Skip to main content
Top
Published in: International Breastfeeding Journal 1/2018

Open Access 01-12-2018 | Research

Patterns of breastfeeding practices among infants and young children in Abu Dhabi, United Arab Emirates

Authors: Zainab Taha, Malin Garemo, Joy Nanda

Published in: International Breastfeeding Journal | Issue 1/2018

Login to get access

Abstract

Background

Despite the ongoing efforts to improve infant feeding practices, low rates of breastfeeding and early introduction of complementary feeding have been reported in many countries. Systematic documentation of breastfeeding practices in the United Arab Emirates (UAE) is needed in order to directing successful strategies. The aim of this study was to evaluate breastfeeding practices among mothers in Abu Dhabi, UAE, using the World Health Organization (WHO) infant and young child feeding indicators.

Methods

In this cross-sectional study, mothers of children below the age of two were recruited from the community and health centers located in different areas in Abu Dhabi. Following informed consent, a structured questionnaire including WHO-indicators was used for in-person interviews on sociodemographics and breastfeeding. Exclusive breastfeeding (EBF) was calculated as the percentage of babies 0 – < 6 months of age who had been exclusively breastfed in the last 24 h.

Results

A total of 1822 mothers participated in the study; 95.6% (1741/1822) of mothers initiated breastfeeding and 59.8% (1089/1822) initiated breastfeeding within the first hour. Exclusive breastfeeding among infants 0–6 months was 44.3% (362/818). Although the median duration of “any breastfeeding” was 12 months (95% CI 11.2, 12.7), the median duration of EBF was 3 months (95% CI 2.8, 3.3). Most of the children (894/1004, 89%) aged 6 months and above were receiving complementary feeding, but 21.7% (218/1004) of them had had an early introduction of complementary feeding, i.e. before 6 months of age. Using “the WHO infant and young child feeding indicators” as standard for comparative evaluation, breastfeeding initiation was rated “good”, the proportion of children being exclusively breastfed until 6 months was rated “fair” and the duration of EBF was considered “poor”.

