Maternal and Child Nutrition最新文献

Caregiver Feeding Practices in Guinea: Implications for Infant Dietary Diversity.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-19 DOI: 10.1111/mcn.70017

Teresa R Schwendler, Kathleen L Keller, Leif Jensen, Muzi Na, Mohamed L Fofana, Mamady Daffé, Hermine Sankhon, Stephen R Kodish

{"title":"Caregiver Feeding Practices in Guinea: Implications for Infant Dietary Diversity.","authors":"Teresa R Schwendler, Kathleen L Keller, Leif Jensen, Muzi Na, Mohamed L Fofana, Mamady Daffé, Hermine Sankhon, Stephen R Kodish","doi":"10.1111/mcn.70017","DOIUrl":"https://doi.org/10.1111/mcn.70017","url":null,"abstract":"The aim of this study was to assess the extent to which specific feeding styles may be associated with the diets of infants aged 6-9 months in Guinea. This study was designed to have multiple, iterative phases with methodological triangulation. During Phase 1 of data collection, direct observations (n = 10) were used to develop a tailored tool for Phase 2, during which 72 meal observations were conducted among infants aged 6-9 months to define caregiver feeding styles. Specific behaviours underlying established feeding styles were recorded at the level of the intended bite. Following each observation, infant diet diversity scores (DDS), or the number of food groups consumed in the previous 24 h, were collected. During Phase 3, we interviewed 34 caregivers to understand the drivers of their feeding styles. Caregiver feeding styles were determined using cluster analysis of observed behaviours and a linear regression was used to explore the relationship between feeding style and infant DDS. Textual data from interviews were thematically analysed to explain the drivers of feeding style. Caregivers were characterized as those using forceful (n = 12), responsive (n = 52) or uninvolved (n = 8) feeding styles. Our study found that responsive feeding was not associated with a higher DDS when controlling for child age in months. The most salient factors shaping feeding style in this setting included perception around infant and young child developmental stage, food refusals and trust in infant cues. Overall, food insecurity may need to be addressed in addition to feeding styles to improve DDS.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70017"},"PeriodicalIF":2.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Formative Research for the Development and Implementation of a Smartphone Application to Report Breaches to the International Code of Marketing of Breast-Milk Substitutes in Mexico.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-18 DOI: 10.1111/mcn.70014

M Unar-Munguía, M Ceballos-Rasgado, P J Mota-Castillo, A Santos-Guzman, V Aureoles-García, V H Moran, M Sachse Aguilera, K Markwell

{"title":"Formative Research for the Development and Implementation of a Smartphone Application to Report Breaches to the International Code of Marketing of Breast-Milk Substitutes in Mexico.","authors":"M Unar-Munguía, M Ceballos-Rasgado, P J Mota-Castillo, A Santos-Guzman, V Aureoles-García, V H Moran, M Sachse Aguilera, K Markwell","doi":"10.1111/mcn.70014","DOIUrl":"https://doi.org/10.1111/mcn.70014","url":null,"abstract":"Almost 40 years after the adoption of the International Code of Marketing of Breast-Milk Substitutes ('the Code') in Mexico, noncompliance persists. In other countries, smartphone applications for reporting Code noncompliance have proven effective. This study aimed to identify key features for the design of a public health surveillance app to monitor Code breaches and the barriers and facilitators to its use by parents and stakeholders. Semi-structured interviews (n = 34) and focus groups (n = 14) with key stakeholders (n = 81), including parents and caregivers, health care personnel, representatives of academia, civil society organizations and government entities, were conducted between August and December 2023. Transcripts were analysed in MAXQDA 20 software using grounded theory 'lite', which emphasizes the construction of categories and concepts to explore and structure participant perspectives. Four categories were constructed from the coding process: (a) knowledge and perspectives about the Code; (b) attitudes towards reporting Code breaches and any subsequent repercussions; (c) stakeholders perspectives on monitoring the Code and (d) perspectives on the app. Mexican stakeholders supported the development of an app and associated website to monitor the Code, indicated a willingness to report breaches, and believed that a national committee and state bodies should oversee surveillance and monitoring activities of the Code. Adapting legal measures with appropriate sanctions and making infractions public were recommended. Developing an app assisted with artificial intelligence could aid the establishment of a national monitoring system for the Code, make infractions public, promote societal participation, and drive regulatory changes for commercial milk formula marketing.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70014"},"PeriodicalIF":2.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adaptation of the Remote Food Photography Method to Assess Infant Intake During Bottle-Feeding of Ready-to-Feed Formula.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-17 DOI: 10.1111/mcn.70016

