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Complementary Feeding Practices and Influencing Factors Among Children Under 2 Years of Age: A Cross-Sectional Study in Indonesia

  • Nurrizka, Rahmah Hida (Department of Public Health, Universitas Islam Negeri Syarif Hidayatullah) ;
  • Wenny, Dwi Muthia (Department of Public Health, Universitas Pembangunan Nasional Veteran Jakarta) ;
  • Amalia, Rizki (Department of Public Health, Universitas Pembangunan Nasional Veteran Jakarta)
  • Received : 2021.01.09
  • Accepted : 2021.08.07
  • Published : 2021.11.15

Abstract

Purpose: This study aimed to analyze the practice of complementary feeding and its influencing factors in children under 2 years of age in Indonesia. Methods: This cross-sectional study used data obtained from the 2017 National Socioeconomic Survey. The sample totaled 1,751 households with children under 2 years of age, who received complementary feeding in urban and rural communities. Furthermore, the practice of complementary feeding was evaluated on the basis of the variations in provided food grouped into two categories: complete and incomplete. This study applied bivariate and multivariate analytical methods. Multivariate analysis was performed using binary logistic regression. Results: The proportion of children under 2 years of age who received complementary feeding with complete variant food was 15.9%, while that with incomplete variant food was 84.1%. Furthermore, the factor influencing the practice of complementary feeding among the children was the mother's educational level (odds ratio: 1.481, 95% confidence interval: 0.245-0.943). Conclusion: Complete complementary feeding, which involves a variety of food sources, is the best approach to improve the nutritional status of infants. Therefore, the source of food for complementary feeding must be accessible to all communities.

