School of Community & Environmental Health, College of Health Sciences, Old Dominion University, Norfolk, VA23508, USA.
Food and Nutrition Administration, Ministry of Health, Box 5, 13001Kuwait City, Kuwait.
Public Health Nutr. 2020 Jul;23(10):1665-1676. doi: 10.1017/S1368980019004634. Epub 2020 Apr 14.
This study aimed to report the WHO infant and young child feeding (IYCF) indicators from Kuwait and to investigate the associations between these indicators and anthropometric measurements.
The Kuwait Nutritional Surveillance System uses observational cross-sectional approach to collects data by face-to-face interviews with mothers or child guardians using a structured questionnaire that was developed based on the WHO IYCF indicators. The weight and height of infants and young children were measured using digital scales in a standardised manner.
Vaccination centres in all governorates (provinces) of Kuwait.
Infants and young Kuwaiti children aged 0-23 months (N 5839).
The prevalence of exclusive breastfeeding and age-appropriate breastfeeding were 8·0 and 7·4 %, respectively. The prevalence of stunting and wasting was 7·5 and 2·4 %, respectively, while the prevalence of overweight and obesity was 6·5 and 1·6 %, respectively. In the multivariable analysis, exclusive breastfeeding and age-appropriate breastfeeding were more common in children with stunted growth (AOR 1·71 (95 % CI 1·08, 2·70; P = 0·021) and 1·44 (95 % CI 1·01, 2·06; P = 0·046), respectively). The introduction of solid/semisolid or soft foods was inversely associated with stunting (AOR 0·52; 95 % CI 0·30, 0·90; P = 0·021). Only age-appropriate breastfeeding was inversely associated with overweight (AOR 0·62; 95 % CI 0·39, 0·98; P = 0·043).
Our findings showed that indicators of breastfeeding are low in Kuwait. Our findings suggest that the associations between different WHO IYCF indicators and stunting as well as overweight is complex, which highlights the need for a better understanding of WHO IYCF indicators in both low- and high-income countries.
本研究旨在报告科威特世界卫生组织婴幼儿喂养（IYCF）指标，并调查这些指标与人体测量学指标之间的关联。
科威特营养监测系统采用观察性横断面方法，通过面对面访谈母亲或儿童监护人，使用基于世界卫生组织 IYCF 指标制定的结构化问卷收集数据。婴儿和幼儿的体重和身高采用标准化的数字秤进行测量。
科威特所有省份的疫苗接种中心。
0-23 月龄的科威特婴幼儿（N=5839）。
纯母乳喂养和适时母乳喂养的比例分别为 8.0%和 7.4%。生长迟缓率和消瘦率分别为 7.5%和 2.4%，超重和肥胖率分别为 6.5%和 1.6%。多变量分析显示，在生长迟缓的儿童中，纯母乳喂养和适时母乳喂养更为常见（AOR 1.71（95%CI 1.08, 2.70；P=0.021）和 1.44（95%CI 1.01, 2.06；P=0.046））。引入固体/半固体或软食与生长迟缓呈负相关（AOR 0.52（95%CI 0.30, 0.90；P=0.021））。只有适时母乳喂养与超重呈负相关（AOR 0.62（95%CI 0.39, 0.98；P=0.043））。
我们的研究结果表明，科威特的母乳喂养指标较低。我们的研究结果表明，不同世界卫生组织 IYCF 指标与生长迟缓以及超重之间的关联较为复杂，这突出表明需要更好地了解在低收入和高收入国家中世界卫生组织 IYCF 指标。
