title: Improving the intake of nutritious food in children aged 6-23 months in Wuyi County, China -- a multi-method approach.
abstract: OBJECTIVE
  To develop affordable, appropriate, and nutritious recipes based on local food resources and dietary practices that have the potential to improve infant feeding practices.
  
  
  METHODS
  We carried out a mixed methods study following the World Health Organization's evaluation guidelines on the promotion of child feeding. We recruited caregivers with children aged 6-23 months in Wuyi County, Hebei Province, China. The study included a 24-hour dietary recall survey, local food market survey, and development of a key local food list, food combinations, and recipes. Mothers tested selected recipes at their homes for two weeks. We interviewed mothers to obtain their perceptions on the recipes.
  
  
  RESULTS
  The 24-hour dietary recall survey included 110 mothers. Dietary diversity was poor; approximately 10% of children consumed meat and only 2% consumed vitamin A-rich vegetables. The main reason for not giving meat was the mothers' belief that their children could not chew and digest meat. With the help of mothers, we developed six improved nutritious recipes with locally available and affordable foods. Overall, mothers liked the recipes and were willing to continue using them.
  
  
  CONCLUSIONS
  This is the first study using a systematic evidence-based method to develop infant complementary recipes that can address complementary feeding problems in China. We developed recipes based on local foods and preparation practices and identified the barriers that mothers faced toward feeding their children with nutritious food. To improve nutrition practices, it is important to both give mothers correct feeding knowledge and assist them in cooking nutritious foods for their children based on locally available products. Further research is needed to assess long-term effects of those recipes on the nutritional status of children.
authors: Department of Integrated Early Childhood Development, Capital Institute of Pediatrics, Beijing, China.
authors: Qiong
authors: Q
authors: Wu
authors: Michelle H M M T
authors: MH
authors: van Velthoven
authors: Li
authors: L
authors: Chen
authors: Josip
authors: J
authors: Car
authors: Diana
authors: D
authors: Rudan
authors: Vanja
authors: V
authors: Saftić
authors: Yanfeng
authors: Y
authors: Zhang
authors: Ye
authors: Y
authors: Li
authors: Robert W
authors: RW
authors: Scherpbier
mesh_terms: D001942:Breast Feeding; D017028:Caregivers / Q000193:education*; D053198:Child Nutrition Sciences / Q000193:education*; D002681:China; D004032:Diet; D005247:Feeding Behavior; D005260:Female; D006293:Health Promotion; D006801:Humans; D007223:Infant; D007225:Infant Food; D007227:Infant Nutritional Physiological Phenomena; D008137:Longitudinal Studies; D008297:Male; D009035:Mothers; D009752:Nutritional Status; D014675:Vegetables
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