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High consumption of unhealthy commercial foods and beverages tracks across the complementary feeding period in rural/peri-urban Cambodia.
Matern Child Nutr. 2023 04; 19(2):e13485.MC

Abstract

Consumption of unhealthy commercial foods and beverages (UCFB) is common among infants and young children living in low- and middle-income countries. Such foods can displace other nutritious foods, however, there is limited evidence on how this consumption tracks across time. This study assessed and tracked UCFB consumption of children living in rural/peri-urban Cambodia during the complementary feeding period, identified UCFB consumption patterns of these children, and explored the association between UCFB consumption and growth. A 6-month longitudinal cohort study was implemented among 567 caregivers of children aged 10-14 months at recruitment. UCFB consumption was estimated each month via a telephone-administered 7-day food frequency questionnaire, and UCFB consumption patterns were identified based on changes in this frequency of consumption over time. The majority of children either maintained (45.7%, n = 246) or developed (43.5%, n = 234) an unhealthy consumption pattern and only 10.8% (n = 58) of children maintained/transitioned into a healthy consumption pattern. High consumers of UCFB at 10-14 months had a 4.7 (CI: 4.7 [3.1-7.2]) times odds of being high consumers of UCFB at 15-19 months (p < 0.001). There was a trend of lower length-for-age z-scores (LAZ) among children maintaining or developing an unhealthy consumption pattern (~-0. SD LAZ) compared to children maintaining/transitioning into a healthy consumption pattern, however, this association was not statistically significant. Findings indicate that high UCFB consumption begins during infancy and tracks into early childhood. National policies and programmes centred on early interventions addressing the use of UCFB for infant and young child feeding are needed.

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Authors+Show Affiliations

Hinnouho GM
Helen Keller International, New York City, New York, USA.
Ferguson EL
London School of Hygiene and Tropical Medicine, London, UK.
MacDougall A
London School of Hygiene and Tropical Medicine, London, UK.
Kroeun H
Helen Keller International, New York City, New York, USA.
Sophonneary P
Ministry of Health, Phnom Penh, Cambodia.
Chea M
Ministry of Health, Phnom Penh, Cambodia.
Pries AM
Helen Keller International, New York City, New York, USA.

MeSH

InfantChildHumansChild, PreschoolCambodiaLongitudinal StudiesInfant Nutritional Physiological PhenomenaFast FoodsBeverages

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

36751966

Citation

Hinnouho, Guy-Marino, et al. "High Consumption of Unhealthy Commercial Foods and Beverages Tracks Across the Complementary Feeding Period in Rural/peri-urban Cambodia." Maternal & Child Nutrition, vol. 19, no. 2, 2023, pp. e13485.
Hinnouho GM, Ferguson EL, MacDougall A, et al. High consumption of unhealthy commercial foods and beverages tracks across the complementary feeding period in rural/peri-urban Cambodia. Matern Child Nutr. 2023;19(2):e13485.
Hinnouho, G. M., Ferguson, E. L., MacDougall, A., Kroeun, H., Sophonneary, P., Chea, M., & Pries, A. M. (2023). High consumption of unhealthy commercial foods and beverages tracks across the complementary feeding period in rural/peri-urban Cambodia. Maternal & Child Nutrition, 19(2), e13485. https://doi.org/10.1111/mcn.13485
Hinnouho GM, et al. High Consumption of Unhealthy Commercial Foods and Beverages Tracks Across the Complementary Feeding Period in Rural/peri-urban Cambodia. Matern Child Nutr. 2023;19(2):e13485. PubMed PMID: 36751966.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - High consumption of unhealthy commercial foods and beverages tracks across the complementary feeding period in rural/peri-urban Cambodia. AU - Hinnouho,Guy-Marino, AU - Ferguson,Elaine L, AU - MacDougall,Amy, AU - Kroeun,Hou, AU - Sophonneary,Prak, AU - Chea,Mary, AU - Pries,Alissa M, Y1 - 2023/02/08/ PY - 2022/12/02/revised PY - 2022/07/15/received PY - 2023/01/23/accepted PY - 2023/2/9/pubmed PY - 2023/3/22/medline PY - 2023/2/8/entrez KW - ultraprocessed foods KW - unhealthy commercial foods and beverages SP - e13485 EP - e13485 JF - Maternal & child nutrition JO - Matern Child Nutr VL - 19 IS - 2 N2 - Consumption of unhealthy commercial foods and beverages (UCFB) is common among infants and young children living in low- and middle-income countries. Such foods can displace other nutritious foods, however, there is limited evidence on how this consumption tracks across time. This study assessed and tracked UCFB consumption of children living in rural/peri-urban Cambodia during the complementary feeding period, identified UCFB consumption patterns of these children, and explored the association between UCFB consumption and growth. A 6-month longitudinal cohort study was implemented among 567 caregivers of children aged 10-14 months at recruitment. UCFB consumption was estimated each month via a telephone-administered 7-day food frequency questionnaire, and UCFB consumption patterns were identified based on changes in this frequency of consumption over time. The majority of children either maintained (45.7%, n = 246) or developed (43.5%, n = 234) an unhealthy consumption pattern and only 10.8% (n = 58) of children maintained/transitioned into a healthy consumption pattern. High consumers of UCFB at 10-14 months had a 4.7 (CI: 4.7 [3.1-7.2]) times odds of being high consumers of UCFB at 15-19 months (p < 0.001). There was a trend of lower length-for-age z-scores (LAZ) among children maintaining or developing an unhealthy consumption pattern (~-0. SD LAZ) compared to children maintaining/transitioning into a healthy consumption pattern, however, this association was not statistically significant. Findings indicate that high UCFB consumption begins during infancy and tracks into early childhood. National policies and programmes centred on early interventions addressing the use of UCFB for infant and young child feeding are needed. SN - 1740-8709 UR - https://www.unboundmedicine.com/medline/citation/36751966/High_consumption_of_unhealthy_commercial_foods_and_beverages_tracks_across_the_complementary_feeding_period_in_rural/peri_urban_Cambodia_ DB - PRIME DP - Unbound Medicine ER -