Optimal Complementary Feeding Practices to Prevent Childhood Malnutrition in Developing Countries

Optimal nutritional care of young children requires application of feeding guidelines based on scientific knowledge of children's nutrient requirements and the ability of breastmilk and other foods to satisfy these nutritional needs. This paper reviews recent information on the appropriate duration of exclusive breastfeeding and timing of introduction of complementary foods; the relationship between frequency of feeding, dietary energy density, and total daily energy consumption; and the importance of nutrient composition and selected organoleptic characteristics of complementary foods as determinants of dietary intake. The role of child appetite is also discussed Finally, programmatic options for the promotion of enhanced complementary feeding and relevant practical experiences in Peru are reviewed.

[1]  L. Allen,et al.  The interactive effects of dietary quality on the growth and attained size of young Mexican children. , 1992, The American journal of clinical nutrition.

[2]  T. Cole,et al.  Cross-cultural differences in lactational performance , 1986 .

[3]  R. Black,et al.  Health and growth of infants and young children in Huáscar, Perú , 1987 .

[4]  M. Heinig,et al.  Growth of breast-fed and formula-fed infants from 0 to 18 months: the DARLING Study. , 1992, Pediatrics.

[5]  D. Crompton Influence of parasitic infection on food intake. , 1984, Federation proceedings.

[6]  B. Underwood,et al.  Nutrition and Health , 1987 .

[7]  P. Hennart,et al.  Breast-feeding and post partum amenorrhoea in Central Africa. 3. Milk production in an urban area. , 1980, Journal of tropical pediatrics.

[8]  S. Moses,et al.  Improving young child feeding in eastern and southern Africa : household level food technology; proceedings of a workshop held in Nairobi, Kenya, 11-16 Oct. 1987 , 1988 .

[9]  T. Cole,et al.  Impact of infection on the growth of children from 0 to 2 years in an urban West African community. , 1988, The American journal of clinical nutrition.

[10]  B. Lonnerdal,et al.  Maternal vs infant factors related to breast milk volume , 1985 .

[11]  N. Butte,et al.  Energy utilization of breast-fed and formula-fed infants. , 1990, American Journal of Clinical Nutrition.

[12]  R. Black,et al.  Growth patterns of breast-fed infants in affluent (United States) and poor (Peru) communities: implications for timing of complementary feeding. , 1992, The American journal of clinical nutrition.

[13]  K. Michaelsen,et al.  Growth of breast-fed infants deviates from current reference data: a pooled analysis of US, Canadian, and European data sets. World Health Organization Working Group on Infant Growth. , 1995, Pediatrics.

[14]  K. Brown Appropriate Diets for the Rehabilitation of Malnourished Children in the Community Setting , 1991, Acta paediatrica Scandinavica. Supplement.

[15]  L. Malcolm Growth retardation in a New Guinea boarding school and its response to supplementary feeding , 1970, British Journal of Nutrition.

[16]  M. Rowland,et al.  The Weanling's dilemma: Are we making progress? , 1986, Acta paediatrica Scandinavica. Supplement.

[17]  L. Stephenson,et al.  Improvements in growth following iron supplementation in young Kenyan school children. , 1990, Nutrition.

[18]  L. Mata,et al.  Effect of infection on food intake and the nutritional state: perspectives as viewed from the village. , 1977, The American journal of clinical nutrition.

[19]  J. Stern,et al.  Effects of dietary energy density and feeding frequency on total daily energy intakes of recovering malnourished children. , 1995, The American journal of clinical nutrition.

[20]  B. Underwood,et al.  Processed supplementary foods for older infants and young children, with special reference to developing countries , 1987 .

[21]  K. Brown,et al.  Malnutrition Among Weanlings of Developing Countries , 1993, Journal of Pediatric Gastroenterology and Nutrition.

[22]  R. Black,et al.  Validity and epidemiology of reported poor appetite among Peruvian infants from a low-income, periurban community. , 1995, The American journal of clinical nutrition.

[23]  J. Waterlow Observations on the suckling's dilemma--a personal view. , 1981, Journal of human nutrition.

[24]  K. Dettwyler Styles of Infant Feeding: Parental/Caretaker Control of Food Consumption in Young Children , 1989 .

