NewERA: Development Research and Training for Change, Kathmandu, Nepal.
Matern Child Nutr. 2012 Jan;8 Suppl 1(Suppl 1):45-59. doi: 10.1111/j.1740-8709.2011.00384.x.
Inappropriate complementary feeding increases the risk of undernutrition, illness and mortality in infants and children. This study uses a subsample of 1428 children of 6-23 months from Nepal Demographic and Health Survey (NDHS), 2006. The 2006 NDHS was a multistage cluster sample survey. The complementary feeding indicators were estimated according to the 2008 World Health Organization recommendations. The rate of introduction of solid, semi-solid or soft foods to infants aged 6-8 months was 70%. Minimum meal frequency and minimum dietary diversity rates were 82% and 34%, respectively, and minimum acceptable diet for breastfed infants was 32%. Multivariate analysis indicated that working mothers and mothers with primary or no education were significantly less likely to give complementary foods, to meet dietary diversity, minimum meal frequency and minimum acceptable diet. Children living in poor households were significantly less likely to meet minimum dietary diversity and minimum acceptable diet. Mothers who had adequate exposure to media, i.e. who watch television and who listen to radio almost every day, were significantly more likely to meet minimum dietary diversity and meal frequency. Infants aged 6-11 months were significantly less likely to meet minimum acceptable diet [adjusted odds ratio (OR)=3.13, confidence interval (CI)=2.16-4.53] and to meet minimum meal frequency (adjusted OR=4.46, CI=2.67-7.46). In conclusion, complementary feeding rates in Nepal are inadequate except for minimum meal frequency. Planning and promotion activities to improve appropriate complementary feeding practices should focus on illiterate mothers, those living in poor households, and those not exposed to media.
不当的补充喂养会增加婴幼儿营养不良、患病和死亡的风险。本研究使用了尼泊尔 2006 年人口与健康调查(NDHS)的一个 6-23 个月儿童的亚样本,该调查采用多阶段聚类抽样方法。补充喂养指标是根据 2008 年世界卫生组织的建议进行估计的。6-8 月龄婴儿固体、半固体或软食的引入率为 70%。最低用餐频率和最低饮食多样性率分别为 82%和 34%,母乳喂养婴儿最低可接受饮食为 32%。多变量分析表明,有工作的母亲和受教育程度为小学或以下的母亲不太可能提供补充食品,也不太可能满足饮食多样性、最低用餐频率和最低可接受饮食的要求。生活在贫困家庭的儿童不太可能满足最低饮食多样性和最低可接受饮食的要求。那些有足够媒体接触的母亲,即几乎每天都看电视和听广播的母亲,更有可能满足最低饮食多样性和用餐频率的要求。6-11 月龄婴儿不太可能满足最低可接受饮食的要求(调整后的优势比(OR)=3.13,95%置信区间(CI)=2.16-4.53)和满足最低用餐频率的要求(调整后的 OR=4.46,95%CI=2.67-7.46)。总之,尼泊尔的补充喂养率除了最低用餐频率外,其他都不足。改善适当补充喂养做法的规划和推广活动应侧重于文盲母亲、生活在贫困家庭的母亲以及未接触媒体的母亲。