title: High use of commercial food products among infants and young children and promotions for these products in Cambodia.
abstract: Despite national improvements in child survival, 40% of Cambodian children less than 5 years of age are stunted. Commercially produced complementary foods could be nutritionally beneficial for young children in Cambodia if fortified and of optimal nutrient composition. However, other nutrient-poor commercially produced snack foods may be detrimental to young child feeding by displacing consumption of other nutritious foods. This study assessed consumption of commercial food products among infants and young children and their mothers' exposure to promotions for these products. A cross-sectional survey was conducted among 294 mothers of children less than 24 months of age living in Phnom Penh. Of children 6-23 months of age, 55.0% consumed a commercially produced snack food product on the prior day, and 80.6% had consumed one in the prior week. Only 12 (5.4%) children 6-23 months of age had consumed a commercially produced complementary food. Almost all mothers (96.9%) had observed a promotion for a commercially produced snack food product, and 29.3% reported observation of a promotion for a commercial complementary food. Only one-third (32.9%) of children 6-23 months of age achieved a minimum acceptable diet. Findings indicate that there is a need to improve infant and young child feeding practices among children less than 24 months of age living in Phnom Penh. Nutritious options should be promoted, and consumption of unhealthy commercially produced snack food products should be discouraged.
authors.affiliation: Helen Keller International, Asia Pacific Regional Office, Phnom Penh, Cambodia.
authors.forename: Alissa M
authors.initials: AM
authors.lastname: Pries
authors.affiliation: Consultant to Helen Keller International.
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Huffman
authors.affiliation: Helen Keller International, Phnom Penh, Cambodia.
authors.forename: Khin
authors.initials: K
authors.lastname: Mengkheang
authors.affiliation: Helen Keller International, Phnom Penh, Cambodia.
authors.forename: Hou
authors.initials: H
authors.lastname: Kroeun
authors.affiliation: Helen Keller International, Washington, D.C., USA.
authors.forename: Mary
authors.initials: M
authors.lastname: Champeny
authors.affiliation: Consultant to Helen Keller International.
authors.forename: Margarette
authors.initials: M
authors.lastname: Roberts
authors.affiliation: Helen Keller International, Washington, D.C., USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Zehner
mesh_terms: D001942:Breast Feeding / Q000208:ethnology; D002160:Cambodia; D002657:Child Development; D003430:Cross-Sectional Studies; D003906:Developing Countries; D004032:Diet / Q000009:adverse effects* / Q000191:economics / Q000208:ethnology; D057140:Fast Foods / Q000009:adverse effects / Q000191:economics; D005260:Female; D005515:Food Labeling; D006801:Humans; D007223:Infant; D007225:Infant Food / Q000191:economics; D041943:Infant Formula / Q000191:economics; D007231:Infant, Newborn; D008297:Male; D009035:Mothers; D018673:Nutrition Policy; D009749:Nutrition Surveys; D010349:Patient Compliance / Q000208:ethnology; D062410:Snacks / Q000208:ethnology