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Systematic review of infant and young child complementary feeding practices in South Asian families: The Pakistan perspective

Lookup NU author(s): Dr Raghu Lingam



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


© Copyright The Authors 2017. Objective Suboptimal nutrition among children remains a problem among South Asian (SA) families. Appropriate complementary feeding (CF) practices can greatly reduce this risk. Thus, we undertook a systematic review of studies assessing CF (timing, dietary diversity, meal frequency and influencing factors) in children aged <2 years in Pakistan. Design Searches between January 2000 and June 2016 in MEDLINE, EMBASE, Global Health, Web of Science, OVID Maternity & Infant Care, CINAHL, Cochrane Library, BanglaJOL, POPLINE and WHO Global Health Library. Eligibility criteria: primary research on CF practices in SA children aged 0-2 years and/or their families. Search terms: 'children', 'feeding' and 'Asians' with their derivatives. Two researchers undertook study selection, data extraction and quality appraisal (EPPI-Centre Weight of Evidence). Results From 45 712 results, seventeen studies were included. Despite adopting the WHO Infant and Young Child Feeding guidelines, suboptimal CF was found in all studies. Nine of fifteen studies assessing timing recorded CF introduced between 6 and 9 months. Five of nine observed dietary diversity across four of seven food groups; and two of four, minimum meal frequency in over 50 % of participants. Influencing factors included lack of CF knowledge, low maternal education, socio-economic status and cultural beliefs. Conclusions This is the first systematic review to evaluate CF practices in Pakistan. Campaigns to change health and nutrition behaviour are needed to meet the substantial unmet needs of these children.

Publication metadata

Author(s): Manikam L, Sharmila A, Dharmaratnam A, Alexander EC, Kuah JY, Prasad A, Ahmed S, Lingam R, Lakhanpaul M

Publication type: Review

Publication status: Published

Journal: Public Health Nutrition

Year: 2018

Volume: 21

Issue: 4

Pages: 655-668

Print publication date: 01/03/2018

Online publication date: 20/11/2017

Acceptance date: 01/09/2017

ISSN (print): 1368-9800

ISSN (electronic): 1475-2727

Publisher: Cambridge University Press


DOI: 10.1017/S1368980017002956


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