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Instituto Nacional de Salud Pública

2024, Number 4

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salud publica mex 2024; 66 (4)

Complementary feeding practices.

Ramírez-Silva I, Rivera-Pasquel M, Bonvecchio-Arenas A, Unar-Munguía M, Lozada-Tequeanes AL, Valderrama-Álvarez Z, López-Alarcón M, González-Castell LD

Language: Spanish
References: 22
Page: 425-436
PDF size: 296.52 Kb.


ABSTRACT

Objective. Evaluate adherence of complementary feeding practices (CFP) to recommendations of the healthy and sustainable feeding guidelines of Mexico for infants and young children (GASS) and document main barriers to compliance with optimal CFP and formulate public policy recommendations to address them. Materials and methods. Using data from Ensanut Continua 2020-23 to evaluate compliance of CPF to GASS through an index that assessed five dimensions (age of introduction, optimal age of introduction, continued breastfeeding, consume of recommended foods and frequency of meals) (assigning 0 or 1 points for compliance). Main barriers were identified for optimal CFP and recommendations for public policy were made. Results. In Mexico, half of children from 6-23 months has a compliance to GASS recommendations 50.9/100 (CI95% 45.5,50.0) or less. Compliance index to recommendations decreases as age increases. There are, different structural, social, cultural and individual barriers that affects CFP. Conclusions. It is imperative to improve CFP to fulfill the “Right to Health” in children ‹24 months. This requires updating the standards (ac cording to current international guidelines and the healthy and sustainable Mexican dietary guidelines); strengthen primary health care services through the nationwide implementation of the newly designed thousand-days strategy, which includes an important component of CFP and begins with the training of healthcare personnel.


REFERENCES

  1. World Health Organization. Indicators for assessing infant and youngchild feeding practices: definitions and measurement methods. Ginebra:WHO, Unicef, 2021 [citado abril 3, 2024]. Disponible en: https://iris.who.int/handle/10665/340706

  2. World Health Organization. Complementary feeding: report of theglobal consultation, and summary of guiding principlesfor complementary feeding of the breastfed child. Ginebra: WHO,2002 [citado marzo 30, 2022]. Disponible en: https://www.who.int/publications/i/item/924154614X

  3. Hochberg Z, Feil R, Constancia M, Fraga M, Junien C, Carel JC, et al.Child health, developmental plasticity, and epigenetic programming. EndocrRev. 2011;32(2):159-224. https://doi.org/10.1210/er.2009-0039

  4. Grote V, Schiess SA, Closa-Monasterolo R, Escribano J, Giovannini M,Scaglioni S, et al. The introduction of solid food and growth in the first 2y of life in formula-fed children: analysis of data from a European cohortstudy. Am J Clin Nutr. 2011;94(suppl 6):1785-93. https://doi.org/10.3945/ajcn.110.000810

  5. Huh SY, Rifas-Shiman SL, Taveras EM, Oken E, Gillman MW. Timing ofsolid food introduction and risk of obesity in preschool-aged children.Pediatrics. 2011;127(3):e544-51. https://doi.org/10.1542/peds.2010-0740

  6. Consejo Nacional de Evaluación de la Política de Desarrollo Social.Informe de evolución histórica de la situación nutricional de la poblacióny los programas de alimentación, nutrición y abasto en México. México:Coneval, 2010 [citado marzo 30, 2024]. Disponible en: https://www.coneval.org.mx/rw/resource/coneval/info_public/PDF_PUBLICACIONES/Evolucion_Historica_050411.pdf

  7. González-Block MÁ, Reyes-Morales H, Cahuana-Hurtado L, Balandrán A, Méndez E. Mexico: Health System Review. Health Syst Transit.2020;22(2):1-222.

  8. Barquera S, Rivera-Dommarco J, Gasca-García A. Food and nutritionpolicies and programs in Mexico. Salud Publica Mex. 2001;43(5):464-77[citado marzo 30, 2024]. Disponible en: https://www.saludpublica.mx/index.php/spm/article/view/6342

  9. González-Castell LD, Unar-Munguía M, Bonvecchio-Arenas A, RamírezSilva I, Lozada-Tequeanes AL. Prácticas de alimentación infantil antesy después de la pandemia por Covid-19, Ensanut 2012 a 2022. SaludPublica Mex. 2023;65(6):559-69. https://doi.org/10.21149/15085

