿童中，ICFI与WHZ之间也存在正相关（P = 0.05），但在6至11个月的儿童中存在负相关（P = 0.02）。在ICFI的各个组成部分中，饮食多样性或种类得分以及进餐或吃零食的频率与人体测量指标呈正相关，6至11个月儿童的WHZ除外，而母乳喂养在年龄较大的儿童中呈现相反的关联。合适的ICFI及其某些组成部分可用于识别脆弱年龄组，并监测非洲类似农村地区的干预措施。
