The risk of inappropriate timing of complementary foods introduction is increased among first-time mothers and poor households

https://doi.org/10.22146/ijcn.53443

Puspitorini Puspitorini(1), Prasetya Lestari(2), Bunga Astria Paramashanti(3*)

(1) Department of Nutrition, Faculty of Health Sciences, Universitas Alma Ata, Yogyakarta
(2) Department of Midwifery, Faculty of Health Sciences, Universitas Alma Ata, Yogyakarta
(3) Department of Nutrition, Faculty of Health Sciences, Universitas Alma Ata, Yogyakarta
(*) Corresponding Author

Abstract


Background: Global recommendations suggest mothers provide the first complementary food to infants when they reach six months of age. Failure to introduce complementary foods promptly may put infants in adverse health and nutrition outcomes.

Objective: This study aimed to analyze factors associated with inappropriate timing of complementary foods introduction in Kebumen Regency.

Methods: This study used a cross-sectional design. A multistage cluster sampling was employed to select 355 mothers of children aged 6-23 months in Kebumen Regency. Our dependent variable was the timing of complementary food introduction. Meanwhile, independents variables included factors at the child, parental, and household levels. Univariate and multiple logistic regressions were performed in this study.

Results: There was 39.15% of young children received inappropriate timing of complementary feeding. Being the second-born child or above (OR=0.56; 95%CI: 0.33-0.95) and coming from high-income households (OR= 0.57; 95%CI: 0.36-0.90) were protective factors of inappropriate timing of complementary foods introduction. Other variables such as maternal age, maternal education, maternal occupation, father’s education, and family support were not significantly associated with incorrect timing of complementary feeding.

Conclusions: The proportion of inappropriate timing of complementary foods introduction in Kebumen Regency is alarming and is mainly explained by child’s birth rank and household economic status suggesting the importance of targeting nutritional education to first-time mothers as well as poor households.


Keywords


complementary food introduction; economic status; first-time mothers; infant and young child feeding

Full Text:

