| Feeding patterns of underweight children in rural Malawi given supplementary fortified spread at home. | |
| | |
MedLine Citation:
|
PMID: 18171408 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Fortified spread (FS), containing dry food particles embedded in edible fat, offers a convenient means for nutrition rehabilitation. To describe how caregivers feed FS to their undernourished children at home, and how FS use affects other feeding patterns, we conducted a longitudinal observational study in rural Malawi. Sixteen 6- to 17-month-old underweight children (weight-for-age z-score < -2.0; -3.0 < weight-for-height z-score < 0) received FS for 12 weeks. Twelve-hour observations were conducted before supplementation and during weeks 1, 4, 8 and 12 of FS use. FS was fed to children about two times per day; each serving was 15-20 g. The spread was first used mainly alone as a between-meal snack, and then became integrated into the typical complementary feeding pattern by being mixed with porridge. Introduction of FS reduced the number of plain porridge meals, but did not decrease the total number of meals or breastfeeds per day and did not change the daily mean time caregivers spent on feeding. Children accepted the FS well, but more FS was wasted when it was offered mixed with porridge than when given alone (23.6% vs. 1.2%, 95% CI for the difference 13.2% to 31.6%). FS supplementation is feasible for community-based nutrition interventions in Malawi because it easily becomes part of the feeding routine, does not replace other foods and does not take extra caregiver time. To limit wastage, caregivers should be advised to serve FS plain or to mix it with only a small quantity of porridge. |
| | |
Authors:
|
Valerie L Flax; Ulla Ashorn; John Phuka; Kenneth Maleta; Mark J Manary; Per Ashorn |
Related Documents
:
|
7831348 - Role of brown adipose tissue thermogenesis in control of thermoregulatory feeding in ra... 17075608 - Behavioral modes arise from a random process in the nudibranch melibe. 17613698 - A simple method for mass-production of liposomes, in particular large liposomes, suitab... 12115288 - Mutual influence of the maternal hen's food calling and feeding behavior on the behavio... 18245138 - Serum leptin levels are higher in females affected by frontotemporal lobar degeneration... 10896758 - Responsivity to food cues in bulimic women and controls. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Maternal & child nutrition Volume: 4 ISSN: 1740-8695 ISO Abbreviation: Matern Child Nutr Publication Date: 2008 Jan |
Date Detail:
|
Created Date: 2008-01-03 Completed Date: 2008-03-24 Revised Date: 2011-02-21 |
Medline Journal Info:
|
Nlm Unique ID: 101201025 Medline TA: Matern Child Nutr Country: England |
Other Details:
|
Languages: eng Pagination: 65-73 Citation Subset: IM |
Affiliation:
|
School of Public Health, Tampere University, Tampere, Finland. valerie.flax@uta.fi |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Feeding Behavior* Female Food, Fortified* Humans Infant Infant Nutrition Disorders / therapy* Infant Nutritional Physiological Phenomena / drug effects*, physiology Longitudinal Studies Malawi Male Time Factors |
| Grant Support | |
ID/Acronym/Agency:
|
P30 DK056341-07/DK/NIDDK NIH HHS; P30 DK056341-08/DK/NIDDK NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Feeding and care of low-birthweight babies in two rural communities in south-western Nigeria.
Next Document: Breast is no longer best: promoting normal infant feeding.