Feeding Practices Research Articles

Implementing early feeding after liver transplant using implementation frameworks: A multimethod study.

Evidence-based guidelines (EBGs) in the nutritionmanagement of advanced liver disease and enhanced recovery after surgery recommendations state that normal diet should recommence 12-24 h following liver transplantation. This study aimed to compare postoperative nutrition practices to guideline recommendations, explore clinician perceptions regarding feeding after transplant surgery, and implement and evaluate strategies to improve postoperative nutrition practices. A pre-post multimethod implementation study was undertaken, guided by the knowledge-to-action framework. A retrospective chart audit of postoperative dietary practice and semistructured interviews with clinicians were undertaken. Implementation strategies were informed by the Consolidated Framework for Implementation Research-Expert Recommendations for Implementing Change matching tool and then evaluated. An evidence-practice gap was identified, with the median day to initiation of nutrition (free-fluid or full diet) on postoperative day (POD) 2 and only 25% of patients aligning with the EBGs. Clinician interviews identified belief in the importance of nutrition, with variation in surgical practice in relation to early nutrition, competing clinical priorities, and vulnerabilities in communication contributing to delays in returning to feeding. An endorsed postoperative nutrition protocol was implemented along with a suite of theory- and stakeholder-informed intervention strategies. Following implementation, the median time to initiate nutrition reduced to POD1 and alignment with EBGs improved to 60%. This study used implementation frameworks and strategies to understand, implement, and improve early feeding practices in line with EBGs after liver transplant. Ongoing sustainability of practice change as well as the impact on clinical outcomes have yet to be determined.

Anthropometric Status and Feeding Practices of Infants (0 - 12months) in Awka, Anambra State, Nigeria

Anthropometric Status and Feeding Practices of Infants (0 - 12months) in Awka, Anambra State, Nigeria

Psychometric properties of the toddler feeding style questionnaire in fathers and its gender invariance

Parental feeding practices and behaviours are closely related to a number of child outcomes, including eating behaviour and health. The Toddler Feeding Style Questionnaire (TFSQ) was developed to provide an accurate instrument for evaluating parental feeding practices for toddlers by assessing two dimensions: responsiveness and demandingness. As the initial validation study was conducted in a sample of mothers only, the aims of this study are: a) to validate the TFSQ in fathers, b) to analyse its measurement invariance as a function of gender and parenting experience and c) to explore associations between socio-demographic variables and both dimensions. The TFSQ was completed by 377 fathers and 583 mothers. CFA confirmed the two-factor structure within the same items as the initial validation study, with good model fit indices (X2 = 230.089; TLI = 0.883; CFI = 0.91; RMSEA = 0.08 (90% CI 0.068–0.092), SRMR = 0.070). Strict invariance measurement in terms of gender and parenting experience was achieved. Overall, fathers scored higher than mothers on demandingness, regardless of their parenting experience. Primiparous mothers scored higher than multiparous mothers and primiparous fathers on the responsiveness dimension. However, there were no gender-based differences on this dimension for parents with more than one child. These results confirm that the TFSQ is an adequate and validated instrument for assessing parenting dimensions, as it performs equally well for mothers and fathers, regardless of their parenting experience. There is also support for the notion that parental attitudes to feeding may be related to their socio-economic background.

Ruminal CO2 Holdup Monitoring, Acidosis Might Be Caused by CO2 Poisoning

The ruminal buffering system is composed of bicarbonate (HCO3-) and dissolved CO2 (dCO2). While low pH indicates high dCO2 formation, the pH scale is a ratio between acids and bases in a solution, i.e. HCO3- and dCO2, and fail to provide individual component concentrations. For instance, modern feeding practices can reduce CO2 gas fugacity from the ruminal fluid or "CO2 holdup". Under those conditions, not only dCO2 can reach critical concentrations, but the buffering system might favour HCO3- formation resulting in normal ruminal pH values, the quotient, regardless of the harmful dCO2 accumulation. Consequently, subacute ruminal acidosis (SARA), traditionally associated with low or variable pH, might be triggered by CO2 holdup. This observational study aimed to continuously monitor ruminal dCO2 and characterised CO2 holdup within the ruminal fluid targeting the specific infrared signal of dCO2 with an attenuated total reflectance infrared (ATR-IR) spectrometer. Three lactating dairy cattle were longitudinally exposed to diets designed to elevate both ruminal dCO2 and SARA risk. Indwelling pH sensors and ruminal fluid samples served as references for dCO2 analysis, while a categorical analysis detected CO2 holdup from the output of the ATR-IR sensor. Milk yield, milk components, and feed intake supported the known positive role for high dCO2 in rumen function. However, SARA was associated with ruminal CO2 holdup, suggesting that prolonged exposure to critical dCO2 concentrations during extended postprandial periods might trigger SARA. Continuous dCO2 monitoring with the proposed methodology and analysis may offer a valuable tool for optimising rumen function and prevent SARA risk.

