Next Article in Journal
Effects of a Low-Carbohydrate High-Fat Diet Combined with High-Intensity Interval Training on Body Composition and Maximal Oxygen Uptake: A Systematic Review and Meta-Analysis
Next Article in Special Issue
Examining the Relation between Caregiver Mental Health and Student Outcomes in Rural China
Previous Article in Journal
How Income Influences Health: Decomposition Based on Absolute Income and Relative Income Effects
Previous Article in Special Issue
Women’s Media Use and Preferences of Media-Based Interventions on Lifestyle-Related Risk Factors in Gynecological and Obstetric Care: A Cross-Sectional Multi-Center Study in Germany
 
 
Article

Poor Adherence to the WHO Guidelines on Feeding Practices Increases the Risk for Respiratory Infections in Surinamese Preschool Children

1
Department of Pediatrics, Elisabeth-TweeSteden Hospital (ETZ), 5022 GC Tilburg, The Netherlands
2
Department of Biostatistics and Data Science, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA 70112, USA
3
Amsterdam Centre for Global Child Health, Emma Children’s Hospital and Department of Global Health, Academic Medical Centre, University of Amsterdam, 1100 DD Amsterdam, The Netherlands
4
Foundation for Perinatal Interventions and Research in Suriname (Perisur), Paramaribo, Suriname
5
Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
6
Faculty of Medical Sciences, Pediatrics, Anton de Kom University of Suriname, Paramaribo, Suriname
*
Author to whom correspondence should be addressed.
Academic Editor: Madhu Sudhan Atteraya
Int. J. Environ. Res. Public Health 2021, 18(20), 10739; https://doi.org/10.3390/ijerph182010739
Received: 10 July 2021 / Revised: 1 October 2021 / Accepted: 5 October 2021 / Published: 13 October 2021
(This article belongs to the Special Issue Child, Health and Equity)
Poor feeding practices in infants and young children may lead to malnutrition, which, in turn, is associated with an increased risk of infectious diseases, such as respiratory tract infections (RTIs), a leading cause of under-five mortality. We explored the association between RTIs and the WHO infant and young child feeding (IYCF) indicators: minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD), among infants and preschool children in Suriname. A validated pediatric food frequency questionnaire was used and data on RTIs, defined as clinical care for fever with respiratory symptoms, bronchitis, or pneumonia were obtained. Associations between feeding indicators and RTIs were explored using hierarchical logistic regression. Of 763 children aged 10–33 months, 51.7% achieved the MDD, 88.5% the MMF, and 46.5% the MAD. Furthermore, 73% of all children experienced at least one upper and/or lower RTI. Children meeting the MDD and MAD had significantly lower odds on RTIs (OR 0.53; 95%CI: 0.37–0.74, p < 0.001; OR 0.55; 95%CI: 0.39–0.78, p < 0.001, respectively). The covariates parity and household income were independently associated with RTIs. In conclusion, MDD and MAD were associated with (upper) RTIs. Whether these indicators can be used as predictors for increased risk for RTIs should be assessed in future prospective studies. View Full-Text
Keywords: respiratory tract infections; WHO infant and young child feeding indicators; Suriname respiratory tract infections; WHO infant and young child feeding indicators; Suriname
Show Figures

Figure 1

MDPI and ACS Style

Wormer, J.R.; Shankar, A.; Van Hensbroek, M.B.; Hindori-Mohangoo, A.D.; Covert, H.; Lichtveld, M.Y.; Zijlmans, W.C.W.R. Poor Adherence to the WHO Guidelines on Feeding Practices Increases the Risk for Respiratory Infections in Surinamese Preschool Children. Int. J. Environ. Res. Public Health 2021, 18, 10739. https://doi.org/10.3390/ijerph182010739

AMA Style

Wormer JR, Shankar A, Van Hensbroek MB, Hindori-Mohangoo AD, Covert H, Lichtveld MY, Zijlmans WCWR. Poor Adherence to the WHO Guidelines on Feeding Practices Increases the Risk for Respiratory Infections in Surinamese Preschool Children. International Journal of Environmental Research and Public Health. 2021; 18(20):10739. https://doi.org/10.3390/ijerph182010739

Chicago/Turabian Style

Wormer, Jill R., Arti Shankar, Michael Boele Van Hensbroek, Ashna D. Hindori-Mohangoo, Hannah Covert, Maureen Y. Lichtveld, and Wilco C. W. R. Zijlmans. 2021. "Poor Adherence to the WHO Guidelines on Feeding Practices Increases the Risk for Respiratory Infections in Surinamese Preschool Children" International Journal of Environmental Research and Public Health 18, no. 20: 10739. https://doi.org/10.3390/ijerph182010739

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop