Validation of selected 2021 infant and young child feeding indicators for appropriate complementary feeding in relation to dietary adequacy and anthropometric status
https://doi.org/10.31246/mjn-2022-0153
- Author:
Eva A. Goyena
1
;
Ma. Lynell V. Maniego
1
;
Antoniette G. Cristobal
1
Author Information
1. Nutritional Assessment and Monitoring Division, Department of Science and Technology-Food and Nutrition Research Institute, Taguig City, Philippines
- Publication Type:Journal Article
- Keywords:
complementary feeding, dietary diversity, meal frequency, minimum acceptable diet, nutritional status
- From:
Malaysian Journal of Nutrition
2023;29(No.3):501-517
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: With the new set of 2021 infant and young child feeding (IYCF)
indicators released by WHO and UNICEF, there is a need for its validation in the
Philippine setting. The study evaluated the validity of cut-off points used for minimum
dietary diversity and minimum feeding frequency in terms of micronutrient and
energy intake adequacy, respectively, and minimum acceptable diet (MAD) in relation
to anthropometric status. Methods: The study covered 8360 infants and young
children aged 6-23.9 months with complete information on IYCF, anthropometric
measurements, maternal information, and household characteristics from the
2018-2019 Expanded National Nutrition Survey (ENNS). Bivariate and correlation
analyses using STATA version 15 (Corp LLC, Texas, USA 2017) were performed to
determine the association of specific IYCF indicators: dietary diversity and feeding
frequency with nutrient and energy intake adequacy, and MAD with anthropometric
status. Sensitivity and specificity analyses were performed to evaluate the accuracy
of dietary diversity score (DDS) and feeding frequency in identifying children with
adequate nutrient and energy intakes, respectively. Results: Significant associations
were found between DDS and micronutrient adequacy, and between feeding
frequency and energy intake adequacy, regardless of breastfeeding status. A DDS of
5 and 6 and feeding frequency of 4-5 and 8 maximised sensitivity and specificity in
identifying breastfed and non-breastfed children meeting 100% nutrient and energy
adequacy, respectively. Conclusion: The selected 2021 complementary feeding
indicators are practical guidelines to reflect dietary adequacy, but may not capture
the entire process related to nutritional outcomes, especially stunting.
- Full text:4.2023my0633.pdf
