Kavlashvili N, Kherkheulidze M, Kandelaki E, Chkhaidze I
M. Iashvili Children’s Central Hospital; Tbilisi State Medical University, Georgia.
Georgian Med News. 2014 Sep(234):112-6.
The aim of our study was to detect factors that influence timing and adequacy of complementary feeding (CF) practices in Georgian families. The study was conducted at M. Iashvili Central Children's Hospital Child Developmental Center in 2013-2014 year. The data was collected from 389 mothers of infants' age ranging from six months to one year. Results of the study show that CF was started in time only in 30,2%, In 18,1% it was CF was introduced too early (<4 month), in 27,3 early (4-6 month) and in 11% - late. 13.4% of children haven't started CF at all. Most of mothers received information about CF and semi-solid and solid food used for CF from pediatricians and family-doctors. Timing of complementary feeding was related to maternal age, young mothers started CF too early, early or late. In urban areas early CF was significantly high (51.1%) than in rural (29.7%) areas (P<0,05). Proportionally employed mothers and students also started CF earlier (51.4%) than housewives (33%) (P<0.01). Mothers who had 2 and more child introduced CF timely compared to those who had the first child (P<0.01). Our research study showed that educated women started complementary feeding of their infants at appropriate ages as compared to those who were uneducated (P<0.001) among women who introduced CF in time most were educated (91%). The data from the study shows that many infants are beginning complementary feeding earlier than WHO recommends (6 month). Findings from our study revealed that maternal knowledge, age, education level was directly related with timing of CF. Promotion of strong community based education and support to ensure optimal infant and young child feeding is recommended.
我们研究的目的是检测影响格鲁吉亚家庭辅食添加(CF)时间和充足性的因素。该研究于2013 - 2014年在M. 亚什维利中央儿童医院儿童发育中心进行。数据收集自389名年龄在6个月至1岁婴儿的母亲。研究结果显示,只有30.2%的婴儿按时开始添加辅食,18.1%的婴儿辅食添加过早(<4个月),27.3%的婴儿辅食添加过早(4 - 6个月),11%的婴儿辅食添加过晚。13.4%的儿童根本未开始添加辅食。大多数母亲从儿科医生和家庭医生那里获得了有关辅食添加以及用于辅食添加的半固体和固体食物的信息。辅食添加时间与母亲年龄有关,年轻母亲辅食添加过早、过晚或偏早。城市地区过早添加辅食的比例(51.1%)显著高于农村地区(29.7%)(P<0.05)。有工作的母亲和学生添加辅食也比家庭主妇更早(51.4%)(P<0.01)。有两个及以上孩子的母亲相比第一个孩子的母亲更及时地添加辅食(P<0.01)。我们的研究表明,受过教育的女性与未受过教育的女性相比,会在适当年龄开始给婴儿添加辅食(P<0.001),在按时添加辅食的女性中大多数受过教育(91%)。研究数据表明,许多婴儿开始添加辅食的时间早于世界卫生组织建议的时间(6个月)。我们研究的结果显示,母亲的知识、年龄、教育水平与辅食添加时间直接相关。建议加强基于社区的教育和支持,以确保实现最佳的婴幼儿喂养。