Open Access Peer-reviewed Research Article

Impact of feeding practices on nutritional status of infants aged 12 to 23 months in Lubumbashi, DRC: A community based cross-sectional study

Article Sidebar

Correlation between wasting and feeding practices
Download PDF
Submitted   Sep 10, 2022
Published   Nov 4, 2022
Issue    Vol 4 (2022)
DOI   10.25082/TCPP.2022.01.002

Views

1092

Downloads

499

Citations

PlumX Metrics

Main Article Content

Carrel Zalula Mavuta
Department of Pediatrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo
Augustin Mulangu Mutombo
Department of Pediatrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo
Toni Kasole Lubala
Department of Pediatrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo
Olivier Mukuku corresponding author
Higher Institute of Medical Techniques, Lubumbashi, Democratic Republic of the Congo
Adonis Muganza Nyenga
Department of Pediatrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo
Mick Ya-Pongombo Shongo
Department of Pediatrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo
Maguy Sangaji Kabuya
Department of Pediatrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo
Assumani N’Simbo
Department of Pediatrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo
Aimée Mudekereza
Department of Pediatrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo
Oscar Numbi Luboya
[1] Department of Pediatrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo; [2] Higher Institute of Medical Techniques, Lubumbashi, Democratic Republic of the Congo
Stanislas Okitotsho Wembonyama
Department of Pediatrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo

Abstract

Purpose: In the Democratic Republic of the Congo (DRC), malnutrition remains a public health problem despite interventions to improve the nutritional status of children. The objective of this study is to determine the degree of association between dietary practices and malnutrition among infants aged 12 to 23 months in Lubumbashi (DRC).
Methods: We conducted a community-based cross-sectional study of 574 infants between 12 and 23 months of age from urban and semi-urban areas. Door to door survey was done to collect data. Nutritional status was assessed and compared with feeding practices. A multivariate analysis was conducted to evaluate the association between dietary practices and malnutrition in these children.
Results: Bottle feeding before 6 months (adjusted odds ratio [aOR] = 1.8 [1.2-2.8]; p = 0.006), introduction of solid, semi-solid or soft foods before 6 months (aOR = 2.1 [1.0-4.3]; p = 0.042), and insufficient minimum dietary diversity (aOR=2.3 [1.6-3.5]; p < 0.0001) were independently associated with stunting. Late breastfeeding initiation (aOR = 2.4 [1.1-5.0]; p = 0.023) increases the risk of wasting.
Conclusion: Infant malnutrition is sometimes a reflection of inappropriate eating practices from the early stages of a child’s life.  Adherence to sufficient nutritional recommendations at birth can reduce this burden in developing countries.

Keywords
infant feeding practices, nutritional status, preschool children, Lubumbashi

Article Details

How to Cite
Mavuta, C. Z., Mutombo, A. M., Lubala, T. K., Mukuku, O., Nyenga, A. M., Shongo, M. Y.-P., Kabuya, M. S., N’Simbo, A., Mudekereza, A., Luboya, O. N., & Wembonyama, S. O. (2022). Impact of feeding practices on nutritional status of infants aged 12 to 23 months in Lubumbashi, DRC: A community based cross-sectional study. Theory and Clinical Practice in Pediatrics, 4(1), 106-113. https://doi.org/10.25082/TCPP.2022.01.002
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

