Meta-Analysis the Effect of Complementary Feeding Practice on Stunting in Children Aged 6-59 Months

[摘要] Background: A child's ability to achieve growth standards is determined by the adequacy of food intake. Malnutrition in toddlers increases the risk of stunting, which is a serious problem. Stunting is closely related to neurocognitive development, risk of non-communicable diseases, and decreased productivity. Appropriate complementary feeding is an important milestone in efforts to improve survival and promote healthier child growth and development and can significantly reduce stunting. This study aims to estimate the magnitude of the effect of poor complementary feeding practices on the incidence of stunting in toddlers using a meta-analysis study.Subjects and Method: The meta-analysis was carried out with the initial step of formulating the research problem using the PICO technique. The population in this study were children aged 6-59 months old with poor complementary feeding practices, comparison with good complementary feeding practices and stunting outcomes. Articles were selected and found from the databases of Google Scholar, PubMed, Springer Link, and Research Gate. The keywords used were "complementary Feeding practice" OR "meal frequency" OR "dietary diversity" AND "Stunting". The inclusion criteria were full text study, children under five, complementary feeding practice, the results of the article were stunting with observational studies, and the results reported in Adjusted Odds Ratio (aOR) Analysis of articles using RevMan 5.3.Results: The total articles analyzed were 16 articles. The results showed that the variety of complementary feeding increased the incidence of stunting 1.72 times compared to various types of complementary feeding (aOR 1.72; 95% CI=1.54 to 1.92; p < 0.001). The frequency of infrequent complementary feeding increased the incidence of stunting by 1.85 times compared to the frequency of frequent complementary feeding (aOR 1.85; 95% CI 1.34 to 2.55; p <0.001).Conclusion: The diversity of types of complementary foods and low frequency of giving complementary foods can increase the incidence of stunting in children aged 6-59 months.

[学科分类] 食品科学和技术

[关键词] practice of complementary feeding;feeding frequency;diversity of food types;stunting.Correspondence: