Malnutrition and infant and young child feeding in informal settlements in Mumbai, India: findings from a census.
Malnutrition and infant and young child feeding in informal settlements in Mumbai, India: findings from a census.
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DOI：
10.1002/fsn3.214
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发表时间：
2015-05
影响因子：
3.9
通讯作者：
Osrin, David
中科院分区：
文献类型：
--
作者：
Bentley, Abigail;Das, Sushmita;Alcock, Glyn;More, Neena Shah;Pantvaidya, Shanti;Osrin, David
儿童营养不良在印度仍然很普遍。我们访问了孟买40个城市非正式居住区的家庭，以记录5岁以下儿童的发育迟缓、消瘦和超重，并检查2岁以下儿童的婴幼儿喂养（IYCF）。我们对8个WHO IYCF核心指标以及含糖和咸味零食进行了问卷调查，并测量了5岁以下儿童的体重和身高。在7450名儿童中，45%的儿童发育迟缓，从第一年的15%上升到第五年的56%。大约16%的儿童消瘦，4%超重。46%的婴儿在出生后一小时内接受母乳喂养，63%的婴儿在6个月内接受纯母乳喂养，74%的婴儿持续母乳喂养12个月。41%的婴儿达到了引入固体的指标。只有13%的儿童满足最低饮食多样性指标，43%达到最低用餐频率，5%有最低可接受的饮食。大约63%的婴儿在过去24小时内吃过含糖零食，第二年上升到78%。34%的婴儿和66%的两岁以下儿童吃过油炸和腌制的零食。在孟买的非正规住区，发育迟缓和消瘦的现象仍然普遍得令人无法接受，国际青年合作论坛似乎存在问题，特别是在饮食多样性方面。普遍存在的含糖、油炸和腌制的零食是一个严重的问题：大量的消费始于婴儿期，超过了除谷物、根茎和块茎以外的所有其他食物。
Childhood malnutrition remains common in India. We visited families in 40 urban informal settlement areas in Mumbai to document stunting, wasting, and overweight in children under five, and to examine infant and young child feeding (IYCF) in children under 2 years. We administered questions on eight core WHO IYCF indicators and on sugary and savory snack foods, and measured weight and height of children under five. Stunting was seen in 45% of 7450 children, rising from 15% in the first year to 56% in the fifth. About 16% of children were wasted and 4% overweight. 46% of infants were breastfed within the first hour, 63% were described as exclusively breastfed under 6 months, and breastfeeding continued for 12 months in 74%. The indicator for introduction of solids was met for 41% of infants. Only 13% of children satisfied the indicator for minimum dietary diversity, 43% achieved minimum meal frequency, and 5% had a minimally acceptable diet. About 63% of infants had had sugary snacks in the preceding 24 h, rising to 78% in the second year. Fried and salted snack foods had been eaten by 34% of infants and 66% of children under two. Stunting and wasting remain unacceptably common in informal settlements in Mumbai, and IYCF appears problematic, particularly in terms of dietary diversity. The ubiquity of sugary, fried, and salted snack foods is a serious concern: substantial consumption begins in infancy and exceeds that of all other food groups except grains, roots, and tubers.
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影响因子：
3.5
作者：
Filmer, D;Pritchett, LH
通讯作者：
Pritchett, LH
影响因子：
168.9
作者：
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者：
Uauy, Ricardo
影响因子：
2.5
作者：
Brennan, Lance;McDonald, John;Shlomowitz, Ralph
通讯作者：
Shlomowitz, Ralph
影响因子：
3.4
作者：
Huffman SL;Piwoz EG;Vosti SA;Dewey KG
通讯作者：
Dewey KG
影响因子：
1.7
作者：
Buckler, JMH;Green, M
通讯作者：
Green, M