Household food security is associated with infant feeding practices in rural Bangladesh.
Household food security is associated with infant feeding practices in rural Bangladesh.
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DOI：
10.1093/jn/138.7.1383
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发表时间：
2008-07
期刊：
影响因子：
--
通讯作者：
Rasmussen KM
中科院分区：
文献类型：
--
作者：
Saha KK;Frongillo EA;Alam DS;Arifeen SE;Persson LA;Rasmussen KM
虽然家庭粮食安全（HHFS）已被证明会影响成人的饮食，营养和健康以及儿童的学习，但没有研究研究与婴儿喂养实践（IFP）的关系。我们研究了2002年5月至2003年12月期间出生的1343名婴儿，在Matlab研究中进行母婴营养干预，以调查HHFS对孟加拉国农村IFP的影响。我们使用先前开发的11项量表测量HHFS。基于与婴儿喂养建议的比较，根据1 - 3、1 - 6、1 - 9和1 - 12个月年龄组的每月婴儿喂养数据创建累积和当前婴儿喂养量表。我们使用滞后、动态和差异纵向回归模型调整各种婴儿和母亲变量，以检查HHFS和IFP变化之间的关联，并使用考克斯比例风险模型检查HHFS对母乳喂养持续时间和补充食物引入时间的影响。更好的HHFS状态与3 - 6个月的IFP差相关，但与6 - 9和9 - 12个月的IFP好相关。虽然更好的HHFS与引入辅食的时间无关，但它与给予婴儿的辅食类型有关。支持适当IFP的干预方案应针对婴儿3 - 6个月大时粮食安全家庭的母亲，以及婴儿后半期粮食不安全家庭的母亲。我们的研究结果提供了强有力的证据表明，HHFS影响IFP在孟加拉国农村。
Although household food security (HHFS) has been shown to affect diet, nutrition, and health of adults and also learning in children, no study has examined associations with infant feeding practices (IFP). We studied 1343 infants born between May 2002 and December 2003 in the Maternal and Infant Nutrition Intervention in Matlab study to investigate the effect of HHFS on IFP in rural Bangladesh. We measured HHFS using a previously developed 11-item scale. Cumulative and current infant feeding scales were created from monthly infant feeding data for the age groups of 1–3, 1–6, 1–9, and 1–12 mo based on comparison to infant feeding recommendations. We used lagged, dynamic, and difference longitudinal regression models adjusting for various infant and maternal variables to examine the association between HHFS and changes in IFP, and Cox proportional hazards models to examine the influence of HHFS on the duration of breast-feeding and the time of introduction of complementary foods. Better HHFS status was associated with poor IFP during 3–6 mo but was associated with better IFP during 6–9 and 9–12 mo of age. Although better HHFS was not associated with the time of introduction of complementary foods, it was associated with the type of complementary foods given to the infants. Intervention programs to support proper IFP should target mothers in food-secure households when their babies are 3–6 mo old and also mothers in food-insecure households during the 2nd half of infancy. Our results provide strong evidence that HHFS influences IFP in rural Bangladesh.
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影响因子：
12.7
作者：
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通讯作者：
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