Bhagya L Narayanan, Jonathan D Ventura, Alison K Ventura

{"title":"Adaptation of the Remote Food Photography Method to Assess Infant Intake During Bottle-Feeding of Ready-to-Feed Formula.","authors":"Bhagya L Narayanan, Jonathan D Ventura, Alison K Ventura","doi":"10.1111/mcn.70016","DOIUrl":"https://doi.org/10.1111/mcn.70016","url":null,"abstract":"Bottle-fed infants are at a higher risk for obesity, yet interventions to modify bottle-feeding patterns have shown limited success. Accurate assessment of bottle-feeding patterns is an important basis for targeted interventions. Caregiver reports are susceptible to bias, highlighting the need for more robust methods. One promising approach is the Remote Food Photography Method (RFPM), which involves analysis of digital photographs to objectively assess intake. The purpose of this study was to adapt RFPM to measure the amount of ready-to-feed formula in bottles. Research assistants took digital photographs of bottles with varying amounts of formula and assessed bottle weight to create a predictive model data set (n = 100) and an external validation data set (n = 100). Image processing software was used to determine the area of formula in pixels. Formula area was regressed on actual bottle weight and the resulting regression parameters were used to calculate estimated bottle weights. Predictive models were validated by applying them to the external validation data set. Within the predictive model data set, the mean difference between estimated and actual bottle weight was equivalent within ±10% equivalence bounds (0.0005 g [90% CI, -0.45, 0.45]). Within the external validation data set, the mean difference between estimated and actual bottle weight was also equivalent within ±10% equivalence bounds (-17.0 g [90% CI, -18.85, -15.17]). Findings were similar when bottle weight was converted to calories. In sum, the present study provided preliminary evidence for the feasibility and accuracy of an adapted RFPM to assess changes in the amount and caloric content of ready-to-feed formula in bottles.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70016"},"PeriodicalIF":2.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Children at Risk: The Growing Impact of USAID Cuts on Pediatric Malnutrition and Death Rates.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-17 DOI: 10.1111/mcn.70028

Zainab Anfaal, Muneeb Khawar, Javed Iqbal, Shree Rath

引用次数: 0

Maternal Gestational Weight Status and Offspring Physical Growth Status at Birth, Mid-Childhood and Early Adolescence.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-13 DOI: 10.1111/mcn.70015

Yingze Zhu, Jialu Li, Liang Wang, Qi Qi, Shaoru Li, Yue Cheng, Danmeng Liu, Lingxia Zeng, Zhonghai Zhu

{"title":"Maternal Gestational Weight Status and Offspring Physical Growth Status at Birth, Mid-Childhood and Early Adolescence.","authors":"Yingze Zhu, Jialu Li, Liang Wang, Qi Qi, Shaoru Li, Yue Cheng, Danmeng Liu, Lingxia Zeng, Zhonghai Zhu","doi":"10.1111/mcn.70015","DOIUrl":"https://doi.org/10.1111/mcn.70015","url":null,"abstract":"Maternal adiposity has been identified as a predictor of child overweight/obesity; however, it remains unclear whether the association changes as the child ages. We aimed to examine the associations between maternal weight status during pregnancy and offspring physical growth from birth to early adolescence using data from a birth cohort study in rural western China. Maternal weight measurements during the first, second and third trimesters were used to calculate body mass index (BMI) and gestational weight gain (GWG) rate, and then were classified following the Institute of Medicine recommendation. Offspring length/height and weight were measured at birth, mid-childhood (age 7-10 years) and early adolescence (age 10-14 years) and converted into z-scores using the INTERGROWTH-21st and WHO standards, respectively. Generalized linear models were applied to examine the associations of maternal BMI and GWG with offspring BMI-for-age and sex (BAZ) and length-/height-for-age and sex z-score (LAZ/HAZ) at birth, mid-childhood and early adolescence, respectively, adjusting for potential confounders. Among 411 mother-offspring pairs (62% boys), higher maternal BMI during the first trimester was associated with increased offspring BAZ at birth (adjusted mean differences [aMD]: 0.07, 95% confidence interval [CI]: 0.001-0.14), mid-childhood (aMD 0.09, 95% CI: 0.05-0.14) and early adolescence (aMD 0.11, 95% CI: 0.05-0.17). Maternal excessive GWG was associated with higher HAZ in early adolescence (aMD 0.44; 95% CI: 0.17-0.69). The strongest point estimate of maternal gestational weight status on offspring physical growth emerged in early adolescence, suggesting the potential age-dependent amplifying impact. Additionally, updated GWG guidelines should consider regional characteristics and long-term offspring growth.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70015"},"PeriodicalIF":2.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Driving Research and Advocacy for Healthy Infant and Toddler Diets: The Infant and Toddler Foods Research Alliance.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-13 DOI: 10.1111/mcn.70013