[25]  S. Basta,et al.  Child nutrition problems during lactation in poor rural areas. , 1975 .

[26]  B. Drasar,et al.  Effect of fermentation of Ghanaian maize dough on the survival and proliferation of 4 strains of Shigella flexneri. , 1988, Transactions of the Royal Society of Tropical Medicine and Hygiene.

[27]  R. Black,et al.  Consumption of food and nutrients by infants in Huascar (Lima), Peru. , 1990, The American journal of clinical nutrition.

[28]  S. Esrey,et al.  Evaluation of a face-to-face weaning food intervention in Kwara State, Nigeria: knowledge, trial, and adoption of a home-prepared weaning food. , 1993, Social science & medicine.

[29]  G. Dei Indigenous knowledge and economic production: the food crop cultivation, preservation and storage methods of a West African community. , 1990 .

[30]  R. Black,et al.  Effects of common illnesses on infants' energy intakes from breast milk and other foods during longitudinal community-based studies in Huascar (Lima), Peru. , 1990, The American journal of clinical nutrition.

[31]  B. Lonnerdal,et al.  Energy and protein intakes of breast-fed and formula-fed infants during the first year of life and their association with growth velocity: the DARLING Study. , 1993, The American journal of clinical nutrition.

[32]  R. Whitehead,et al.  BACTERIAL CONTAMINATION IN TRADITIONAL GAMBIAN WEANING FOODS , 1978, The Lancet.

[33]  B. Nichols,et al.  Human milk intake and growth in exclusively breast-fed infants. , 1984, The Journal of pediatrics.

[34]  P. Dagnelie,et al.  Nutritional status of infants aged 4 to 18 months on macrobiotic diets and matched omnivorous control infants: a population-based mixed-longitudinal study. II. Growth and psychomotor development. , 1989, European journal of clinical nutrition.

[35]  B. Underwood Weaning practices in deprived environments: the weaning dilemma. , 1985, Pediatrics.

[36]  B. Popkin,et al.  Breast-feeding and diarrheal morbidity. , 1990, Pediatrics.

[37]  A. Karlsson,et al.  Dietary bulk as a limiting factor for nutrient intake in preschool children. II. Consistency as related to dietary bulk - a model study , 1981 .

[38]  E. Ziegler,et al.  Sweetness of Diet and Food Consumption by Infants , 1983, Proceedings of the Society for Experimental Biology and Medicine. Society for Experimental Biology and Medicine.

[39]  K. Bergmann,et al.  SKIM MILK IN INFANT FEEDING , 1977, Acta Paediatrica Scandinavica.

[40]  K. Brown,et al.  Effect of dietary energy density on total ad-libitum energy consumption by recovering malnourished children. , 1992, European journal of clinical nutrition.

[41]  P. Hennart,et al.  Breast-feeding and post partum amenorrhea in Central Africa. , 1980 .

[42]  T. Gopaldas,et al.  Studies on Reduction in Viscosity of Thick Rice Gruels with small Quantities of an Amylase-Rich Cereal Malt , 1986 .

[43]  R. Black,et al.  Longitudinal studies of infectious diseases and physical growth of infants in Huascar, an underprivileged peri-urban community in Lima, Peru. , 1989, American journal of epidemiology.

[44]  T. Gopaldas,et al.  Reduction in the Dietary Bulk of Soya-fortified Bulgur Wheat Gruels with Wheat-based Amylase-rich Food , 1988 .

[45]  K. Brown,et al.  Lactational capacity of marginally nourished mothers: relationships between maternal nutritional status and quantity and proximate composition of milk. , 1986, Pediatrics.

[46]  M. Zeitlin,et al.  Positive deviance in child nutrition. , 1990 .

[47]  L. Birch,et al.  Children's food intake following drinks sweetened with sucrose or aspartame: Time course effects , 1989, Physiology & Behavior.

[48]  L. Stephenson,et al.  Weight gain of Kenyan school children infected with hookworm, Trichuris trichiura and Ascaris lumbricoides is improved following once- or twice-yearly treatment with albendazole. , 1993, The Journal of nutrition.

[49]  S. Esrey,et al.  Effect of diarrhoea on dietary intake by infants and young children in rural villages of Kwara State, Nigeria. , 1990, European journal of clinical nutrition.

