PREVALENCE OF MALNUTRITION IN CHILDREN UNDER 2 YEARS AND ITS ASSOCIATION WITH SUBOPTIMAL BREASTFEEDING PRACTICES
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Keywords
Malnutrition, Breastfeeding, Children under two, Stunting, Exclusive breastfeeding, Pakistan.
Abstract
Introduction: Malnutrition in children under two years remains a significant public health issue in developing countries, including Pakistan. Breastfeeding practices play a pivotal role in determining a child’s nutritional status during this critical growth period.
Objective: To assess the prevalence of malnutrition among children under two years of age and examine its association with sub-optimal breastfeeding practices in a hospital-based population in Pakistan.
Materials and Method: A descriptive cross-sectional study was conducted at multiple center including Department of Paediatrics, Shahida Islam Teaching Hospital Lodhran, Pakistan and Rehman Medical Institute Hayatabad Peshawar, Pakistan in the duration from January 2024 to June 2024. Data were collected from 250 children using structured questionnaires and anthropometric measurements. WHO growth standards were used to assess nutritional status, and SPSS version 26 was used for statistical analysis.
Results: Stunting (44.8%), underweight (38%), and wasting (29.2%) were prevalent. Suboptimal breastfeeding practices, including delayed initiation and non-exclusive breastfeeding, showed a significant association (p<0.01) with all forms of malnutrition.
References
2- Ibrahim, C., Bookari, K., Sacre, Y., Hanna-Wakim, L. and Hoteit, M., 2022. Breastfeeding practices, infant formula use, complementary feeding and childhood malnutrition: an updated overview of the Eastern Mediterranean Landscape. Nutrients, 14(19), p.4201.
3- Perdani, F.P., Laksono, A.D. and Chalidyanto, D., 2021. The Undernutrition Prevalence of Under-Two-Years Infant in Indonesia: Do breastfeeding Practices Ecologically Matter?. Indian Journal of Forensic Medicine & Toxicology, 15(4), pp.1113-1119.
4- Hoteit, M., Ibrahim, C., Saadeh, D., Al-Jaafari, M., Atwi, M., Alasmar, S., Najm, J., Sacre, Y., Hanna-Wakim, L. and Al-Jawaldeh, A., 2022. Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study. Children, 9(6), p.817.
5- Ashraf, S., Iftikhar, N., Ahmed, S., Ahmad, W., Sultan, A.N. and Butt, N., 2022. Frequency of Malnutrition among children under 2 Years and Its Relationship with Inadequate Breast Feeding Practice. Pakistan Journal of Medical & Health Sciences, 16(02), pp.105-105.
6- Rocha, H.A., Correia, L.L., Leite, Á.J., Rocha, S.G., Machado, M.M., Campos, J.S., Cunha, A.J., Silva, A.C.E. and Sudfeld, C.R., 2022. Undernutrition and short duration of breastfeeding association with child development: a population-based study. Jornal de Pediatria, 98(3), pp.316-322.
7- Getachew, B., Berhane, Y., Dessie, Y., Yallew, W.W., Berhane, H.Y. and Kim, S.S., 2025. Association between wasting and inadequate breastfeeding practices among infants under six months in SNNPR and Somali regions of Ethiopia: A multilevel cross-sectional study. PloS one, 20(2), p.e0318323.
8- Chanie, M.G., Ayele, W.M., Mekonen, A.M. and Diamtie, Y., 2023. Sub-optimal Breastfeeding Practices Among Women Having 24-59 Months Age Children in Dessie Zuria Woreda, Northwest Ethiopia.
9- Jiang, B., Lin, K., Buys, N., Zhang, B., Qi, Y. and Sun, J., 2025. Trend and Burden of Suboptimal Breastfeeding in Children Under Five Years of Age in 1990–2021: A Systematic Analysis for the Global Burden of Disease Study 2021. Nutrients, 17(7), p.1134.
10- Ararsa, G.G., Getachew, M.T., Diddana, T.Z. and Alemayehu, F.R., 2023. Prevalence of undernutrition and associated factors among children aged 6–23 months: a cross-sectional analysis from South-East Ethiopia. Journal of Nutritional Science, 12, p.e127.
11- Cheikh Ismail, L., Al Dhaheri, A.S., Ibrahim, S., Ali, H.I., Chokor, F.A.Z., O’Neill, L.M., Mohamad, M.N., Kassis, A., Ayesh, W., Kharroubi, S. and Hwalla, N., 2022. Nutritional status and adequacy of feeding Practices in Infants and Toddlers 0-23.9 months living in the United Arab Emirates (UAE): findings from the feeding Infants and Toddlers Study (FITS) 2020. BMC Public Health, 22(1), p.319.
12- Walters, C.N., Rakotomanana, H., Komakech, J.J. and Stoecker, B.J., 2021. Maternal experience of intimate partner violence is associated with suboptimal breastfeeding practices in Malawi, Tanzania, and Zambia: insights from a DHS analysis. International breastfeeding journal, 16, pp.1-12.
13- Anato, A., Baye, K. and Stoecker, B.J., 2022. Suboptimal feeding practices and impaired growth among children in largely food insecure areas of north Wollo, Ethiopia. Journal of Nutritional Science, 11, p.e81.
14- Birhan, G., Mohammed, S., Tenia, S., Belyneh, A., Alem, A., Alemante, A. and Mengistu, B., 2023. Prevalence of bottle feeding practice and its associated factors among mothers of infant less than six months at Addis Ababa public health centers, Addis Ababa, Ethiopia, 2022.
15-Kubeka, Z. and Modjadji, P., 2023. Association of stunting with socio-demographic factors and feeding practices among children under two years in informal settlements in Gauteng, South Africa. Children, 10(8), p.1280.
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Dr Tufail Ahmed Soomro
Assistant Professor, GMMMC Hospital, Sukkur, Pakistan
Dr Afsheen Batool Raza
Associate Professor, Department of Pediatric Medical Unit 2, UCHS & the Children's Hospital, Pakistan
Dr Poonam Kataria
Assistant Professor, Bolan Medical Complex Hospital, Quetta, Pakistan
Dr Waseem Pasha
Associate Professor Pediatrics, CMH Kharian Medical College, Kharian, Pakistan
Dr Nayyar Ahmad
Associate Professor, Pediatric Department, Rehman Medical Institute Hayatabad, Peshawar, Pakistan
Dr Mian Sarfraz Gul
Assistant Professor, Pediatric Department, Pak International Medical College, Peshawar, Pakistan