Alexandra Chung, Jennifer McCann, Emma Esdaile, Naomi Hull, Andrea Schmidtke, Sally MacKay, Penelope Love, Rachel Laws, Catharine A K Fleming

{"title":"Driving Research and Advocacy for Healthy Infant and Toddler Diets: The Infant and Toddler Foods Research Alliance.","authors":"Alexandra Chung, Jennifer McCann, Emma Esdaile, Naomi Hull, Andrea Schmidtke, Sally MacKay, Penelope Love, Rachel Laws, Catharine A K Fleming","doi":"10.1111/mcn.70013","DOIUrl":"https://doi.org/10.1111/mcn.70013","url":null,"abstract":"Early childhood (0-36 months) is a critical time for the development of healthy dietary behaviours. This paper describes the establishment of the Infant and Toddler Foods Research Alliance in Australia and New Zealand, along with the development of the Alliance's priorities to guide research and advocacy activities for improved nutrition, health and well-being outcomes in early childhood. The multi-disciplinary Alliance includes a membership of academics, practitioners and advocates working in the fields of infant and toddler food and nutrition across Australia and New Zealand. The Alliance undertook a priority setting process across a series of member meetings with identified priorities subsequently refined by a core membership working group. Three priority themes, along with three cross-cutting impact areas were identified. The priority themes include commercial foods and milks for infants and toddlers; health and care settings and systems; and support for parents and carers. The cross-cutting impact areas include building evidence, translating evidence, and advocacy. This provides a framework to guide research, practice and advocacy, identify research gaps, and advance action to improve nutrition, health and well-being outcomes for infants and toddlers.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70013"},"PeriodicalIF":2.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations Between Personality Traits, Self-Efficacy and Complementary Feeding Behavior Among Infant Caregivers in Western Rural China.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-13 DOI: 10.1111/mcn.70021

Xinru Zhou, Yiran Tian, Zhengjie Cai, Linhua Li, Yuju Wu, Guo Zeng, Jieyuan Feng, Scott Rozelle, Hein Raat, Huan Zhou

{"title":"Associations Between Personality Traits, Self-Efficacy and Complementary Feeding Behavior Among Infant Caregivers in Western Rural China.","authors":"Xinru Zhou, Yiran Tian, Zhengjie Cai, Linhua Li, Yuju Wu, Guo Zeng, Jieyuan Feng, Scott Rozelle, Hein Raat, Huan Zhou","doi":"10.1111/mcn.70021","DOIUrl":"https://doi.org/10.1111/mcn.70021","url":null,"abstract":"The effects of psychological factors on complementary feeding behavior have been widely described, yet the mechanisms underlying the complex relationships among personality traits, self-efficacy, and complementary feeding behavior remain unclear. This cross-sectional study was conducted using a multi-stage cluster sampling process to select caregiver-child dyads in Western rural China. Personality traits, self-efficacy, and complementary feeding behavior were evaluated respectively. Both multiple logistic regression and Bayesian network structure (BNs) were used to explore these associations. A total of 787 caregiver-child dyads were enrolled. Results from multiple logistic regression indicated that caregivers with medium (OR = 2.05, p < 0.001) or high (OR = 1.58, p = 0.04) levels of extraversion, as well as those with high self-efficacy recording complementary feeding (OR = 2.08, p < 0.001), significantly increased the likelihood of meeting the criteria for the Infant and Child Feeding Index (ICFI) qualification. Further, BNs were employed to elucidate the pathways of influence, revealing a direct association between the caregiver's level of extraversion, level of self-efficacy and the ICFI. Additionally, the analysis indicated that a caregiver's openness indirectly influenced the ICFI through its influence on self-efficacy regarding complementary feeding. This is one of few studies exploring associations between personality traits, self-efficacy, and complementary feeding behavior. The study highlights the importance of understanding individual differences in caregiving and suggests that interventions should focus on enhancing caregivers' self-efficacy, rather than solely targeting personality traits.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70021"},"PeriodicalIF":2.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tailoring Trials of Improved Practices (TIPs) to Improve Child Feeding and Use of Indigenous Preserved Foods in Drought-Affected Kenya: Considerations for Climate Shocks.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-13 DOI: 10.1111/mcn.70018

