Roy Swapan Kumar, Jahan Khurshid, Iqbal Kabir A K M, Keya Nila Akter, Khatoon Soofia, Mannan Mohammad Abdul, Bhattacharjee Lalita
Bangladesh Breastfeeding Foundation, Mohakhali, Dhaka, Bangladesh.
Centre for Women and Child Health (CWCH), Ashulia, Dhaka, Bangladesh.
Eur J Clin Nutr. 2022 Feb;76(2):235-243. doi: 10.1038/s41430-021-00936-z. Epub 2021 Sep 10.
In Bangladesh, only 34% of children receive minimum acceptable diets as complementary foods (CF) for appropriate age while the rest of them remain at the risk of growth faltering, micronutrient deficiency, compromised cognitive development, and increased morbidity and mortality.
The purpose of the study was to develop nutritious recipes for complementary feeding and provide necessary guidelines for improving complementary feeding practices for doctors, nutritionist and caregivers.
This qualitative study including a baseline survey and Trials of Improved Practices of recipes (TIPs) was conducted on families having 6-23 months old children selected by Multi-stage random sampling methods from 2010 to 2012 throughout seven divisions of Bangladesh. Thirty-five food recipes were developed from local food items based on the 'WHO indicators to assess the adequacy of CF practices' for the TIP. Thirty (30) cooked recipes were analyzed for 10 nutrients in an accredited laboratory in Bangladesh.
The baseline survey found that energy density of local recipes was low and did not have the required diversity, adequacy, and nutrient density according to IYCF indicators established by WHO. The TIPs found that 28 recipes out of the 35 recipes were most acceptable by both mothers and children. A manual of improved complementary food recipes and a complementary feeding guideline has been developed with calculation of dietary diversity scores, energy and nutrient density.
This report will provide evidence-based practical knowledge for training and serve as nutrition education tool for nutrition practitioners, policy makers, and academicians.
在孟加拉国，只有34%的儿童能获得适合其年龄的最低可接受饮食作为辅食，其余儿童仍面临生长发育迟缓、微量营养素缺乏、认知发育受损以及发病率和死亡率增加的风险。
本研究旨在开发营养丰富的辅食食谱，并为医生、营养师和护理人员提供改善辅食喂养做法的必要指导方针。
这项定性研究包括基线调查和食谱改进实践试验（TIPs），于2010年至2012年期间，通过多阶段随机抽样方法，在孟加拉国七个行政区选取有6至23个月大儿童的家庭中进行。根据“世卫组织评估辅食喂养做法 adequacy的指标”，从当地食物中开发了35种食物食谱用于TIPs。在孟加拉国一家经认可的实验室对30种烹饪食谱的10种营养素进行了分析。
基线调查发现，当地食谱的能量密度较低，根据世卫组织制定的婴幼儿喂养全球战略指标，缺乏所需的多样性、充足性和营养密度。TIPs发现，35种食谱中有28种最受母亲和儿童欢迎。已制定了一份改进辅食食谱手册和一份辅食喂养指南，并计算了饮食多样性得分、能量和营养密度。
本报告将为培训提供循证实践知识，并作为营养从业者、政策制定者和学者的营养教育工具。
