An infant band child feeding index is associated with the nutritional status of 6-to 23-month-old children in rural Burkina Faso
An infant band child feeding index is associated with the nutritional status of 6-to 23-month-old children in rural Burkina Faso
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DOI：
10.1093/jn/136.3.656
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发表时间：
2006-03-01
影响因子：
4.2
通讯作者：
Delpeuch, F
中科院分区：
文献类型：
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作者：
Sawadogo, PS;Martin-Prével, Y;Delpeuch, F
对儿童喂养行为的衡量很复杂，很难确定喂养质量和儿童营养状况之间的关系。我们使用婴儿和儿童喂养指数(ICFI)的改编版本，在西非的布基纳法索农村地区研究了这种关系。2002年对随机抽取的2466名6-35岁儿童进行了横断面研究。通过定性的24小时回忆法对喂养实践进行评估。ICFI分为6~11mo(n=614)、12~23mo(n=987)、24~35mo(n=865)三个年龄段。在每个年龄组中，分别检查年龄身高Z分数(HAZ)、身高体重Z分数(WHZ)和ICFI之间的关系。对社会人口学和经济因素进行了多因素分析。6~11mo、12~23mo、24~35mo儿童调整后HAZ值分别为-1.67、-1.53、-1.21(P=0.003)、-2.54、-2.24、-2.11(P=0.0002)。12~23mo儿童ICFI与WHZ呈正相关(P=0.05)，6~11mo儿童ICFI与WHZ呈负相关(P=0.02)。在ICFI的组成部分中，饮食多样性或多样性分数以及进餐或零食频率与人体测量指数呈正相关，但6-11岁儿童的WHZ除外，而母乳喂养在年龄较大的儿童中显示出相反的关联。一个适当的国际金融机构和/或其某些组成部分可以用来确定脆弱的年龄组和监测非洲类似农村地区的干预措施。
The measurement of child feeding practices is complex and the relation between the quality of feeding and children's nutritional status is difficult to establish. We examined this relation in rural Burkina Faso, West Africa, using an adapted version of the Infant and Child Feeding Index (ICFI). A cross-sectional study was conducted on a random sample of children (n = 2466) aged 6-35 mo in 2002. Feeding practices were assessed through a qualitative 24-h recall. ICFIs were made age specific for children aged 6-11 mo (n = 614), 12-23 mo (n = 987), 24-35 mo (n = 865), and were divided into terciles. The association between height-for-age Z-scores (HAZ), weight-for-height Z-scores (WHZ), and ICFIs were examined separately in each age group. Multivariate analyses were performed to control for sociodemographic and economic factors. Adjusted mean HAZ in low, medium, and high categories of ICFI were, respectively, -1.67, -1.53, and -1.21 (P= 0.003) among children aged 6-11 mo; -2.54, -2.24, and -2.11 (P = 0.0002) among children aged 12-23 mo; and -2.18, -2.20, and -2.45 (P = 0.05) among children aged 24-35 mo. There was also a positive association between ICFI and WHZ in children aged 12-23 mo (P = 0.05) but a negative association in children aged 6-11 mo (P = 0.02). Among the components of ICFI, dietary diversity or variety scores and frequency of meals or snacks supported the positive associations with anthropometric indices, except for WHZ in children aged 6-11 mo, whereas breast-feeding exhibited a reverse association among older children. A suitable ICFI and/or some of its components could be used to identify vulnerable age groups and to monitor interventions in similar rural areas of Africa.