a Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Campbelltown Campus , Penrith , Australia.
b General Practice Unit, Prescot Specialist Medical Centre , Makurdi , Nigeria.
Glob Health Action. 2019;12(1):1638020. doi: 10.1080/16549716.2019.1638020.
: Delayed introduction of solid, semi-solid or soft foods (complementary feeding) and associated factors are related to stunting and severe stunting among children in many low- and middle-income countries. In India, however, there is limited evidence on the relationship between delayed complementary feeding and associated factors with stunting and severe stunting to advocate for policy interventions. : The present study investigated the relationship between delayed complementary feeding and associated factors with stunting and severe stunting among infants aged 6-8 months in India. : Survey data on 13,548 infants aged 6-8 months were obtained from the 2015-16 National Family Health Survey in India. Logistic regression (Generalized Linear Latent and Mixed Models [GLLAMM] with a logit link and binomial family) models that adjusted for clustering and sampling weights were used to investigate the relationship between delayed complementary feeding and associated factors (community, household, maternal, child and health service factors) with stunting and severe stunting among infants aged 6-8 months in India. : The prevalence of stunting and severe stunting was 22.0% (95% CI: 21.0-23.7%) and 10.0% (95% CI: 9.0-11.0%) among infants aged 6-8 months who received no complementary foods, respectively. Delayed introduction of solid, semi-solid or soft foods was associated with stunting (adjusted Odd ratios [aOR] = 1.24, 95% CI: 1.09-1.41) and severe stunting (aOR = 1.21, 95% CI: 1.01-1.45) among infants aged 6-8 months. High maternal education (secondary or higher education) and household wealth (middle, richer and richest) were protective against stunting and severe stunting. : Delayed introduction of complementary foods and associated factors were related to stunting and severe stunting among infants aged 6-8 months in India. Reducing the proportion of infants who are stunted in India would require comprehensive national nutrition policy actions that target the sub-population of mothers with no schooling and limited resources.
延迟引入固体、半固体或软食（补充喂养）及其相关因素与许多低收入和中等收入国家儿童的发育迟缓及重度发育迟缓有关。然而，在印度，关于延迟补充喂养与发育迟缓及重度发育迟缓之间关系的证据有限，无法为政策干预提供依据。本研究调查了印度 6-8 月龄婴儿延迟补充喂养及其相关因素与发育迟缓及重度发育迟缓之间的关系。研究数据来自 2015-2016 年印度全国家庭健康调查的 13548 名 6-8 月龄婴儿。使用调整了聚类和抽样权重的逻辑回归（广义线性潜在和混合模型[GLLAMM]，对数链接和二项式家族）模型，调查了印度 6-8 月龄婴儿延迟补充喂养及其相关因素（社区、家庭、产妇、儿童和卫生服务因素）与发育迟缓及重度发育迟缓之间的关系。未接受补充食物的 6-8 月龄婴儿中，发育迟缓及重度发育迟缓的患病率分别为 22.0%（95%CI：21.0-23.7%）和 10.0%（95%CI：9.0-11.0%）。6-8 月龄婴儿固体、半固体或软食延迟引入与发育迟缓（调整后的比值比[aOR]为 1.24，95%CI：1.09-1.41）和重度发育迟缓（aOR 为 1.21，95%CI：1.01-1.45）有关。母亲受教育程度较高（中学或以上）和家庭财富（中等、较富裕和最富裕）可预防发育迟缓及重度发育迟缓。延迟引入补充食物及其相关因素与印度 6-8 月龄婴儿的发育迟缓及重度发育迟缓有关。要降低印度发育迟缓婴儿的比例，需要采取全面的国家营养政策行动，针对没有接受教育和资源有限的母亲亚群。
