High caloric intake at breakfast instead of dinner has also been associated with improved weight loss/weight maintenance. Teneshia Edwards with USA Health discusses breastfeeding benefits for This means it's low in added sugar. All in all, it might lead to weight gain or loss.. There is extensive bio-medical literature studying the associations of fasting with a range of health related . However, in few places within the manuscript, authors started sentences with figures, this should be corrected. However, whether mothers/caregivers fasting status influences dietary diversity of children during these periods remained uninvestigated. Reviewer #1:All comments have been addressed, Reviewer #3:All comments have been addressed. If published, this will include your full peer review and any attached files. Dietary diversity (DD) is an indicator used to assess the appropriateness of these infant and young child feeding (IYCF) practices. I connect myself, my husband, my children and my siblings to the altar of Zion ministry for protection, victory, favour, healing good health long life and prosperity Amen. Minimum dietary diversity and associated factors among children aged 623 months in Addis Ababa, Ethiopia. Department of Nutrition and Dietetics, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia. Fasting is an essential dietary regulation that the Ethiopian Orthodox Tewahido church follows to guide followers on what to eat and what not to eat [10]. Fasting as a Family: Should Children Fast? | Minno Kids Most doctors discourage fasting for children before they reach puberty. Inclusion in an NLM database does not imply endorsement of, or agreement with, We consider the effects of daytime fasting by pregnant women during the lunar month of Ramadan on their children's test scores at age seven. However, this finding is higher than the previous results conducted in different regions of Ethiopia [16, 1821] and lower when compared with studies conducted in Kenya, Bangladesh, Nepal and Srilanka [5, 17]. due to personal preferences, religious reasons, political protests, etc.) (Please upload your review as an attachment if it exceeds 20,000 characters). The median age of children was 14 months. While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool,https://pacev2.apexcovantage.com/. A letter of support was obtained from Addis Ababa University to the Debrebirihan City Administration and Health Office. Childrens dietary diversity was measured using the World Health Organization (WHO) standardized questionnaire for infant and young child feeding. The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). Reviewer #3:The study still highlights a novel research topic that has broader social implications, especially for young infants whose health is sensitive to nutritional changes surrounding cultural practices. For . During this time, all followers who are above seven years old are expected to abstain from all types of food, including animal source foods and water for up to some hours daily. Addis Ababa, Ethiopia; Alive & Thrive. Both organizations have experience helping authors meet PLOS guidelines and can provide language editing, translation, manuscript formatting, and figure formatting to ensure your manuscript meets our submission guidelines. A total of 218 and 216 mothers/caregivers with children 623 months participated in the study before and during fasting season with a response rate of 100.0% and 99.0% respectively. The proportion of children who consumed grains, roots and tubers, legumes and nuts, dairy products, flesh foods, eggs, Vitamin A rich fruits and vegetable and other fruits and vegetables in the pre-fasting period were 98.6%, 79.4%, 55.5%, 17.9%, 29.4%, 9.2% and 15.1% respectively. Choose seafood, lean meat and poultry, eggs, beans, peas, soy products, and unsalted nuts and seeds. The manuscript is technically sound and the data collected supports the findings. In addition, The LDL cholesterol (bad cholesterol) rose significantly in the fasting group compared to the restriction group. According to World Health Organization (WHO) recommendation, minimum dietary diversity (MDD) is defined as the proportion of children 623 months who consumed a minimum of four foods out of the seven food groups in the previous day. There are three kinds of intermittent fasting, all of which involve splitting the day or week into eating and fasting periods. Temesgen H, Negesse A, Woyraw W, Mekonnen N. Dietary diversity feeding practice and its associated factors among children age 623 months in Ethiopia from 2011 up to 2018: a systematic review and meta-analysis. We used an interviewer administered questionnaire to collect the required information from the mothers/caregivers. The sentence needs to be rephrased, as it is not clear what authors are trying to say. Neonatal gut microbiota establishment represents a crucial stage for gut maturation, metabolic and immunologic programming, and consequently short- and long-term health status. The present study provides evidence that the children dietary diversity could be affected by the mothers/care givers fasting status. Brazaville: WHO, 2017. The consumption of different food groups, specifically animal foods, significantly decreased during the fasting period. Children's Medicaid is a health care program for children in