title: Feeding practice among younger Tibetan children living at high altitudes.
abstract: OBJECTIVE
  Few published data are available on the feeding practice of younger children in Tibet. Our study investigated feeding pattern of younger Tibetan children.
  
  
  METHODS
  The study was a cross-sectional survey conducted in Tibet. A sample of 1655 children younger than 36 months old and their mothers was obtained by stratified multistage cluster random sampling method. Mothers were interviewed to collect information on feeding practice by a designed family questionnaire including initial time and duration of breastfeeding and time, frequency and types of complementary foods introduced.
  
  
  RESULTS
  Most of the children was ever or being breastfed at the time of interview. The median duration of breastfeeding was 26 months. The prevalence of almost exclusive breastfeeding for 4 months was 20.1%. Mothers' age and education, child's residence, and introduction of egg, fresh milk and milk powder were strongly associated with the duration of breastfeeding. The partial feeding was a main pattern in the first 6 months of life. Zanban and porridge were offered at about 1 month after birth. By 6th month, less than 25% of children were fed protein foods such as egg and meats and only near 20% of children were fed fresh vegetables. Bean products, fish and chicken were seldom offered to children.
  
  
  CONCLUSIONS
  We conclude that although they were breastfed for long time, complementary feeding practice of Tibetan children was disadvantaged, especially of rural children. Improvement of monotonous complementary foods and timely introduction should be stressed in local programmatic nutritional interventions.
authors.affiliation: Department of Health Statistics, Faculty of Public Health, College of Medicine, Xi'an Jiaotong University, Xi'an, China. dangshaonong@yahoo.com.cn
authors.forename: S
authors.initials: S
authors.lastname: Dang
authors.forename: H
authors.initials: H
authors.lastname: Yan
authors.forename: S
authors.initials: S
authors.lastname: Yamamoto
authors.forename: X
authors.initials: X
authors.lastname: Wang
authors.forename: L
authors.initials: L
authors.lastname: Zeng
mesh_terms: D000531:Altitude; D001942:Breast Feeding / Q000453:epidemiology* / Q000706:statistics & numerical data; D002675:Child, Preschool; D016000:Cluster Analysis; D005260:Female; D006306:Health Surveys; D006801:Humans; D007223:Infant; D007224:Infant Care / Q000379:methods / Q000706:statistics & numerical data; D007225:Infant Food / Q000592:standards*; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D007407:Interviews as Topic; D008297:Male; D009749:Nutrition Surveys; D009751:Nutritional Requirements; D009753:Nutritive Value; D012424:Rural Population; D011795:Surveys and Questionnaires; D018609:Tibet; D014886:Weaning