Minimum Acceptable Diet, Anthropometric Failure and Correlates among Children Aged 6-23 Months in a Rural Area of Murshidabad, West Bengal
DOI:
https://doi.org/10.55489/njcm.150620243832Keywords:
Minimum acceptable diet, minimum meal frequency, minimum dietary diversity, Composite index of anthropo-metric failure, IYCF practicesAbstract
Background: Minimum acceptable diet (MAD), one of eight core indicators for infant and young child feeding (IYCF), is measured through minimum dietary diversity and minimum meal frequency. MAD is also a determinant for anthropometric failure. We aimed to assess the status of minimum acceptable diet, extent of anthropometric failure and correlates of MAD among children aged 6-23 months in a rural area of Murshidabad, West Bengal.
Methodology: We conducted a cross-sectional study in a block during April-July’2023, among 96 calculated sample of children selected through multistage sampling. We used a pre-designed schedule to collect data by interviewing the mothers of the children. Nutritional status was assessed by anthropometry and using Composite Index of Anthropometric Failure. Data were analysed using SPSS 20.0.
Results: Only 34.4% (95% CI 24.6-44.5) children received optimal MAD; 70.8% had total anthropometric failure. Muslims (AOR: 6.13; 95% CI: 2.03-18.54) and currently non-breastfed children (AOR: 4.44; 95% CI: 1.09-7.95) were at higher risk of sub-optimal MAD. Anthropometric failure was significantly associated with MAD (p= .033).
Conclusions: Minimum acceptable diet status is unfavourable and associated with high anthropometric failure among children in the area; breast-feeding status being an influencing factor. Findings highlight the need for strengthening IYCF practices.
References
Pradhan MR, Saikia D, Mondal S, Mudi PK. Prevalence and predictors of minimum acceptable diet (MAD) feeding among tribal children aged 6-23 months in India. Biodemography and Social Biology [Internet]. 2024 Apr 18; 1-12. Doi: https://doi.org/10.1080/19485565.2024.2344481 PMid:38634682
Sinhababu A, Mukhopadhyay DK, Panja TK, Saren AB, Mandal NK, Biswas AB. Infant- and young child-feeding practices in Bankura district, West Bengal, India. J Health Popul Nutr. 2010 Jun; 28(3):294-9. Doi: https://doi.org/10.3329/jhpn.v28i3.5559
Chakraborty A, Mukhopdhyay S, Mallick N. Assessment of Infant and Young Child Feeding Practices and its Relation with Nutritional Status of Under Two Children: A Community Based Study at Malda Town, West Bengal. J Comp Health. 2021; 9(2):75-82. Doi: https://doi.org/10.53553/JCH.v09i02.005
Acharya A, Pradhan MR, Das AK. Determinants of minimum acceptable diet feeding among children aged 6-23 months in Odisha, India. Public Health Nutr. 2021 Aug; 24(12):3834-3844. Doi: https://doi.org/10.1017/S1368980021002172 PMid:34034833 PMCid:PMC10195256
Belay DG, Taddese AA, Gelaye KA. Does socioeconomic inequality exist in minimum acceptable diet intake among children aged 6-23 months in sub-Saharan Africa? Evidence from 33 sub-Saharan African countries' demographic and health surveys from 2010 to 2020. BMC Nutrition. 2022 Apr 7;8(1). Doi: https://doi.org/10.1186/s40795-022-00521-y PMid:35392989 PMCid:PMC8991825
IIPS Mumbai GOI. District Fact Sheet; Murshidabad, West Bengal; National Family Health Survery-5 (2019-21); Available from http://rchiips.org/nfhs/NFHS-5_FCTS/WB/Murshidabad.pdf; [accessed on 21/03/2023]
Jeyakumar A, Babar P, Menon P, Nair R, Jungari S, Medhekar A, et al. Determinants of complementary feeding practices among children aged 6-24 months in urban slums of Pune, Maharashtra, in India. Journal of Health, Population and Nutrition. 2023 Jan 19;42(1). Doi: https://doi.org/10.1186/s41043-022-00342-6 PMid:36658658 PMCid:PMC9850568
Fahmida Dil Farzana, Choudhury N, Md Ahshanul Haque, Ali M, Mohammad Jyoti Raihan, SM Tanvir Ahmed, et al. Type of terrain and infant and young child feeding practices: cross-sectional study findings on children below 2 years of age from northern Bangladesh. BMJ open [Internet]. 2022 Feb 1;12(2): e056593-3. Doi: https://doi.org/10.1136/bmjopen-2021-056593 PMid:35135778 PMCid:PMC8830239
WHO. Indicators for assessing infant and young child feeding practices Part 2: measurement. World Health Organization, Geneva2010. https://www.who.int/publications-detail-redirect/9789241596664 [accessed on 24/03/2023]
Casadei K, Kiel J. Anthropometric Measurement. [Updated 2022 Sep 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-Available from: https://www.ncbi.nlm.nih.gov/books/NBK537315 [accessed on 29/10/23]
WHO. Malnutrition. World health organization. Geneva. https://www.who.int/health-topics/malnutrition [accessed on 17/03/2023].
