Association of a summary index of child feeding with diet quality and growth of 6-23 months children in urban Madagascar
Association of a summary index of child feeding with diet quality and growth of 6-23 months children in urban Madagascar
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DOI：
10.1038/ejcn.2008.10
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发表时间：
2009-06-01
影响因子：
4.7
通讯作者：
Delpeuch, F.
中科院分区：
文献类型：
--
作者：
Moursi, M. M.;Treche, S.;Delpeuch, F.
背景/目的：通过制定婴儿和儿童喂养指数，对儿童喂养做法的评估再次受到重视。然而，这种汇总索引的优点和缺点仍然不为人所知。本研究的目的是评估ICFI作为一种分析工具的有用性（1）通过研究其与补充食物能量摄入量和平均微量营养素密度充足性（MMDA）的关系，（2）通过测试ICFI及其组成部分是否与马达加斯加城市6-23个月儿童的年龄别身高z评分（LAZ）相关。ICFI是使用喂养实践和定量24小时回忆问卷调查的数据构建的（n = 1589）。结果：ICFI与辅食能量摄入（P < 0.0001）和MMDA（P <0.0001）呈正相关。在6-8个月的儿童中，ICFI与LAZ相关（P = 0.02）。对于所有年龄段的组合，有一种趋势，没有达到统计学意义（P < 0.08）的关联。在形成ICFI的喂养实践中，母乳喂养与LAZ相关（P = 0.03），但不是在预期的方向上，z得分差异为+0.16，有利于非母乳喂养的儿童。当母乳喂养被删除，并单独引入到多变量模型中，修改后的ICFI和LAZ之间的关系变得显着（P = 0.02）。结论：研究结果表明，ICFI可能是一个有用的分析工具，但需要根据其最终用途来构建，并应适应每一个上下文。欧洲临床营养学杂志（2009）63，718-724; doi：10.1038/ejcn.2008.10; 2008年2月13日在线发表
Background/Objectives: The assessment of child feeding practices has received renewed attention through the development of an infant and child feeding index (ICFI). However, the advantages and shortcomings of such a summary index are still not well known. The aim of this study was to assess the usefulness of ICFI as an analytical tool ( 1) by studying its association with complementary food energy intake and mean micronutrient density adequacy ( MMDA) and ( 2) by testing whether ICFI and its components are associated with length-for-age z-score (LAZ) of 6-23 months children in urban Madagascar.Subjects/Methods: ICFI was constructed using data from questionnaires on feeding practices and quantitative 24-h recalls (n = 1589). Multivariate analysis was used to control for household wealth and other confounding factors.Results: ICFI was positively correlated with complementary food energy intake (P < 0.0001) and MMDA (P < 0.0001). ICFI was associated with LAZ among 6-8 months children (P = 0.02). For all ages combined, there was a tendency towards an association that did not reach statistical significance (P < 0.08). Among feeding practices that formed ICFI, breastfeeding was associated with LAZ (P = 0.03) but not in the expected direction with +0.16 z-score difference in favour of non-breast-fed children. When breastfeeding was removed and introduced separately into the multivariate model, the relationship between the modified ICFI and LAZ became significant (P = 0.02).Conclusions: Findings suggest that the ICFI could be a useful analytical tool, which needs however to be constructed according to its final use and which should be adapted to each context. European Journal of Clinical Nutrition (2009) 63, 718-724; doi:10.1038/ejcn.2008.10; published online 13 February 2008