Meral Koc Bilge, Ozlu Karahan Tugce, Arslan Yuksel Ezgi, Garipoglu Gokcen
Department of Nutrition and Dietetics Ihlamur Yildiz Cad., Faculty of Health Sciences, Bahcesehir University, Istanbul, Turkey.
Department of Nutrition and Dietetics Beyoglu, Faculty of Health Sciences, Istanbul Bilgi University, Istanbul, Turkey.
Matern Child Nutr. 2025 Jan;21(1):e13746. doi: 10.1111/mcn.13746. Epub 2024 Oct 21.
Although complementary feeding (CF) and maternal attitudes towards infant feeding are known to affect the nutritional status of infants during the neonatal period, studies in this field remain limited. The present study aimed to determine CF practices for infants aged 6-12 months who live in Turkey and maternal attitudes towards infant feeding. In addition, the effects of CF practices and maternal attitudes on the nutritional status of infants were examined. This study included 720 infants, of whom 289 were aged 6-8 months and 431 were aged 9-12 months. CF status was assessed using the CF index (CFI), and maternal attitudes towards infant feeding were measured using the Iowa infant feeding attitude scale (IIFAS). The weight and length measurements of infants were categorized using z-scores. Infants with weight-for-age z-score (WAZ) and weight-for-length z-score (WLZ) of less than -2 standard deviation were categorized as malnourished. Mothers of malnourished infants were found to have lower CFI and IIFAS scores (p < 0.05). Consistency of fruit feeding and complementary foods in the first 3 days of CF was associated with WAZ. The mothers' level of knowledge about CF and appropriate CF practices significantly affects the nutritional status of infants. The tools used in the present study to monitor CF practices should be incorporated into public health programmes.
尽管已知辅食添加（CF）和母亲对婴儿喂养的态度会影响新生儿期婴儿的营养状况，但该领域的研究仍然有限。本研究旨在确定居住在土耳其的6至12个月婴儿的辅食添加做法以及母亲对婴儿喂养的态度。此外，还研究了辅食添加做法和母亲态度对婴儿营养状况的影响。本研究纳入了720名婴儿，其中289名年龄在6至8个月，431名年龄在9至12个月。使用辅食添加指数（CFI）评估辅食添加状况，使用爱荷华婴儿喂养态度量表（IIFAS）测量母亲对婴儿喂养的态度。婴儿的体重和身长测量值用z分数进行分类。年龄别体重z分数（WAZ）和身长别体重z分数（WLZ）小于-2个标准差的婴儿被归类为营养不良。发现营养不良婴儿的母亲CFI和IIFAS得分较低（p < 0.05）。辅食添加前3天水果喂养和辅食的一致性与WAZ相关。母亲对辅食添加的知识水平和适当的辅食添加做法显著影响婴儿的营养状况。本研究中用于监测辅食添加做法的工具应纳入公共卫生项目。