Conclusions

According to the WHO infant feeding indicators the breastfeeding practices were suboptimal in several aspects with a low proportion of children being exclusively breastfed, short breastfeeding duration and early introduction of complementary feeding, despite high socioeconomic status. These findings suggest that there is a need to understand potential barriers towards breastfeeding in order to develop appropriate strategies to promote and support breastfeeding in Abu Dhabi.
Literature
1.
go back to reference Bhutta ZA, Salam RA. Global nutrition epidemiology and trends. Ann Nutr Metab. 2012;61(Suppl 1):19–27.CrossRef Bhutta ZA, Salam RA. Global nutrition epidemiology and trends. Ann Nutr Metab. 2012;61(Suppl 1):19–27.CrossRef
2.
go back to reference Arenz S, Ruckerl R, Koletzko B, von Kries R. Breast-feeding and childhood obesity--a systematic review. Int J Obes Relat Metab Disord. 2004;28(10):1247–56.CrossRef Arenz S, Ruckerl R, Koletzko B, von Kries R. Breast-feeding and childhood obesity--a systematic review. Int J Obes Relat Metab Disord. 2004;28(10):1247–56.CrossRef
3.
go back to reference Cope MB, Allison DB. Critical review of the World Health Organization’s (WHO) 2007 report on ‘evidence of the long-term effects of breastfeeding: systematic reviews and meta-analysis’ with respect to obesity. Obes Rev. 2008;9(6):594–605.CrossRef Cope MB, Allison DB. Critical review of the World Health Organization’s (WHO) 2007 report on ‘evidence of the long-term effects of breastfeeding: systematic reviews and meta-analysis’ with respect to obesity. Obes Rev. 2008;9(6):594–605.CrossRef
4.
go back to reference Ip S, Chung M, Raman G, Chew P, Magula N, DeVine D, et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess (Full Rep). 2007;153:1–186. Ip S, Chung M, Raman G, Chew P, Magula N, DeVine D, et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess (Full Rep). 2007;153:1–186.
5.
go back to reference Quigley MA, Kelly YJ, Sacker A. Breastfeeding and hospitalization for diarrheal and respiratory infection in the United Kingdom millennium cohort study. Pediatrics. 2007;119(4):e837–42.CrossRef Quigley MA, Kelly YJ, Sacker A. Breastfeeding and hospitalization for diarrheal and respiratory infection in the United Kingdom millennium cohort study. Pediatrics. 2007;119(4):e837–42.CrossRef
6.
go back to reference Dieterich CM, Felice JP, O'Sullivan E, Rasmussen KM. Breastfeeding and health outcomes for the mother-infant dyad. Pediatr Clin N Am. 2013;60(1):31–48.CrossRef Dieterich CM, Felice JP, O'Sullivan E, Rasmussen KM. Breastfeeding and health outcomes for the mother-infant dyad. Pediatr Clin N Am. 2013;60(1):31–48.CrossRef
7.
go back to reference Bhutta ZAD, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, Webb P, Lartey A, Black RE. Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? Lancet. 2013;382:452–77.CrossRef Bhutta ZAD, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, Webb P, Lartey A, Black RE. Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? Lancet. 2013;382:452–77.CrossRef
8.
go back to reference Saadeh MR. A new global strategy for infant and young child feeding. Forum Nutr. 2003;56:236–8.PubMed Saadeh MR. A new global strategy for infant and young child feeding. Forum Nutr. 2003;56:236–8.PubMed
9.
go back to reference Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev. 2012;8:CD003517. Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev. 2012;8:CD003517.
10.
go back to reference World Health Organization. Guiding principles for complementary feeding of the breastfed child. Washington DC: WHO, Protection DoHPa, Program FaN; 2003. World Health Organization. Guiding principles for complementary feeding of the breastfed child. Washington DC: WHO, Protection DoHPa, Program FaN; 2003.
11.
