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

Author

Listed:
  • Jill R. Wormer

    (Department of Pediatrics, Elisabeth-TweeSteden Hospital (ETZ), 5022 GC Tilburg, The Netherlands)

  • Arti Shankar

    (Department of Biostatistics and Data Science, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA 70112, USA)

  • Michael Boele Van Hensbroek

    (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)

  • Ashna D. Hindori-Mohangoo

    (Foundation for Perinatal Interventions and Research in Suriname (Perisur), Paramaribo, Suriname)

  • Hannah Covert

    (Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA)

  • Maureen Y. Lichtveld

    (Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA)

  • Wilco C. W. R. Zijlmans

    (Foundation for Perinatal Interventions and Research in Suriname (Perisur), Paramaribo, Suriname
    Faculty of Medical Sciences, Pediatrics, Anton de Kom University of Suriname, Paramaribo, Suriname)

Abstract

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.

Suggested Citation

  • Jill R. Wormer & Arti Shankar & Michael Boele Van Hensbroek & Ashna D. Hindori-Mohangoo & Hannah Covert & Maureen Y. Lichtveld & 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," IJERPH, MDPI, vol. 18(20), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10739-:d:655268
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    References listed on IDEAS

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    1. Leonor Rodríguez & Elsa Cervantes & Rocío Ortiz, 2011. "Malnutrition and Gastrointestinal and Respiratory Infections in Children: A Public Health Problem," IJERPH, MDPI, vol. 8(4), pages 1-32, April.
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