Interplay Between Infant Nutrition and Malaria Susceptibility in West Africa: Socioeconomic, Environmental, and Cultural Perspectives

In West Africa, infant nutrition plays a pivotal role in determining susceptibility to malaria, a disease that remains a leading cause of child mortality in the region. This review explores the intricate interplay between malnutrition and malaria susceptibility among infants, emphasizing the influence of socioeconomic, environmental, and cultural factors. Malnutrition, particularly protein-energy malnutrition and micronutrient deficiencies, compromises immune function, rendering infants more vulnerable to malaria infections. Conversely, malaria exacerbates nutritional deficiencies, creating a vicious cycle that severely impacts infant health and development. This review examines how traditional beliefs, maternal education, and family dynamics shape infant feeding practices, thereby influencing nutritional status and malaria risk. It also highlights the significance of breastfeeding, the timing of complementary feeding, and the quality of complementary foods in protecting infants against malaria. The review underscores the need for targeted nutritional interventions, such as micronutrient supplementation, fortified foods, and community-based nutrition programs, which are essential in reducing the dual burden of malnutrition and malaria. These interventions must be culturally sensitive and context-specific to effectively improve health outcomes for infants in West Africa. Further, this review illuminates the complex relationship between infant nutrition and malaria susceptibility, advocating for integrated public health strategies that address both malnutrition and malaria within the unique socio-cultural and economic landscape of West Africa. Keywords: Infant Nutrition, Malaria Susceptibility, West Africa, Socioeconomic.

Infant Feeding and Weight Trajectories in the Eat, Sleep, Console Trial

Infants with neonatal opioid withdrawal syndrome (NOWS) cared for with the Eat, Sleep, Console (ESC) care approach receive less pharmacologic treatment and have shorter hospital stays compared to usual care with the Finnegan Neonatal Abstinence Scoring Tool, but the effects of these approaches on feeding and weight are unknown. To evaluate feeding practices and weight trajectories in infants cared for with ESC vs usual care. ESC-NOW is a cluster randomized trial of infants with NOWS born at 36 weeks' gestation or later at 26 US hospitals from September 2020 to March 2022. Each site transitioned from usual care to ESC (the study intervention) at a randomized time. Feeding was per site practice and not specified by the intervention. Feeding and weight outcomes were assessed at hospital discharge. ESC vs usual care. Outcomes include prospectively identified secondary end points related to feeding and weight. z Scores were used for growth to account for corrected gestational age at the time of measurement. All analyses were intention to treat and adjusted for study design. Maternal/infant characteristics were included in adjusted models. The analyses included 1305 infants (702 in usual care and 603 in ESC; mean [SD] gestational age, 38.6 [1.3] weeks; 655 [50.2%] male and 650 [49.8%] female). Baseline demographic characteristics were similar between groups. The proportion of breastfed infants was higher in the ESC group (52.7% vs 41.7%; absolute difference, 11%; 95% CI, 1.0-20.9). A higher proportion of infants cared for with ESC received exclusive breast milk (15.1% vs 6.7%; absolute difference, 8.4%; 95% CI, 0.9-5.8) or any breast milk (38.8% vs 27.4%; absolute difference, 11.4%; 95% CI, 0.2-23.1) and were directly breastfeeding at discharge (35.2% vs 19.5%; absolute difference, 15.7%; 95% CI, 4.1-27.3). There was no difference in proportion of infants with weight loss greater than 10% or maximum percentage weight loss, although infants cared for with ESC had a lower weight z score on day of life 3 (-1.08 vs -1.01; absolute difference, 0.07; 95% CI, 0.02-0.12). When pharmacologic treatment was added into the model, no breastfeeding outcomes were statistically significant. In this study, infants cared for with ESC were more likely to initiate and continue breastfeeding and had no difference in percentage weight loss. The improvement in breastfeeding with ESC may be driven by reduction in pharmacologic treatment and provision of effective nonpharmacologic care. ClinicalTrials.gov Identifier: NCT04057820.

THE IMPACT OF COMPLEMENTARY FOOD INTERVENTIONS ON ADOLESCENCE STUNTING PREVENTION: A SYSTEMATIC REVIEW

Introduction: The transition from exclusive breastfeeding to poor complementary food by feeding practices may put infants at higher risk of becoming stunting. This study aims to analyze complementary food interventions in early childhood for stunting prevention. Methods: This systematic review is using 16 journals, and the authors conducted a relevant literature review in various data using the keywords "complementary food, stunting, RCT”. Data based on SCOPUS, Ebsco, WOS and Pubmed. The criteria consisted of full text published in criteria were five years limit journal (2017-2022) use article using English and live in lower middle income countries Results: In the first 1000 days of beginnings complementary food interventions are effective in preventing stunting. The incorporation of behavior change communication (BCC) education into the care programs offered to mothers and their families should be considered as a methods for gaining the most advantageous results. Conclusion: There are many options for complementary foods in the first 1000 days of life and can be adapted to the characteristics of the place of residence. The combination of behavior change communication (BC) interventions provided by medical personnel in the community to mothers and families who are directly involved in childcare can optimize stunting prevention interventions. Keywords : stunting prevention intervention, complementary food

Effect of β-lactam antibiotics on the gut microbiota of term neonates

β-Lactam antibiotics are a class of antibiotics commonly used to treat bacterial infections. However, the effects of β-lactam antibiotics on term neonatal intestinal flora have not been fully elucidated. Hospitalized full-term newborns receiving β-lactam antibiotics formed the antibiotic group (n = 67), while those without antibiotic treatment comprised the non-antibiotic group (n = 47). A healthy group included healthy full-term newborns (n = 16). Stool samples were collected for 16 S rDNA sequencing to analyze gut microbiota variations. Further investigation was carried out within the β-lactam antibiotic group, exploring the effects of antibiotic use on the newborns’ gut microbiota in relation to the duration and type of antibiotic administration, delivery method, and feeding practices. The antibiotic group exhibited significant difference of microbial community composition compared to the other groups. Genera like Klebsiella, Enterococcus, Streptococcus, Alistipes, and Aeromonas were enriched, while Escherichia-Shigella, Clostridium sensu stricto 1, Bifidobacterium, and Parabacteroides were reduced. Klebsiella negatively correlated with Escherichia-Shigella, positively with Enterobacter, while Escherichia-Shigella negatively correlated with Enterococcus and Streptococcus. Regardless of neonatal age, β-lactam antibiotics induced an elevated abundance of Klebsiella and Enterococcus. The impact on gut microbiota varied with the duration and type of antibiotic (cefotaxime or ampicillin/sulbactam). Compared to vaginal delivery, cesarean delivery after β-lactam treatment heightened the abundance of Klebsiella, Enterobacteriaceae_Unclassified, Lactobacillales_Unclassified, and Pectobacterium. Feeding patterns minimally influenced β-lactam-induced alterations. In conclusion, β-lactam antibiotic treatment for neonatal pneumonia and sepsis markedly disrupted intestinal microbiota, favoring Klebsiella, Enterococcus, Streptococcus, Alistipes, and Aeromonas. The impact of β-lactam varied by duration, type, and delivery method, emphasizing heightened disruptions post-cesarean delivery.

Women with Gestational Diabetes Mellitus Have Greater Formula Supplementation in the Hospital and at Home Despite Intention to Exclusively Breastfeed.

