Predictors of stunting with particular focus on complementary feeding practices: A cross-sectional study in the Northern Province of Rwanda

V. Uwiringiyimana (Corresponding Author), Marga C Ocké, S. Amer, A. Veldkamp

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Abstract

Objectives: The aim of this study was to review the factors associated with stunting in the northern province of Rwanda by assessing anthropometric status, dietary intake, and overall complementary feeding practices. Methods: This was a cross-sectional study with 138 children 5 to 30 mo of age. A structured questionnaire was used to collect information on sociodemographic characteristics of each mother and child and breastfeeding and complementary feeding practices. Anthropometric status was assessed using height-for-age z-scores for children and body mass index for caregivers. Dietary intakes were estimated using a 24-h recall. Multiple linear and logistic regression models were performed to study the predictors of height-for-age z scores and stunting. Results: There was a 42% stunting prevalence. Prevalence of continued breastfeeding and exclusive breastfeeding were 92% and 50%, respectively. Most children (62%) fell into the low dietary diversity score group. The nutrient intake from complementary foods was below recommendations. The odds of stunting were higher in children >12 mo of age (odds ratio [OR], 1.18; 95% confidence interval [CI], 1.08–1.29). Exclusive breastfeeding (OR, 0.22; 95% CI, 0.10–0.48) and deworming tablet use in the previous 6 mo (OR, 0.25; 95% CI, 0.07–0.80) decreased significantly the odds of stunting in children. Also, the body mass index of the caretaker (β = 0.08 kg/m 2; 95% CI, 0.00–0.17) and dietary zinc intake (β = 1.89 mg/d; 95% CI, 0.29–3.49) were positively associated with the height-for-age z scores. Conclusion: Interventions focusing on optimal nutrition during the complementary feeding stage, exclusive breastfeeding, and the use of deworming tablets have the potential to substantially reduce stunting in children in the northern province of Rwanda.

Original languageEnglish
Pages (from-to)11-18
Number of pages8
JournalNutrition
Volume60
Early online date6 Sep 2018
DOIs
Publication statusPublished - 1 Apr 2019

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Infant Nutritional Physiological Phenomena
Rwanda
Growth Disorders
Cross-Sectional Studies
Breast Feeding
Confidence Intervals
Odds Ratio
Tablets
Body Mass Index
Logistic Models
Caregivers
Zinc
Linear Models
Eating
Mothers
Food

Keywords

  • ITC-ISI-JOURNAL-ARTICLE
  • ITC-HYBRID
  • Complementary feeding practices
  • Deworming tablets
  • Exclusive breastfeeding
  • Stunting
  • Dietary intake
  • Children, Rwanda

Cite this

@article{a4db6825ad5d4b99b9887472286db3db,
title = "Predictors of stunting with particular focus on complementary feeding practices: A cross-sectional study in the Northern Province of Rwanda",
abstract = "Objectives: The aim of this study was to review the factors associated with stunting in the northern province of Rwanda by assessing anthropometric status, dietary intake, and overall complementary feeding practices. Methods: This was a cross-sectional study with 138 children 5 to 30 mo of age. A structured questionnaire was used to collect information on sociodemographic characteristics of each mother and child and breastfeeding and complementary feeding practices. Anthropometric status was assessed using height-for-age z-scores for children and body mass index for caregivers. Dietary intakes were estimated using a 24-h recall. Multiple linear and logistic regression models were performed to study the predictors of height-for-age z scores and stunting. Results: There was a 42{\%} stunting prevalence. Prevalence of continued breastfeeding and exclusive breastfeeding were 92{\%} and 50{\%}, respectively. Most children (62{\%}) fell into the low dietary diversity score group. The nutrient intake from complementary foods was below recommendations. The odds of stunting were higher in children >12 mo of age (odds ratio [OR], 1.18; 95{\%} confidence interval [CI], 1.08–1.29). Exclusive breastfeeding (OR, 0.22; 95{\%} CI, 0.10–0.48) and deworming tablet use in the previous 6 mo (OR, 0.25; 95{\%} CI, 0.07–0.80) decreased significantly the odds of stunting in children. Also, the body mass index of the caretaker (β = 0.08 kg/m 2; 95{\%} CI, 0.00–0.17) and dietary zinc intake (β = 1.89 mg/d; 95{\%} CI, 0.29–3.49) were positively associated with the height-for-age z scores. Conclusion: Interventions focusing on optimal nutrition during the complementary feeding stage, exclusive breastfeeding, and the use of deworming tablets have the potential to substantially reduce stunting in children in the northern province of Rwanda.",
keywords = "ITC-ISI-JOURNAL-ARTICLE, ITC-HYBRID, Complementary feeding practices, Deworming tablets, Exclusive breastfeeding, Stunting, Dietary intake, Children, Rwanda",
author = "V. Uwiringiyimana and Ock{\'e}, {Marga C} and S. Amer and A. Veldkamp",
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T1 - Predictors of stunting with particular focus on complementary feeding practices: A cross-sectional study in the Northern Province of Rwanda

