Feeding practices of children within institution-based care: A retrospective analysis of surveillance data.

Adolescent Child Child, Preschool Diet Feeding Behavior Female Humans Infant Infant, Newborn Male Malnutrition / epidemiology Meals Retrospective Studies
children disability epidemiology feeding institution-based care nutrition orphanages

Journal

Maternal & child nutrition
ISSN: 1740-8709
Titre abrégé: Matern Child Nutr
Pays: England
ID NLM: 101201025

Informations de publication

Date de publication:
07 2022
Historique:
revised: 25 01 2022
received: 13 10 2021
accepted: 24 02 2022
pubmed: 24 3 2022
medline: 25 6 2022
entrez: 23 3 2022
Statut: ppublish

Résumé

There is limited information on the feeding practices of 9.42 million children living within institution-based care (IBC) worldwide. Poor feeding practices can predispose or exacerbate malnutrition, illness and disability. Here we describe the feeding practices of children living within IBC based on a retrospective analysis of records from 3335 children, 0-18 years old, participating in Holt International's Child Nutrition Program (CNP), from 36 sites in six countries. Data analysed included demographic information on age, sex, feeding practices, disabilities and feeding difficulties. Descriptive statistics were produced. A generalised linear model explored associations between feeding difficulties and disability and 2 × 2 tables examined feeding difficulties over time. An additional set of feeding observations with qualitative and quantitative data was analysed. At baseline, the median age of children was 16 months (0.66-68 months) with 1650/3335 (49.5%) females. There were 757/3335 (22.7%) children with disabilities; 550/984 (55.9%) were low birth weight; 311/784 (39.7%) were premature; 447/3113 (14.4%) had low body mass index and 378/3335 (11.3%) had feeding difficulties. The adjusted risk of having a feeding difficulty was 5.08 ([95% confidence interval: 2.65-9.7], p ≤ 0.001) times greater in children with disabilities than those without. Many children saw their feeding difficulties resolve after 1-year in CNP, 54/163 (33.1%) for children with disabilities and 57/106 (53.8%) for those without disabilities. Suboptimal hygiene, dietary and feeding practices were reported. In conclusion, feeding difficulties were common in IBC, especially among children with disabilities. Supporting safe interactive mealtimes for children living within IBC should be prioritised, to ensure overall health and development.

Identifiants

DOI: 10.1111/mcn.13352 PMID: 35318809 PMC: PMC9218330
pubmed: 35318809
doi: 10.1111/mcn.13352
pmc: PMC9218330
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e13352

Informations de copyright

© 2022 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.

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Auteurs

Emily DeLacey (E)

Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, University of London, London, UK.
Nutrition and Health Services, Holt International, Eugene, Oregon, USA.
Centre for Maternal, Adolescent, Reproductive, & Child Health (MARCH), Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, University of London, London, UK.
ORCID: 0000-0003-2286-6430

Elizabeth Allen (E)

Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, University of London, London, UK.

Cally Tann (C)

Centre for Maternal, Adolescent, Reproductive, & Child Health (MARCH), Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, University of London, London, UK.
Department of Infectious Disease Epidemiology, Faculty of Epidemiology & Population Health, London School of Hygiene & Tropical Medicine, University of London, London, UK.
MRC/UVRI & LSHTM Uganda Research Unit, London School of Hygiene & Tropical Medicine, University of London, Entebbe, Uganda.
Department of Neonatal Medicine, University College London Hospitals NHS Trust, London, UK.
ORCID: 0000-0003-0131-4952

Nora Groce (N)

UCL International Disability Research Centre, Department of Epidemiology and Public Health, University College London, London, UK.
ORCID: 0000-0002-7885-7042

Evan Hilberg (E)

Nutrition and Health Services, Holt International, Eugene, Oregon, USA.

Michael Quiring (M)

Nutrition and Health Services, Holt International, Eugene, Oregon, USA.
ORCID: 0000-0003-0633-2877

Tracy Kaplan (T)

Nutrition and Health Services, Holt International, Eugene, Oregon, USA.
ORCID: 0000-0002-6600-6814

Tracey Smythe (T)

Department of Infectious Disease Epidemiology, Faculty of Epidemiology & Population Health, London School of Hygiene & Tropical Medicine, University of London, London, UK.
International Centre for Evidence in Disability, Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, University of London, London, UK.
ORCID: 0000-0003-3408-7362

Erin Kaui (E)

Nutrition and Health Services, Holt International, Eugene, Oregon, USA.
ORCID: 0000-0002-5409-2954

Rachael Catt (R)

Nutrition and Health Services, Holt International, Eugene, Oregon, USA.

Raeanne Miller (R)

Nutrition and Health Services, Holt International, Eugene, Oregon, USA.

Maijargal Gombo (M)

Nutrition and Health Services, Holt International, Eugene, Oregon, USA.
ORCID: 0000-0002-7826-5346

Hang Dam (H)

Nutrition and Health Services, Holt International, Eugene, Oregon, USA.
ORCID: 0000-0002-5463-8419

Marko Kerac (M)

Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, University of London, London, UK.
Centre for Maternal, Adolescent, Reproductive, & Child Health (MARCH), Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, University of London, London, UK.
ORCID: 0000-0002-3745-7317

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adolescent › Feeding practices of children within...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Feeding practices of children within...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Enfant d'âge préscolaire › Feeding practices of children within...
questionsmedicales.fr › Phénomènes physiologiques › Alimentation et nutrition › Phénomènes physiologiques nutritionnels › Régime alimentaire › Feeding practices of children within...
questionsmedicales.fr › Phénomènes physiologiques › Alimentation et nutrition › Phénomènes physiologiques nutritionnels › Comportement alimentaire › Feeding practices of children within...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Feeding practices of children within...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Feeding practices of children within...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Nouveau-né › Feeding practices of children within...
questionsmedicales.fr › Maladies métaboliques et nutritionnelles › Troubles nutritionnels › Malnutrition › Feeding practices of children within...
questionsmedicales.fr › Aliments et boissons › Aliments › Repas › Feeding practices of children within...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Feeding practices of children within...