[50]  J. M. Harper,et al.  Food Science , 1985, Encyclopedia of Food and Agricultural Ethics.

[51]  S. Walker,et al.  Weaning-food viscosity and energy density: their effects on ad libitum consumption and energy intakes in Jamaican children. , 1994, The American journal of clinical nutrition.

[52]  K. Brown,et al.  Effect of dietary viscosity on energy intake by breast-fed and non-breast-fed children during and after acute diarrhea. , 1993, The American journal of clinical nutrition.

[53]  N. Krebs,et al.  Increased food intake of young children receiving a zinc supplement. , 1984, American journal of diseases of children.

[54]  R. Martorell,et al.  The impact of ordinary illnesses on the dietary intakes of malnourished children. , 1980, The American journal of clinical nutrition.

[55]  M. Heinig,et al.  Differences in morbidity between breast-fed and formula-fed infants. , 1995, The Journal of pediatrics.

[56]  Margaret Cameron,et al.  Manual on feeding infants and young children. , 1971 .

[57]  B. Underwood,et al.  APPROPRIATE TIMING FOR COMPLEMENTARY FEEDING OF THE BREAST‐FED INFANT: A REVIEW , 1982, Acta paediatrica Scandinavica. Supplement.

[58]  U. Svanberg,et al.  Lower Prevalence of Diarrhoea in Young Children Fed Lactic Acid-Fermented Cereal Gruels , 1994 .

[59]  U. Svanberg,et al.  Inhibited growth of common enteropathogenic bacteria in lactic-fermented cereal gruels , 1992, World journal of microbiology & biotechnology.

[60]  R. Black,et al.  Contamination of weaning foods and transmission of enterotoxigenic Escherichia coli diarrhoea in children in rural Bangladesh. , 1982, Transactions of the Royal Society of Tropical Medicine and Hygiene.

[61]  U. Svanberg,et al.  Sorghum in a mixed diet for preschool children. I. Good acceptability with and without simple reduction of dietary bulk. , 1987, Journal of tropical pediatrics.

[62]  L. Allen Nutritional influences on linear growth: a general review. , 1994, European journal of clinical nutrition.

[63]  B. Lönnerdal,et al.  Infant Self‐Regulation of Breast Milk Intake , 1986, Acta paediatrica Scandinavica.

[64]  L. Filer,et al.  Acceptance of unsalted strained foods by normal infants. , 1970, The Journal of pediatrics.

[65]  R. Black,et al.  Incidence and etiology of infantile diarrhea and major routes of transmission in Huascar, Peru. , 1989, American journal of epidemiology.

[66]  A. Brown A cellular logic for G protein‐coupled ion channel pathways 1 , 1991, FASEB journal : official publication of the Federation of American Societies for Experimental Biology.

[67]  K. Brown The Importance of Dietary Quality versus Quantity for Weanlings in Less Developed Countries: A Framework for Discussion , 1991 .

[68]  R. Black,et al.  Effects of season and illness on the dietary intake of weanlings during longitudinal studies in rural Bangladesh. , 1985, The American journal of clinical nutrition.

[69]  B. Drasar,et al.  Fermentation of cereals for reduction of bacterial contamination of weaning foods in Ghana , 1990, The Lancet.

[70]  E. Jacoby,et al.  Use of recipe trials and anthropological techniques for the development of a home-prepared weaning food in the central highlands of Peru , 1991 .

[71]  L. Stephenson,et al.  Physical fitness, growth and appetite of Kenyan school boys with hookworm, Trichuris trichiura and Ascaris lumbricoides infections are improved four months after a single dose of albendazole. , 1993, The Journal of nutrition.

[72]  K. Brown,et al.  Feeding practices and prevalence of hand‐feeding of infants and young children in Kwara State, Nigeria , 1991 .

[73]  R. Black,et al.  Infant-feeding practices and their relationship with diarrheal and other diseases in Huascar (Lima), Peru. , 1989, Pediatrics.

[74]  K. Brown,et al.  Effects of age of introduction of complementary foods on infant breast milk intake, total energy intake, and growth: a randomised intervention study in Honduras , 1994, The Lancet.

[75]  S. Sarker,et al.  Food Intake During and After Recovery from Diarrhea in Children , 1983 .