go back to reference ACC/SCN. Fourth Report on the World Nutrition Situation. Geneva: ACC/SCN in collaboration with IFPRI., Coordination ACo, Nutrition SCo; 2000. January 2000. Report No.: (ACC/SCN) THE UN SYSTEM'S FORUM FOR NUTRITION ACC/SCN. Fourth Report on the World Nutrition Situation. Geneva: ACC/SCN in collaboration with IFPRI., Coordination ACo, Nutrition SCo; 2000. January 2000. Report No.: (ACC/SCN) THE UN SYSTEM'S FORUM FOR NUTRITION
12.
go back to reference Issaka AI, Agho KE, Page AN, Burns PL, Stevens GJ, Dibley MJ. Determinants of suboptimal complementary feeding practices among children aged 6–23 months in four anglophone west African countries. Matern Child Nutr. 2015;11(1):14–30.CrossRef Issaka AI, Agho KE, Page AN, Burns PL, Stevens GJ, Dibley MJ. Determinants of suboptimal complementary feeding practices among children aged 6–23 months in four anglophone west African countries. Matern Child Nutr. 2015;11(1):14–30.CrossRef
13.
go back to reference World Health Organization. Infant and young child feeding a tool for assessing national practices, policies and programmes. Geneva: WHO; 2003. World Health Organization. Infant and young child feeding a tool for assessing national practices, policies and programmes. Geneva: WHO; 2003.
14.
go back to reference Fikri M, Farid S. United Arab Emirates family health survey. Abu Dhabi: Ministry of Health; 2000. Fikri M, Farid S. United Arab Emirates family health survey. Abu Dhabi: Ministry of Health; 2000.
15.
go back to reference Al Ghazal H, Rashid S, Ruf E. The Sharjah baby-friendly campaign: a community-based model for breastfeeding promotion, protection, and support. Breastfeed Med. 2015;10(9):437–41.CrossRef Al Ghazal H, Rashid S, Ruf E. The Sharjah baby-friendly campaign: a community-based model for breastfeeding promotion, protection, and support. Breastfeed Med. 2015;10(9):437–41.CrossRef
16.
go back to reference Gardner H, Green K, Gardner A. Infant feeding practices of Emirati women in the rapidly developing city of Abu Dhabi, United Arab Emirates. Int J Environ Res Public Health. 2015;12(9):10923–40.CrossRef Gardner H, Green K, Gardner A. Infant feeding practices of Emirati women in the rapidly developing city of Abu Dhabi, United Arab Emirates. Int J Environ Res Public Health. 2015;12(9):10923–40.CrossRef
17.
go back to reference Radwan H. Patterns and determinants of breastfeeding and complementary feeding practices of Emirati mothers in the United Arab Emirates. BMC Public Health. 2013;13:171.CrossRef Radwan H. Patterns and determinants of breastfeeding and complementary feeding practices of Emirati mothers in the United Arab Emirates. BMC Public Health. 2013;13:171.CrossRef
18.
go back to reference Shaikh U, Ahmed O. Islam and infant feeding. Breastfeed Med. 2006;1(3):164–7.CrossRef Shaikh U, Ahmed O. Islam and infant feeding. Breastfeed Med. 2006;1(3):164–7.CrossRef
20.
go back to reference Abed I, Hellyer P. United Arab Emirates: A new Perspective (Chapter:Economic Development in the UAE). United Arab Emirates: Trident Press Ltd; 2001. p. 249–59. Abed I, Hellyer P. United Arab Emirates: A new Perspective (Chapter:Economic Development in the UAE). United Arab Emirates: Trident Press Ltd; 2001. p. 249–59.
21.
go back to reference Musaiger AO, Al-Hazzaa HM. Prevalence and risk factors associated with nutrition-related noncommunicable diseases in the eastern Mediterranean region. Int J Gen Med. 2012;5:199–217.CrossRef Musaiger AO, Al-Hazzaa HM. Prevalence and risk factors associated with nutrition-related noncommunicable diseases in the eastern Mediterranean region. Int J Gen Med. 2012;5:199–217.CrossRef
23.
go back to reference Malik M, Bakir A. Prevalence of overweight and obesity among children in the United Arab Emirates. Obes Rev. 2007;8(1):15–20.CrossRef Malik M, Bakir A. Prevalence of overweight and obesity among children in the United Arab Emirates. Obes Rev. 2007;8(1):15–20.CrossRef
24.
