Tariku, Aster (2016) Effect of Feeding Style on Intake of Complementary Foods Appetite and Nutritional Status of Infants Aged 9-11 Month in West Gojam Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Inappropriate complementary feeding, both in quantity and quality, is a major determinant of under-nutrition. In Ethiopia, the amount of food consumed by infants and young children is lower than the theoretical gastric capacity; hence, making intake requirements even more difficult to meet. Little is known on the role of the feeding styles adopted by the caregivers in determining the food and energy intake of the infants. Using a cross-sectional study, infants’ nutritional status, haemoglobin concentrations, and the adopted feeding styles by mothers’ and infants’ were assessed to investigate their relationship with infants’ food and energy intakes. The study involved 106 mother-child pairs recruited from seven randomly selected kebeles of Mecha district, West Gojam, Ethiopia. The feeding styles were assessed using a one-day, in-home, feeding episode observations that were videotaped and coded into five categories, namely: self-feeding, responsive, active, distracting and social feeding behaviors. The feeding styles were also coded as: controlling, laissez-faire, and responsive feeding. Food-related characteristics that can affect food intake were controlled by using a standard commercial complementary food as a test meal. All of the infants’ were breastfed, but complementary feeding started late (~8 months). A quarter of the infants were anemic and stunted. The food intake of the infants was very low compared to the minimum theoretical gastric capacity. Negative feeding behaviors were dominant (P < 0.05). Infants’ hemoglobin concentration was negatively associated with food and energy intake. Weight-for-age z-scores (WAZ) was inversely correlated with energy intake (ρ=-0.168, P<0.042). After controlling for haemoglobin concentrations, maternal responsive and active positive feeding styles were positively associated with energy (ρ= 0.237, p < 0.007) and food intake (ρ=0.182, p < 0.03). Maternal responsiveness was associated with infants’ positive responsive, active, and social behavior feeding scores (P<0.05). Both anemia and adopted feeding styles are associated with infant’s appetite. Anemia prevention and control measures should be reinforced in this setting. The findings also provide support for a greater emphasis on strategies to improve feeding style behaviors in existing national child nutritional programs.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Feeding style, Responsive feeding, Food intake, Energy intake, Anthropometry, anemia |
| Subjects: | H Social Sciences > H Social Sciences (General) R Medicine > R Medicine (General) R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services R Medicine > RZ Other systems of medicine |
| Divisions: | Africana |
| Depositing User: | Selom Ghislain |
| Date Deposited: | 06 Sep 2018 14:05 |
| Last Modified: | 06 Sep 2018 14:05 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/4965 |
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