Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic Review
Undernutrition is associated with 45% of total infant deaths, totalling 2.7 million globally per year. The vast majority of the burden is felt in low- and middle-income countries (LMICs). This review aims to assess the effectiveness of infant and young child feeding (IYCF) interventions. We searched...
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doaj-3d42b66e99ca461d9d868be702f0f78d2020-11-25T02:10:42ZengMDPI AGNutrients2072-66432020-03-0112372210.3390/nu12030722nu12030722Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic ReviewZohra S. Lassi0Fahad Rind1Omar Irfan2Rabia Hadi3Jai K. Das4Zulfiqar A. Bhutta5Robinson Research Institute, University of Adelaide, Adelaide 5005, AustraliaDivision of Women and Child Health, Aga Khan University Hospital, Karachi 74800, PakistanCentre for Global Child Health, The Hospital for Sick Children, Toronto, ON M5G 0A4, CanadaCenter of Excellence in Women and Child Health, The Aga Khan University, Karachi 74800, PakistanCenter of Excellence in Women and Child Health, The Aga Khan University, Karachi 74800, PakistanDivision of Women and Child Health, Aga Khan University Hospital, Karachi 74800, PakistanUndernutrition is associated with 45% of total infant deaths, totalling 2.7 million globally per year. The vast majority of the burden is felt in low- and middle-income countries (LMICs). This review aims to assess the effectiveness of infant and young child feeding (IYCF) interventions. We searched multiple databases including Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE. Title/abstract screening and full-text screening and data extraction filtered 77 studies for inclusion. Breastfeeding education interventions (<i>n</i> = 38) showed 20% increase in rates of early initiation of breastfeeding, 102% increase in exclusive breastfeeding (EBF) at 3 months and 53% increase in EBF at 6 months and 24% decreases in diarrheal diseases. Complementary feeding education intervention (n=12) showed a 0.41 standard deviation (SD) increase in WAZ, and 0.25 SD in HAZ in food secure setting. Complementary food provision with or without education (n=17) showed a 0.14 SD increase in HAZ and 36% decrease in stunting. Supplementary food interventions (n=12) showed a significant 0.15 SD increase in WHZ. Subgroup analyses showed healthcare professional led interventions were largely more effective, especially on breastfeeding outcomes. We believe this is a comprehensive review of the existing literature on IYCF studies in LMICs. Though breastfeeding education is well supported in its effectiveness on breastfeeding practices, limited evidence exists for growth outcomes. Supplementation interventions seem to have better effects at improving growth. However, more research is required to reach more substantial conclusions.https://www.mdpi.com/2072-6643/12/3/722breastfeedinginfantsgrowthmortalitylmicyoung childcomplementary feedingsupplementary feedingmalnutrition |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Zohra S. Lassi Fahad Rind Omar Irfan Rabia Hadi Jai K. Das Zulfiqar A. Bhutta |
spellingShingle |
Zohra S. Lassi Fahad Rind Omar Irfan Rabia Hadi Jai K. Das Zulfiqar A. Bhutta Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic Review Nutrients breastfeeding infants growth mortality lmic young child complementary feeding supplementary feeding malnutrition |
author_facet |
Zohra S. Lassi Fahad Rind Omar Irfan Rabia Hadi Jai K. Das Zulfiqar A. Bhutta |
author_sort |
Zohra S. Lassi |
title |
Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic Review |
title_short |
Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic Review |
title_full |
Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic Review |
title_fullStr |
Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic Review |
title_full_unstemmed |
Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic Review |
title_sort |
impact of infant and young child feeding (iycf) nutrition interventions on breastfeeding practices, growth and mortality in low- and middle-income countries: systematic review |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2020-03-01 |
description |
Undernutrition is associated with 45% of total infant deaths, totalling 2.7 million globally per year. The vast majority of the burden is felt in low- and middle-income countries (LMICs). This review aims to assess the effectiveness of infant and young child feeding (IYCF) interventions. We searched multiple databases including Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE. Title/abstract screening and full-text screening and data extraction filtered 77 studies for inclusion. Breastfeeding education interventions (<i>n</i> = 38) showed 20% increase in rates of early initiation of breastfeeding, 102% increase in exclusive breastfeeding (EBF) at 3 months and 53% increase in EBF at 6 months and 24% decreases in diarrheal diseases. Complementary feeding education intervention (n=12) showed a 0.41 standard deviation (SD) increase in WAZ, and 0.25 SD in HAZ in food secure setting. Complementary food provision with or without education (n=17) showed a 0.14 SD increase in HAZ and 36% decrease in stunting. Supplementary food interventions (n=12) showed a significant 0.15 SD increase in WHZ. Subgroup analyses showed healthcare professional led interventions were largely more effective, especially on breastfeeding outcomes. We believe this is a comprehensive review of the existing literature on IYCF studies in LMICs. Though breastfeeding education is well supported in its effectiveness on breastfeeding practices, limited evidence exists for growth outcomes. Supplementation interventions seem to have better effects at improving growth. However, more research is required to reach more substantial conclusions. |
topic |
breastfeeding infants growth mortality lmic young child complementary feeding supplementary feeding malnutrition |
url |
https://www.mdpi.com/2072-6643/12/3/722 |
work_keys_str_mv |
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