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Association of Complementary feeding practices and household food insecurity and anthropometric status of children aged 6-23 months old in Kabul city
  • Gholam Reza Ahrar,
  • Leila Azadbakht
Gholam Reza Ahrar
Ghazanfar Institute of Health Science
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Leila Azadbakht
Tehran University of Medical Sciences

Corresponding Author:[email protected]

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Abstract

Abstract Introduction: Globally, only one in six children receive a minimum acceptable diet (MAD). This study was designed to determine the association of complementary feeding (CF) indicators and household food insecurity and anthropometric status of Afghan children aged 6-23 months. Methods: We selected 300 children aged 6-23 months old in this cross-sectional study through convenience method from governmental health facilities and hospitals in Kabul, Afghanistan. Three 24-hour dietary recalls were collected from mothers for CF practices information. United States Department of Agriculture (USDA) food security questionnaire was used through interview method. Results: 59% of children received timely introduction of CF. MMF, MDD and MAD were met by 87.7%, 44.7% and 42.3%, respectively. There was association between food security with MDD (P=0.003) and MAD (P= 0.004). There was association between (Length for Age Z-score (LAZ) with MMF [OR 2.73; CI (1.20-6.20); P = 0.016]). Also, there were relation between Weight for Age Z-score (WAZ) with MDD [OR 2.78; CI (1.73-4.46); P = 0.0001], Weight for Length Z-score (WLZ) with MDD [OR 2.94; CI (1.77-4.87); P = 0.0001] and (LAZ) with MDD [OR 1.74; CI (1.09-2.78); P = 0.019]. There was a connection between WAZ and MAD [OR 3.12; CI (1.93-5.05); P = 0.0001], WLZ with MAD [OR 3.33; CI (1.98-5.61); P = 0.0001] and LAZ with MAD [OR 1.84; CI (1.15-2.94); P = 0.011]. There were significant associations between WAZ, WLZ and LAZ with household food insecurity [OR 3.66; CI (1.44-9.32); P = 0.006], [OR 4.83; CI (1.96-36.25); P = 0.004], [OR 5.16; CI (2.11-12.56); P = 0.0001], respectively. Conclusion: This study proved high associations between complementary feeding indicators and anthropometric measurements and household food insecurity. Key Words: Complementary feeding, breastfeeding, Food insecurity, anthropometric status, children 6-23 months, Afghanistan