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Association between the Infant and Child Feeding Index (ICFI) and nutritional status of 6- to 35-month-old children in rural western China
BACKGROUND: The objective of this study was to determine the relationship between the quality of feeding practices and children’s nutritional status in rural western China. METHODS: A sample of 12,146 pairs of 6- to 35-month-old children and their mothers were recruited using stratified multistage c...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5313129/ https://www.ncbi.nlm.nih.gov/pubmed/28207774 http://dx.doi.org/10.1371/journal.pone.0171984 |
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author | Qu, Pengfei Mi, Baibing Wang, Duolao Zhang, Ruo Yang, Jiaomei Liu, Danmeng Dang, Shaonong Yan, Hong |
author_facet | Qu, Pengfei Mi, Baibing Wang, Duolao Zhang, Ruo Yang, Jiaomei Liu, Danmeng Dang, Shaonong Yan, Hong |
author_sort | Qu, Pengfei |
collection | PubMed |
description | BACKGROUND: The objective of this study was to determine the relationship between the quality of feeding practices and children’s nutritional status in rural western China. METHODS: A sample of 12,146 pairs of 6- to 35-month-old children and their mothers were recruited using stratified multistage cluster random sampling in rural western China. Quantile regression was used to analyze the relationship between the Infant and Child Feeding Index (ICFI) and children’s nutritional status. RESULTS: In rural western China, 24.37% of all infants and young children suffer from malnutrition. Of this total, 19.57%, 8.74% and 4.63% of infants and children are classified as stunting, underweight and wasting, respectively. After adjusting for covariates, the quantile regression results suggested that qualified ICFI (ICFI > 13.8) was associated with all length and HAZ quantiles (P<0.05) and had a greater effect on the following: poor length and HAZ, the β-estimates (length) from 0.76 cm (95% CI: 0.53 to 0.99 cm) to 0.34 cm (95% CI: 0.09 to 0.59 cm) and the β-estimates (HAZ) from 0.17 (95% CI: 0.10 to 0.24) to 0.11 (95% CI: 0.04 to 0.19). Qualified ICFI was also associated with most weight quantiles (P<0.05 except the 80th and 90th quantiles) and poor and intermediate WAZ quantiles (P<0.05 including the 10th, 20th 30th and 40th quantiles). Additionally, qualified ICFI had a greater effect on poor weight and WAZ quantiles in which the β-estimates (weight) were from 0.20 kg (95% CI: 0.14 to 0.26 kg) to 0.06 kg (95% CI: 0.00 to 0.12 kg) and the β-estimates (WAZ) were from 0.14 (95% CI: 0.08 to 0.21) to 0.05 (95% CI: 0.01 to 0.10). CONCLUSIONS: Feeding practices were associated with the physical development of infants and young children, and proper feeding practices had a greater effect on poor physical development in infants and young children. For mothers in rural western China, proper guidelines and messaging on complementary feeding practices are necessary. |
format | Online Article Text |
id | pubmed-5313129 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-53131292017-03-03 Association between the Infant and Child Feeding Index (ICFI) and nutritional status of 6- to 35-month-old children in rural western China Qu, Pengfei Mi, Baibing Wang, Duolao Zhang, Ruo Yang, Jiaomei Liu, Danmeng Dang, Shaonong Yan, Hong PLoS One Research Article BACKGROUND: The objective of this study was to determine the relationship between the quality of feeding practices and children’s nutritional status in rural western China. METHODS: A sample of 12,146 pairs of 6- to 35-month-old children and their mothers were recruited using stratified multistage cluster random sampling in rural western China. Quantile regression was used to analyze the relationship between the Infant and Child Feeding Index (ICFI) and children’s nutritional status. RESULTS: In rural western China, 24.37% of all infants and young children suffer from malnutrition. Of this total, 19.57%, 8.74% and 4.63% of infants and children are classified as stunting, underweight and wasting, respectively. After adjusting for covariates, the quantile regression results suggested that qualified ICFI (ICFI > 13.8) was associated with all length and HAZ quantiles (P<0.05) and had a greater effect on the following: poor length and HAZ, the β-estimates (length) from 0.76 cm (95% CI: 0.53 to 0.99 cm) to 0.34 cm (95% CI: 0.09 to 0.59 cm) and the β-estimates (HAZ) from 0.17 (95% CI: 0.10 to 0.24) to 0.11 (95% CI: 0.04 to 0.19). Qualified ICFI was also associated with most weight quantiles (P<0.05 except the 80th and 90th quantiles) and poor and intermediate WAZ quantiles (P<0.05 including the 10th, 20th 30th and 40th quantiles). Additionally, qualified ICFI had a greater effect on poor weight and WAZ quantiles in which the β-estimates (weight) were from 0.20 kg (95% CI: 0.14 to 0.26 kg) to 0.06 kg (95% CI: 0.00 to 0.12 kg) and the β-estimates (WAZ) were from 0.14 (95% CI: 0.08 to 0.21) to 0.05 (95% CI: 0.01 to 0.10). CONCLUSIONS: Feeding practices were associated with the physical development of infants and young children, and proper feeding practices had a greater effect on poor physical development in infants and young children. For mothers in rural western China, proper guidelines and messaging on complementary feeding practices are necessary. Public Library of Science 2017-02-16 /pmc/articles/PMC5313129/ /pubmed/28207774 http://dx.doi.org/10.1371/journal.pone.0171984 Text en © 2017 Qu et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Qu, Pengfei Mi, Baibing Wang, Duolao Zhang, Ruo Yang, Jiaomei Liu, Danmeng Dang, Shaonong Yan, Hong Association between the Infant and Child Feeding Index (ICFI) and nutritional status of 6- to 35-month-old children in rural western China |
title | Association between the Infant and Child Feeding Index (ICFI) and nutritional status of 6- to 35-month-old children in rural western China |
title_full | Association between the Infant and Child Feeding Index (ICFI) and nutritional status of 6- to 35-month-old children in rural western China |
title_fullStr | Association between the Infant and Child Feeding Index (ICFI) and nutritional status of 6- to 35-month-old children in rural western China |
title_full_unstemmed | Association between the Infant and Child Feeding Index (ICFI) and nutritional status of 6- to 35-month-old children in rural western China |
title_short | Association between the Infant and Child Feeding Index (ICFI) and nutritional status of 6- to 35-month-old children in rural western China |
title_sort | association between the infant and child feeding index (icfi) and nutritional status of 6- to 35-month-old children in rural western china |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5313129/ https://www.ncbi.nlm.nih.gov/pubmed/28207774 http://dx.doi.org/10.1371/journal.pone.0171984 |
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