go back to reference United Nations Children’s Fund (UNICEF). Improving Child Nutrition: The achievable imperative for global progress. New York: UNICEF; 2013. United Nations Children’s Fund (UNICEF). Improving Child Nutrition: The achievable imperative for global progress. New York: UNICEF; 2013.
27.
go back to reference Al Junaibi A, Abdulle A, Sabri S, Hag-Ali M, Nagelkerke N. The prevalence and potential determinants of obesity among school children and adolescents in Abu Dhabi, United Arab Emirates. Int J Obes. 2013;37(1):68–74.CrossRef Al Junaibi A, Abdulle A, Sabri S, Hag-Ali M, Nagelkerke N. The prevalence and potential determinants of obesity among school children and adolescents in Abu Dhabi, United Arab Emirates. Int J Obes. 2013;37(1):68–74.CrossRef
29.
go back to reference Federal Customs Authority. Annual Statistics Book Abu Dhabi 2016. Abu Dhabi: Statistical Centre. (in Arabic); 2016. _121297.pdf Federal Customs Authority. Annual Statistics Book Abu Dhabi 2016. Abu Dhabi: Statistical Centre. (in Arabic); 2016. _121297.pdf
30.
go back to reference Takahashi K, Ganchimeg T, Ota E, Vogel JP, Souza JP, Laopaiboon M, et al. Prevalence of early initiation of breastfeeding and determinants of delayed initiation of breastfeeding: secondary analysis of the WHO global survey. Sci Rep. 2017;7:44868.CrossRef Takahashi K, Ganchimeg T, Ota E, Vogel JP, Souza JP, Laopaiboon M, et al. Prevalence of early initiation of breastfeeding and determinants of delayed initiation of breastfeeding: secondary analysis of the WHO global survey. Sci Rep. 2017;7:44868.CrossRef
31.
go back to reference Balogun OO, O'Sullivan EJ, McFadden A, Ota E, Gavine A, Garner CD, et al. Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev. 2016;11:CD001688.PubMed Balogun OO, O'Sullivan EJ, McFadden A, Ota E, Gavine A, Garner CD, et al. Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev. 2016;11:CD001688.PubMed
32.
go back to reference Jaafar SH, Ho JJ, Lee KS. Rooming-in for new mother and infant versus separate care for increasing the duration of breastfeeding. Cochrane Database Syst Rev. 2016;8:CD006641. Jaafar SH, Ho JJ, Lee KS. Rooming-in for new mother and infant versus separate care for increasing the duration of breastfeeding. Cochrane Database Syst Rev. 2016;8:CD006641.
33.
go back to reference Al Tajir GK, Sulieman H, Badrinath P. Intragroup differences in risk factors for breastfeeding outcomes in a multicultural community. J Hum Lact. 2006;22(1):39–47.CrossRef Al Tajir GK, Sulieman H, Badrinath P. Intragroup differences in risk factors for breastfeeding outcomes in a multicultural community. J Hum Lact. 2006;22(1):39–47.CrossRef
34.
go back to reference World Health Organization. World Health Statistics. Geneva: WHO; 2015. World Health Organization. World Health Statistics. Geneva: WHO; 2015.
35.
go back to reference World Health Organization, United Nations Children's Fund. Global Nutrition Targets 2025: Breastfeeding policy brief. Geneva: WHO; 2014. Report No.: WHO/NMH/NHD/14.7 World Health Organization, United Nations Children's Fund. Global Nutrition Targets 2025: Breastfeeding policy brief. Geneva: WHO; 2014. Report No.: WHO/NMH/NHD/14.7
36.
go back to reference Musaiger AO. Breastfeeding patterns in the Arabian gulf countries. World Rev Nutr Diet. 1995;78:164–90.CrossRef Musaiger AO. Breastfeeding patterns in the Arabian gulf countries. World Rev Nutr Diet. 1995;78:164–90.CrossRef
37.
go back to reference Kassa T, Meshesha B, Haji Y, Ebrahim J. Appropriate complementary feeding practices and associated factors among mothers of children age 6-23 months in southern Ethiopia, 2015. BMC Pediatr. 2016;16:131.CrossRef Kassa T, Meshesha B, Haji Y, Ebrahim J. Appropriate complementary feeding practices and associated factors among mothers of children age 6-23 months in southern Ethiopia, 2015. BMC Pediatr. 2016;16:131.CrossRef
38.