low-income families. Eshete T, Kumera G, Bazezew Y, Mihretie A, Marie T. Determinants of inadequate minimum dietary diversity among children aged 623 months in Ethiopia: secondary data analysis from Ethiopian Demographic and Health Survey 2016, Dietary diversity and meal frequency practices among infant and young children aged 623 months in Ethiopia: a secondary analysis of Ethiopian demographic and health survey 2011. The investigators along with two supervisors supervised the overall data collection process. PDF Does mothers/caregivers'fasting status affect the dietary diversity of Talk to your kids about the spiritual purpose of fasting: Kids can take those same spiritual purposes and apply them to giving up something else. With Lisa Chow. Intermittent Fasting: Is it Safe for Kids? FOIA This variation in results could be due to the differences in study setting. University of Zurich. Figure 4A illustrates some of the tools that were used. The PLOS ONE style templates can be found at, https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and. PDF The effect of mothers and caregivers' fasting status on the dietary The manuscript is technically sound and the data supports the conclusions. When restricting food, there is an increased release of dopamine in the brain when you do eat. In the pre-fasting period, respondents were asked for their intention to fast in the coming lent fast period. For example, lines 123-124 124 Children 6-23 months whose mothers/caregivers were Orthodox Tewahido Christian and who 124 were living in randomly selected households were considered as the study population is not. However I think the author has to add some points to strong support the rationale for conducting this study which will add value to the the research . However, some adhere strictly to this fasting rule, while others can fast (abstain from eating/drinking anything) for a few hours (9am or 12pm, for example), or some only fast from eating animal foods but may not stay up for several hours without taking any foods/drinks. Human milk beneficially influences this process due to its dynamic profile of age-adapted nutrients and bioactive component There are Muslim women who do not fast during pregnancy for the sake of their children's health; however, they feel guilty because of their religious beliefs. Sickness has varying effects on children's insulin needs. Line 225: should be.. Advances in Nutrition: An International Review Journal, 4(1):51-61. Children and Ramadan fasting - Children's National During the fasting period, the proportion of children who ate flesh foods decreased to 0.5%, which is comparable with the result of a study done during a fasting period (0%) [13, 19, 26]. (PDF) Does Fasting During Pregnancy Affect Children's Labor Market Nearly four years ago . 'Take Care of Maya': Hospital's accusations of child medical abuse This is owing to the fact that during fasting periods, women may not prepare non-fasting foods separately for their children for fear of touching the forbidden foods or contaminating tools used for family food cooking, as well as the lack of non-fasting foods in the market [13, 14]. WIC Works: Addressing the Nutrition and Health Needs of Low-Income We have selected five and two kebeles randomly from urban and rural sites respectively. This might be because vegetables are more accessible and available in quantity during fasting season and mothers predominantly use those vegetables for consumption at this period. If children are fasting, parents should not expect a small child to fast a full day from the onset. A marked-up copy of your manuscript that highlights changes made to the original version. Background There are various religions in Ethiopia, of which the Orthodox Tewahido Christian accounts for 44% of the population. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. Copyright 2023 CHOC | www.choc.org | A 501(c)(3) Organization Children under the age of seven, military personnel, the sick, pregnant and nursing mothers are exempt from strict fasting and are allowed to eat both animal and non-animal source foods, as well as water, during the religious fasting periods [12]. 1. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. It's best to start your children's fasting no earlier than nine years old with the optimum age to begin fasting being between nine and 14 years for boys and girls. Despite concerns over the potential negative effect of fasting periods, there are limited published works investigating the effect of mothers/caregivers fasting during the widely observed Ethiopian Orthodox Tewahido Christians fasting periods on childrens dietary diversity. In the second measurement during the fasting time, the childrens dietary diversity significantly decreased to 5.5%. The main strength of the study is we have conducted the survey in the pre and during fasting period, which enabled us to see the significant difference in the child dietary diversity between these two periods due to the fasting status of the mothers. 1201 W La Veta Ave, Orange, CA 92866 | (714) 997-3000 Sheep and feed value chain analysis in North Shewa, central highlands of Ethiopia. To use PACE, you must first register as a user. McNemar paired test was used for comparison of baseline and end line measurements. Talk to your kids about the. You should upload this as a separate file labeled 'Manuscript'. If they'll be preparing press materials, please inform our press team within the next 48 hours. Comparisons of complementary feeding indicators and associated factors in children aged 623 months across five South Asian countries. