Nutr Res Pract.  2018 Dec;12(6):512-520. 10.4162/nrp.2018.12.6.512.

Complementary feeding practices and nutritional status of children 6–23 months old: formative study in Aceh, Indonesia

Affiliations
  • 1Department of Nutrition, Health Polytechnic, Aceh Health Ministry, Jl. Soekarno Hatta, Darul Imarah Aceh Besar 23231, Indonesia. aripinahmad@poltekkesaceh.ac.id
  • 2Department of Community Nutrition, Bogor Agricultural University, Jl. Lingkar Kampus, Babakan, Dramaga, Bogor, Jawa Barat 16680, Indonesia.
  • 3Department of Psychology, Syarif Hidayatullah State Islamic University, Jakarta 15412, Indonesia.

Abstract

BACKGROUND/OBJECTIVES
The 6-23 months for infants is the longest period in the "first 1,000 days" of life. This period is very important for child development, so complementary feeding (CF) practices should be optimized to maximize children's potential for growth and development. The aim of this study was to analyze the CF practices and nutritional status of children aged 6-23 months.
SUBJECTS/METHODS
For this cross-sectional study, 392 children aged 6-23 months were selected using stratified random sampling. Socio-demographic data were collected through interviews. CF practices, collected by interviews and repeated 24-hour food recall method, were the timely introduction of CF, minimum meal frequency, dietary diversity and minimum acceptable diet, consumption food rich in proteins and vitamin A. Nutritional status was assessed using the indicators of underweight, wasting and stunting. To analyze the association between socio-demographic indicators and CF with nutritional status, the chi-square test with a confidence interval of 95% was used.
RESULTS
Results showed that 39% were exclusively breastfed, only 61% received prolonged breastfeeding and 50% received timely introduction of CF. Minimum meal frequency was met by 74% of subjects, but dietary diversity and minimum acceptable diet were only realized in 50% and 40% of the children, respectively. The prevalence of underweight, wasting, and stunting were 26%, 23%, and 28%, respectively. Age of the child, birth order, birth weight, parents' education level, family size and incidence of fever and diarrhea during the previous two weeks were associated with underweight, while child's birth order, fathers' education level, mother's age, family size, completion of the age-appropriate vaccination and fish consumption frequency were associated with wasting. Age of the child, incidence of fever and acute respiratory infection, and fortified food consumption were associated with stunting.
CONCLUSIONS
Suboptimal CF practices and high prevalence of underweight, wasting and stunting were found among children aged 6-23 months old in Aceh. These results highlight the need to improve CF and nutritional status.

Keyword

Complementary feeding; breast feeding; nutritional status; stunting; infant

MeSH Terms

Birth Order
Birth Weight
Breast Feeding
Child Development
Child*
Cross-Sectional Studies
Diarrhea
Diet
Education
Family Characteristics
Fever
Food, Fortified
Growth and Development
Growth Disorders
Humans
Incidence
Indonesia*
Infant
Infant Nutritional Physiological Phenomena*
Meals
Methods
Nutritional Status*
Prevalence
Thinness
Vaccination
Vitamin A
Vitamin A

Figure

  • Fig. 1 Complementary feeding practice by indicators among children 6–23 months old


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