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Journal of Tropical Pediatrics 1993 39(3):168-175; doi:10.1093/tropej/39.3.168
© 1993 by Oxford University Press
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Weaning Practices and Growth in Rural Sichuan Infants: A Positive Deviance Study

G. S. Guldan*,**,, Mao-yu Zhang**, Yong-Peng Zhang**, Jun-Rong Hong**, Hua-Xin Zhang***, Su-Yun Fu*** and Neng-Su Fu***

*Tufts University School of Nutrition Medford, MA 02155, USA
**Department of Nutrition and Food Hygiene, School of Public Health, West China University of Medical Sciences Chengdu, Sichuan 610041 PRC
***Pengshan County Maternal and Childcare Institute Pengshan, Sichuan 612700 PRC

Address for correspondence: Georgia S. Guldan, Department of Nutrition and Food Hygiene, School of Public Health, West China University of Medical Sciences, Chengdu, Sichuan 610041, People's Republic of China

To understand some of the factors involved in weaning and growth faltering in rural China, a cross-sectional positive deviance study was undertaken among 389 rural 4–12-month-old infants from two townships of a county in Sichuan. The infants' mothers were interviewed about their child-feeding practices and other sociodemographic information, and anthropometric measurements were made on their infants. Positive deviant infants (those growing adequately in environments in which the majority of the children suffer from growth retardation and malnutrition) were identified from the Chinese WAZ-scores calculated from the anthropometric measurements. Feeding practices found to be associated with the better growth of the positive deviant infants included breastfeeding through age 12 months, feeding soybean milk, liver and pork blood products on a more than weekly basis during the ages of 7–9 months, not feeding rice flour (mifen) before age 7 months, and not giving supplements or tonics. Mothers' nutrition knowledge was also associated with positive deviance status. The relevance of the findings is discussed with respect to designing nutrition education interventions for rural Sichuan.


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G. S. Guldan, H.-C. Fan, X. Ma, Z.-Z. Ni, X. Xiang, and M.-Z. Tang
Culturally Appropriate Nutrition Education Improves Infant Feeding and Growth in Rural Sichuan, China
J. Nutr., May 1, 2000; 130(5): 1204 - 1211.
[Abstract] [Full Text]



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