Minimum Meal Frequency and its Association With Underweight among Non-Breastfed Infants and Young Children Aged 6 to 23 Months in Hawassa City, Ethiopia.
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Date
2025-07
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Addis Ababa University
Abstract
Background: The increasing practice of non-breastfeeding is a major concern, particularly in urban areas. Meal frequency measurement has different standards among non-breastfed children. However, the primary focus of nutrition studies has been on breastfeeding, leading to a lack of comprehensive data on meal frequency and its association with underweight status among non-breastfed infants.
Objective: This study was aimed at assessing the minimum meal frequency and its association with underweight among non-breastfed infants and young children aged 6 to 23 months in Hawassa city, Ethiopia, from May 12, 2024, to July 08, 2024.
Methods: A community-based cross-sectional study was conducted among 423 non-breastfed children aged 6 to 23 months in Hawassa City. First, the estimation was made to know whether there is an adequate sample of non-breastfed or not in the community. Then, the sample was allocated proportionally to all sub-cities based on population size. After that, one of the sub-cities was chosen at random, and the first non-breastfed child from that sub-city was identified. Finally, the collection process began with the identified child and proceeded using consecutive sampling. Data was collected using Kobo Collect-enabled mobile phones, an interviewer-administered questionnaire, and a weight scale. The association between underweight and explanatory variables was assessed using binary logistic
regression.
Result: A total of 420 respondents participated in the study. The percentage of non-breastfed children who fulfilled minimum meal frequency (MMF) was 62.9%, and the prevalence of underweight was 10%. Non-breastfed children who did not fulfill the MMF were 5.2 times more likely to be underweight compared to those who met the requirement per day (p= <.001, AOR; 5.2, 95% CI: 2.5, 11.0). Compared to the children whose mothers’ age was above 35, those children whose mothers’ age was between 15 and 24 and between 25 and 34 had a lower risk of being underweight (p=0.04, AOR; 0.15, 95% CI: 0.02, 0.93) and (p=0.03, AOR; 0.15, 95% CI: 0.03, 0.8), respectively.
Conclusion: The findings of our study indicated that about three out of five children were fed with meal frequency according to World Health Organization recommendations. Adherence to the recommendation of meal frequency might reduce the risk of being underweight. Studies incorporating qualitative approaches might be helpful in generating in-depth information to address the issue related to the causes of having lower meal frequency among non-breastfed IYC.
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Keywords
Non-Breastfed, Underweight, Minimum Meal Frequency