Background: Women with gestational diabetes mellitus (GDM) have lower rates of exclusive breastfeeding compared with women without diabetes. Objectives: To assess associations between GDM and breastfeeding intentions and attitudes, formula supplementation, reasons for formula supplementation, and knowledge of type 2 diabetes mellitus (T2DM) risk reduction associated with breastfeeding among U.S. mothers. Design/Methods: Participants completed an online survey assessing infant feeding knowledge, attitudes, and practices; demographics; and pregnancy-related medical history. Multivariable logistic regression was used to estimate adjusted odds ratios for formula supplementation in the hospital and at home. Results: Of 871 respondents, a smaller proportion of women with GDM compared with women without diabetes intended to exclusively breastfeed. There were no differences between groups in attitudes toward public breastfeeding, attitudes toward breastfeeding beyond infancy, or actual duration of any breastfeeding. Approximately one in four participants believed that breastfeeding mothers may be less likely to develop T2DM, regardless of GDM status. Among those who intended to exclusively breastfeed, GDM was associated with higher odds of formula supplementation in the hospital (adjusted odds ratio [OR] 1.75, 95% confidence interval [CI] 0.97-3.18) and at home (adjusted OR 2.02, 95% CI 1.05-3.89). "Medical reasons," which was reported as an important reason for formula supplementation, was reported more frequently by women with GDM. Conclusions: Women with GDM who intended to exclusively breastfeed had higher odds of in-hospital and at-home formula supplementation, cited medical reasons as a main reason for formula supplementation more often, and were largely unaware of T2DM risk reduction associated with breastfeeding.

Enteral tube feeding practices and associated factors among nurses working in South Wollo Zone Specialized and General Hospitals, Wollo, Ethiopia, 2022.

Enteral tube feeding is recommended as a route for nutrient delivery in critically ill patients. The practice of enteral tube feeding by nurses significantly influences patient treatment outcomes. Therefore, this study aimed to identify the practices of enteral tube feeding and the associated factors among nurses working in South Wollo Zone Specialized and General Hospitals, Wollo, Ethiopia, 2022. A hospital-based cross-sectional study design was conducted on 420 nurses from 1st August to 1st September 2022. Simple random sampling methods were used to select study participants. Data were collected using self-administered questionnaires and an observational checklist. The data were entered into Epi Data version 4.6 and analyzed using SPSS version 26. Variables with a p-value <0.05, a 95% confidence interval, and an adjusted odd ratio were considered to be significantly associated with enteral tube feeding practice. A total of 400 nurses participated in the study, yielding a 95.2% response rate. The overall good practice of enteral tube feeding among nurses was 114 (28.5%) with a 95% CI of 23.8-33. Enteral tube feeding practice was significantly associated with a lack of adequate resources (AOR = 0.359, 95% CI: 0.192-0.673), unfamiliarity with current guidelines (AOR = 0.346, 95% CI: 0.203-0.586), lack of awareness (AOR = 0.511, 95% CI: 0.306-0.673) and the thermal effect of food (AOR = 0.56, 95% CI: 0.348-0.889). The enteral tube feeding practice among nurses was found to be 28.5%. Significant determinants of enteral tube feeding practice included a lack of awareness, inadequate resources in the institution, and unfamiliarity with the current guidelines for enteral feeding. To improve enteral feeding practices, it is recommended that sufficient resources be provided, guidelines be made readily available, and training programs be conducted for the nursing staff.

A Comparison of Infant Feeding Practices in South Asian-Born Mothers and Australian-Born Mothers Living in Australia.

South Asian infants and children have a higher predisposition to central adiposity, increasing their risk of metabolic diseases in childhood. Infant feeding practices are a key factor in reducing the risk of obesity in children. The current study aimed to compare infant feeding practices of South Asian-born mothers to Australin-born mothers. The 2010 Australian National Infant Feeding Survey data were used to compare infant feeding practices between South Asian-born mothers and Australian-born mothers with children aged up to 2 years. Chi-square and t-tests were conducted, as well as regression models, with adjustment for covariates, to assess individual infant feeding practices between the two groups. A total of 298 South Asian-born mothers and 294 Australian-born mothers were included. The age at which a child stopped receiving breast milk was lower among Australian-born mothers (3 months) compared with South Asian-born mothers (5 months, p < 0.001). A greater proportion of South Asian-born mothers reported that solids were introduced at or after 6 months of age compared to Australian-born mothers (86% vs. 69%, p < 0.001, respectively). South Asian-born mothers were engaging in some health-promoting infant feeding practices compared to Australian-born mothers; however, they were not meeting the infant feeding guidelines for exclusive breastfeeding and the introduction of solids. Further research is needed to better understand factors influencing infant feeding practices in South Asian-born immigrant mothers in Australia to determine whether culturally tailored interventions are needed to help these women achieve optimal feeding practices for their infants.