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. The https:// ensures that you are connecting to the If you choose to let your child fast from food, you could make the experience safer for them by having them do a modified fastonly fasting from one meal per day, or only eating a simple meal like bread and water rather than a full meal, or only eating vegetarian meals or vegan meals. Central statistical agency Addis Ababa E. Ethiopian Demographic and Health Survey 2016. Reviewer #2:All the justifications are in place. During the fasting period, this number dropped to 42.6 percent, far higher than the Dejen report. 302 fasting period are among the key reasons (9.1 percent). Line 292:.Seleshe.S and his colleges also showed that. Indicators for assessing infant and young child feeding practice. Linking to a non-CHOC site does not constitute an endorsement by CHOC of the sponsors or the information and products presented on the site. This can be possibly due to the fact that most of the mothers/caregivers in our area were from urban residences and potentially had better child feeding practices than mothers/caregivers in the prior area. 7. If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Those with a history of disordered eating should not attempt any sort of fasting diet. before the fasting period d, .. Line 271: should be.children who ate flesh foods decreased to 0.5%, which is comparable with the result of a study done. Ethiopia is home to a diverse range of religions, with Orthodox Tewahido Christians accounting for 44% of the population [9]. Please include your amended statements within your cover letter; we will change the online submission form on your behalf. According to the findings, the fasting status of mothers/caregivers has a negative impact on the dietary diversity of children 623 months by reducing their consumption of animal source foods. International journal for equity in health. Fasting isnt just about the food, its about the sacrifice. For specific medical advice, diagnoses and treatment, please consult your doctor. Fasting can be caused by physiology (i.e. Introduction. participant privacy or use of data from a third partythose must be specified. List the grants or organizations that supported your study, including funding received from your institution. Although mothers are well aware that their children are not required to fast, it is likely that adults in the households fasting behavior affects childrens access to a variety of foods, including foods of animal origin. Submitted filename: Response to reviewers.docx, PONE-D-20-37450R1The effect of mothers/caregivers fasting status on the dietary diversity of children 6-23 months: - A longitudinal study in Debrebirhan, EthiopiaPLOS ONE. Over the years youve heard different forms of fasting, including intermittent fasting, but do these techniques work & are they safe for kids? During the fasting period, the mean DDS was 2.68 ( 0.68), ranging between 1 and 6. Fasting as a family can be a great God-focused bonding experience. (11). the reference needs to come before the period. Get healthful information for your family from the pediatric experts at CHOC. Over the years youve heard different forms of fasting, including intermittent fasting, promoted for weight management and disease prevention, but do these techniques work and are they safe for children? Intervention strategies in promoting childrens dietary diversity should be designed in a way that considers Ethiopian Orthodox Tewahido Christian mothers/caregivers fasting practice. Intermittent Fasting While Breastfeeding: Is it Safe? Encourage your child to eat a variety of fresh, canned, frozen or dried fruits. Population Census Commission. When people fast, they take the time they would have spent eating and dedicate it to special times of prayer and Bible reading. For more information, please contact gro.solp@sserpeno. https://journals.plos.org/plosone/s/file?id=ba62/PLOSOne_formatting_sample_title_authors_affiliations.pdf. When their bodies feel hunger, it reminds them to turn their thoughts to God. NIGHT OF OPEN HEAVEN || DAY 45 [100 DAYS FASTING & PRAYER - Facebook Baby might be more lethargic. Their comments can be viewed in full, below. Then there is then a 16 hour fast in between. The few available studies did not assess childrens dietary diversity before and during fasting periods, making inference difficult [13, 14]. The guidance on this page has been clinically reviewed by CHOC pediatric experts. They are pictured above in Los Angeles in 2015. Nutrition for kids: Guidelines for a healthy diet Line 307: The limitation of this study is we have used only a qualitative 24 hour dietary recall. Similarly, the authors dont consistently use % or percentages. The Importance of Childhood for Adult Health and DevelopmentStudy Intermittent fasting is meant to give your body time to rest in order for your digestive system to work efficiently to repair and metabolize food. In terms of breast-feeding status, 88.5 percent of mothers were breastfeeding at the time of