Feeding Pattern of Children Under 2 Years of Age with Severe Malnutrition Presenting in Hayatabad Medical Complex
DOI:
https://doi.org/10.70749/ijbr.v3i7.1835Keywords:
Exclusive Breastfeeding, Artificial Feeding, Infant Nutrition, Severe Malnutrition, Vaccination Status, Feeding PracticesAbstract
Background: To determine the frequency and distribution of various feeding patterns among children under two years of age diagnosed with severe malnutrition presenting at Hayatabad Medical Complex, Peshawar. Methods: A cross-sectional study was conducted over a period of six months (16 September, 2024 to 15 March, 2025) in the Department of Pediatrics, MTI-Hayatabad Medical Complex, Peshawar, Pakistan. A total of 118 malnourished children aged 2 to 12 months were enrolled using non-probability consecutive sampling. Data on age, gender, vaccination status, residence, and feeding practices were collected through caregiver interviews and clinical assessments. Feeding patterns were categorized as exclusive breastfeeding, predominant breastfeeding, formula feeding, or fresh cow’s milk feeding. Data were analyzed using SPSS version 22.0. Chi-square tests were applied to assess associations, with p ≤ 0.05 considered significant. Results: Exclusive breastfeeding was reported in 32.2% of participants, while 28.0% received formula, and 22.0% were fed fresh cow’s milk. Age group, vaccination status, and duration of malnutrition were significantly associated with feeding practices. Younger infants, vaccinated children, and those with shorter durations of malnutrition were more likely to be exclusively breastfed. Conclusion: The study highlights low rates of exclusive breastfeeding among malnourished infants and emphasizes the need for improved maternal education and support programs to encourage optimal feeding practices. Integration of nutritional counseling into routine immunization and child health services may offer a practical strategy for reducing malnutrition.
Downloads
References
Khaliq, A., Wraith, D., Miller, Y., & Nambiar, S. (2022). Association of infant feeding indicators and infant feeding practices with coexisting forms of malnutrition in children under six months of age. Nutrients, 14(20), 4242.
https://doi.org/10.3390/nu14204242
Medialdea, L., Bogin, B., Thiam, M., Vargas, A., Marrodán, M. D., & Dossou, N. I. (2021). Severe acute malnutrition morphological patterns in children under five. Scientific Reports, 11(1).
https://doi.org/10.1038/s41598-021-82727-x
Abi Khalil, H., Hawi, M., & Hoteit, M. (2022). Feeding patterns, mother-child dietary diversity and prevalence of malnutrition among under-five children in Lebanon: A cross-sectional study based on retrospective recall. Frontiers in Nutrition, 9.
https://doi.org/10.3389/fnut.2022.815000
Feng, J., Gong, Z., Wang, Y., Huo, J., & Zhuo, Q. (2022). Complementary feeding and malnutrition among infants and young children aged 6–23 months in rural areas of China. Nutrients, 14(9), 1807.
https://doi.org/10.3390/nu14091807
Govender, I., Rangiah, S., Kaswa, R., & Nzaumvila, D. (2021). Malnutrition in children under the age of 5 years in a primary health care setting. South African Family Practice, 63(1).
https://doi.org/10.4102/safp.v63i1.5337
Ghimire, U., Aryal, B. K., Gupta, A. K., & Sapkota, S. (2020). Severe acute malnutrition and its associated factors among children under-five years: A facility-based cross-sectional study. BMC Pediatrics, 20(1).
https://doi.org/10.1186/s12887-020-02154-1
Adeomi, A. A., Fatusi, A., & Klipstein-Grobusch, K. (2022). Food security, dietary diversity, dietary patterns and the double burden of malnutrition among school-aged children and adolescents in two Nigerian states. Nutrients, 14(4), 789.
https://doi.org/10.3390/nu14040789
Pomati, M., & Nandy, S. (2019). Assessing progress towards SDG2: Trends and patterns of multiple malnutrition in young children under 5 in west and Central Africa. Child Indicators Research, 13(5), 1847-1873.
https://doi.org/10.1007/s12187-019-09671-1
Anato, A. (2022). Severe acute malnutrition and associated factors among children under-five years: A community based-cross sectional study in Ethiopia. Heliyon, 8(10), e10791.
https://doi.org/10.1016/j.heliyon.2022.e10791
Hossain, A., Niroula, B., Duwal, S., Ahmed, S., & Kibria, M. G. (2020). Maternal profiles and social determinants of severe acute malnutrition among children under-five years of age: A case-control study in Nepal. Heliyon, 6(5), e03849.
https://doi.org/10.1016/j.heliyon.2020.e03849
Mehmood, R., et al., (2023). Complementary feeding pattern and nutritional status of children. J Coll Physicians Surg Pak, 33(07), p. 775-778.
https://doi.org/10.29271/jcpsp.2023.07.775
Ieiri, M. C., Kosaka, S., Tomitsuka, E., & Umezaki, M. (2020). Factors affecting Undernutrition among school children in Cebu, Philippines. Ecology of Food and Nutrition, 60(2), 182-197.
https://doi.org/10.1080/03670244.2020.1813733
Govender, I., Rangiah, S., Kaswa, R., & Nzaumvila, D. (2021). Erratum: Malnutrition in children under the age of 5 years in a primary health care setting. South African Family Practice, 63(1).
https://doi.org/10.4102/safp.v63i1.5416
Lowe, C., Kelly, M., Sarma, H., Richardson, A., Kurscheid, J. M., Laksono, B., Amaral, S., Stewart, D., & Gray, D. J. (2021). The double burden of malnutrition and dietary patterns in rural Central Java, Indonesia. The Lancet Regional Health - Western Pacific, 14, 100205.
https://doi.org/10.1016/j.lanwpc.2021.100205
Adriani, A. (2021). Relationship of feeding patterns and history of TB and diarrhea in children 2-5 years old and stunting in Sukahayu village, Sumedang, West Java, April 2019. Journal of Drug Delivery and Therapeutics, 11(3), 170-176.
https://doi.org/10.22270/jddt.v11i3.4814
Saleem, J., Zakar, R., Bukhari, G. M., Fatima, A., & Fischer, F. (2021). Developmental delay and its predictors among children under five years of age with uncomplicated severe acute malnutrition: A cross-sectional study in rural Pakistan. BMC Public Health, 21(1).
https://doi.org/10.1186/s12889-021-11445-w
Hidayati, T., & Citra Dewi Pratiwi, R. (2022). The correlation between feeding patterns and the incidence of stunting in children aged 0-59 months. Journal of Health Sciences, 15(02), 126-131.
https://doi.org/10.33086/jhs.v15i02.2732
Hussein, M. R., Darwish, A. M., & Abd El Hakim Abdou, R. (2022). Feeding patterns among stunted children under-five years in Dodoma city in Tanzania. Egyptian Journal of Health Care, 13(1), 572-594.
https://doi.org/10.21608/ejhc.2022.220352
Barth‐Jaeggi, T., Zandberg, L., Bahruddinov, M., Kiefer, S., Rahmarulloev, S., & Wyss, K. (2019). Nutritional status of Tajik children and women: Transition towards a double burden of malnutrition. Maternal & Child Nutrition, 16(2).
https://doi.org/10.1111/mcn.12886
Umallawala, T., Puwar, T., Pandya, A., Bhavsar, P., Saha, S., & Patil, M. S. (2022). Sociocultural determinants of nutritional status among children under five years of age: An ethnographic study from Gujarat. Cureus.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Indus Journal of Bioscience Research

This work is licensed under a Creative Commons Attribution 4.0 International License.
