scholarly journals Early Feeding Practices and Body Mass Index Z-Score among Saudi Preschoolers: A Cross-Sectional Study

Author(s):  
Rana Mosli

Abstract ObjectivesTo characterize early feeding practices among mothers in Saudi Arabia and examine their associations with child birthweight and BMI z-score (BMIz) at preschool. Study DesignCross-sectional study. MethodsMother-child dyads (n=209) were recruited from different preschools around the city of Jeddah. Mothers completed the study questionnaire over the telephone and preschoolers’ anthropometric measurements were objectively measured. Descriptive statistics were used to characterize early feeding practices. Bivariate analyses and linear regression were used to examine the association of early feeding practices with child birthweight and BMIz at preschool. ResultsThe majority of mothers (92.3%) initiated breastfeeding, with an average duration of 9.34 months (SD= 8.04). About half of the mothers reported that they have offered fruit juice and/or date syrup-milk mixture in a baby bottle (52.2% and 45.9% respectively), with an average duration of 11.5 months (SD= 7.73) and 5.90 months (SD= 6.13), respectively. Children who were offered fruit juice and/or date syrup-milk mixture in a baby bottle had significantly lower birthweights compared to children who were not (M= 2.79, SD= 0.59 vs. M= 3.06, SD=0.69, P< 0.01 and M= 2.79, SD= 0.67 vs. M= 3.03, SD=0.62, P< 0.01, respectively). There was a negative association between introducing fruit juice in a baby bottle and child BMIz at preschool (b: 0.18, 95% confidence interval (CI): -0.83, -0.11); This association was not significant after adjusting for child birthweight and other covariates (b: -0.10, 95% CI: -0.64, 0.09). ConclusionLongitudinal and interventions studies are needed to inform counseling guidelines and community campaigns in order to improve early feeding practices in the region.

Author(s):  
Etienne Nsereko ◽  
Assumpta Mukabutera ◽  
Damien Iyakaremye ◽  
Yves Didier Umwungerimwiza ◽  
Valence Mbarushimana ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Richard Mbusa Kambale ◽  
Gaylord Amani Ngaboyeka ◽  
Joe Bwija Kasengi ◽  
Sarah Niyitegeka ◽  
Boss Rutakaza Cinkenye ◽  
...  

Abstract Background Suboptimal child nutrition remains the main factor underlying child undernutrition in Democratic Republic of Congo (DRC). This study aimed to assess the prevalence of minimum acceptable diet and associated factors among children aged 6–23 months old. Methods Community-based cross-sectional study including 742 mothers with children aged 6–23 months old was conducted in 2 Health Zones of South Kivu, Eastern DRC. WHO indicators of Infant and Young Child Feeding (IYCF) regarding complementary feeding practices were used. Logistic regression analysis was used to quantify the association between sociodemographic indicators and adequate minimum acceptable diet for both univariate and multivariate analysis. Results Overall, 33% of infants had minimum acceptable diet. After controlling for a wide range of covariates, residence urban area (AOR 2.39; 95% CI 1.43, 3.85), attendance postnatal care (AOR 1.68; 95% CI 1.12, 2.97), education status of mother (AOR 1.83; 95% CI 1.20, 2.77) and household socioeconomic status (AOR 1.72; 95% CI 1.14, 2.59) were factors positively associated with minimum acceptable diet. Conclusion Actions targeting these factors are expected to improve infant feeding practices in South Kivu.


PLoS ONE ◽  
2019 ◽  
Vol 14 (7) ◽  
pp. e0219386 ◽  
Author(s):  
Gillian Nkeudem Asoba ◽  
Irene Ule Ngole Sumbele ◽  
Judith Kuoh Anchang-Kimbi ◽  
Samuel Metuge ◽  
Rene Ning Teh

Author(s):  
Lynne A. Daniels ◽  
Kimberley M. Mallan ◽  
Elena Jansen ◽  
Jan M. Nicholson ◽  
Anthea M. Magarey ◽  
...  

To compare feeding practices within mother–father dyads and explore whether outcomes of an efficacious intervention for mothers generalised to fathers’ feeding practices. The NOURISH RCT evaluated an early feeding intervention that promoted positive feeding practices to support development of healthy eating habits and growth. The intervention was delivered to first-time mothers via 2 × 12 week modules commencing when children were 4 and 14 months. Mothers self-reported feeding practice outcomes at child age 2 years using validated scales (1 = low to 5 = high) from the Child Feeding Questionnaire (CFQ). Nine months later, an independent cross-sectional descriptive study to investigate fathers’ feeding practices was initiated. Fathers were recruited by contacting (via letter) mothers participating in two pre-existing studies, including the NOURISH trial. Fathers completed a feeding practices questionnaire, similar to that used for NOURISH outcome assessments. Seventy-five fathers recruited via the NOURISH cohort (21% response) returned questionnaires. Response data from this subset of fathers were then linked to the corresponding NOURISH maternal data. Complete data were available from 70 dyads. Compared with mothers, fathers self-reported higher concern about child overweight (2.2 vs. 1.3), restriction (3.6 vs. 2.9) and pressure (2.6 vs. 2.1), all p < 0.001. Fathers whose partners were allocated to the intervention group used less pressure (mean difference 0.46, p = 0.045) and were more willing to let the child decide how much to eat (−0.51, p = 0.032). Fathers’ higher concern about child weight and more frequent use of non-responsive feeding practices, when compared with mothers, identify them as potentially potent contributors to child feeding. This preliminary evidence for modest generalisation of an efficacious maternal intervention to apparent effects on some paternal feeding practices speaks to the importance and promise of including fathers in early feeding interventions.


Diagnostics ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. 1075
Author(s):  
Masliza Hanuni Mat Ali ◽  
Tuan Salwani Tuan Ismail ◽  
Wan Norlina Wan Azman ◽  
Najib Majdi Yaacob ◽  
Norhayati Yahaya ◽  
...  

Thyroid hormones have a catabolic effect on bone homeostasis. Hence, this study aimed to evaluate serum vitamin D, calcium, and phosphate and bone marker levels and bone mineral density (BMD) among patients with different thyroid diseases. This cross-sectional study included patients with underlying thyroid diseases (n = 64, hyperthyroid; n = 53 euthyroid; n = 18, hypothyroid) and healthy controls (n = 64). BMD was assessed using z-score and left hip and lumbar bone density (g/cm2). The results showed that the mean serum vitamin D Levels of all groups was low (<50 nmol/L). Thyroid patients had higher serum vitamin D levels than healthy controls. All groups had normal serum calcium and phosphate levels. The carboxy terminal collagen crosslink and procollagen type I N-terminal propeptide levels were high in hyperthyroid patients and low in hypothyroid patients. The z-score for hip and spine did not significantly differ between thyroid patients and control groups. The hip bone density was remarkably low in the hyperthyroid group. In conclusion, this study showed no correlation between serum 25(OH)D levels and thyroid diseases. The bone markers showed a difference between thyroid groups with no significant difference in BMD.


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