Systematic review of infant and young child complementary feeding practices in South Asian families: the Pakistan perspective.

Abstract:

OBJECTIVE:Suboptimal nutrition among children remains a problem among South Asian (SA) families. Appropriate complementary feeding (CF) practices can greatly reduce this risk. Thus, we undertook a systematic review of studies assessing CF (timing, dietary diversity, meal frequency and influencing factors) in children aged <2 years in Pakistan. DESIGN:Searches between January 2000 and June 2016 in MEDLINE, EMBASE, Global Health, Web of Science, OVID Maternity & Infant Care, CINAHL, Cochrane Library, BanglaJOL, POPLINE and WHO Global Health Library. Eligibility criteria: primary research on CF practices in SA children aged 0-2 years and/or their families. Search terms: 'children', 'feeding' and 'Asians' with their derivatives. Two researchers undertook study selection, data extraction and quality appraisal (EPPI-Centre Weight of Evidence). RESULTS:From 45 712 results, seventeen studies were included. Despite adopting the WHO Infant and Young Child Feeding guidelines, suboptimal CF was found in all studies. Nine of fifteen studies assessing timing recorded CF introduced between 6 and 9 months. Five of nine observed dietary diversity across four of seven food groups; and two of four, minimum meal frequency in over 50 % of participants. Influencing factors included lack of CF knowledge, low maternal education, socio-economic status and cultural beliefs. CONCLUSIONS:This is the first systematic review to evaluate CF practices in Pakistan. Campaigns to change health and nutrition behaviour are needed to meet the substantial unmet needs of these children.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Manikam L,Sharmila A,Dharmaratnam A,Alexander EC,Kuah JY,Prasad A,Ahmed S,Lingam R,Lakhanpaul M

doi

10.1017/S1368980017002956

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

655-668

issue

4

eissn

1368-9800

issn

1475-2727

pii

S1368980017002956

journal_volume

21

pub_type

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