Bejarano IF, Carrillo AR, Dipierri JE, Román EM, Abdo G. Composite index of anthropometric failure and geographic altitude in children from Jujuy (1 to 5 years old). Arch Argent Pediatr. 2014 Dec; 112(6):526-31.
Anin SK, Saaka M, Fischer F, Kraemer A. Association between infant and young child feeding (IYCF) indicators and the nutritional status of children (6-23 months) in Northern Ghana. Nutrients 2020; 12:2565. Doi: https://doi.org/10.3390/nu12092565 PMid:32847027 PMCid:PMC7551146
Jain S, Bhan BD, Bhatt GC. Complementary feeding practices and their determinants among children 6-23 months of age in an outpatient hospital setting in Central India: A cross-sectional study. J Family Med Prim Care 2020; 9:1187-90. Doi: https://doi.org/10.4103/jfmpc.jfmpc_958_19 PMid:32318490 PMCid:PMC7114014
Sapkota S, Thapa B, Gyawali A, Hu Y. Predictors of Minimum Acceptable Diet among Children Aged 6-23 Months in Nepal: A Multilevel Analysis of Nepal Multiple Indicator Cluster Survey 2019. Nutrients. 2022Sep5; 14(17):36. Doi: https://doi.org/10.3390/nu14173669 PMid:36079926 PMCid:PMC9460334
Shukla M, Tyagi S, Agarwal M. Infant and young child feeding practices of mothers attending immunization clinic at a tertiary care hospital of Lucknow. International Archives of Integrated Medicine 2016; 3:58-66.
Ahmad I, Khalique N, Khalil S, Urfi, Maroof M. Complementary feeding practices among children aged 6-23 months in Aligarh, Uttar Pradesh. Journal of Family Medicine and Primary Care. 2017;6(2):386. Doi: https://doi.org/10.4103/jfmpc.jfmpc_281_16 PMid:29302552 PMCid:PMC5749091
Mandal GC, Bose K. Assessment of overall prevalence of under-nutrition using Composite Index of Anthropometric Failure (CIAF) among preschool children of West Bengal, India. Iranian J Pediatrics.2009; 19:237-43.
Mukhopadhyay DK, Biswas AB. Food security and anthropometric failure among tribal children in Bankura, West Bengal. Indian Pediatr. 2011; 48(4):311-4. Doi: https://doi.org/10.1007/s13312-011-0057-2 PMid:21169653
Shit S, Taraphdar P, Mukhopadhyay DK, Sinhababu A, Biswas AB. Assessment of nutritional status by composite index for anthropometric failure: a study among slum children in Bankura, West Bengal. Indian J Public Health. 2012; 56(4):305-7. Doi: https://doi.org/10.4103/0019-557X.106421 PMid:23354144
Das S, Bose K. Report on -anthropometric failure among rural 2-6 years old Indian Bauri caste children of West Bengal. Anthrop Rev. 2009; 72:81-8. Doi: https://doi.org/10.2478/v10044-008-0017-1
Sen J, Mondal N. Socio-economic and demographic factors affecting the composite index of anthropometric failure (CIAF). Ann Hum Biol. 2012; 39(2):129-36. Doi: https://doi.org/10.3109/03014460.2012.655777 PMid:22324839
Dasgupta A, Sahoo SK, Taraphdar P, Preeti PS, Biswas D, Kumar A, Sarkar I. Composite index of anthropometric failure and its important correlates: a study among under-5 children in a slum of Kolkata, West Bengal, India. Int J Med Sci Public Health 2015; 4:414-419. Doi: https://doi.org/10.5455/ijmsph.2015.0111201485
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Debayan Dey, Ritu Ghosh, Dilip Kumar Das, Monojit Das
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.