Dietary Strategies for Complementary Feeding between 6 and 24 Months of Age: The Evidence

Author:

Harrison Leila1,Padhani Zahra2,Salam Rehana3,Oh Christina1,Rahim Komal4ORCID,Maqsood Maria1,Ali Anna2ORCID,Charbonneau Kimberly1,Keats Emily C.1ORCID,Lassi Zohra S.25,Imdad Aamer6,Owais Aatekah1,Das Jai7,Bhutta Zulfiqar A.17ORCID

Affiliation:

1. Centre for Global Child Health, Hospital for Sick Children, Toronto, ON M5G 0A4, Canada

2. Robinson Research Institute, University of Adelaide, Adelaide, SA 5005, Australia

3. The Daffodil Centre—A Joint Venture of Cancer Council and The University of Sydney, Sydney, NSW 2006, Australia

4. Internal Medicine, Aga Khan University Hospital, Karachi 74800, Pakistan

5. Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5005, Australia

6. Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY 13210, USA

7. Division of Women & Child Health, Aga Khan University, Karachi 74800, Pakistan

Abstract

Suboptimal complementary feeding practices remain highly prevent. This review aims to comprehensively synthesize new emerging evidence on a set of topics related to the selection and consumption of complementary foods. We synthesized evidence related to five key topics focused on nutritional interventions that target the complementary feeding period, based on four systematic reviews that include updated evidence to February 2022. While there have been many studies examining interventions during the complementary feeding period, there is an overall lack of relevant information through which to draw conclusions on the ideal feeding schedule by food type. Similarly, few studies have examined the effects of animal milk versus infant formula for non-breastfed infants (6–11 months), though those that did found a greater risk of anemia among infants who were provided cow’s milk. This review highlights a number of interventions that are successful at improving micronutrient status and anthropometry during the complementary feeding period, including fortified blended foods, locally and commercially produced supplementary foods, and small-quantity lipid-based nutrient supplements. Complementary feeding education for caregivers can also be used to improve nutrition outcomes among infants in both food secure and insecure populations.

Funder

World Health Organization

Publisher

MDPI AG

Subject

Food Science,Nutrition and Dietetics

Reference62 articles.

1. Update on technical issues concerning complementary feeding of young children in developing countries and implications for intervention programs;Dewey;Food Nutr. Bull.,2003

2. UNICEF (2020). Improving Young Children’s Diets during the Complementary Feeding Period, UNICEF Programming Guidance.

3. WHO (2022, May 03). Complementary Feeding. Available online: https://www.who.int/health-topics/complementary-feeding#tab=tab_1.

4. The problem of suboptimal complementary feeding practices in West Africa: What is the way forward?;Issaka;Matern. Child Nutr.,2015

5. Matern and child nutrition in Sub-Saharan Africa: Challenges and interventions;Lartey;Proc. Nutr. Soc.,2008

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