Gong Weiyi, Sun Jing, Huo Junsheng, Huang Jian, Wang Ou, Li Tiantong, Niu Ran, Chang Suying
National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
United Nations Children' Fund, Beijing 100600, China.
Wei Sheng Yan Jiu. 2021 May;50(3):372-394. doi: 10.19813/j.cnki.weishengyanjiu.2021.03.004.
To analyze complementary feeding status and issues among 6-23 month infants and young children(IYC) in poor rural regions in China to figure out actions further IYC nutrition in China.
Using 2018 monitoring data from Project of Children Nutrition Improvement in Poor Rural Regions, 6-23 months infants were sampled with the method of a combination of provincial stratification, multi-stage stratified cluster, PPS and random equidistant. Complementary feeding practices were collected by 24 hours diet recall method and and parental knowledge on IYC feeding was collected by KAP questionnaire. Complementary diet was analyzed according to the World Health Organization& apos; s definition of infant and young child feeding indicators. Logistic regression model was used to analyze the influencing factors of minimum acceptable diet(MAD).
A total of 40 910 infants(boys 21 153, girls 19 757) completed the survey. The proportion of infants 6-8 months of age who receive solid, semi-solid foods was 83.8%, the percentage of IYC who get minimum dietary diversity(MDD), minimum meal frequency(MMF), and MAD was 67.8%, 71.4% and 39.7%, respectively. The age of months, mother& apos; s educational level and parent& apos; s nutrition and feeding knowledge had significant impact on the outcome of MAD. The OR for month& apos; s age were 1.990 and 1.905(P& lt; 0.001), OR for mother education level was 1. 545(P& lt; 0.001) and OR for parent knowledge were 1.114 and 1.346(P& lt; 0.001).
Complementary feeding practices were poor in terms of the proportion of infants 6-8 months of age who introduced complementary foods, MDD, MMF and MAD in poor region of China.
分析中国农村贫困地区6至23月龄婴幼儿的辅食喂养状况及问题，以明确改善中国婴幼儿营养的进一步行动。
采用2018年农村贫困地区儿童营养改善项目监测数据，以省级分层、多阶段分层整群、PPS和随机等距相结合的方法抽取6至23月龄婴幼儿。通过24小时膳食回顾法收集辅食喂养情况，采用KAP问卷收集家长对婴幼儿喂养的知识。根据世界卫生组织婴幼儿喂养指标定义对辅食进行分析。采用logistic回归模型分析最低可接受膳食（MAD）的影响因素。
共40910名婴幼儿（男21153名，女19757名）完成调查。6至8月龄婴幼儿接受固体、半固体食物的比例为83.8%，达到最低膳食多样性（MDD）、最低进餐频率（MMF）和MAD的婴幼儿比例分别为67.8%、71.4%和39.7%。月龄、母亲教育水平和家长营养与喂养知识对MAD结果有显著影响。月龄的OR值分别为1.990和1.905（P<0.001），母亲教育水平的OR值为1.545（P<0.001），家长知识的OR值分别为1.114和1.346（P<0.001）。
在中国贫困地区，6至8月龄婴幼儿引入辅食、MDD、MMF和MAD的比例方面，辅食喂养情况较差。
