Feeding practices and associated factors among children of 2-5 years in rural area of Gurugram
DOI:
https://doi.org/10.47203/IJCH.2026.v38i01.011Keywords:
Feeding Practices, Child Nutrition, Rural India, Antenatal Care, Birth Weight, MalnutritionAbstract
Background: Childhood malnutrition remains a major public health concern in India, with both undernutrition and overnutrition contributing to the growing double burden of disease. Feeding practices during early childhood play an important role in determining nutritional outcomes. This study assessed feeding practices among children aged 2–5 years in rural Gurugram and identified associated factors. Methodology: A community-based cross-sectional study was conducted among 275 mothers in two villages of rural Gurugram, Haryana. Data were collected using a pre-tested structured questionnaire and the validated Family Nutrition and Physical Activity (FNPA) tool. Information on sociodemographic profile, maternal health services, birth history, and feeding practices was obtained. Data were analysed using SPSS, and associations were tested using the Chi-square test, with p<0.05 considered significant. Result: Appropriate feeding practices were observed in 51.3% of children. Institutional delivery (92.7%) and early breastfeeding (97.1%) were high, but pre-lacteal feeding remained common (83.3%). Feeding practices were significantly associated with sex of respondent, ANC visits, birth weight, and sex of the child. Conclusion: Suboptimal feeding practices persist despite good service utilisation (ANC Visits). Strengthening counselling and community-based behaviour change interventions is essential to improve child nutrition outcomes.
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References
World Health Organisation. East Mediterranean Region. Malnutrition in all its forms. [Internet] [Avaivale from: https://www.emro.who.int/nutrition/double-burden-of-nutrition/index.html ] [Cited on 2 January 2025]
Popkin BM, Corvalan C, Grummer-Strawn LM. Dynamics of the double burden of malnutrition and the changing nutrition reality. Lancet 2020; 395:65–74.
Drammeh W, Hamid NA, Rohana AJ. Determinants of household food insecurity and its association with child malnutrition in sub-Saharan Africa: A review of the literature. Curr Res Nutr Food Sci. 2019;7(3):610–623.
Govender I, Rangiah S, Kaswa R, Nzaumvila D. Malnutrition in children under the age of 5 years in a primary health care setting. S Afr Fam Pract. 2021;63(1): e1-e6.
Kumari S, Shukla S, Acharya S. Childhood Obesity: Prevalence and Prevention in Modern Society. Cureus. 2022;14(11): e31640.
Ulahannan SK, Wilson A, Chhetri D, Soman B, Prashanth NS. Alarming level of severe acute malnutrition in Indian districts. BMJ Glob Health. 2022;7(4): e007798.
Black RE, Allen LH, Bhutta ZA, Caulfield LE, De Onis M, Ezzati M et al. Maternal and Child Undernutrition Study Group Maternal and child undernutrition: Global and regional exposures and health consequences. Lancet. 2008; 371:243–260.
Ministry of health and family welfare. Government of iNDIA. National family health survey -5. 2019-2021. [Internet] [Available from: https://mohfw.gov.in/sites/default/files/NFHS-5_Phase-II_0.pdf ] [Cited on 16 January 2025]
Midha T, Nath B, Kumari R, Rao YK, Pandey U. Childhood Obesity in India: A Meta-Analysis. Indian J Pediatr. 2012; 79:945–948.
Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, Lee A et al. Health Effects of Overweight and Obesity in 195 Countries over 25 Years. N Engl J Med. 2017; 377:13–27.
Kumar D, Goel NK, Mittal PC, Misra P.Influence of infant-feeding practices on nutritional status of under-five children. Indian J Pediatr. 2006; 73:417–421.
Singh BA, Umesh K, Rahul B, Pandey RM, Pant B, Mohan A. Prevalence of severe acute malnutrition and associated sociodemographic factors among children aged 6 months–5 years in rural population of Northern India: A population-based survey. J Family Med Prim Care. 2017;6(2):380-385.
Saha R, Pal J, Ghosh M. (2024). Infant and young child feeding knowledge and practices among mothers of under-5 children in Nadia district, West Bengal: a cross-sectional study. Int J Community Med Public Health. 2024;11(7), 2839–2846.
Mishra K, Kumar P, Basu S, Rai K, Aneja S. Risk Factors for Severe Acute Malnutrition in Children below 5 y of Age in India: A Case-Control Study. Indian J Pediatr. 2014;81:762–765.
Sharma A, Yadav A, Baig V, Swarnkar M, Singh R, Kumar S. Malnutrition & Associated Risk Factors among Under Five Children. Indian J Community Health 2015;27(3):311-9.
Ranjani H, Mehreen TS, Pradeepa R, Anjana RM, Garg R, Anand K et al. Epidemiology of childhood overweight & obesity in India: A systematic review. Indian J Med Res. 2016;143(2):160-74.
Khadilkar VV, Khadilkar AV, Cole TJ, Chiplonkar SA, Pandit D. Overweight and obesity prevalence and body mass index trends in Indian children. Int J Pediatr Obes. 2011;6(2): e216-24.
Ihmels MA, Welk GJ, Eisenmann JC, Nusser SM. Development and preliminary validation of a Family Nutrition and Physical Activity (FNPA) screening tool. Int J Behav Nutr Phys Act. 2009; 6:14.
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