生活在新德里贫民窟中的印度年龄在12至24的年轻儿童中，喂养和照料方式不够理想。,Nutrition

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生活在新德里贫民窟中的印度年龄在12至24的年轻儿童中，喂养和照料方式不够理想。
Nutrition ( IF 3.2 ) Pub Date : 2019-09-21 , DOI: 10.1016/j.nut.2019.110553
Lisa A Houghton ₁ , Deborah R McIntosh ₁ , Geeta Trilok-Kumar ₂ , Jillian J Haszard ₁ , Rosalind S Gibson ₁

Affiliation

目的不适当的婴幼儿喂养和照料行为会影响营养状况，增加生长步履蹒跚的风险，并最终影响儿童的生存。这项研究的目的是根据世界卫生组织（WHO）和泛美卫生组织（PAHO）的建议，对12至24 mo处境不利的印度城市儿童的喂养和照料行为进行特征分析。方法这项横断面研究是在南德里贫民窟的自选家庭中进行的。对120名合格儿童的母亲/主要照料者进行了家庭调查。我们收集了儿童人体测量学，二维称重的食物记录（n = 69），并遵守WHO和PAHO建议的喂养，护理，食品安全和卫生规范。结果儿童中有39％发育不良，体重不足31％，浪费了10％；没有人超重。尽管有88％的人达到了最低进餐频率（每天超过三至四餐），但只有50％的人至少食用了四个食物组（最低的饮食多样性），最低的可接受饮食为44％（最低进餐频率和最低饮食多样性的综合得分））。富含铁或铁强化食品，富含维生素A的水果和蔬菜以及鸡蛋的消费量较低（<25％），而肉类食品的消费量则可以忽略不计（1.4％），而含糖食品和休闲食品的消费量均大于60％。据报告，对响应性喂养指标的依从性通常约为50％，但食品安全和卫生规范的范围很广（13-98％），与家庭观察并不总是一致的。

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Suboptimal feeding and caring practices among young Indian children ages 12 to 24 mo living in the slums of New Delhi.

OBJECTIVES Inappropriate infant and young child feeding and caring practices affect nutritional status, increases the risk for growth faltering, and ultimately, affect child survival. The aim of this study was to characterize the feeding and caring practices of disadvantaged urban Indian children 12 to 24 mo of age in relation to the World Health Organization (WHO) and Pan American Health Organization (PAHO) recommendations. METHODS This cross-sectional study was conducted in self-selected households in a South Delhi slum. A household survey was administered to the mother/primary caregiver of 120 eligible children. We collected child anthropometry, 2-d weighed food records (n = 69), and compliance to WHO and PAHO recommended feeding, caring, food safety, and hygiene practices. RESULTS Of the children, 39% were stunted, 31% underweight, and 10% wasted; none were overweight. Despite 88% achieving minimum meal frequency (more than three to four meals daily), only 50% consumed at least four food groups (minimum dietary diversity), and 44% a minimum acceptable diet (composite score of minimum meal frequency and minimum dietary diversity). Consumption of iron-rich or iron-fortified foods, vitamin A-rich fruits and vegetables, and eggs was low (<25%) and flesh foods were negligible (1.4%), whereas consumption of both sugary and snack foods was >60%. Reported compliance to responsive feeding indicators was generally ∼50%, but there was a wide range (13-98%) for food safety and hygiene practices, which were not always consistent with home observations. CONCLUSIONS Complementary feeding and caregiving practices were suboptimal among these disadvantaged young Indian children and education interventions focused on infant and young child feeding, responsive feeding, food safety, and hygiene practices are urgently needed.

更新日期：2019-11-01

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