Trends in Complementary Feeding Indicators and Intake from Specific Food Groups among Children Aged 6-23 Months in Bangladesh

Sabuj Kanti Mistry^{1

2

3

4}, Md Belal Hossain^{1

5}, Nafis Md Irfan^{6

7

8}, Manika Saha⁹, Silvia Saberin¹⁰, Abu Ahmed Shamim¹, Amit Arora^{11

12

13

14

15}

Affiliations

¹ BRAC James P Grant School of Public Health, BRAC University, 68 Shahid Tajuddin Ahmed Sharani, Mohakhali, Dhaka 1212, Bangladesh.
² Centre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW 2052, Australia.
³ ARCED Foundation, 13/1 Pallabi, Mirpur-12, Dhaka 1216, Bangladesh.
⁴ Department of Public Health, Daffodil International University, Dhaka 1207, Bangladesh.
⁵ School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC V6T1Z3, Canada.
⁶ Institute of Nutrition and Food Science, University of Dhaka, Dhaka 1000, Bangladesh.
⁷ Interdisciplinary Graduate Program in Human Toxicology, University of Iowa, Iowa City, IA 52246, USA.
⁸ Department of Internal Medicine, University of Iowa, Iowa City, IA 52246, USA.
⁹ Department of Human-Centred Computing, Faculty of Information Technology, Monash University, Clayton, VIC 3800, Australia.
¹⁰ Independent Researcher, Dhaka 1212, Bangladesh.
¹¹ Translational Health Research Institute, Western Sydney University, Campbelltown Campus, Penrith, NSW 2751, Australia.
¹² School of Health Sciences, Western Sydney University, Campbelltown Campus, Penrith, NSW 2751, Australia.
¹³ Oral Health Services, Sydney Local Health District and Sydney Dental Hospital, NSW Health, Surry Hills, NSW 2010, Australia.
¹⁴ Discipline of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Westmead, NSW 2145, Australia.
¹⁵ Heath Equity Laboratory, Campbelltown, NSW 2560, Australia.

PMID: 35010809
PMCID: PMC8745020
DOI: 10.3390/ijerph19010550

Trends in Complementary Feeding Indicators and Intake from Specific Food Groups among Children Aged 6-23 Months in Bangladesh

Sabuj Kanti Mistry et al. Int J Environ Res Public Health. 2022.

. 2022 Jan 4;19(1):550.

doi: 10.3390/ijerph19010550.

Authors

Sabuj Kanti Mistry^{1

2

3

4}, Md Belal Hossain^{1

5}, Nafis Md Irfan^{6

7

8}, Manika Saha⁹, Silvia Saberin¹⁰, Abu Ahmed Shamim¹, Amit Arora^{11

12

13

14

15}

Affiliations

¹ BRAC James P Grant School of Public Health, BRAC University, 68 Shahid Tajuddin Ahmed Sharani, Mohakhali, Dhaka 1212, Bangladesh.
² Centre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW 2052, Australia.
³ ARCED Foundation, 13/1 Pallabi, Mirpur-12, Dhaka 1216, Bangladesh.
⁴ Department of Public Health, Daffodil International University, Dhaka 1207, Bangladesh.
⁵ School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC V6T1Z3, Canada.
⁶ Institute of Nutrition and Food Science, University of Dhaka, Dhaka 1000, Bangladesh.
⁷ Interdisciplinary Graduate Program in Human Toxicology, University of Iowa, Iowa City, IA 52246, USA.
⁸ Department of Internal Medicine, University of Iowa, Iowa City, IA 52246, USA.
⁹ Department of Human-Centred Computing, Faculty of Information Technology, Monash University, Clayton, VIC 3800, Australia.
¹⁰ Independent Researcher, Dhaka 1212, Bangladesh.
¹¹ Translational Health Research Institute, Western Sydney University, Campbelltown Campus, Penrith, NSW 2751, Australia.
¹² School of Health Sciences, Western Sydney University, Campbelltown Campus, Penrith, NSW 2751, Australia.
¹³ Oral Health Services, Sydney Local Health District and Sydney Dental Hospital, NSW Health, Surry Hills, NSW 2010, Australia.
¹⁴ Discipline of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Westmead, NSW 2145, Australia.
¹⁵ Heath Equity Laboratory, Campbelltown, NSW 2560, Australia.

PMID: 35010809
PMCID: PMC8745020
DOI: 10.3390/ijerph19010550

Abstract

The present study aims to comprehensively analyse trends in complementary feeding indicators (Introduction of solid, semi-solid, and soft foods at 6-8 months (INTRO), Minimum Dietary Diversity (MDD), Minimum Meal Frequency (MMF) and Minimum Acceptable Diet (MAD)) among children aged 6-23 months in Bangladesh. The study used data from four rounds (2007, 2011, 2014, and 2017-2018) of nationally representative Bangladesh Demographic and Health Surveys (BDHSs). The Cochran-Armitage test was performed to capture the trends in complementary feeding practices and intake from specific food groups. BDHSs are periodically conducted cross-sectional surveys in all seven administrative divisions of Bangladesh. The present analysis was performed among 8116 children (1563 in 2007, 2137 in 2011, 2249 in 2014, and 2167 in 2017-2018) aged 6-23 months. Overall, a decreasing trend was observed in all the complementary feeding indicators except INTRO from 2007 to 2014, but a substantial increase in MDD, MMF and MAD was noted in 2017-2018. A statistically significant reduction in consumption from different food groups such as legumes and nuts (p < 0.001), dairy products (p = 0.001), vitamin-A-rich fruits or vegetables (p < 0.001), and other fruits and vegetables (p < 0.001) was also observed. However, a positive trend was noted in the consumption of grains/roots/tubers (p = 0.027), and meat/fish/egg (p < 0.001). After experiencing a significant decreasing trend during 2007-2014, the recent BDHS indicates improvements in all complementary feeding indicators among young children in Bangladesh, which calls for integrated, multisectoral, and multicomponent interventions to sustain this progress.

Keywords: complementary feeding; infant and young child feeding; minimum acceptable diet; minimum dietary diversity; minimum meal frequency.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

**Figure 1**
Study profile and participants enrolment.

**Figure 2**
Trends of recommended infant and young child feeding (IYCF) practices among 6–23 months aged children in Bangladesh, 2007–2018.

**Figure 3**
Trends of intake from different food groups among 6–23 months aged children in Bangladesh, 2007–2018.

See this image and copyright information in PMC

References

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Trends in Complementary Feeding Indicators and Intake from Specific Food Groups among Children Aged 6-23 Months in Bangladesh

Affiliations

Trends in Complementary Feeding Indicators and Intake from Specific Food Groups among Children Aged 6-23 Months in Bangladesh

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

MeSH terms

LinkOut - more resources

Full Text Sources

Medical