一项关于数据生成中对修订后的世界卫生组织婴幼儿喂养指标依从性的荟萃分析。

A meta-analysis of compliance with revised WHO-infant and young child feeding indicators in data generation.

作者信息

Iheme Gideon O, Nzeagwu Ogechi C, Uzokwe Chinwe A, Matthew Silverline, Edafioghor Linda O

机构信息

Department of Human Nutrition and Dietetics, Michael Okpara University of Agriculture Umudike, Abia State, Nigeria.

出版信息

Clin Nutr ESPEN. 2021 Jun;43:169-173. doi: 10.1016/j.clnesp.2021.03.016. Epub 2021 Apr 20.

DOI:10.1016/j.clnesp.2021.03.016

PMID:34024510

Abstract

BACKGROUND & AIMS: A comprehensive set of validated core infant and young child feeding (IYCF) indicators replaced the previous guideline and created a consensus on breastfeeding and complementary feeding indicators. It remains unknown how local studies have adopted these originally absent complementary feeding indicators in their data generation. The study is aimed to evaluate the level/rate of adoption of core complementary feeding (CF) indicators in Nigeria.

METHODS

Meta-analysis of literature on complementary feeding indicators utilized in Nigeria by peer-reviewed articles published from 2009-2019 was conducted. A bibliographic survey was carried out in several databases, review of abstracts and full texts followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Eligible peer-reviewed published studies were compared to the core CF indicators proposed by WHO in 2008. Data were analysed using SPSS version 25.

RESULTS

A total of 33 articles met the inclusion criteria. Majority (72.7%) of the peer-reviewed published studies failed to adopt a single core CF. Trends in the mean utilization of CF indicators revealed that recent studies published in 2015, 2016, 2017 and 2019 reported a mean utilization score of 0.4, 0.75, 1.33 and 1.50 out of an available 5 indicators respectively. A significant positive correlation between publication year and the number of indicators adopted (r = 0.48; p = 0.004) was observed. In comparison with standards, CF indicators such as the introduction of semi-solid foods and minimum meal frequency indicators though mentioned were inappropriately utilized by 75.8% and 36.4% of the reviewed studies as the required age and/or breastfeeding status were not considered.

CONCLUSION

Slow but significant adoption of CF indicators overtime was reported in this study. Hence, there is need to ensure quick adoption of standard indicators/guidelines by local studies as this will promote the generation of pooled evidence.

摘要

背景与目的

一套经过验证的全面的婴幼儿喂养（IYCF）核心指标取代了先前的指南，并就母乳喂养和辅食喂养指标达成了共识。目前尚不清楚当地研究在数据生成过程中如何采用这些原本缺失的辅食喂养指标。本研究旨在评估尼日利亚对核心辅食喂养（CF）指标的采用水平/率。

方法

对2009年至2019年发表的同行评审文章中尼日利亚使用的辅食喂养指标文献进行荟萃分析。在多个数据库中进行了文献调查，摘要和全文的评审遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南。将符合条件的同行评审发表研究与世界卫生组织2008年提出的核心CF指标进行比较。使用SPSS 25版进行数据分析。

结果

共有33篇文章符合纳入标准。大多数（72.7%）同行评审发表的研究未采用单一核心CF。CF指标的平均使用趋势表明，2015年、2016年、2017年和2019年发表的近期研究报告的平均使用得分分别为0.4、0.75、1.33和1.50（满分5个指标）。观察到发表年份与采用的指标数量之间存在显著正相关（r = 0.48；p = 0.004）。与标准相比，尽管提到了半固体食物的引入和最低进餐频率指标等CF指标，但75.8%和36.4%的综述研究未适当使用，因为未考虑所需年龄和/或母乳喂养状况。