Poor Adherence to the WHO Guidelines on Feeding Practices Increases the Risk for Respiratory Infections in Surinamese Preschool Children.
Poor Adherence to the WHO Guidelines on Feeding Practices Increases the Risk for Respiratory Infections in Surinamese Preschool Children.
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DOI：
10.3390/ijerph182010739
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发表时间：
2021-10-13
影响因子：
--
通讯作者：
Zijlmans WCWR
中科院分区：
文献类型：
--
作者：
Wormer JR;Shankar A;Van Hensbroek MB;Hindori-Mohangoo AD;Covert H;Lichtveld MY;Zijlmans WCWR
婴幼儿喂养不当可能会导致营养不良，进而导致呼吸道感染 (RTI) 等传染病风险增加，而呼吸道感染是五岁以下儿童死亡的主要原因。我们探讨了苏里南婴儿和学龄前儿童的 RTI 与世界卫生组织婴幼儿喂养 (IYCF) 指标之间的关联：最低膳食多样性 (MDD)、最低膳食频率 (MMF) 和最低可接受饮食 (MAD)。使用经过验证的儿科食物频率调查问卷，并获得了 RTI 的数据，RTI 被定义为针对伴有呼吸道症状的发烧、支气管炎或肺炎的临床护理。使用分层逻辑回归探索喂养指标和 RTI 之间的关联。在 763 名 10-33 个月的儿童中，51.7% 达到 MDD，88.5% 达到 MMF，46.5% 达到 MAD。此外，73% 的儿童至少经历过一次上呼吸道感染和/或下呼吸道感染。满足 MDD 和 MAD 的儿童接受 RTI 的几率显着较低（分别为 OR 0.53；95%CI：0.37–0.74，p < 0.001；OR 0.55；95%CI：0.39–0.78，p < 0.001）。协变量奇偶性和家庭收入与 RTI 独立相关。总之，MDD 和 MAD 与（上）RTI 相关。这些指标是否可以用作 RTI 风险增加的预测因子，应在未来的前瞻性研究中进行评估。
Poor feeding practices in infants and young children may lead to malnutrition, which, in turn, is associated with an increased risk of infectious diseases, such as respiratory tract infections (RTIs), a leading cause of under-five mortality. We explored the association between RTIs and the WHO infant and young child feeding (IYCF) indicators: minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD), among infants and preschool children in Suriname. A validated pediatric food frequency questionnaire was used and data on RTIs, defined as clinical care for fever with respiratory symptoms, bronchitis, or pneumonia were obtained. Associations between feeding indicators and RTIs were explored using hierarchical logistic regression. Of 763 children aged 10–33 months, 51.7% achieved the MDD, 88.5% the MMF, and 46.5% the MAD. Furthermore, 73% of all children experienced at least one upper and/or lower RTI. Children meeting the MDD and MAD had significantly lower odds on RTIs (OR 0.53; 95%CI: 0.37–0.74, p < 0.001; OR 0.55; 95%CI: 0.39–0.78, p < 0.001, respectively). The covariates parity and household income were independently associated with RTIs. In conclusion, MDD and MAD were associated with (upper) RTIs. Whether these indicators can be used as predictors for increased risk for RTIs should be assessed in future prospective studies.
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DOI：
10.1017/s0007114520003311
发表时间：
2021-04-28
期刊：
The British journal of nutrition
影响因子：
--
作者：
Morais AHA;Aquino JS;da Silva-Maia JK;Vale SHL;Maciel BLL;Passos TS
通讯作者：
Passos TS
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：
3.1
作者：
Koullali, Bouchra;van Zijl, Maud D.;Ravelli, Anita C. J.
通讯作者：
Ravelli, Anita C. J.
影响因子：
8.3
作者：
Gaillard, Romy;Rurangirwa, Akashi A.;Jaddoe, Vincent W. V.
通讯作者：
Jaddoe, Vincent W. V.
影响因子：
56.3
作者：
Miller, Jessica E.;Hammond, Geoffrey C.;Burgner, David P.
通讯作者：
Burgner, David P.