AU - Uwiringiyimana, V.

AU - Ocké, Marga C

AU - Amer, S.

AU - Veldkamp, A.

PY - 2019/4/1

Y1 - 2019/4/1

N2 - Objectives: The aim of this study was to review the factors associated with stunting in the northern province of Rwanda by assessing anthropometric status, dietary intake, and overall complementary feeding practices. Methods: This was a cross-sectional study with 138 children 5 to 30 mo of age. A structured questionnaire was used to collect information on sociodemographic characteristics of each mother and child and breastfeeding and complementary feeding practices. Anthropometric status was assessed using height-for-age z-scores for children and body mass index for caregivers. Dietary intakes were estimated using a 24-h recall. Multiple linear and logistic regression models were performed to study the predictors of height-for-age z scores and stunting. Results: There was a 42% stunting prevalence. Prevalence of continued breastfeeding and exclusive breastfeeding were 92% and 50%, respectively. Most children (62%) fell into the low dietary diversity score group. The nutrient intake from complementary foods was below recommendations. The odds of stunting were higher in children >12 mo of age (odds ratio [OR], 1.18; 95% confidence interval [CI], 1.08–1.29). Exclusive breastfeeding (OR, 0.22; 95% CI, 0.10–0.48) and deworming tablet use in the previous 6 mo (OR, 0.25; 95% CI, 0.07–0.80) decreased significantly the odds of stunting in children. Also, the body mass index of the caretaker (β = 0.08 kg/m 2; 95% CI, 0.00–0.17) and dietary zinc intake (β = 1.89 mg/d; 95% CI, 0.29–3.49) were positively associated with the height-for-age z scores. Conclusion: Interventions focusing on optimal nutrition during the complementary feeding stage, exclusive breastfeeding, and the use of deworming tablets have the potential to substantially reduce stunting in children in the northern province of Rwanda.

AB - Objectives: The aim of this study was to review the factors associated with stunting in the northern province of Rwanda by assessing anthropometric status, dietary intake, and overall complementary feeding practices. Methods: This was a cross-sectional study with 138 children 5 to 30 mo of age. A structured questionnaire was used to collect information on sociodemographic characteristics of each mother and child and breastfeeding and complementary feeding practices. Anthropometric status was assessed using height-for-age z-scores for children and body mass index for caregivers. Dietary intakes were estimated using a 24-h recall. Multiple linear and logistic regression models were performed to study the predictors of height-for-age z scores and stunting. Results: There was a 42% stunting prevalence. Prevalence of continued breastfeeding and exclusive breastfeeding were 92% and 50%, respectively. Most children (62%) fell into the low dietary diversity score group. The nutrient intake from complementary foods was below recommendations. The odds of stunting were higher in children >12 mo of age (odds ratio [OR], 1.18; 95% confidence interval [CI], 1.08–1.29). Exclusive breastfeeding (OR, 0.22; 95% CI, 0.10–0.48) and deworming tablet use in the previous 6 mo (OR, 0.25; 95% CI, 0.07–0.80) decreased significantly the odds of stunting in children. Also, the body mass index of the caretaker (β = 0.08 kg/m 2; 95% CI, 0.00–0.17) and dietary zinc intake (β = 1.89 mg/d; 95% CI, 0.29–3.49) were positively associated with the height-for-age z scores. Conclusion: Interventions focusing on optimal nutrition during the complementary feeding stage, exclusive breastfeeding, and the use of deworming tablets have the potential to substantially reduce stunting in children in the northern province of Rwanda.

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KW - Exclusive breastfeeding

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KW - Dietary intake

KW - Children, Rwanda

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