Factors related to complementary feeding practices during the COVID-19 pandemic in Indonesia

Introduction: Complementary feeding practice is critical for adequate growth and development in children. Appropriate practices should be maintained, especially during the COVID-19 pandemic. Methods: This cross-sectional study aimed to analyse complementary feeding practices and their related factors, including the impact of the COVID-19 pandemic on household economic aspects. Data were collected via online questionnaires involving 574 mothers of children aged 6–23 months in Indonesia from April to May 2022. Results: In total, 63.6%, 64.6%, 86.6%, and 57.7% of children met the criteria for timely introduction of complementary feeding (INTRO), minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD), respectively. Households that had no impact on their ability to provide food during the pandemic had higher odds of meeting MDD and MAD. Having a high household income level, high maternal education, and being a housewife increased the odds of INTRO. The odds of MDD increased in children who lived in Java, had older age, and whose mother had high education level. Older children had higher odds of having appropriate MMF. MAD was associated with mother’s high education level and being a housewife. Conclusion: Several factors during the pandemic, including economic aspects, influenced complementary feeding practices. To prevent child malnutrition, besides ensuring household food security, other strategies to increase complementary feeding quality are also needed.

ANÁLISE DAS PRÁTICAS DE ALIMENTAÇÃO EM RECÉM-NASCIDOS ADMITIDOS EM UNIDADE DE TERAPIA INTENSIVA NEONATAL DE UMA MATERNIDADE DE REFERÊNCIA

Introduction: The nutritional need is high in the newborn (NB), especially in premature infants, and the supply of nutrients is an important factor for survival, as a result of the growth rate. The nutritional therapy used (parenteral and/or enteral) varies according to the gestational age and the follow-up becomes fundamental in the evolution, because the early detection of nutritional insufficiencies allows an adequate intervention. Objective: to analyze feeding practices in newborns admitted to a neonatal intensive care unit, based on the identification of the day of life on which the enteral diet was started, the beginning and the time of use of parenteral nutrition, in addition to describing the exclusive breastfeeding rate at hospital discharge and nutritional status at admission and discharge. Methodology: This is a descriptive, retrospective study, carried out in a Reference Maternity Hospital in the State of Piauí through the analysis of medical records and Quali-Neo records of newborns admitted to the neonatal intensive care unit of the aforementioned maternity hospital during the period from January to December 2020. Results: 161 forms were evaluated, with a predominance of male newborns (60.87%), mean birth weight at admission of 1,711g and at discharge of 2,213g, mean Gestational Age of 32 weeks. Enteral diet was started, on average, on the fifth day of life, the most common was Breast Milk and/or Colostrum. Conclusion: The newborns received an early and adequate enteral diet, presenting weight gain during the period of hospitalization comparable to others hospitals, with human milk being the main caloric supply.

Promoting Breastfeeding and Complementary Feeding Practices for Optimal Maternal and Child Nutrition

This review article examines the critical role of promoting breastfeeding and complementary feeding practices in addressing maternal malnutrition and improving maternal and child health outcomes. It begins with an introduction highlighting the significance of these practices in achieving optimal nutrition, followed by a discussion of methodology involving a comprehensive review of existing literature and the interventions (Like PLA approach and awareness raising through 1000 days Window of Opportunity etc.) being implemented under the project “Improved Resilience through Food and Nutrition Security” by Farmers Development Organization. The purpose of the review is to underscore the importance of breastfeeding and complementary feeding in maternal and child health, offering insights into successful interventions, challenges, and recommendations for improvement. Results emphasize the profound impact of these practices, emphasizing the need for early initiation of breastfeeding and the introduction of nutritious complementary foods. In conclusion, the urgent need for concerted efforts to promote these practices is emphasized, with the potential for significant progress in enhancing overall public health through evidence-based intervention.