PDF


References

  1. PAHO/WHO. Guiding principles for complementary feeding of the breastfed child. [series online] 2003 [cited 2019 June 18]. Available from: URL: https://www.who.int/nutrition/publications/guiding_principles_compfeeding_breastfed.pdf
  2. World Health Organization (WHO). Infant and young child feeding: key facts. [series online] updated 16 February 2018 [cited 2019 June 18]. Available from: URL: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
  3. National Institute of Health and Research Development (NIHRD). Laporan nasional Riskesdas 2018. Jakarta: National Institute of Health and Research Development (Balitbangkes); 2019.
  4. Caffarelli C, Di Mauro D, Mastrorilli C, Bottau P, Cipriani F, Ricci G. Solid food introduction and the development of food allergies. Nutrients. 2018;10(11):1790. doi: 10.3390/nu10111790
  5. Grimshaw KEC, Maskell J, Oliver EM, Morris RCG, Foote KD, Mills ENC, et al. Introduction of complementary foods and the relationship to food allergy. Pediatrics. 2013;132(6):e1529-38. doi: 10.1542/peds.2012-3692
  6. West C. Introduction of complementary foods to infants. Ann Nutr Metab. 2017;70(Suppl 2):47-54. doi: 10.1159/000457928
  7. Pluymen LPM, Wijga AH, Gehring U, Koppelman GH, Smit HA, van Rossem L. Early introduction of complementary foods and childhood overweight in breastfed and formula-fed infants in the Netherlands: the PIAMA birth cohort study. Eur J Nutr. 2018;57(5):1985-93. doi: 10.1007/s00394-018-1639-8
  8. Wang J, Wu Y, Xiong G, Chao T, Jin Q, Liu R, et al. Introduction of complementary feeding before 4months of age increases the risk of childhood overweight or obesity: a meta-analysis of prospective cohort studies. Nutr Res. 2016;36(8): 759-70. doi: 10.1016/j.nutres.2016.03.003
  9. Rippey PLF, Aravena F, Nyonator JP. Health impacts of early complementary food introduction between formula-fed and breastfed infants. J Pediatr Gastroenterol Nutr. 2020;70(3):375-80. doi: 10.1097/MPG.0000000000002581
  10. Przyrembel H. Timing of introduction of complementary food: short- and long-term health consequences. Ann Nutr Metab. 2012;60(Suppl 2):8-20. doi: 10.1159/000336287
  11. Coulthard H, Harris G, Emmett P. Delayed introduction of lumpy foods to children during the complementary feeding period affects child's food acceptance and feeding at 7 years of age. Matern Child Nutr. 2009;5(1):75-85. doi: 10.1111/j.1740-8709.2008.00153.x
  12. Wang F, Liu H, Wan Y, Li J, Chen Y, Zheng J, et al. Prolonged exclusive breastfeeding duration is positively associated with risk of anemia in infants aged 12 months. J Nutr. 2016;146(9):1707-13. doi: 10.3945/jn.116.232967
  13. Khasanah DP, Hadi H, Paramashanti BA. Waktu pemberian makanan pendamping ASI (MP-ASI) berhubungan dengan kejadian stunting anak usia 6-23 bulan di Kecamatan Sedayu. Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics). 2016:4(2):105-11. doi: 10.21927/ijnd.2016.4(2).105-111
  14. Tessema M, Belachew T, Ersino G. Feeding patterns and stunting during early childhood in rural communities of Sidama, South Ethiopia. Pan Afr Med J. 2013;14:75. doi: 10.11604/pamj.2013.14.75.1630
  15. Dhami MV, Ogbo FA, Osuagwu UL, Ugboma Z, Agho KE. Stunting and severe stunting among infants in India: the role of delayed introduction of complementary foods and community and household factors. Glob Health Action. 2019;12(1):1638020. doi: 10.1080/16549716.2019.1638020
  16. Abeshu MA, Lelisa A, Geleta B. Complementary feeding: review of recommendations, feeding practices, and adequacy of homemade complementary food preparations in developing countries - lessons from Ethiopia. Front Nutr. 2016;3:41. doi: 10.3389/fnut.2016.00041
  17. Wang L, van Grieken A, van der Velde LA, Vlasblom E, Beltman M, L'Hoir MP, et al. Factors associated with early introduction of complementary feeding and consumption of non-recommended foods among Dutch infants: the BeeBOFT study. BMC Public Health. 2019;19(1):388. doi: 10.1186/s12889-019-6722-4
  18. Alzaheb RA. Factors associated with the early introduction of complementary feeding in Saudi Arabia. Int J Environ Res Public Health. 2016;13(7):702. doi: 10.3390/ijerph13070702
  19. Bournez M, Ksiazek E, Wagner S, Kersuzan C, Tichit C, Gojard S, et al. Factors associated with the introduction of complementary feeding in the French ELFE cohort study. Matern Child Nutr. 2018;14(2): e12536. doi: 10.1111/mcn.12536
  20. Heryanto E. Faktor-faktor yang berhubungan dengan pemberian makanan pendamping ASI dini. Jurnal Aisyiah: Jurnal Ilmu Kesehatan. 2017;2(2):141-52. doi: 10.30604/jika.v2i2.56
  21. Aldriana N. Faktor-faktor yang berhubungan dengan pemberian MP-ASI dini di Desa 2 Dayo Wilayah Kerja Puskesmas Tandun II Kabupaten Rokan Hulu tahun 2013. Jurnal Maternity and Neonatal. 2015;2(1):1-9.
