Poor Adherence to the WHO Guidelines on Feeding Practices Increases the Risk for Respiratory Infections in Surinamese Preschool Children

Bibliographic Data

ID15475825
AuthorsJill R Wormer (0000-0002-7985-7829, Elisabeth-TweeSteden Ziekenhuis, corresponding author), Arti Shankar (0009-0009-4942-967X, Tulane University), Michael Boele van Hensbroek (0000-0003-1907-5427, Emma Kinderziekenhuis), Ashna D Hindori‐Mohangoo (0000-0003-2364-2893, Foundation for Perinatal Interventions and Research in Suriname (Perisur), Paramaribo, Suriname), Hannah H Covert (0000-0001-9483-8557, University of Pittsburgh), Maureen Y Lichtveld (0000-0001-9264-883X, University of Pittsburgh), Wilco Zijlmans (0000-0002-4080-3858, Anton de Kom University of Suriname)
Year2021
Volume18
Issue20
Pages10739-10739
Publication date2021-10-13
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph182010739
PMID34682480
OpenAlexW3206578215
LanguageEN
References cited35

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 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

Bronchitis · Environmental health · Logistic regression · Malnutrition · Odds ratio · Pneumonia · Respiratory system · Respiratory tract infections · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Viral gastroenteritis research and epidemiology · Internal Medicine · Pediatrics

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