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卢旺达西部省6至23个月儿童的喂养方式与营养状况:一项横断面研究。

Feeding Practices and Nutritional Status among Children Aged from Six to 23 Months in Western Province, Rwanda: A cross-sectional study.

作者信息

Niyigena Delice Ilinde, Semayira Clemence Akurumuri, Mutabazi Moses, Ntirushwamaboko Naphtal, Habimana Jean de Dieu, Iyakaremye Damien, Xavier Sunday François

机构信息

Human Nutrition and Dietetics, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

出版信息

Rwanda J Med Health Sci. 2023 Jul 31;6(2):228-238. doi: 10.4314/rjmhs.v6i2.14. eCollection 2023 Jul.

Abstract

BACKGROUND

Rwandan children's nutritional status is characterized by higher undernutrition rates. Infant and young child feeding practices (IYCF) have a direct impact on how well-nourished youngsters under two years old are.

OBJECTIVES

This study aimed to assess feeding practices and nutritional status among children aged six to 23 months in Nyabihu district.

METHODS

A cross-sectional study was conducted in 164 households having children aged six to 23 months in December 2020. A structured questionnaire was used to collect infants' and young children's feeding practices. Using SPSS version 20.0, data were entered and analysed. Binary logistic regression was utilized to identify association between feeding practices and nutritional status.

RESULTS

Breastfeeding initiation within the first hour of life was 94.5%, and exclusive breastfeeding was 79.9%. Complementary foods were given timely to 73.2% of children, 47.6% had minimum meal frequency (MMF), 23.2% had minimum dietary diversity (MDD), and 15.9% were fed a minimally acceptable diet (MAD). However, 4.3% of children were wasted, 6.7% were underweight, and 23.2% were stunted. There was no significant association when variables were passed to a binary logistic regression-adjusted model.

CONCLUSION

Complementary feeding practices remain suboptimal. These practices should be improved to sustain children's nutritional status.

摘要

背景

卢旺达儿童的营养状况以较高的营养不良率为特征。婴幼儿喂养方式对两岁以下儿童的营养状况有直接影响。

目的

本研究旨在评估尼亚比胡区6至23个月大儿童的喂养方式和营养状况。

方法

2020年12月,在164户有6至23个月大儿童的家庭中进行了一项横断面研究。使用结构化问卷收集婴幼儿的喂养方式。使用SPSS 20.0版本录入和分析数据。采用二元逻辑回归确定喂养方式与营养状况之间的关联。

结果

出生后第一小时内开始母乳喂养的比例为94.5%,纯母乳喂养的比例为79.9%。73.2%的儿童及时添加了辅食,47.6%的儿童达到了最低进餐频率(MMF),23.2%的儿童达到了最低饮食多样性(MDD),15.9%的儿童摄入了最低可接受饮食(MAD)。然而,4.3%的儿童消瘦,6.7%的儿童体重不足,23.2%的儿童发育迟缓。将变量纳入二元逻辑回归调整模型后,未发现显著关联。

结论

辅食喂养方式仍不理想。应改进这些方式以维持儿童的营养状况。

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