Everlyn Matiri, Lacey Ramirez, Abdinasir Elmi, Joseph Gaithuma, Rachel Kavithe, Martin Waweru, Margaret Kahiga, Justine A Kavle

{"title":"Tailoring Trials of Improved Practices (TIPs) to Improve Child Feeding and Use of Indigenous Preserved Foods in Drought-Affected Kenya: Considerations for Climate Shocks.","authors":"Everlyn Matiri, Lacey Ramirez, Abdinasir Elmi, Joseph Gaithuma, Rachel Kavithe, Martin Waweru, Margaret Kahiga, Justine A Kavle","doi":"10.1111/mcn.70018","DOIUrl":"https://doi.org/10.1111/mcn.70018","url":null,"abstract":"This program assessment explored the use of indigenous preserved animal-source foods to improve complementary feeding practices, to identify the roles of mothers, fathers, and elder women in supporting infant and young child feeding (IYCF) practices and to develop recommendations for program implementation. The Trials of Improved Practices (TIPs) approach, food frequency, in-depth interviews, and focus group discussions methodologies were used to collect information on complementary feeding and use of indigenous preserved animal-source foods during a program assessment. Data was collected during Round 1-dry season and Round 2-prolonged drought. Sixty in-depth interviews were carried out with mothers of children 6-23 months of age, 12 elder women, and six focus groups with 26 fathers for a total of 98 program participants in pastoral communities in Marsabit and Isiolo Counties, Kenya. Program sites were affected by limited access and availability of animal-source foods and worsened household food insecurity. Nearly all mothers introduced camel milk, often fed raw, as a first food, before 1 year of age. Preserved meat and milk products were often prohibited or fed to older children due to cultural beliefs and norms. Most mothers experienced greater success in implementing TIPs recommendations during Round 1 versus Round 2 and stopped chewing food for the child, gave preserved meat, and fed eggs. Gendered divisions of labor and social norms around roles of fathers, elder women and mothers can hinder IYCF. Future programming should plan for climate-induced shocks, including amplifying indigenous food preservation and addressing gender and social norms to improve IYCF.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70018"},"PeriodicalIF":2.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Children's Experiences and Perceptions of Their School Food Environment Influence Their Food-Related Decisions In-School in Urban Ghana.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-06 DOI: 10.1111/mcn.70011

Akua Tandoh, Michelle Holdsworth, Richmond Aryeetey, Charles Agyemang, Amos Laar

{"title":"How Children's Experiences and Perceptions of Their School Food Environment Influence Their Food-Related Decisions In-School in Urban Ghana.","authors":"Akua Tandoh, Michelle Holdsworth, Richmond Aryeetey, Charles Agyemang, Amos Laar","doi":"10.1111/mcn.70011","DOIUrl":"https://doi.org/10.1111/mcn.70011","url":null,"abstract":"School food environments play an important role in shaping children's food-related decisions, including where and what foods to acquire and consume on a school day. In Ghana, evidence indicates that food environments in and around schools may limit healthy food acquisition and consumption behaviour. This study aimed to understand how children's experiences and perceptions of their school food environment influence food acquisition and consumption decisions. Data from 18 focus group discussions with children (n = 157; aged 10-17 years) attending Public Basic Schools in the Greater Accra Region of Ghana were analysed, guided by the African urban food environment framework for creating healthy nutrition policies and interventions. Children's food decisions in school were found to be influenced by experiences and perceptions at multiple food environment levels: macro, physical and social levels in combination with individual-level factors. At the macro level, exposure to food advertisements on television emerged as an influence on food-related decisions. At the physical level, experiences and perceptions of environmental sanitation, food vendor hygiene practices, affordability, and food quality were consistently reported to influence decisions. Social-level experiences including influence from friends/peers, family (mostly caregivers/parents) and social qualities of food vendors also shaped food-related decisions. Caregiver/parental dietary advice was often linked to healthier acquisition and consumption decisions by children in school. The findings highlight the need for actions that work in synergy across multiple levels of the school food environment to create conditions that support children to acquire and consume healthier diets.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70011"},"PeriodicalIF":2.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A New Era for Maternal and Child Nutrition Implementation Science Research and Program Evaluation. 母婴营养实施科学研究和计划评估的新时代。

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-06 DOI: 10.1111/mcn.70012

Rafael Pérez-Escamilla, Victoria H Moran

引用次数: 0