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孟加拉国婴幼儿喂养实践、饮食多样性、相关预测因素与儿童健康结局。

Infant and young child feeding practice, dietary diversity, associated predictors, and child health outcomes in Bangladesh.

机构信息

International Centre for Diarrhoeal Disease Research, Mohakhali, Dhaka, Bangladesh.

School of Public Health, Independent University Bangladesh, Dhaka, Bangladesh.

出版信息

J Child Health Care. 2020 Jun;24(2):260-273. doi: 10.1177/1367493519852486. Epub 2019 Jun 3.

Abstract

The aim of this study was to explore the association of Infant and Young Child Feeding (IYCF) practices with health and nutritional status among children aged 0-23 months and to investigate the predictors of minimum acceptable diets (MADs) using Bangladesh Demographic and Health Survey (BDHS) data. Binary logistic regression models were performed to assess the association between IYCF and child health and to determine the influential predictors for MAD. About 55% mothers reported exclusive breastfeeding; 65% introduced solid, semisolid, or soft foods for their child; and 27% maintained minimum dietary diversity (MDD). About 64% children received recommended minimum meal frequency (MMF) and 23% received recommended MAD. The likelihood of having wasting was .22 times lower for the child who received MDD and MMF, respectively. MDD and MAD were associated with lower probability of experiencing underweight among children (Adjusted odds ratio [AOR] = .73 and AOR= .81, respectively). Early initiation and continuation of breastfeeding were significantly associated with reduction in diarrhea prevalence among young children. The findings of the study generated imperative evidence related to dietary diversity, associated factors, and child health outcomes. Policy should focus on the improvement of IYCF practices and complimentary food diversity by taking initiatives for designing and implementing effective interventions to tackle childhood morbidity.

摘要

本研究旨在探讨婴儿和幼儿喂养(IYCF)实践与 0-23 个月儿童健康和营养状况的关系,并利用孟加拉国人口与健康调查(BDHS)数据调查最低可接受饮食(MADs)的预测因素。采用二元逻辑回归模型评估 IYCF 与儿童健康之间的关联,并确定 MAD 的主要预测因素。约 55%的母亲报告了纯母乳喂养;65%的母亲为孩子引入了固体、半固体或软食;27%的母亲保持了最低饮食多样性(MDD)。约 64%的儿童接受了推荐的最低用餐频率(MMF),23%的儿童接受了推荐的 MAD。分别接受 MDD 和 MMF 的儿童出现消瘦的可能性降低了 22%。MDD 和 MAD 与儿童体重不足的可能性降低相关(调整后的优势比[OR]分别为.73 和.81)。早期开始和持续母乳喂养与减少幼儿腹泻的流行显著相关。本研究的结果提供了与饮食多样性、相关因素和儿童健康结果相关的重要证据。政策应侧重于改善 IYCF 实践和补充食物多样性,通过制定和实施有效的干预措施来解决儿童发病率问题。

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