  10. Kimiywe J, Craig H, Agyapong A, Thorne-Lyman A, Matsisa P, Kiige L,et al. Diets of infants and young children in two counties of Kenya: Keydrivers and barriers to improvement. Matern Child Nutr. 2024;20(suppl3):e13334. https://doi.org/10.1111/mcn.13334

  11. Tadesse E, Abdirahman I, Letta S, Kirby M, Mamo T, Metaferia H, et al.Barriers to appropriate complementary feeding and the use of ultraprocessed foods: a formative qualitative study from rural Oromia, Ethiopia.Matern Child Nutr. 2024;20(1):e13576. https://doi.org/10.1111/mcn.13576

  12. Romero-Martínez M, Shamah-Levy T, Barrientos-Gutiérrez T, CuevasNasu L, Bautista-Arredondo S, Colchero MA, et al. Encuesta Nacional deSalud y Nutrición 2023: metodología y avances de la Ensanut Continua 2020-2024. Salud Publica Mex. 2023;65(4):394-401. https://doi.org/10.21149/15081

  13. Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, BautistaArredondo S, Colchero MA, Gaona-Pineda EB, et al. Metodología dela Encuesta Nacional de Salud y Nutrición 2021. Salud Publica Mex.2021;63(6):813-8. https://doi.org/10.21149/13348

  14. Bonvecchio-Arenas A, González W, Théodore FL, Lozada-TequeanesAL, García-Guerra A, Alvarado R, et al. Translating evidence-based program recommendations into action: the design, testing, and scaling upof the behavior change strategy EsIAN in Mexico. J Nutr. 2019;149(suppl1):2310-22. https://doi.org/10.1093/jn/nxz229

  15. Théodore FL, Bonvecchio-Arenas A, García-Guerra A, Blanco-García I,Alvarado R, Rawlinson CJ, et al. Sociocultural influences on poor nutritionand program utilization of Mexico’s conditional cash transfer program. JNutr. 2019;149(suppl 1):2290-2301. https://doi.org/10.1093/jn/nxz181

  16. Bonvecchio- Arenas A, Reyes-Morales H, Theodore FL, Lozada AL,Rivera-Dommarco JA, Neufeld LM, et al. Report from Mexico. Barriers tothe promotion of healthy infant growth at primary healthcare in nutritiontransition contexts. Sight Life. 2012;27(2):76-9.

  17. Organización de las Naciones Unidas para la Alimentación y la Agricultura, Organización Panamericana de la Salud, Organización Mundial dela Salud, Instituto Nacional de Salud Pública. Recomendaciones de políticapública nacional, estatal y local para la prevención, control y reducción dela mala nutrición en niñas, niños y adolescentes en México. México: FAO,OPS, OMS, INSP, 2020 [citado marzo 30, 2024]. Disponible en: https://www.unicef.org/mexico/media/5076/file/Recomendaciones.pdf

  18. McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15(4):351-77.https://doi.org/10.1177/109019818801500401

  19. Ramírez-Silva I, Rivera-Pasquel M, Bonvecchio-Arenas A, Unar-MunguíaM, Lozada-Tequeanes AL, Valderrama- Álvarez Z, et al. Cuadro suplementario 1. México: figshare, 2024 Disponible en: https://doi.org/10.6084/m9.figshare.25559202

  20. Shamah-Levy T, Romero-Martínez M, Barrientos-Gutiérrez T, CuevasNasu L, Bautista-Arredondo S, Colchero MA, et al. Encuesta Nacionalde Salud y Nutrición 2021 sobre Covid-19. Resultados nacionales.Cuernavaca, México: Instituto Nacional de Salud Pública, 2022. Disponibleen: https://ensanut.insp.mx/encuestas/ensanutcontinua2021/doctos/informes/220804_Ensa21_digital_4ago.pdf

  21. Morales-Ruán CM, Mayorga-Borbolla E, Arango-Angarita A, MéndezGómez-Humarán I, Vizuet-Vega NI. Características sociodemográficasde hogares y población de la Encuesta Nacional de Salud y NutriciónContinua 2022. Salud Publica Mex. 2023;65(supl 1):7-14. https://doi.org/10.21149/14804

  22. Boudet-Berquier J, Salanave B, de Launay C, Castetbon K. Introduction of complementary foods with respect to French guidelines:description and associated socio-economic factors in a nationwide birthcohort (Epifane survey). Matern Child Nutr. 2017;13(3):e12339. https://doi.org/10.1111/mcn.12339




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