Abstract

We read with interest the article on knowledge, attitude and practices of complimentary feeding of infants by Venugopal S et al. The mean age of knowledge regarding complementary feeding in this study was 7.99 months which is more than the recommended 6 months. Improper complimentary feeding is often observed in infants presenting with Infantile Tremor Syndrome (ITS). Despite numerous reported case series on Infantile Tremor Syndrome (ITS), the etiological still remains obscure. One uniform finding in all these reports have been the occurrence of this syndrome in children with similar demographic profile- age between 6 and 18 months, predominantly males, belonged to lower socio-economic strata, and exclusively breastfed by predominantly vegetarian mothers

Highlights

  • An interesting observation over last 6 months in our center has been the detection of Infantile Tremor Syndrome (ITS) in two four month old exclusively breastfed children of strict vegetarian mothers

  • Many are unaware about role of macro & micronutrients, concept of nutrient density,minimum meal frequency, minimum diet diversity & minimum acceptable diet,importance of timely introduction & monitoring of complementary feeding

  • Regarding micro & macronutrient deficiency, in developing countries, poor nutrient density of food may contribute to reduced availability of nutrients such as iron, zinc, riboflavin, niacin, thiamine, folate, vitamin

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Summary

Introduction

An interesting observation over last 6 months in our center has been the detection of ITS in two four month old exclusively breastfed children of strict vegetarian mothers. Thanks for the excellent query on complementary feeding. There is lack of awareness of complimentary feeding amongindian mothers.

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Conclusion
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