go back to reference O'Sullivan A, Farver M, Smilowitz JT. The influence of early infant-feeding practices on the intestinal microbiome and body composition in infants. Nutr Metab Insights. 2015;8(Suppl 1):1–9.PubMedPubMedCentral O'Sullivan A, Farver M, Smilowitz JT. The influence of early infant-feeding practices on the intestinal microbiome and body composition in infants. Nutr Metab Insights. 2015;8(Suppl 1):1–9.PubMedPubMedCentral
39.
go back to reference Muraro AHS, Arshad SH, et al. EAACI food allergy and anaphylaxis guidelines group. EAACI food allergy and anaphylaxis guidelines. Primary prevention of food allergy. Allergy. 2014;69:590–601.CrossRef Muraro AHS, Arshad SH, et al. EAACI food allergy and anaphylaxis guidelines group. EAACI food allergy and anaphylaxis guidelines. Primary prevention of food allergy. Allergy. 2014;69:590–601.CrossRef
40.
go back to reference O'Donovan SM, Murray DM, Hourihane JO, Kenny LC, Irvine AD, Kiely M. Adherence with early infant feeding and complementary feeding guidelines in the Cork BASELINE birth cohort study. Public Health Nutr. 2015;18(15):2864–73.CrossRef O'Donovan SM, Murray DM, Hourihane JO, Kenny LC, Irvine AD, Kiely M. Adherence with early infant feeding and complementary feeding guidelines in the Cork BASELINE birth cohort study. Public Health Nutr. 2015;18(15):2864–73.CrossRef
41.
go back to reference Hwalla N, Al Dhaheri AS, Radwan H, Alfawaz HA, Fouda MA, Al-Daghri NM, et al. The prevalence of micronutrient deficiencies and inadequacies in the Middle East and approaches to interventions. Nutrients. 2017;9(3):229–57.CrossRef Hwalla N, Al Dhaheri AS, Radwan H, Alfawaz HA, Fouda MA, Al-Daghri NM, et al. The prevalence of micronutrient deficiencies and inadequacies in the Middle East and approaches to interventions. Nutrients. 2017;9(3):229–57.CrossRef
42.
go back to reference Koksal E, Yalcin SS, Pekcan G, Ozbas S, Tezel B, Kose MR. Complementary feeding practices of children aged 12-23 months in Turkey. Cent Eur J Public Health. 2015;23(2):149–54.CrossRef Koksal E, Yalcin SS, Pekcan G, Ozbas S, Tezel B, Kose MR. Complementary feeding practices of children aged 12-23 months in Turkey. Cent Eur J Public Health. 2015;23(2):149–54.CrossRef
43.
go back to reference Ersino G, Henry CJ, Zello GA. Suboptimal feeding practices and high levels of undernutrition among infants and young children in the rural communities of Halaba and Zeway, Ethiopia. Food Nutr Bull. 2016;37(3):409–24.CrossRef Ersino G, Henry CJ, Zello GA. Suboptimal feeding practices and high levels of undernutrition among infants and young children in the rural communities of Halaba and Zeway, Ethiopia. Food Nutr Bull. 2016;37(3):409–24.CrossRef
44.
go back to reference Wu TC, Chen PH. Health consequences of nutrition in childhood and early infancy. Pediatr Neonatol. 2009;50(4):135–42.CrossRef Wu TC, Chen PH. Health consequences of nutrition in childhood and early infancy. Pediatr Neonatol. 2009;50(4):135–42.CrossRef
45.
go back to reference Oliveira CS, Augusto RA, Muniz PT, da Silva SA, Cardoso MA. Anemia and micronutrient deficiencies in infants attending at primary health Care in Rio Branco, acre, Brazil. Cien Saude Colet. 2016;21(2):517–29.CrossRef Oliveira CS, Augusto RA, Muniz PT, da Silva SA, Cardoso MA. Anemia and micronutrient deficiencies in infants attending at primary health Care in Rio Branco, acre, Brazil. Cien Saude Colet. 2016;21(2):517–29.CrossRef
46.
go back to reference Health Authorities Abu Dhabi (HAAD). Ending Childhood Obesity – a call to action. Abu Dhabi: HAAD; 2016. Health Authorities Abu Dhabi (HAAD). Ending Childhood Obesity – a call to action. Abu Dhabi: HAAD; 2016.
Metadata
Title
Patterns of breastfeeding practices among infants and young children in Abu Dhabi, United Arab Emirates
Authors
Zainab Taha
Malin Garemo
Joy Nanda
Publication date
01-12-2018
Publisher
BioMed Central
Published in
International Breastfeeding Journal / Issue 1/2018
Electronic ISSN: 1746-4358
DOI
https://doi.org/10.1186/s13006-018-0192-7

Other articles of this Issue 1/2018

International Breastfeeding Journal 1/2018 Go to the issue