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Article

Age-Appropriate Feeding Practices in Cambodia and the Possible Influence on the Growth of the Children: A Longitudinal Study

1
Section of Global Health, Department of Public Health, University of Copenhagen, 1353 Copenhagen, Denmark
2
United Nations Children’s Fund (UNICEF), Integrated Early Childhood Development, Exchange Square, 5th Floor, No. 19&20, Street 106, Sangkat Wat Phnom, Khan Daun Penh, Phnom Penh 12100, Cambodia
3
UMR-204 Nutripass, Institut de Recherche pour le Développement, IRD/UM/SupAgro, 34390 Montpellier, France
4
Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, 2200 Copenhagen, Denmark
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(1), 12; https://doi.org/10.3390/nu12010012
Received: 29 October 2019 / Revised: 9 December 2019 / Accepted: 10 December 2019 / Published: 19 December 2019
Age-appropriate feeding practice (ADF) during early childhood are vital for optimal nutrition. This longitudinal study determined the effect of selected risk factors and ADF, as described by the National Nutritional Recommendations, on linear and ponderal growth of children below 24 months of age. Weight and length measures were used to calculate z-scores of anthropometric measures by WHO standards. The prevalence of stunting increased from 13.2% to 32.4% over time, while prevalence of wasting remained stable (14.5%). At first visit, 43% of children of all ages complied with ADF criteria, a proportion which decreased to 7.1% in follow-up. The quality of feeding practices for children above 12 months of age was the poorest, where at the last visit, only 6% complied with the criteria for ADF. The linear mixed-effect models found the association between ADF and ponderal growth to be significant (weight-for-height estimate: 0.05 SD). In Cambodia, Ratanakiri province, ADF was the second largest determinant for ponderal growth. We recommend province specific public health actions. For children above 6 months, the quantity of food given needs to be increased, followed by the meal frequency. Mothers’ educational level, improved sanitation, and drinking water quality were among strongest predictors of a child’s growth. View Full-Text
Keywords: feeding practices; nutritional status; child’s growth; wasting; stunting; Cambodia; longitudinal study feeding practices; nutritional status; child’s growth; wasting; stunting; Cambodia; longitudinal study
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MDPI and ACS Style

Hondru, G.; Laillou, A.; Wieringa, F.T.; Poirot, E.; Berger, J.; Christensen, D.L.; Roos, N. Age-Appropriate Feeding Practices in Cambodia and the Possible Influence on the Growth of the Children: A Longitudinal Study. Nutrients 2020, 12, 12. https://doi.org/10.3390/nu12010012

AMA Style

Hondru G, Laillou A, Wieringa FT, Poirot E, Berger J, Christensen DL, Roos N. Age-Appropriate Feeding Practices in Cambodia and the Possible Influence on the Growth of the Children: A Longitudinal Study. Nutrients. 2020; 12(1):12. https://doi.org/10.3390/nu12010012

Chicago/Turabian Style

Hondru, Gabriela, Arnaud Laillou, Frank T. Wieringa, Etienne Poirot, Jacques Berger, Dirk L. Christensen, and Nanna Roos. 2020. "Age-Appropriate Feeding Practices in Cambodia and the Possible Influence on the Growth of the Children: A Longitudinal Study" Nutrients 12, no. 1: 12. https://doi.org/10.3390/nu12010012

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