Chinese Center for Disease Control and Prevention, National Institute for Nutrition and Health, Beijing, China.
Front Public Health. 2021 Oct 1;9:691894. doi: 10.3389/fpubh.2021.691894. eCollection 2021.
This study aimed to estimate the status of complementary feeding (CF) and its associated factors among 6-23-month breastfed infants and young children (IYC). We used secondary data from the China Nutrition Improvement Project on Children in Poor Areas in 2018. The status of CF was provided by parents of IYC through 24-h dietary recall. The study included 13,972 6-23-month-old breastfed IYC comprising 24.7% 6-8-month, 28.5% 9-11-month, 31.4% 12-17-month, and 18-23-month IYC. The highest percentage of IYC introduced to cereal foods was 84.8%. Nearly, 83.6% of 6-8-month infants were introduced to solid or semi-solid food. The prevalence of meeting requirements of non-dairy animal source food and minimum acceptable diet (MAD) was 75.3 and 35.1% of 6-23-month IYC, respectively, and was significantly higher in older than younger IYC ( < 0.001). Age of IYC, education level of parents, paternal employment, and nutrition knowledge of parents were positively associated factors for the prevalence of meeting requirements of MAD, and diarrhea at 2 weeks and maternal employment were negatively associated with MAD. Totally, the prevalence of meeting the requirements of MAD was relatively lower in breastfed IYC. The government should scale up appropriate CF with consideration of food availability.
本研究旨在估计母乳喂养 6-23 个月婴儿和幼儿(IYC)的补充喂养(CF)状况及其相关因素。我们使用了 2018 年中国贫困地区儿童营养改善项目的二级数据。CF 状况由 IYC 的父母通过 24 小时膳食回顾提供。该研究包括 13972 名 6-23 个月母乳喂养的 IYC,其中 6-8 个月的占 24.7%,9-11 个月的占 28.5%,12-17 个月的占 31.4%,18-23 个月的占 18-23 个月的占 18%。引入谷物食品的 IYC 比例最高,为 84.8%。近 83.6%的 6-8 个月婴儿已引入固体或半固体食物。满足非乳制品动物源食品和最低可接受饮食(MAD)要求的 6-23 个月 IYC 的比例分别为 75.3%和 35.1%,且在较大的 IYC 中明显高于较小的 IYC(<0.001)。IYC 的年龄、父母的教育水平、父亲的就业状况以及父母的营养知识是满足 MAD 要求的流行率的正相关因素,而 2 周时腹泻和母亲就业则与 MAD 呈负相关。总体而言,母乳喂养的 IYC 满足 MAD 要求的比例相对较低。政府应考虑到食物供应情况,扩大适当的 CF。