Prenatal intention to human milk feed in the native Hawaiian population: predictors of any human milk feeding from birth to six months postpartum

BackgroundRates of non-communicable diseases are disproportionately high among Native Hawaiian (NH) people, and the proportion of NH infants being fed human milk (HM) is the lowest among all ethnicities within the state of Hawaiʻi. The aim of this study was to explore biological, socio-economic, and psychosocial determinants of the initiation and duration of human milk feeding (HMF) among a study of NH mothers and infants.MethodsA sample of 85 NH mother-infant dyads who were participating in a larger prospective study were involved in this research. Recruitment for the parent was delayed due to the COVID-19 pandemic. Recruitment started in November 2020 and continued until April 2022. Questionnaires were distributed at birth, two-months, four-months, and six-months postpartum. Questionnaires addressed topics relating to maternal and infant characteristics and infant feeding practices. Descriptive statistics, comparative analysis, and multivariate logistic regression tests were conducted.ResultsThe majority of participating mothers were aged between 31 and 35 years, had some college education or more, were employed, and multiparous. The majority of infants were receiving HM at each timepoint (94% at birth, 78% at two-months postpartum, and 76% at four and six-months postpartum). Factors found to be significantly associated with HMF initiation and duration were prenatal intention to HMF, maternal educational attainment, Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participation, and Supplemental Nutrition Assistance Program (SNAP) recipiency. A prenatal intention to HMF was found to be a strong predictor of HMF at birth (aOR = 64.18, 95% CI 2.94, 1400.28) and at two-months postpartum (aOR = 231.55, 95% CI 2.18, 2418.3). Participants not involved with WIC were more likely to be HMF at four-months postpartum (aOR = 6.83, 95% CI 1.01, 46.23).ConclusionThis research supports existing evidence that prenatal intention to HMF and higher maternal educational attainment are positive predictors of HMF. WIC participation and being a SNAP recipient were found to be negatively associated with HMF which suggests a need for more culturally tailored support. Further research is required to reduce the gap in knowledge related to the determinants of HMF in NH.

The role of food reward in the associations between weight-based discrimination and feeding practices among caregivers of young children

Certain caregiver feeding practices, including restrictive feeding for weight control, restrictive feeding for health, emotion regulation feeding, and reward feeding, are known to negatively influence short- and long-term child eating and health outcomes. Beyond body size, the precise psychosocial characteristics of caregivers more likely to engage in such feeding practices are unknown. In particular, caregivers who have experienced discrimination based on their weight, who have internalized those biased beliefs, or who find food to be very rewarding may be more likely to use restrictive or controlling feeding practices. The present study investigated the associations among experiences of weight-based discrimination, internalized weight bias, and food reward (i.e., reward-based eating drive) with use of restriction for weight control, restriction for health, emotion regulation feeding, and reward feeding in an online US sample of caregivers (M = 35.27 ± 9.08 y/o) of 2–5 year-old children (N = 305). About half (50.8%) of respondents self-identified as women and most as non-Hispanic (88.5%) and White (75.1%). There were significant positive correlations among caregivers' experience of weight-based discrimination, internalized weight bias, and use of all four feeding practices. Regression results showed that caregivers’ food reward moderated the main effect of weight-based discrimination on restrictive feeding for weight control and emotion regulation feeding, such that caregivers who were high in food reward and who experienced discrimination were most likely to engage in these feeding practices. These results can inform interventions aimed at improving child food environments and health.

Antimicrobial Resistance in Aquaculture: Risk Mitigation within the One Health Context.

