Nutritional status and complementary feeding among HIV-exposed infants: a prospective cohort study.
Matern Child Nutr
; 13(3)2017 07.
Article
em En
| MEDLINE
| ID: mdl-27686370
ABSTRACT
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.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Magreza
/
Infecções por HIV
/
Estado Nutricional
/
Transtornos do Crescimento
/
Fenômenos Fisiológicos da Nutrição do Lactente
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Child, preschool
/
Humans
/
Infant
País/Região como assunto:
Africa
Idioma:
En
Revista:
Matern Child Nutr
Assunto da revista:
CIENCIAS DA NUTRICAO
/
PERINATOLOGIA
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Estados Unidos