Age-Appropriate Feeding Practices in Cambodia and the Possible Influence on the Growth of the Children: A Longitudinal Study
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Age-Appropriate Feeding Practices in Cambodia and the Possible Influence on the Growth of the Children : A Longitudinal Study. / Hondru, Gabriela; Laillou, Arnaud; Wieringa, Frank T; Poirot, Etienne; Berger, Jacques; Christensen, Dirk L; Roos, Nanna.
In: Nutrients, Vol. 12, No. 1, 12, 2020.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Age-Appropriate Feeding Practices in Cambodia and the Possible Influence on the Growth of the Children
T2 - A Longitudinal Study
AU - Hondru, Gabriela
AU - Laillou, Arnaud
AU - Wieringa, Frank T
AU - Poirot, Etienne
AU - Berger, Jacques
AU - Christensen, Dirk L
AU - Roos, Nanna
N1 - CURIS 2020 NEXS 072
PY - 2020
Y1 - 2020
N2 - Age-appropriate feeding practice (ADF) during early childhood are vital for optimal nutrition. This longitudinal study determined the effect of selected risk factors and ADF, as described by the National Nutritional Recommendations, on linear and ponderal growth of children below 24 months of age. Weight and length measures were used to calculate z-scores of anthropometric measures by WHO standards. The prevalence of stunting increased from 13.2% to 32.4% over time, while prevalence of wasting remained stable (14.5%). At first visit, 43% of children of all ages complied with ADF criteria, a proportion which decreased to 7.1% in follow-up. The quality of feeding practices for children above 12 months of age was the poorest, where at the last visit, only 6% complied with the criteria for ADF. The linear mixed-effect models found the association between ADF and ponderal growth to be significant (weight-for-height estimate: 0.05 SD). In Cambodia, Ratanakiri province, ADF was the second largest determinant for ponderal growth. We recommend province specific public health actions. For children above 6 months, the quantity of food given needs to be increased, followed by the meal frequency. Mothers' educational level, improved sanitation, and drinking water quality were among strongest predictors of a child's growth.
AB - Age-appropriate feeding practice (ADF) during early childhood are vital for optimal nutrition. This longitudinal study determined the effect of selected risk factors and ADF, as described by the National Nutritional Recommendations, on linear and ponderal growth of children below 24 months of age. Weight and length measures were used to calculate z-scores of anthropometric measures by WHO standards. The prevalence of stunting increased from 13.2% to 32.4% over time, while prevalence of wasting remained stable (14.5%). At first visit, 43% of children of all ages complied with ADF criteria, a proportion which decreased to 7.1% in follow-up. The quality of feeding practices for children above 12 months of age was the poorest, where at the last visit, only 6% complied with the criteria for ADF. The linear mixed-effect models found the association between ADF and ponderal growth to be significant (weight-for-height estimate: 0.05 SD). In Cambodia, Ratanakiri province, ADF was the second largest determinant for ponderal growth. We recommend province specific public health actions. For children above 6 months, the quantity of food given needs to be increased, followed by the meal frequency. Mothers' educational level, improved sanitation, and drinking water quality were among strongest predictors of a child's growth.
U2 - 10.3390/nu12010012
DO - 10.3390/nu12010012
M3 - Journal article
C2 - 31861580
VL - 12
JO - Nutrients
JF - Nutrients
SN - 2072-6643
IS - 1
M1 - 12
ER -
ID: 234151922