References

  1. Mukuku O, Mutombo AM, Kamona LK, et al. Predictive Model for the Risk of Severe Acute Malnutrition in Children. Journal of Nutrition and Metabolism, 2019, 2019: 4740825. https://doi.org/10.1155/2019/4740825
  2. Diagana MS and Kane H. Alimentation des nourrissons à Nouakchott: entre recommandations médicales et instructions des grand-mères. Sante Publique, 2016, 28(2): 235-243. https://doi.org/10.3917/spub.162.0235
  3. UNICEF. La Situation des enfants dans le monde 2019: Enfants, nourriture et nutrition - Bien grandir dans un monde en mutation. United Nations, 2020, 257.
  4. Pravana NK, Piryani S, Chaurasiya SP, et al. Determinants of severe acute malnutrition among children under 5 years of age in Nepal: a community-based case-control study. BMJ Open, 2017, 7(8): e017084. https://doi.org/10.1136/bmjopen-2017-017084
  5. World Health Organization. Global Strategy on Infant and Young Child Feeding. Geneva, Switzerland: World Health Organization, 2003.
  6. Ministère du Plan et Suivi de la Mise en œuvre de la Révolution de la Modernité (MPSMRM), Ministère de la Santé Publique (MSP) et ICF International, 2014. Enquête Démographique et de Santé en République Démocratique du Congo 2013-2014. Rockville, Maryland, USA: MPSMRM, MSP et ICF International.
  7. World Health Organization (WHO) and the United Nations Children's Fund (UNICEF). Indicators for assessing infant and young child feeding practices: definitions and measurement methods. Geneva: World Health Organization and the United Nations Children's Fund (UNICEF), 2021.
  8. Liu L, Oza S, Hogan D, et al. Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. The Lancet, 2015, 385(9966): 430-440. https://doi.org/10.1016/S0140-6736(14)61698-6
  9. Gebre A, Reddy PS, Mulugeta A, et al. Prevalence of malnutrition and associated factors among under-five children in pastoral communities of Afar Regional State, Northeast Ethiopia: a community-based cross-sectional study. Journal of Nutrition and Metabolism, 2019, 2019: 9187609. https://doi.org/10.1155/2019/9187609
  10. Berhanu G, Mekonnen S and Sisay M. Prevalence of stunting and associated factors among preschool children: A community based comparative cross sectional study in Ethiopia. BMC Nutrition, 2018, 4(1): 28. https://doi.org/10.1186/s40795-018-0236-9
  11. Tesfamariam K and Yilma D. Prevalence of stunting and its associated factors among children under 5 age in Holeta town, West Shoa zone, Oromia region, Ethiopia, 2017. EC Nutrition, 2017, 12(2): 90-98.
  12. Djomo LG. Evaluation Comparee De La Malnutrition Des Enfants De Moins De 5 Ans Par Des Indices Anthropometriques En Republique Democratique Du Congo. European Scientific Journal, ESJ, 2021, 17(7): 154. https://doi.org/10.19044/esj.2021.v17n7p154
  13. Niama AC, Nkodia AJ, Ndziessi G, et al. Prévalence de la Malnutrition des Enfants de 0-24 Mois au Centre de Santé Intégré de Moukondo de Brazzaville, 2017. Health Science Disease, 2021, 22(4): 43-46.
  14. Diall H, Bathily S, Sylla M, et al. Prévalence de la malnutrition chez les enfants hospitalisés dans le service de Pédiatrie du CHU Gabriel Touré (Bamako) de mai 2011 à avril 2012. Mali Santé Publique, 2018, 1: 22-24. https://doi.org/10.53318/msp.v8i01.1464
  15. Ahmad S and Mishra S. Impact of feeding practices on nutritional status of preschool children of Lucknow district: A community based cross-sectional study. Clinical Epidemiology and Global Health, 2022, 15: 101011. https://doi.org/10.1016/j.cegh.2022.101011
  16. Organisation Mondiale de la Santé. La nutrition chez le nourrisson et le jeune enfant. https://apps.who.int
  17. Ba A. Indicateurs de l'Alimentation du Nourrisson et du Jeune Enfant (ANJE) âgé de 0 à 23 mois de labanlieue de Dakar (Sénégal). Rev Afr Malgache Rech Sci Santé, 2019, 1(2).
  18. Kariyo P, Baribwira C, Niyungeko D, et al. Modalités évolutives des diarrhées aigües chez les nourrissons de moins de 6 mois dans la ville de Bujumbura à propos de 40 cas. Médecine d'Afrique Noire, 2001, 48(3).
  19. Chiabi A, Tague DK, Nguefack FD, et al. Diversification alimentaire chez les nourrissons de 6 à 24 mois à l'hôpital régional de Garoua, Cameroun. Journal of Pédiatrie Puériculture, 2020, 33(2): 77-82. https://doi.org/10.1016/j.jpp.2019.07.006
  20. Semega-Janneh IJ, Bøhler E, Holm H, et al. Promoting breastfeeding in rural Gambia: combining traditional and modern knowledge. Health Policy Plan, 2001, 16(2): 199-205. https://doi.org/10.1093/heapol/16.2.199
  21. Lubala TK, Mukuku O, Mutombo AM, et al. Infant feeding practices in urban and rural southern Katanga communities in Democratic Republic of Congo. The Journal of Medical Research, 2016, 2(3): 65-70. https://doi.org/10.31254/jmr.2016.2306
  22. Agostoni C, Decsi T, Fewtrell M, et al. Complementary Feeding: A Commentary by the ESPGHAN Committee on Nutrition. Journal of Pediatr Gastroenterol Nutrition, 2008, 46(1): 99-110. https://doi.org/10.1097/01.mpg.0000304464.60788.bd
  23. Winnie MI, Donnen P and Françoise M. Déterminants de la malnutrition dans un pays à faibles revenus: études descriptives sur 422 gardiens des enfants et ces enfants âgés de 6 à 23 mois révolus vivant à Luwowoshi/Lubumbashi/RD Congo. International Journal of Recent Advances in Multidisciplinary Research, 2021, 8(6): 6962-6971.
  24. Mavuta CZ, Imani WL, Ngimbi SL, et al. Pratiques alimentaires des nourrissons: Connaissances, attitudes et pratiques des mères d'une commune urbaine de la ville de Lubumbashi, République Démocratique du Congo. Rev L'Infirmier Congo, 2018, 2(2): 109-116.
  25. Lange C, Visalli M, Jacob S, et al. Maternal feeding practices during the first year and their impact on infants' acceptance of complementary food. Food Qual Prefer, 2013, 29(2): 89-98. https://doi.org/10.1016/j.foodqual.2013.03.005
  26. Nsereko E, Mukabutera A, Iyakaremye D, et al. Early feeding practices and stunting in Rwandan children: a cross-sectional study from the 2010 Rwanda demographic and health survey. Pan African Medical Journal., 2018, 29(1): 1-6. https://doi.org/10.11604/pamj.2018.29.157.10151
  27. Irarrázaval B, Barja S, Bustos E, et al. Influence of feeding practices on malnutrition in haitian infants and young children. Nutrients, 2018, 10(3): 382. https://doi.org/10.3390/nu10030382