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首页> 外文期刊>Public Health Nutrition >Complementary feeding and attained linear growth among 6–23-month-old children
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Complementary feeding and attained linear growth among 6–23-month-old children

机译：6至23个月大的儿童补充喂养并获得线性增长

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Abstract Objective To examine the association between complementary feeding indicators and attained linear growth at 6a€“23 months. Design Secondary analysis of Phase V Demographic and Health Surveys data (2003a€“2008). Country-specific ANOVA models were used to estimate effects of three complementary feeding indicators (minimum meal frequency, minimum dietary diversity and minimum adequate diet) on length-for-age, adjusted for covariates and interactions of interest. Setting Twenty-one countries (four Asian, twelve African, four from the Americas and one European). Subjects Sample sizes ranging from 608 to 13 676. Results Less than half the countries met minimum meal frequency and minimum dietary diversity, and only Peru had a majority of the sample receiving a minimum adequate diet. Minimum dietary diversity was the indicator most consistently associated with attained length, having significant positive effect estimates (ranging from 0?·16 to 1?·40 for length-for-age Z-score) in twelve out of twenty-one countries. Length-for-age declined with age in all countries, and the greatest declines in its Z-score were seen in countries (Niger, a?’1?·9; Mali, a?’1?·6; Democratic Republic of Congo, a?’1?·4; Ethiopia, a?’1?·3) where dietary diversity was persistently low or increased very little with age. Conclusions There is growing recognition that poor complementary feeding contributes to the characteristic negative growth trends observed in developing countries and therefore needs focused attention and its own tailored interventions. Dietary diversity has the potential to improve linear growth. Using four food groups to define minimum dietary diversity appears to capture enough information in a simplified, standard format for multi-country comparisons of the quality of complementary diets.
机译：摘要目的探讨补充喂养指标与6个月至23个月时线性增长之间的关系。第五阶段人口和健康调查数据的设计二级分析（2003年至2008年）。使用针对特定国家/地区的ANOVA模型来估算三个补充喂养指标（最低进餐频率，最低饮食多样性和最低适度饮食）对年龄的影响，并针对相关变量和相互作用进行调整。设置二十一个国家（四个亚洲，十二个非洲，四个来自美洲和一个欧洲）。受试者样本量从608到13 676不等。结果不到一半的国家达到了最低进餐频率和最低饮食要求，只有秘鲁的大部分样本接受了最低适度饮食。最低饮食多样性是与达到的长度最一致的指标，在​​二十一个国家中有十二个国家具有显着的积极影响估计值（年龄长度Z评分从0？16到1？40）。在所有国家中，年龄的增长都随着年龄的增长而下降，在各个国家，其Z值下降幅度最大（尼日尔，a？1？9;马里，a？1？6;刚果民主共和国） ，a？'1？·4;埃塞俄比亚，a？'1？·3），其饮食多样性持续降低或随年龄增长而很少增加。结论越来越多的人意识到，不良的补充喂养会导致发展中国家观察到的特征性负增长趋势，因此需要重点关注并采取自己的针对性干预措施。饮食多样性具有改善线性增长的潜力。使用四个食物组来定义最低饮食多样性似乎以简化的标准格式捕获了足够的信息，用于多国比较补充饮食的质量。

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