Department of Community Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Matern Child Nutr. 2012 Jan;8 Suppl 1(Suppl 1):5-10. doi: 10.1111/j.1740-8709.2011.00371.x.
South Asian region has the highest global burden of child undernutrition, with almost 41% of children stunted, 16% wasted and 33% underweight. Improved feeding of children less than 2 years of age is particularly important because they experience rapid growth and development, and are vulnerable to illnesses such as acute respiratory infections and diarrhoeal diseases. The present supplement aimed to describe complementary feeding practices in five South Asian countries - Bangladesh, India, Nepal, Pakistan and Sri Lanka - using the new and updated global complementary feeding indicators and to identify determinants of inappropriate complementary feeding practices. The South Asia Infant Feeding Research Network held a series of workshops to study and discuss the operational guidelines for the new complementary feeding indicators in consultation with regional and international experts. The latest Demographic and Health Surveys for Bangladesh, Nepal, Pakistan and Sri Lanka, and the National Family Health Survey of India were used as data sources. Four key indicators were calculated: introduction of solid, semisolid or soft foods in 6-8 months aged, minimum dietary diversity, minimum meal frequency and minimum acceptable diet in 6-23-month-aged children. Univariate and multivariate logistic regression analyses were performed to identify determinants of poor complementary feeding practices. The papers in this supplement present results of these analyses for each individual country and a comparison between countries. The results have important implications for policies, programmes and research on infant and young child feeding in the region, especially for targeting groups at high risk for suboptimal practices.
南亚地区是全球儿童营养不足负担最重的地区，该地区有近 41%的儿童发育迟缓，16%的儿童消瘦，33%的儿童体重不足。改善 2 岁以下儿童的喂养方式尤为重要，因为他们正处于快速生长发育阶段，容易受到急性呼吸道感染和腹泻等疾病的影响。本补充材料旨在使用新的和更新的全球补充喂养指标，描述孟加拉国、印度、尼泊尔、巴基斯坦和斯里兰卡五个南亚国家的补充喂养实践，并确定不适当补充喂养做法的决定因素。南亚婴幼儿喂养研究网络与区域和国际专家协商，举行了一系列研讨会，以研究和讨论新补充喂养指标的操作指南。本研究使用了孟加拉国、尼泊尔、巴基斯坦和斯里兰卡的最新人口与健康调查以及印度的国家家庭健康调查作为数据源。计算了四个关键指标：6-8 月龄儿童固体、半固体或软食的引入、6-23 月龄儿童最低饮食多样性、最低进餐频率和最低可接受饮食。采用单变量和多变量逻辑回归分析确定不良补充喂养做法的决定因素。本补充材料中的论文介绍了每个国家的这些分析结果以及各国之间的比较。这些结果对该地区婴幼儿喂养的政策、规划和研究具有重要意义，特别是对目标人群的确定具有重要意义，这些目标人群面临着不适当做法的高风险。
