Infant feeding practices and chronic child malnutrition in the Indian states of Karnataka and Uttar Pradesh
Infant feeding practices and chronic child malnutrition in the Indian states of Karnataka and Uttar Pradesh
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DOI：
10.1016/j.ehb.2003.09.003
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发表时间：
2004-03-01
影响因子：
2.5
通讯作者：
Shlomowitz, Ralph
中科院分区：
文献类型：
--
作者：
Brennan, Lance;McDonald, John;Shlomowitz, Ralph
按发育迟缓程度衡量，近一半的印度儿童患有慢性营养不良，约四分之一患有严重慢性营养不良。对1998-1999年全国家庭健康调查的数据进行了分析，以评估建议的婴儿喂养方法是否有助于减轻发育迟缓的流行。证据支持一些建议的做法，包括建议母亲不要从乳房中挤出初乳，不要使用带奶嘴的奶瓶，在头4-6个月纯母乳喂养，在大约7个月时喂养补充食品（固体和糊状食物），并表明，对于一些儿童，更好的喂养方法可以将严重发育迟缓的患病率降低高达30%。本文还探讨了一系列与发育迟缓有关的其他问题-医疗宣传和接种是否有效，母亲更积极地参与卫生决策是否会减少儿童发育迟缓，以及发育迟缓、腹泻和贫血之间的联系。对使用口服补液盐与发育迟缓之间的正相关关系进行了解释。(C)2003 Elsevier B. V.保留所有权利。
As measured by degree of stunting, close to half of India's children suffer from chronic malnutrition and about a quarter from severe chronic malnutrition. Data from the 1998-1999 National Family Health Survey (NFHS) are analysed to assess whether recommended infant feeding practices help to alleviate the prevalence of stunting. The evidence supports some recommended practices, including the advice that mother not squeeze the colostrum from her breasts, not use a feeding bottle with a nipple, exclusive breastfeeding for the first 4-6 months and feeding supplementary foods ( solids and mushy foods) at about 7 months, and suggests that, for some children, better feeding practices could reduce the prevalence of severe stunting by up to 30%. The paper also examines a range of other issues related to stunting-whether medical supplementations and inoculations have an effect, whether mothers more actively involved in health decisions have less stunted children, and the links between stunting, diarrhoea and anaemia. An explanation is offered for the positive relationship between using oral rehydration salts and stunting. (C) 2003 Elsevier B.V. All rights reserved.