data collection (See Table 1). Appropriate statistics were carried out and manuscript was presented in comprehensible manner. Please review your reference list to ensure that it is complete and correct. Help your child choose something that they really love and that they typically use every day. There are various religions in Ethiopia, of which the Orthodox Tewahido Christian accounts for 44% of the population. Summary and statistical report of the 2007 population and housing census. When people give up food, it is a way of saying to God that He is their daily bread, that He is all they need, and that He is even more important to them than food. by decreasing their consumption of animal source foods, Line 241: We a significant difference in dietary diversity due to change 241 in the consumption of meat, egg, milk and Vitamin A rich fruits and vegetables. The limitation of this study is we have used only a qualitative 24 hour dietary recall. Our statistical reporting guidelines are available at https://journals.plos.org/plosone/s/submission-guidelines#loc-statistical-reporting. However, it dropped to 7.3% during the fasting period which is higher than the Dejen report (2%) [13]. It is possible that such practice by mothers or caregivers could affect childrens dietary practice. After careful consideration, we feel that it has merit but does not fully meet PLOS ONEs publication criteria as it currently stands. Dietary diversity and associated factors among children of Orthodox Christian mothers/caregivers during the fasting season in Dejen District, North West Ethiopia. Reviewer #1:The authors have adequately addressed all comments raised in the previous review. To take advantage of our partnership with Editage, visit the Editage website (www.editage.com) and enter referral code PLOSEDIT for a 15% discount off Editage services. 4. Is the manuscript presented in an intelligible fashion and written in standard English? However, scientific evidence on a minimum acceptable diet (MAD) among children aged 6-23 months during the . Health & Parenting Guide - Your Guide to Raising a Happy - WebMD (1-10 days), group 3 with moderate fasting (11-20 days) and group 4 with full fasting (21-30 days). This is an open access article distributed under the terms of the, GUID:04187858-6BEA-48A3-BCB4-50592814AA1B, GUID:E46DBCFE-62D9-4CA3-9C25-95198D3713C6, GUID:3B251B8D-1BB2-4699-AF83-DA552CC7813A, GUID:382F3D7A-CBAE-4DD6-B8E1-FC58A1AD9F22. If there are restrictions on publicly sharing datae.g. April 3rd, 2023 / 0 Comments ABOUT THE EXPERT Omar Jaber, MD, MPH, is a pediatrician with Children's National Pediatricians & Associates at Foggy Bottom/Capitol Hill. Limit screen time and encourage outside play. The study revealed that mothers/caregivers fasting status negatively affect the dietary diversity of children aged 623 months in the household by decreasing their consumption of animal source food. However, research results on benefits of intermittent fasting has not been consistent. It may be their favorite snack, their favorite TV show, or their favorite game or toy. Police received a call just after 1 p.m. on June 16 from the 31-year . In this sense child dietary diversity (a proxy indicator of adequate micronutrient density of complementary foods beside breastfeeding) refers to the consumption of a variety of food groups that. [84] We would expect WIC's impact on food security to be relatively modest given the value of the monthly WIC food benefit about $63 per person in fiscal year 2019. We have used code to ensure privacy and confidentiality of study participants. The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. However, attaining adequate dietary diversity for children 6 to 23 months has been a continual struggle for many countries around the world, particularly in South Asia and Sub-Saharan Africa [3] where children, 623 months with adequate minimum dietary diversity scores ranged from 1571% [4, 5]. Most doctors discourage fasting for children before they reach puberty. It is therefore suggested that this paragraph be rephrased to capture actual findings of the study. Practices, IYCF practices, beliefs, and influences in Tigray Region, Ethiopia. We conducted a longitudinal study from January 29 to February 25, 2019 during the official pre-fasting period and from March 18 to April 10, 2019 during the official fasting period. These articles are not intended to replace the relationship you have with a physician or another healthcare practitioner. Children should get 2 doses of the vaccine starting at age 1. 