Complementary feeding in the WHO Multicentre Growth Reference Study

被引:54
作者
Dewey, Kathryn G. [1 ]
Onyango, Adelheid W. [1 ]
Garza, Cutberto [1 ]
de Onis, Mercedes [1 ]
Alasfoor, Deena [1 ]
Albernaz, Elaine [1 ]
Bhandari, Nita [1 ]
Bjoerneboe, Gunn-Elin A. [1 ]
Lartey, Anna [1 ]
机构
[1] WHO, Dept Nutr, CH-1211 Geneva 27, Switzerland
关键词
complementary feeding; dietary diversity index; food frequency; infant feeding; 24-hour dietary recall;
D O I
10.1080/08035320500495456
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Aim: To describe complementary feeding practices in the Multicentre Growth Reference Study (MGRS) sample. Methods: Food frequency questionnaires and 24-h dietary recalls were administered to describe child feeding throughout the first 2 y of life. This information was used to determine complementary feeding initiation, meal frequency and use of fortified foods. Descriptions of foods consumed and dietary diversity were derived from the 24-h recalls. Compliance with the feeding recommendations of the MGRS was determined on the basis of the food frequency reports. Descriptive statistics provide a profile of the complementary feeding patterns among the compliant children. Results: Complementary feeding in the compliant group began at a mean age of 5.4 mo (range: 4.8 (Oman) -5.8 mo (Ghana)). Complementary food intake rose from 2 meals/d at 6 mo to 4-5 meals in the second year, in a reverse trend to breastfeeding frequency. Total intake from the two sources was 11 meals/d at 6-12 mo, dropping to 7 meals/d at 24 mo. Inter-site differences in total meal frequency were mainly due to variations in breastfeeding frequency. Grains were the most commonly selected food group compared with other food groups that varied more by site due to cultural factors, for example, infrequent consumption of flesh foods in India. The use of fortified foods and nutrient supplements was also influenced by site-variable practices. Dietary diversity varied minimally between compliance groups and sites. Conclusion: Complementary diets in the MGRS met global recommendations and were adequate to support physiological growth.
引用
收藏
页码:27 / 37
页数:11
相关论文
共 16 条
[1]  
[Anonymous], 2002, The optimal duration of exclusive breastfeeding, report of an expert consultation
[2]  
Araujo Cora L, 2004, Food Nutr Bull, V25, pS53
[3]  
Baerug Anne, 2004, Food Nutr Bull, V25, pS72
[4]  
Bhandari Nita, 2004, Food Nutr Bull, V25, pS66
[5]  
de Onis M., 2004, Food Nutr Bull, V25, pS1, DOI [DOI 10.1177/15648265040251S104, 10.1177/15648265040251S104]
[6]   WHO Child Growth Standards based on length/height, weight and age [J].
de Onis, Mercedes ;
Martorell, Reynaldo ;
Garza, Cutberto ;
Lartey, Anna .
ACTA PAEDIATRICA, 2006, 95 :76-85
[7]   Breastfeeding in the WHO Multicentre growth reference study [J].
de Onis, Mercedes ;
Nommsen-Rivers, Laurie A. ;
Baerug, Anne ;
Lartey, Anna ;
Onyango, Adelheid ;
Albernaz, Elaine ;
Bhandari, Nita ;
Martines, Jose ;
Prakash, Nitya S. ;
Sagoe-Moses, Isabella .
ACTA PAEDIATRICA, 2006, 95 :16-26
[8]  
de Onis Mercedes, 2004, Food Nutr Bull, V25, pS15
[9]  
Dewey Kathryn G, 2004, Food Nutr Bull, V25, pS84
[10]  
Dewey Kathryn G., 2003, Food and Nutrition Bulletin, V24, P5