Keywords

References

  1. Ministry of Health Republic of Indonesia. Riset Kesehatan Dasar (Basic Health Research) 2018 [Internet]. Jakarta: Ministry of Health Republic of Indonesia; 2018 [cited 2020 Jun 1]. Available from: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf.
  2. Hoffman D, Arts M, Begin F. The "first 1,000 days+" as key contributor to the double burden of malnutrition. Ann Nutr Metab 2019;75:99-102. https://doi.org/10.1159/000503665
  3. World Health Organization. Appropriate complementary feeding [Internet]. Geneva: World Health Organization; 2003 [cited 2020 Jul 3]. Available from: https://www.who.int/elena/titles/complementary_feeding/en/.
  4. Aldossari A, Alshehri D, Alzahrani G, Almasoud S, Alaqeel Y, Benajiba N. Insights into knowledge, attitude and practices on early complementary feeding of infants among Saudi mothers. Malays J Nutr 2019;25:377-91.
  5. Frongillo EA. Evaluation of programs to improve complementary feeding in infants and young children. Matern Child Nutr 2017;13(Suppl 2):e12436. https://doi.org/10.1111/mcn.12436
  6. Yuan WL, Lange C, Schwartz C, Martin C, Chabanet C, de Lauzon-Guillain B, et al. Infant dietary exposures to sweetness and fattiness increase during the first year of life and are associated with feeding practices. J Nutr 2016;146:2334-42. https://doi.org/10.3945/jn.116.234005
  7. Tully L, Allen-Walker V, Spyreli E, McHugh S, Woodside JV, Kearney PM, et al. Solid advice: complementary feeding experiences among disadvantaged parents in two countries. Matern Child Nutr 2019;15:e12801.
  8. Nicklaus S. Complementary feeding strategies to facilitate acceptance of fruits and vegetables: a narrative review of the literature. Int J Environ Res Public Health 2016;13:1160. https://doi.org/10.3390/ijerph13111160
  9. Dewey K. Guiding principles for complementary feeding of the breastfed child [Internet]. Washington, D.C.: Pan American Health Organization; 2003 [cited 2020 Jul 3]. Available from: https://iris.paho.org/handle/10665.2/752.
  10. Papoutsou S, Savva SC, Hunsberger M, Jilani H, Michels N, Ahrens W, et al.; IDEFICS consortium. Timing of solid food introduction and association with later childhood overweight and obesity: the IDEFICS study. Matern Child Nutr 2018;14:e12471. https://doi.org/10.1111/mcn.12471
  11. Forero TY, Acevedo RM, Hernandez MJA, Morales SGE. [Complementary feeding: a practice between two knowledges]. Rev Chil Pediatr 2018;89:612-20. Spanish.
  12. Manikam L, Lingam R, Lever I, Alexander EC, Amadi C, Milner Y, et al. Complementary feeding practices for South Asian young children living in high-income countries: a systematic review. Nutrients 2018;10:1676. https://doi.org/10.3390/nu10111676
  13. Hardison-Moody A, MacNell L, Elliott S, Bowen S. How social, cultural, and economic environments shape infant feeding for low-income women: a qualitative study in North Carolina. J Acad Nutr Diet 2018;118:1886-94.e1. https://doi.org/10.1016/j.jand.2018.01.008
  14. Helle C, Hillesund ER, Overby NC. Timing of complementary feeding and associations with maternal and infant characteristics: a Norwegian cross-sectional study. PLoS One 2018;13:e0199455. https://doi.org/10.1371/journal.pone.0199455
  15. Sumarmi S, Mahmudiono T, Melaniani S. Household food insecurity and undernutrition in children below 5 years living in different geographical areas in East Java, Indonesia. Malays J Nutr 2018;24:529-38.
  16. Zielinska MA, Rust P, Masztalerz-Kozubek D, Bichler J, Hamulka J. Factors influencing the age of complementary feeding-a cross-sectional study from two European countries. Int J Environ Res Public Health 2019;16:3799. https://doi.org/10.3390/ijerph16203799
  17. Isingoma BE, Samuel M, Edward K, Maina GW. Socioeconomic and demographic factors influencing feeding practices, morbidity status, and dietary intakes of children aged 7-24 months in rural Uganda. Ecol Food Nutr 2017;56:1-16. https://doi.org/10.1080/03670244.2016.1246360
  18. Dhami MV, Ogbo FA, Osuagwu UL, Agho KE. Prevalence and factors associated with complementary feeding practices among children aged 6-23 months in India: a regional analysis. BMC Public Health 2019;19:1034. https://doi.org/10.1186/s12889-019-7360-6
  19. 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;19:388. https://doi.org/10.1186/s12889-019-6722-4
  20. Fanta M, Cherie HA. Magnitude and determinants of appropriate complementary feeding practice among mothers of children age 6-23 months in Western Ethiopia. PLoS One 2020;15:e0244277. https://doi.org/10.1371/journal.pone.0244277
  21. Fadare O, Amare M, Mavrotas G, Akerele D, Ogunniyi A. Mother's nutrition-related knowledge and child nutrition outcomes: empirical evidence from Nigeria. PLoS One 2019;14:e0212775. https://doi.org/10.1371/journal.pone.0212775
  22. Egyir BK, Ramsay SA, Bilderback B, Safaii S. Complementary feeding practices of mothers and their perceived impacts on young children: findings from KEEA district of Ghana. Matern Child Health J 2016;20:1886-94. https://doi.org/10.1007/s10995-016-1994-0
  23. Zaragoza Cortes J, Trejo Osti LE, Ocampo Torres M, Maldonado Vargas L, Ortiz Gress AA. Poor breastfeeding, complementary feeding and dietary diversity in children and their relationship with stunting in rural communities. Nutr Hosp 2018;35:271-8.
  24. Bong MW, Karim NA, Noor IM. Nutritional status and complementary feeding among Penan infants and young children in rural Sarawak, Malaysia. Malays J Nutr 2018;24:539-50.
  25. Muniandy ND, Allotey PA, Soyiri IN, Reidpath DD. Complementary feeding and the early origins of obesity risk: a study protocol. BMJ Open 2016;6:e011635. https://doi.org/10.1136/bmjopen-2016-011635
  26. Harrison M, Brodribb W, Hepworth J. A qualitative systematic review of maternal infant feeding practices in transitioning from milk feeds to family foods. Matern Child Nutr 2017;13:e12360. https://doi.org/10.1111/mcn.12360
  27. Manikam L, Prasad A, Dharmaratnam A, Moen C, Robinson A, Light A, et al. Systematic review of infant and young child complementary feeding practices in South Asian families: the India perspective. Public Health Nutr 2018;21:637-54. https://doi.org/10.1017/S136898001700297X
  28. Roche ML, Gyorkos TW, Blouin B, Marquis GS, Sarsoza J, Kuhnlein HV. Infant and young child feeding practices and stunting in two highland provinces in Ecuador. Matern Child Nutr 2017;13:e12324. https://doi.org/10.1111/mcn.12324
  29. Fahmida U, Santika O. Development of complementary feeding recommendations for 12-23-month-old children from low and middle socio-economic status in West Java, Indonesia: contribution of fortified foods towards meeting the nutrient requirement. Br J Nutr 2016;116 Suppl 1:S8-15. https://doi.org/10.1017/S0007114516002063
  30. Kabir A, Maitrot MR. Factors influencing feeding practices of extreme poor infants and young children in families of working mothers in Dhaka slums: a qualitative study. PLoS One 2017;12:e0172119. https://doi.org/10.1371/journal.pone.0172119
  31. Egayanti Y, Palupi NS, Prangdimurti E. Profile of complementary food consumption during the first year of life based on Indonesia Individual Food Consumption Survey 2014. Malays J Nutr 2018;24:53-61.
  32. Kajjura RB, Veldman FJ, Kassier SM. Maternal socio-demographic characteristics and associated complementary feeding practices of children aged 6-18 months with moderate acute malnutrition in Arua, Uganda. J Hum Nutr Diet 2019;32:303-10. https://doi.org/10.1111/jhn.12643
  33. Kittisakmontri K, Fewtrell M, Roekworachai K, Phanpong C, Lanigan J. Complementary feeding: attitudes, knowledge and practices of urban families in Northern Thailand. Nutr Diet 2019;76:57-66. https://doi.org/10.1111/1747-0080.12474
  34. Muluye SD, Lemma TB, Diddana TZ. Effects of nutrition education on improving knowledge and practice of complementary feeding of mothers with 6- to 23-month-old children in daycare centers in Hawassa Town, Southern Ethiopia: an institution-based randomized control trial. J Nutr Metab 2020;2020:6571583.
  35. Kajjura RB, Veldman FJ, Kassier SM. Effect of nutrition education on knowledge, complementary feeding, and hygiene practices of mothers with moderate acutely malnourished children in Uganda. Food Nutr Bull 2019;40:221-30. https://doi.org/10.1177/0379572119840214
  36. Irarrazaval B, Barja S, Bustos E, Doirsaint R, Senethmm G, Guzman MP, et al. Influence of feeding practices on malnutrition in Haitian infants and young children. Nutrients 2018;10:382. https://doi.org/10.3390/nu10030382
  37. Santos LP, Assuncao MCF, Matijasevich A, Santos IS, Barros AJD. Dietary intake patterns of children aged 6 years and their association with socioeconomic and demographic characteristics, early feeding practices and body mass index. BMC Public Health 2016;16:1055. https://doi.org/10.1186/s12889-016-3725-2