Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic Review

Nutrients

卷:12

Rabia Hadi¹  JaiK. Das¹  Omar Irfan²  Fahad Rind³  ZulfiqarA. Bhutta³  ZohraS. Lassi⁴ 

[1] Center of Excellence in Women and Child Health, The Aga Khan University, Karachi 74800, Pakistan;

[2] Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON M5G 0A4, Canada;

[3] Division of Women and Child Health, Aga Khan University Hospital, Karachi 74800, Pakistan;

[4] Robinson Research Institute, University of Adelaide, Adelaide 5005, Australia;

关键词: breastfeeding;    infants;    growth;    mortality;    lmic;    young child;    complementary feeding;    supplementary feeding;    malnutrition;   

DOI  :  10.3390/nu12030722

来源: DOAJ

【 摘 要 】

Undernutrition is associated with 45% of total infant deaths, totalling 2.7 million globally per year. The vast majority of the burden is felt in low- and middle-income countries (LMICs). This review aims to assess the effectiveness of infant and young child feeding (IYCF) interventions. We searched multiple databases including Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE. Title/abstract screening and full-text screening and data extraction filtered 77 studies for inclusion. Breastfeeding education interventions (n = 38) showed 20% increase in rates of early initiation of breastfeeding, 102% increase in exclusive breastfeeding (EBF) at 3 months and 53% increase in EBF at 6 months and 24% decreases in diarrheal diseases. Complementary feeding education intervention (n=12) showed a 0.41 standard deviation (SD) increase in WAZ, and 0.25 SD in HAZ in food secure setting. Complementary food provision with or without education (n=17) showed a 0.14 SD increase in HAZ and 36% decrease in stunting. Supplementary food interventions (n=12) showed a significant 0.15 SD increase in WHZ. Subgroup analyses showed healthcare professional led interventions were largely more effective, especially on breastfeeding outcomes. We believe this is a comprehensive review of the existing literature on IYCF studies in LMICs. Though breastfeeding education is well supported in its effectiveness on breastfeeding practices, limited evidence exists for growth outcomes. Supplementation interventions seem to have better effects at improving growth. However, more research is required to reach more substantial conclusions.

【 授权许可】

Unknown