5. FAQ: Children's Vaccines The insulin and leptin receptors are also slowed down in these periods and the insulin receptor re-sensitize. Children aged 623 months whose mothers were orthodox Christian fulfilling all the inclusion criteria were included by lottery method. It helps to reduce overweight and obesity, increases strength in muscles and can improve concentration at school. Intervention strategies in promoting childrens dietary diversity should be designed in a way that considers Ethiopian Orthodox Tewahido Christian mothers/caregivers fasting practice. This result was almost close to the finding from a study done in Addis Ababa [25]. Thank you very much for your comments on our manuscript. In addition, please also ensure that all terms which may be unfamiliar to readers are defined, such as 'woreda' and 'kebele'. She lost her son to suicide: Here's what this mother wants to tell Fasting can help us remove distraction, develop the disciplines of training our minds and hearts, and just logistically give us more time to pray and study Scripture. Those mothers who didnt fed any of the animal source foods were asked for the reason why they did not feed animal source foods in the previous day (in both pre-fasting and during fasting period) Around 57.1% of the respondents in the pre-fasting period claimed their economic status/insufficient income as a reason not to fed diet of animal origin. Two reviewers have re-evaluated your manuscript, and determined that their concerns were largely addressed. the contents by NLM or the National Institutes of Health. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. While % are used mostly, lines 292 and 302 have used per cent for numbers as shown below: 292 fasting, 55.5 percent of children consumed dairy products. This finding is also different from the 2011 and 2016 Ethiopian Demographic and Health Survey (EDHS) analysis results [23, 24], and this might be explained by the fact that the EDHS was performed nationwide on a larger sample. Link: https://health.choc.org/intermittent-fasting/, By Leah Blalock, clinical dietitian at CHOC. The proportion of children who consumed dairy product was significantly higher (55.5%) before the fasting period compared to consumption during the fasting period (42.6%) (p<0.001). Reviewer #1:The authors have adequately addressed all comments raised in the previous round of review. During the fasting period, all of the fasting mothers/caregivers practice avoided animal source foods. Similarly, consumption of flesh food was significantly higher before the fasting period (17.9%) compared to consumption during the fasting period (0.46%) (P<0.001). Even if calorie restriction does not help anyone live longer, a large portion of research has supported the idea that limiting food intake reduces the risk of diseases common in old age and lengthens the period of life spent in good health. Bethesda, MD 20894, Web Policies Once you have chosen an item for them to fast from, help them figure out how they will replace the item they sacrificed with time with God instead. Most doctors discourage fasting for children before they reach puberty. Every time they feel that hunger and say they wish they could play with that favorite toy or ask if they could watch that favorite show, remind them to turn their thoughts to God by asking them to tell you something they love about God. An invoice for payment will follow shortly after the formal acceptance. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. We collected data in a sample of 218 mothers/caregivers, from January 29 to February 25, 2019 in the pre-fasting period and from March 18 to April 10, 2019, during fasting period on same participants. The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. 1. If this link does not appear, there are no attachment files.]. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'. Skipping breakfast for children is not recommended because they have already fasted overnight. For information about this choice, including consent withdrawal, please see our Privacy Policy. This will help further research on this arena. National Library of Medicine Kids dont have to give up food in order to experience what fasting is all about! Medical theory predicts that maternal fasting during pregnancy can create "accelerated starvation" for the fetus which can not only aect body size, birth weight but also long term health outcomes including coronary heart disease and type 2 diabetes (Almond et al. Fasting generally entails eating only one meal per day, either in the evening or after 2.45 p.m., and abstaining from meat, fats, eggs, and dairy products [11]. Mindful eating is eating with intention and attention. Go to: Abstract Background Limited studies in Ethiopia showed that infants and young children are at high risk of inadequate intake of energy and nutrients. Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. The statistical analysis is appropriate for the data collected. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. The persistent effects of in utero nutrition shocks over the life cycle For specific medical advice, diagnoses and treatment, please consult your doctor. Parents should assess their children's ability to fast based on their health, activity level, tolerance to hunger and eating frequency. 2. Hosted by Natalie Kitroeff. Line 311: Authors should note that there was no statistical analysis to show the strong relation of fear of utensil contamination as well as non or limited availability of those foods to fasting period in their findings. 5. Why Children's Health is the Foundation of Lifelong Health Has the statistical analysis been performed appropriately and rigorously? Children who consumed four or more food groups from the seven food groups (grain, roots and tubers, legumes and nuts, dairy products, meat, egg, vitamin A rich fruits and vegetables and other fruits and vegetables) in the past 24 hour before the interview were categorized as fulfilling the minimum dietary diversity (MDD) requirement [15].
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