Rao S, Swathi Pm, Unnikrishnan B, Hegde A
Kasturba Medical College , Mangalore, Manipal University.
Australas Med J. 2011;4(5):252-7. doi: 10.4066/AMJ.2011.607. Epub 2011 May 31.
Infants and young children are at an increased risk of malnutrition from six months of age onwards, when breast milk alone is no longer sufficient to meet all their nutritional requirements and complementary feeding should be started. Hence this study was undertaken to assess the practices of complementary feeding.
This hospital-based cross-sectional study was conducted at two private hospitals - Dr TMA Pai Hospital Udupi and Dr TMA Pai Hospital Karkala and a public hospital, Regional Advanced Paediatric Care Centre, Mangalore, of coastal south India for a two-month period from August 2010 to October 2010. Two-hundred mothers of children between six months and two years attending the paediatric outpatient departments of the above-mentioned hospitals for growth monitoring, immunisation and minor illnesses such as upper respiratory tract infections were selected for the study. The subjects were selected for the study by the order of their arrival to the outpatient department during the study period.
In the present study 77.5% mothers had started complementary feeding at the recommended time of six months. Only 32% of mothers were giving an adequate quantity of complementary feeds. The association of initiation of complementary feeding with socio-economic status, birth order, place of delivery and maternal education was found to be statistically significant. However the practice of giving an adequate quantity of complementary feeds was significantly associated only with the place of delivery.
In the present study, initiation of complementary feeding at the recommended time of six months was seen in the majority of children. However the quantity of complementary feeding was insufficient. Advice about breast feeding and complementary feeding during antenatal check-ups and postnatal visits might improve feeding practices.
从六个月大开始,婴幼儿营养不良的风险增加,此时仅靠母乳已不足以满足其所有营养需求,应开始添加辅食。因此,开展本研究以评估辅食添加情况。
本基于医院的横断面研究于2010年8月至2010年10月在印度南部沿海地区的两家私立医院——乌杜皮的TMA派伊医生医院和卡尔卡拉的TMA派伊医生医院,以及一家公立医院——芒格洛尔的地区高级儿科护理中心进行,为期两个月。选择在上述医院儿科门诊进行生长监测、免疫接种及治疗诸如上呼吸道感染等小病的200名六个月至两岁儿童的母亲作为研究对象。研究对象按其在研究期间到达门诊的顺序入选。
在本研究中,77.5%的母亲在推荐的六个月时开始添加辅食。只有32%的母亲提供足够量的辅食。发现辅食添加的起始时间与社会经济地位、出生顺序、分娩地点和母亲教育程度之间的关联具有统计学意义。然而,提供足够量辅食的做法仅与分娩地点显著相关。
在本研究中,大多数儿童在推荐的六个月时开始添加辅食。然而辅食添加量不足。在产前检查和产后访视期间提供关于母乳喂养和辅食添加的建议可能会改善喂养方式。