Logan Manikam1, Ankita Prasad2, Abina Dharmaratnam3, Christy Moen4, Alexandra Robinson5, Alexander Light2, Sonia Ahmed1, Raghu Lingam6, Monica Lakhanpaul1. 1. 1Population, Policy & Practice,UCL Great Ormond Street Institute of Child Health,30 Guilford Street,London WC1N 1EH,UK. 2. 2King's College London GKT School of Medical Education,London,UK. 3. 3Leicester Medical School,University of Leicester,Leicester,UK. 4. 4St George's University of London,London,UK. 5. 5St George's Hospital,London,UK. 6. 6Institute of Health & Society,Newcastle University,Newcastle upon Tyne,UK.
Abstract
OBJECTIVE: Suboptimal nutrition among children remains a problem among South Asian (SA) families. Appropriate complementary feeding (CF) practices can greatly reduce this risk. Thus, we undertook a systematic review of studies assessing CF (timing, dietary diversity, meal frequency and influencing factors) in children aged <2 years in India. DESIGN: Searches between January 2000 and June 2016 in MEDLINE, EMBASE, Global Health, Web of Science, OVID Maternity & Infant Care, CINAHL, Cochrane Library, BanglaJOL, POPLINE and WHO Global Health Library. Eligibility criteria: primary research on CF practices in SA children aged 0-2 years and/or their families. Search terms: 'children', 'feeding' and 'Asians' and derivatives. Two researchers undertook study selection, data extraction and quality appraisal (EPPI-Centre Weight of Evidence). RESULTS: From 45 712 abstracts screened, sixty-four cross-sectional, seven cohort, one qualitative and one case-control studies were included. Despite adopting the WHO Infant and Young Child Feeding guidelines, suboptimal CF practices were found in all studies. In twenty-nine of fifty-nine studies, CF was introduced between 6 and 9 months, with eight studies finding minimum dietary diversity was achieved in 6-33 %, and ten of seventeen studies noting minimum meal frequency in only 25-50 % of the study populations. Influencing factors included cultural influences, poor knowledge on appropriate CF practices and parental educational status. CONCLUSIONS: This is the first systematic review to evaluate CF practices in SA in India. Campaigns to change health and nutrition behaviour and revision of nationwide child health nutrition programmes are needed to meet the substantial unmet needs of these children.
OBJECTIVE: Suboptimal nutrition among children remains a problem among South Asian (SA) families. Appropriate complementary feeding (CF) practices can greatly reduce this risk. Thus, we undertook a systematic review of studies assessing CF (timing, dietary diversity, meal frequency and influencing factors) in children aged <2 years in India. DESIGN: Searches between January 2000 and June 2016 in MEDLINE, EMBASE, Global Health, Web of Science, OVID Maternity & Infant Care, CINAHL, Cochrane Library, BanglaJOL, POPLINE and WHO Global Health Library. Eligibility criteria: primary research on CF practices in SA children aged 0-2 years and/or their families. Search terms: 'children', 'feeding' and 'Asians' and derivatives. Two researchers undertook study selection, data extraction and quality appraisal (EPPI-Centre Weight of Evidence). RESULTS: From 45 712 abstracts screened, sixty-four cross-sectional, seven cohort, one qualitative and one case-control studies were included. Despite adopting the WHO Infant and Young Child Feeding guidelines, suboptimal CF practices were found in all studies. In twenty-nine of fifty-nine studies, CF was introduced between 6 and 9 months, with eight studies finding minimum dietary diversity was achieved in 6-33 %, and ten of seventeen studies noting minimum meal frequency in only 25-50 % of the study populations. Influencing factors included cultural influences, poor knowledge on appropriate CF practices and parental educational status. CONCLUSIONS: This is the first systematic review to evaluate CF practices in SA in India. Campaigns to change health and nutrition behaviour and revision of nationwide child health nutrition programmes are needed to meet the substantial unmet needs of these children.
Authors: Sk Masum Billah; Tarana E Ferdous; Patrick Kelly; Camille Raynes-Greenow; Abu Bakkar Siddique; Nuzhat Choudhury; Tahmeed Ahmed; Stuart Gillespie; John Hoddinott; Purnima Menon; Michael John Dibley; Shams El Arifeen Journal: Matern Child Nutr Date: 2021-08-31 Impact factor: 3.092
Authors: Md Tariqujjaman; Md Mehedi Hasan; Mustafa Mahfuz; Tahmeed Ahmed; Muttaquina Hossain Journal: Int J Environ Res Public Health Date: 2022-04-05 Impact factor: 3.390