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TheWorldHealthOrganizationandtheAmericanAcademyofPediatricsrecommendthatcomplementaryfeedingbeginaroundmonthsofage,butnot beforemonthsofageThisguideline,Complementaryfeedingofinfantsandyoungchildren6–monthsofage,supersedestheGuidingPrinciplesforComplementary FeedingoftheBreastfedChild(1)andGuidingprinciplesforfeedingnon-breastfedchildren6–monthsofage(2)Background:Theintroductionofcomplementary feedingintheformativeyearsisimportanttobuildandmaintainthenutritionalstatusoftheinfants;failuretointroducecomplementaryfeedinginthemonthperiod canleadtomalnutritionAlthoughtheconsumptionofcomplementaryfoods(CF)withaninadequateNutrientProfile(NP)isconsideredariskfactorfor morbidities,therearestillfewstudiesthatassessitsrepercussionsonchildren’sdietandhealthComplementaryFeeding:FeedingofanInfantBeyondMonthsAge TablecategorizestheappropriatenessofcomplementaryfoodsforinfantsAninfantofthisageisalsodevelopmentallyreadyforotherfoodsThistransitionis referredtoascomplementaryfeedingAnnexIndicatorsforassessinginfantandyoungchildfeedingpracticesListofboxes,figuresandtablesBoxesBoxGuiding principlesforcomplementaryfeedingofthebreastfedchildBoxResponsivefeedingBoxFivekeystosaferfoodBoxGoodcomplementaryfoodsBoxThetenstepsto successfulbreastfeedingDeterminantsanddriversofyoungchildren’sdietsduringthecomplementaryfeedingperiodHowever,evidenceshowsthatchildrenfrom developingcountriesdonotmeetthecoreindicatorsforappropriatecomplementaryfeedingWeevaluatedmothers’knowledgeThecurrentsituationof complementaryfeedingattheglobalandregionallevelisreportedhereusingdatacontainedwithintheUNICEFglobaldatabaseAppropriateAvoidable Combinationofcerealsandpulses(Khichdi,Dal-rice,etc),locallyavailablestaplefoodssuchasidli|GuidelineThefirsttwoyearsoflifeprovideacritical windowofopportunityforensuringchildren’soptimalgrowthanddevelopmentthroughadoptionofcorrectinfantandchildfeedingpracticesWefoundveryfew studiesthatmetthePICOcriteria,mostoftenbecausetheydidnotreportondirectcomparisonsofCACFswithsimilarhome-preparedfoods.TheWorldHealth Organization(WHO)recommendsfeedingaAppropriatetypes,amounts,andmethodsofcomplementaryfeedingarecrucialforbabygrowthanddevelopment feedingtrials,thesewerenecessarytoallowforblinding,qualitycontrolandsafetyTableDifferenttypesofcomplementaryfoodsAroundtheageofmonths,an infant’sneedforenergyandnutrientsstartstoexceedwhatisprovidedbybreastmilk,andcomplementaryfoodsarenecessarytomeetthoseneedsThe determinantsofyoungchildren’sdietsduringthecomplementaryfeedingperiodincludeadequatecomplementaryfoods,adequatecomplementaryfeeding practices,andadequatenutritionservices(Figure3)Complementaryfeedingreferstotheintroductionoffoodsotherthanhumanmilkorformulatoaninfant’sdiet Download(MB)OverviewSectionComplementaryFeedingComplementaryfeedingmeansgivingfoodinadditiontobreastmilkItisaknownfactthatstunting amongIndianchildrenattainspeakatmonthsofageDifferentTypesofLocallyAvailableFoods.Animal-sourcefoods,includingfleshfoods,suchasmeat,chicken, fish,liver,cheese,andeggs;andmilkandmilkproductsComplementaryfeeding,withbreastmilk,isrecommendedforBackground:Complementaryfeedingis usuallygiventobabiesattomonthsofageComplementary1, Complementaryfeedingiscriticalforoptimalnutritionininfantsandyoungchildrenasitensures theirgrowth,healthanddevelopmenttoattaintheirfullpotentialGlobalratesofcontinuedbreastfeedingdropfrom%atyearofageto%atyearsofageNearlya thirdofinfantsmonthsoldarealreadyfedsolidfoods,whereasnearly%offorappropriatefeedingofnewbornandchildrenundertwoyearsForallofthe researchquestions,theevidencewasjudgedtobeofloworverylowqualityComplementaryfeedingplaysanimportantroleinthepatternsofgrowth, developmentandformationofeatinghabits.Complementaryfeeding,definedastheprocessofprovidingfoodsinadditiontomilkwhenbreastmilkormilkformula alonearenolongeradequatetomeetnutritionalrequirements,generallystartsatagemonthsandcontinuesuntilmonthsofageComplementaryfeeding.