Palanichamy Maheswari, Solanki Mridula J
Department of Community Medicine, Seth G S Medical College & KEM Hospital, Mumbai, Maharashtra, India.
J Family Med Prim Care. 2021 Jan;10(1):175-181. doi: 10.4103/jfmpc.jfmpc_1023_20. Epub 2021 Jan 30.
The nutritional status of children is influenced by feeding practices. Infant and Child Feeding Index (ICFI) is an age-specific composite index to assess the feeding practices of children.
To determine the association between ICFI and the nutritional status of children aged 6 to 24 months. To find whether ICFI has value as a tool for detecting poor nutritional status. To determine the association of ICFI and nutritional status with sociodemographic and other factors.
A cross-sectional study was conducted in the urban field practice area of a tertiary care institute among 149 children aged 6 to 24 months and their mothers. Data on feeding practices were obtained and ICFI scores were calculated. The weight and length of the children were measured and Z scores (WAZ, LAZ, and WLZ) were calculated. A Chi-square test was used to find the association between the categorical variables.
We found no association between ICFI and any of the three nutritional indicators such as WAZ, LAZ, and WLZ. The sensitivity of the ICFI was low for detecting underweight (10.0%), stunting (29.4%), and wasting (11.1%). ICFI was significantly associated with the growth monitoring of children and mothers' education. WAZ was significantly associated with mother's education and socioeconomic class.
There is no association between ICFI and the nutritional status of children. ICFI has limited value in detecting the poor nutritional status of children in this urban setting. Maternal education and growth monitoring of children play an important role in infant and child feeding practices.
儿童的营养状况受喂养方式影响。婴幼儿喂养指数（ICFI）是一个针对特定年龄的综合指数，用于评估儿童的喂养方式。
确定ICFI与6至24个月儿童营养状况之间的关联。探究ICFI作为检测营养不良状况工具是否具有价值。确定ICFI和营养状况与社会人口学及其他因素之间的关联。
在一家三级医疗机构的城市实地实践区域对149名6至24个月的儿童及其母亲进行了横断面研究。获取喂养方式数据并计算ICFI得分。测量儿童的体重和身长并计算Z评分（体重Z评分、身长Z评分和体重身长Z评分）。使用卡方检验来发现分类变量之间的关联。
我们发现ICFI与任何一项营养指标（如体重Z评分、身长Z评分和体重身长Z评分）之间均无关联。ICFI检测体重不足（10.0%）、发育迟缓（29.4%）和消瘦（11.1%）的敏感性较低。ICFI与儿童生长监测及母亲教育程度显著相关。体重Z评分与母亲教育程度和社会经济阶层显著相关。
ICFI与儿童营养状况之间无关联。在这个城市环境中，ICFI在检测儿童营养不良状况方面价值有限。母亲教育程度和儿童生长监测在婴幼儿喂养方式中起着重要作用。
