尼泊尔苏都尔帕希姆喜马拉雅中部偏远地区6至23个月大儿童的最低可接受饮食（MAD）摄入量的影响因素。

Factors influencing minimum acceptable diet (MAD) intake among children aged 6-23 months in remote mid-Himalayan region of Sudurpaschim, Nepal.

作者信息

Dhami Basant Kumar, Nath Dhirendra, Lamichhane Rajendra

机构信息

School of Health and Allied Sciences, Pokhara University, Kaski, Nepal.

Health Directorate, Ministry of Social Development, Doti, Sudurpaschim Province, Nepal.

出版信息

BMC Public Health. 2025 Jan 20;25(1):237. doi: 10.1186/s12889-025-21468-2.

DOI:10.1186/s12889-025-21468-2

PMID:39833776

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11748837/

Abstract

BACKGROUND

Minimum acceptable diet (MAD) intake is crucial for optimizing the growth and development of children aged 6 to 23 months. However, little is known about the factors influencing MAD intake among children of Sudurpaschim. This study, therefore, aims to assess the prevalence of minimum acceptable diet intake and associated factors among children aged 6-23 months in Sudurpaschim Province of Nepal.

METHODS

A cross-sectional study was conducted among mothers of all 404 children aged 6-23 months residing in Malikarjun Rural Municipality, Sudurpaschim Province, Nepal. Data were collected from mothers of children through face-to-face interviews via semi-structured questionnaires. Binary logistic regression was applied to identify the factors associated with MAD intake. Adjusted odds ratios (aOR) with 95% confidence intervals (CIs) were calculated and a p-value < 0.05 was used to determine whether a variable was statistically significant.

RESULTS

The children were, on average, 16 months old, and over half (55.4%) were male. The prevalence of MAD intake among children aged 6-23 months was 48.5%. Children aged 18 -23 months (aOR: 7.03, 95% CI: 2.29-21.53), mothers with a workload of ≤ 5 hours/day (aOR: 6.52, 95% CI: 2.23-19.03), mothers with sufficient media exposure (aOR: 4.93, 95% CI: 1.99-12.19), and adequate maternal knowledge of complementary feeding (aOR: 16.41, 95% CI: 6.21-43.34) were associated with increased odds of MAD intake. Furthermore, children from families with a monthly income of 151-250 USD (aOR: 16.35, 95% CI: 5.39-49.64), those with > 250 USD (aOR: 16.79, 95% CI: 5.24-53.81), and those from food-secure households (aOR: 8.17, 95% CI: 2.31-28.79) were more likely to receive MAD.

CONCLUSION

More than half of the children did not receive MAD. The results indicate an urgent need to increase maternal knowledge of complementary feeding, address socioeconomic disparities, and promote household food security to improve complementary feeding practices.

摘要

背景

最低可接受饮食（MAD）摄入量对于优化6至23个月大儿童的生长发育至关重要。然而，关于影响苏都尔帕希姆地区儿童MAD摄入量的因素知之甚少。因此，本研究旨在评估尼泊尔苏都尔帕希姆省6至23个月大儿童的最低可接受饮食摄入量及其相关因素的患病率。

方法

对居住在尼泊尔苏都尔帕希姆省马利卡尔琼农村市的所有404名6至23个月大儿童的母亲进行了一项横断面研究。通过半结构化问卷，通过面对面访谈从儿童母亲那里收集数据。应用二元逻辑回归来确定与MAD摄入量相关的因素。计算调整后的优势比（aOR）及其95%置信区间（CI），并使用p值<0.05来确定一个变量是否具有统计学意义。

结果

这些儿童的平均年龄为16个月，超过一半（55.4%）为男性。6至23个月大儿童的MAD摄入量患病率为48.5%。18至23个月大的儿童（aOR：7.03，95%CI：2.29至21.53）、每天工作量≤5小时的母亲（aOR：6.52，95%CI：2.23至19.03）、有足够媒体接触的母亲（aOR：4.93，95%CI：1.99至12.19）以及对辅食喂养有充分了解的母亲（aOR：16.41，95%CI：6.21至43.34）与MAD摄入量增加的几率相关。此外，月收入在151至250美元的家庭中的儿童（aOR：16.35，95%CI：5.39至49.64）、月收入超过250美元的家庭中的儿童（aOR：16.79，95%CI：5.24至53.81）以及来自粮食安全家庭的儿童（aOR：8.17，95%CI：2.31至28.79）更有可能接受MAD。