The application of antimicrobials in aquaculture primarily aims to prevent and treat bacterial infections in fish, but their inappropriate use may result in the emergence of zoonotic antibiotic-resistant bacteria and the subsequent transmission of resistant strains to humans via food consumption. The aquatic environment serves as a potential reservoir for resistant bacteria, providing an ideal breeding ground for development of antimicrobial resistance (AMR). The mutual inter-connection of intensive fish-farming systems with terrestrial environments, the food processing industry and human population creates pathways for the transmission of resistant bacteria, exacerbating the problem further. The aim of this study was to provide an overview of the most effective and available risk mitigation strategies to tackle AMR in aquaculture, based on the One Health (OH) concept. The stringent antimicrobial use guidelines, promoting disease control methods like enhanced farm biosecurity measures and vaccinations, alternatives to antibiotics (ABs) (prebiotics, probiotics, immunostimulants, essential oils (EOs), peptides and phage therapy), feeding practices, genetics, monitoring water quality, and improving wastewater treatment, rather than applying excessive use of antimicrobials, can effectively prevent the development of AMR and release of resistant bacteria into the environment and food. The contribution of the environment to AMR development traditionally receives less attention, and, therefore, environmental aspects should be included more prominently in OH efforts to predict, detect and prevent the risks to health. This is of particular importance for low and middle-income countries with a lack of integration of the national AMR action plans (NAPs) with the aquaculture-producing environment. Integrated control of AMR in fisheries based on the OH approach can contribute to substantial decrease in resistance, and such is the case in Asia, where in aquaculture, the percentage of antimicrobial compounds with resistance exceeding 50% (P50) decreased from 52% to 22% within the period of the previous two decades.

Study to explore the facilitators and barriers of infant and young children feeding (IYCF) practices among mothers of infants and young children attending referral centres - A MMR

Ideal infant and young children feeding, (IYCF) includes initiation of breastfeeding within half an hour to one hour of birth, exclusive breastfeeding for six months of birth. The Government is spending huge amount of time and sources towards improving the health of mother and children still the mothers are not aware of importance of IYCF practices. The aim of the study was to explore the facilitators and barriers of IYCF practices among mothers of infants and young children attending urban and rural Health centers at Madurai. The majority of the mothers (86.6%) had inadequate level of feeding practices. In the qualitative phase the researcher noted facilitators and barriers. The facilitators were appropriate ante natal health check-ups, institutional deliveries etc Regarding the barriers influence of social media, economic crisis, cultural barriers etc. the researcher concluded that still continuous step to be taken by VHN in the health centres to promote IYCF practices.

Feeding-Related Early Signs of Autism Spectrum Disorder: A Narrative Review.

Feeding difficulties are prevalent among individuals with autism spectrum disorder (ASD). Nevertheless, the knowledge about the association between feeding-related early signs and child development remains limited. This review aimed to describe the signs and symptoms related to feeding during child development and to explore their relevance to the diagnosis of ASD. Specialists in nutrition and/or ASD conducted a search of MEDLINE, PsycINFO, and Web of Science databases. Although studies in typically developing children demonstrate age-related variations in hunger and satiety cues, the literature about early feeding indicators in ASD is scarce. Challenges such as shortened breastfeeding duration, difficulties in introducing solid foods, and atypical mealtime behaviors are frequently observed in children with ASD. The eating difficulties experienced during childhood raise concerns for caregivers who base their feeding practices on their perceptions of food acceptance or refusal. Considering the observed associations between feeding difficulties and ASD, the importance of recognizing feeding-related signs according to developmental milestones is emphasized to alert medical professionals that deviation in the formation of feeding habits and skills could indicate the need for ASD diagnostic investigation.

A Review of Infant and Young Child Feeding Practices and Their Challenges in India.

This review focuses on infant and young child feeding (IYCF) practices in India, aiming to offer information on its trends, challenges, and opportunities for improvement. The overview starts by exploring the importance of IYCF practices and their results on child health, growth, and development. It delves into cultural norms, conventional practices, and local variations that impact feeding behaviors, acknowledging the range of nutritional habits across communities. The role of healthcare systems and community interventions in promoting the most desirable feeding practices is mentioned, addressing issues consisting of different breastfeeding practices, well-timed introduction of complementary meals, and micronutrient supplementation.By making thisassessment, the goal of this review is to make healthcare professionals, policymakers, and researchers aware of the current trends of IYCF and its demanding situations, and regions for development in India. It gives an understanding of the improvement of strategies and interventions that can make contributions to the increase and improvement of infant and young child nutrients, thereby nurturing the Upcoming generations.