Nutritional status and complementary feeding among HIV‐exposed infants

A prospective cohort study

Dados Bibliográficos

ID15536554
AutoresPili Kamenju (0000-0003-2604-4354, Harvard University, autor correspondente), Enju Liu (0000-0002-5732-3359, Harvard University), Ellen Hertzmark (0000-0003-0148-2761, Harvard University), Donna Spiegelman (0000-0003-4006-4650, Harvard University), Rodrick Kisenge (0000-0002-3273-8136, Muhimbili University of Health and Allied Sciences), Roland Kupka (0000-0002-7943-1705, Harvard University), Said Aboud (0000-0003-0981-3350, Muhimbili University of Health and Allied Sciences), Karim Manji (0000-0002-7069-6408, Muhimbili University of Health and Allied Sciences), Karim P Manji (Muhimbili University of Health and Allied Sciences Dar es Salaam Tanzania), Christopher Duggan (0000-0001-8083-8193, Harvard University), Wafaie W Fawzi (0000-0002-2908-600X, Harvard University)
Ano2016
Volume13
Fascículo3
Data de publicação2016-09-30
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoMaternal and Child Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1740-8695 • E-ISSN: 1740-8709
EditoraWiley (PUBLISHER • GB)
DOI10.1111/mcn.12358
PMID27686370
OpenAlexW2528178726
IdiomaEN
Citações recebidas3
Referências citadas33

Complementary feeding is crucial for improving child survival and promoting growth and development, particularly among HIV-exposed children who have higher risk of morbidity and mortality than their un-exposed peers. This prospective study employed an infant and child feeding index (ICFI) to measure complementary feeding and determine its association with nutritional status among 2092 HIV-exposed infants followed from 6 to 24 months of age in Dar es Salaam, Tanzania. The ICFI measured both quality and quantity of complementary feeding, including current breastfeeding status, food consistency, dietary diversity scores (DDS), food group frequency score, and meal frequency. The ICFI score ranged from 0 to 9; the median score was 6 (Inter-Quartile Range, IQR= 4-7). After adjusting for potential confounders, high ICFI scores were associated with reduced risk of stunting (high vs. low tertile hazard ratio, HR: 0.72; 95% confidence interval, CI: 0.57, 0.91; P< 0.01) and underweight (high vs. low tertile HR: 0.79; 95% CI: 0.61, 1.02; P= 0.07). Low DDS were associated with higher risk of stunting (low vs. high tertile HR: 1.59; 95% CI: 1.23, 2.07; P< 0.01) and underweight (low vs. high tertile HR: 1.48; 95% CI: 1.12, 1.96; P= 0.01). In this setting, high DDS and ICFI scores were protective of stunting and underweight. We recommend for nutrition programs in low-income countries to emphasize educating HIV-exposed children's caregivers on the importance of dietary diversity and optimal complementary feeding to improve nutritional status in this important subpopulation

Body mass index · Breastfeeding · Confidence interval · Environmental health · Hazard ratio · Malnutrition · Overweight · Prospective cohort study · Quartile · Underweight · Wasting · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Demography · Medicine · Poverty, Education, and Child Welfare · Internal Medicine · Pediatrics