Evidence map›Paper›PMID 24896010›Full record

ArticleEuropean journal of clinical nutrition2014

Poor complementary feeding practices and high anaemia prevalence among infants and young children in rural central and western China.

D B Hipgrave, X Fu, H Zhou, Y Jin, X Wang, S Chang, R W Scherpbier, Y Wang, S Guo

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In one paragraph

Article in European journal of clinical nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

D B Hipgrave1] Health Section, UNICEF, New York, NY, USA [2] Health, Nutrition and WASH Section, UNICEF Office for China, Beijing, China.
X FuHealth, Nutrition and WASH Section, UNICEF Office for China, Beijing, China.
H ZhouDivision of Maternal and Child Health, School of Public Health, Peking University, Beijing, China.
Y JinHealth, Nutrition and WASH Section, UNICEF Office for China, Beijing, China.
X WangDivision of Maternal and Child Health, School of Public Health, Peking University, Beijing, China.
S ChangHealth, Nutrition and WASH Section, UNICEF Office for China, Beijing, China.
R W ScherpbierHealth, Nutrition and WASH Section, UNICEF Office for China, Beijing, China.
Y WangDivision of Maternal and Child Health, School of Public Health, Peking University, Beijing, China.
S GuoHealth, Nutrition and WASH Section, UNICEF Office for China, Beijing, China.
Peking University · CNUnited Nations Children's Fund · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesInfant and young child feeding (IYCF) has not been documented in central and western China, where anaemia is prevalent. To support policy advocacy, we assessed IYCF and anaemia there using standardized methods. SUBJECTS/

methodsA community-based, cross-sectional survey of 2244 children aged 6-23 months in 26 counties of 12 provinces. Analysis of associations between haemoglobin concentration (HC), IYCF indicators and other variables using crude and multivariate techniques.

resultsOnly 41.6% of those surveyed consumed a minimum acceptable diet. Fewer still-breastfeeding than non-breastfeeding children consumed the recommended minimum dietary diversity (51.7 versus 71.9%; P<0.001), meal frequency (57.7% v. 81.5%; P<0.001) or iron-rich food (63.3% v. 78.9%; P<0.001). Anaemia (51.3% overall) fell with age but was significantly associated with male sex, extreme poverty, minority ethnicity, breastfeeding and higher altitude. Dietary diversity, iron intake, growth monitoring and being left behind by out-migrating parents were protective against anaemia. A structural equation model demonstrated associations between IYCF, HC and other variables. Meal frequency, iron intake and altitude were directly and positively associated with HC; dietary diversity was indirectly associated. Health service uptake was not associated. Continued breastfeeding was directly associated with poor IYCF and indirectly with reduced HC, as were having a sibling and poor maternal education.

conclusionInfant and young child anaemia is highly prevalent and IYCF is poor in rural central and western China. Continued breastfeeding and certain other variables indicate risk of poor IYCF and anaemia. Major policy commitment to reducing iron deficiency and improving IYCF is needed for China's rural poor.

Indexed as

Feeding BehaviorIron DeficienciesAdolescentAdultAltitudeAnemia, Iron-DeficiencyBreast FeedingChildChinaDietEmigration and ImmigrationFamilyFemaleHemoglobinsHumansInfantHemoglobinsIron, Dietary

Identifiers

PMID24896010
OpenAlexW2009759399

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.