  22. Ibrahim M. Hubungan antara karakteristik ibu dan perilaku ibu dengan riwayat pemberian makanan pendamping ASI (MP-ASI) dini di wilayah Puskemas Atinggola Kecamatan Atinggola Kabupaten Gorontalo Utara tahun 2014. Jurnal Ilmu Kesehatan Masyarakat Unsrat. 2015;5(3):294-301.
  23. Wahyuhandani E, Mahmudiono T. Hubungan pengetahuan gizi dan pekerjaan ibu terhadap pemberian MP-ASI dini di Puskesmas Telaga Biru Kota Pontianak tahun 2014. Amerta Nutrition. 2017;1(4):300-7. doi: 10.2473/amnt.v1i4.2017.300-307
  24. Department of Health of Central Java. Health profile of Central Java Province 2017. Semarang, Indonesia: Department of Health of Central Java; 2018.
  25. Indonesia MoHoRo. Health profile of Indonesia in 2017. Jakarta: Ministry of Health of Republic of Indonesia; 2018.
  26. WHO/UNICEF. Global strategy for infant and young child feeding. Geneva, Switzerland: World Health Organization, 2003.
  27. Ratnasari D, Paramashanti B, Hadi H, Yugistyowati A, Astiti D, Nurhayati E. Family support and exclusive breastfeeding among Yogyakarta mothers in employment. Asia Pac J Clin Nutr. 2017;26(Suppl 1):S31-5. doi: 10.6133/apjcn.062017.s8
  28. International Labour Organization (ILO). Report II: household income and expenditure statistics. Seventeenth International Conference of Labour Statisticians. Geneva: International Labour Organization (ILO); 2003.
  29. BPS-Kebumen. Kebumen regency in figures. Kebumen, Indonesia: Central Bureau of Statistics of Kebumen Regency; 2018.
  30. Sultana S, Hoque A, Saleh F. Infant and young childfeeding practices and their nutritional status in a national nutrition pro:gramme area in Bangladesh: a cross-sectional study. J Hum Nutr Food Sci. 2014;2(2):1028.
  31. Mohammed S, Getinet T, Solomon S, Jones AD. Prevalence of initiation of complementary feeding at 6 months of age and associated factors among mothers of children aged 6 to 24 months in Addis Ababa, Ethiopia. BMC Nutr. 2018;4:54. doi: 10.1186/s40795-018-0264-5
  32. Campbell RK, Kang Y, Keith P, West J. Infant and young child feeding (IYCF) practices and nutritional status under 2 years of age in Bhutan. The FASEB Journal. 2017;31(1): 639.638-639.638. doi: 10.1096/fasebj.31.1_supplement.639.38
  33. WHO/UNICEF. The extension of the 2025 maternal, infant and young child nutrition targets to 2030. Geneva: World Health Organization; 2018.
  34. Ogunlesi T, Ayeni V, Adekanmbi A, Fetuga B. Determinants of timely initiation of complementary feeding among children aged 6-24 months in Sagamu, Nigeria. Niger J Clin Pract. 2014;17(6):785-90. doi: 10.4103/1119-3077.144399
  35. Walsh A, Kearney L, Dennis N. Factors influencing first-time mothers' introduction of complementary foods: a qualitative exploration. BMC Public Health. 2015;15:939. doi: 10.1186/s12889-015-2250-z
  36. Dallazen C, Silva SAd, Gonçalves VSS, Nilson EAF, Crispim SP, Lang RMF, et al. Introdução de alimentos não recomendados no primeiro ano de vida e fatores associados em crianças de baixo nível socioeconômico. Cad Saúde Pública. 2018;34(2): e00202816. doi: 10.1590/0102-311x00202816
  37. Adler NE, Newman K. Socioeconomic disparities in health: pathways and policies. Health Aff. 2002;21(2):60-76. doi: 10.1377/hlthaff.21.2.60
  38. Chen J, Xin T, Gaoshan J, Li Q, Zou K, Tan S, et al. The association between work related factors and breastfeeding practices among Chinese working mothers: a mixed-method approach. Int Breastfeed J. 2019;14:28. doi: 10.1186/s13006-019-0223-z
  39. Lindsay AC, Machado MT, Sussner KM, Hardwick CK, Peterson KE. Infant-feeding practices and beliefs about complementary feeding among low-income Brazilian mothers: a qualitative study. Food Nutr Bull. 2008;29(1):15-24. doi: 10.1177/156482650802900102
  40. Yu C, Binns CW, Lee AH. The early introduction of complementary (solid) foods: a prospective cohort study of infants in Chengdu, China. Nutrients. 2019;11(4):760. doi: 10.3390/nu11040760
  41. Paramashanti BA, Hadi H, Gunawan IMA. Timely initiation of breastfeeding is associated with the practice of exclusive breastfeeding in Indonesia. Asia Pac J Clin Nutr. 2016;25(Suppl 1):S52-6. doi: 10.6133/apjcn.122016.s11
  42. Reda EB, Teferra AS, Gebregziabher MG. Time to initiate complementary feeding and associated factors among mothers with children aged 6-24 months in Tahtay Maichew district, northern Ethiopia. BMC Res Notes. 2019;12(1):17. doi: 10.1186/s13104-019-4061-2



DOI: https://doi.org/10.22146/ijcn.53443

Article Metrics

Abstract views : 3845 | views : 4784

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2021 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats