{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:05:17Z","timestamp":1790013917689,"version":"4.0.1"},"reference-count":51,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T00:00:00Z","timestamp":1592438400000},"content-version":"unspecified","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2020,5,5]]},"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore optimal infant feeding and care practices and their drivers within the British-Bangladeshi population of East London, UK, as an exemplar to inform development of a tailored, coadapted participatory community intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative community-based participatory research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Community and children\u2019s centres and National Health Service settings within Tower Hamlets, London, UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>141 participants completed the community study including: British-Bangladeshi mothers, fathers, grandmothers and grandfathers of infants and young children aged 6\u201323 months, key informants and lay community members from the British-Bangladeshi population of Tower Hamlets, and health professionals working in Tower Hamlets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>141 participants from all settings and generations identified several infant feeding and care practices and wider socioecological factors that could be targeted to optimise nutritional outcomes. Our modifiable infant feeding and care practices were highlighted: untimely introduction of semi and solid foods, overfeeding, prolonged parent-led feeding and feeding to \u2018fill the belly\u2019. Wider socioecological determinants were highlighted, categorised here as: (1) society and culture (e.g. equating \u2018chubby baby\u2019 to healthy baby), (2) physical and local environment (e.g. fast food outlets, advertising) and (3) information and awareness (e.g. communication with healthcare professionals around cultural norms).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Parenting interventions should be codeveloped with communities and tailored to recognise and take account of social and cultural norms and influence from different generations that inform infant feeding and care practices and may be of particular importance for infants from ethnically diverse communities. In addition, UK infant feeding environment requires better regulation of marketing of foods for infants and young children if it is to optimise nutrition in the early years.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-035347","type":"journal-article","created":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T03:02:24Z","timestamp":1592794944000},"page":"e035347","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Nurture Early for Optimal Nutrition (NEON) programme: qualitative study of drivers of infant feeding and care practices in a British-Bangladeshi population"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5288-3325","authenticated-orcid":false,"given":"Monica","family":"Lakhanpaul","sequence":"first","affiliation":[{"name":"Population, Policy and Practice, University College London Institute of Child Health, London, UK"},{"name":"Whittington Health NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorna","family":"Benton","sequence":"additional","affiliation":[{"name":"Population, Policy and Practice, University College London Institute of Child Health, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Lloyd-Houldey","sequence":"additional","affiliation":[{"name":"Population, Policy and Practice, University College London Institute of Child Health, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Logan","family":"Manikam","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Public Health, University College London Institute of Epidemiology and Health Care, London, UK"},{"name":"Aceso Global Health Consultants Ltd, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana Margot","family":"Rosenthal","sequence":"additional","affiliation":[{"name":"Population, Policy and Practice, University College London Institute of Child Health, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shereen","family":"Allaham","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Public Health, University College London Institute of Epidemiology and Health Care, London, UK"},{"name":"Aceso Global Health Consultants Ltd, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Heys","sequence":"additional","affiliation":[{"name":"Population, Policy and Practice, University College London Institute of Child Health, London, UK"},{"name":"Specialist Children's and Young People's Services, East London NHS Foundation Trust, London, Newham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,6,21]]},"reference":[{"key":"2025121410095316000_10.6.e035347.1","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1046\/j.1467-3010.2003.00303.x","article-title":"Briefing paper: undernutrition in the UK","volume":"28","author":"Schenker","year":"2003","journal-title":"BNF nutrition bulletin"},{"key":"2025121410095316000_10.6.e035347.2","unstructured":"Butland B . \"Foresight. Tackling obesities: future choices. Project report, 2007."},{"key":"2025121410095316000_10.6.e035347.3","unstructured":"NHS Digital National Child Measurement Programme , 2019. Available: https:\/\/digital.nhs.uk\/areas-of-interest\/public-health\/national-child-measurement-programme [Accessed 14 Jan 2006]."},{"key":"2025121410095316000_10.6.e035347.4","unstructured":"WHO . Health topics, noncommunicable diseases. obesity, data and statistics. Available: http:\/\/www.euro.who.int\/en\/health-topics\/noncommunicable-diseases\/obesity\/data-and-statistics"},{"key":"2025121410095316000_10.6.e035347.5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0086914"},{"key":"2025121410095316000_10.6.e035347.6","doi-asserted-by":"publisher","DOI":"10.1136\/heart.84.6.595"},{"key":"2025121410095316000_10.6.e035347.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2796.2007.01798.x"},{"key":"2025121410095316000_10.6.e035347.8","doi-asserted-by":"publisher","DOI":"10.1007\/s13148-011-0028-4"},{"key":"2025121410095316000_10.6.e035347.9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/jhn.12212","article-title":"Nutrition in early life and the programming of adult disease: a review","volume":"28 Suppl 1","author":"Langley-Evans","year":"2015","journal-title":"J Hum Nutr Diet"},{"key":"2025121410095316000_10.6.e035347.10","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-008-9259-x"},{"key":"2025121410095316000_10.6.e035347.11","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.113.02671"},{"key":"2025121410095316000_10.6.e035347.12","doi-asserted-by":"crossref","unstructured":"Rechel B , Maresso A , Sagan A , et al . The role of public health organizations in addressing public health problems in Europe, 2018.","DOI":"10.1093\/eurpub\/cky212.494"},{"key":"2025121410095316000_10.6.e035347.13","doi-asserted-by":"publisher","DOI":"10.1007\/s13679-013-0087-2"},{"key":"2025121410095316000_10.6.e035347.14","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-458"},{"key":"2025121410095316000_10.6.e035347.15","article-title":"Resurgence of vitamin D deficiency rickets in UK","volume":"28","author":"Mughal","year":"2012","journal-title":"Endocrine abstracts"},{"key":"2025121410095316000_10.6.e035347.16","doi-asserted-by":"publisher","DOI":"10.1136\/adc.78.5.420"},{"key":"2025121410095316000_10.6.e035347.17","unstructured":"National Obesity Observatory, 2013, Public Health England . National Child Measurement Programme (NCMP): Changes in children\u2019s BMI between 2006\/07 and 2011\/12, 2013."},{"key":"2025121410095316000_10.6.e035347.18","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2013.687"},{"key":"2025121410095316000_10.6.e035347.19","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/S0140-6736(19)32540-1","article-title":"A future for the world's children? A WHO-UNICEF-Lancet Commission","volume":"395","author":"Clark","year":"2020","journal-title":"Lancet"},{"key":"2025121410095316000_10.6.e035347.20","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k2252"},{"key":"2025121410095316000_10.6.e035347.21","unstructured":"Scientific Advisory Committe on Nutrition . Feeding in the first year of life. SACN report., 2018. Available: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/725530\/SACN_report_on_Feeding_in_the_First_Year_of_Life.pdf"},{"key":"2025121410095316000_10.6.e035347.22","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-387"},{"key":"2025121410095316000_10.6.e035347.23","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7432.159"},{"key":"2025121410095316000_10.6.e035347.24","unstructured":"Department of Health . \"Liberating the NHS: no decision about me without me.\", 2012."},{"key":"2025121410095316000_10.6.e035347.25","doi-asserted-by":"publisher","DOI":"10.1186\/1744-8603-10-14"},{"key":"2025121410095316000_10.6.e035347.26","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1002467","article-title":"\"Effects of women\u2019s groups practising participatory learning and action on preventive and care-seeking behaviours to reduce neonatal mortality: A meta-analysis of cluster-randomised trials.\"","volume":"14.12","author":"Seward","year":"2017","journal-title":"PLoS Med"},{"key":"2025121410095316000_10.6.e035347.27","unstructured":"Aceso Global Health Consultants Ltd . Nurture early for optimal nutrition (neon) study, 2019. Available: https:\/\/www.acesoghc.com\/neon"},{"key":"2025121410095316000_10.6.e035347.28","unstructured":"Sikorski C et al . \"Could postnatal women\u2019s groups be used to improve outcomes for mothers and children in high-income countries? A systematic review.\". Matern Child Nutr 2018:1\u201315."},{"key":"2025121410095316000_10.6.e035347.29","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-017-0176-9"},{"key":"2025121410095316000_10.6.e035347.30","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1017\/S136898001700297X","article-title":"Systematic review of infant and young child complementary feeding practices in South Asian families: the India perspective","volume":"21","author":"Manikam","year":"2018","journal-title":"Public Health Nutr"},{"key":"2025121410095316000_10.6.e035347.31","doi-asserted-by":"crossref","DOI":"10.3390\/nu10111676","article-title":"Complementary feeding practices for South Asian young children living in high-income countries: a systematic review","volume":"10","author":"Manikam","year":"2018","journal-title":"Nutrients"},{"key":"2025121410095316000_10.6.e035347.32","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1017\/S1368980017002956","article-title":"Systematic review of infant and young child complementary feeding practices in South Asian families: the Pakistan perspective","volume":"21","author":"Manikam","year":"2018","journal-title":"Public Health Nutr"},{"key":"2025121410095316000_10.6.e035347.33","doi-asserted-by":"crossref","first-page":"S4","DOI":"10.1016\/S1499-4046(06)60065-1","article-title":"System, environmental, and policy changes: using the social-ecological model as a framework for evaluating nutrition education and social marketing programs with low-income audiences","volume":"33 Suppl 1","author":"Gregson","year":"2001","journal-title":"J Nutr Educ"},{"key":"2025121410095316000_10.6.e035347.34","doi-asserted-by":"crossref","first-page":"1736","DOI":"10.1016\/S0140-6736(13)60685-6","article-title":"Women's groups practising participatory learning and action to improve maternal and newborn health in low-resource settings: a systematic review and meta-analysis","volume":"381","author":"Prost","year":"2013","journal-title":"The Lancet"},{"key":"2025121410095316000_10.6.e035347.35","doi-asserted-by":"crossref","unstructured":"Lakhanpaul M , Bird D , Culley L . Health Services and Delivery Research, No. 2.28. In: The use of a collaborative structured methodology for the development of a multifaceted intervention programme for the management of asthma (the MIA project), tailored to the needs of children and families of South Asian origin: a community-based, participatory study. Southampton (UK: NIHR journals library, 2014. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK260076\/","DOI":"10.3310\/hsdr02280"},{"key":"2025121410095316000_10.6.e035347.36","doi-asserted-by":"publisher","DOI":"10.1093\/jurban\/jti135"},{"key":"2025121410095316000_10.6.e035347.37","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1111\/hex.12524","article-title":"Using a co-production prioritization exercise involving South Asian children, young people and their families to identify health priorities requiring further research and public awareness","volume":"20","author":"Manikam","year":"2017","journal-title":"Health Expect"},{"key":"2025121410095316000_10.6.e035347.38","unstructured":"London\u2019s Poverty Profile 2017 . Trust for London and New Policy Institute, 2017. Available: https:\/\/www.trustforlondon.org.uk\/publications\/londons-poverty-profile-2017\/"},{"key":"2025121410095316000_10.6.e035347.39","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1111\/j.1740-8709.2010.00253.x","article-title":"'Breast is not always best': South Asian women's experiences of infant feeding in the UK within an acculturation framework","volume":"8","author":"Choudhry","year":"2012","journal-title":"Matern Child Nutr"},{"key":"2025121410095316000_10.6.e035347.40","unstructured":"Clarke V , Braun V . Teaching thematic analysis: overcoming challenges and developing strategies for effective learning. The psychologist 2013;26."},{"key":"2025121410095316000_10.6.e035347.41","unstructured":"Edlund B , McDougall A . NVivo 11 essentials. your guide to the leading qualitative analysis software 2016."},{"key":"2025121410095316000_10.6.e035347.42","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2458-14-522","article-title":"\"The community and consumer food environment and children\u2019s diet: a systematic review.\"","volume":"14.1","author":"Engler-Stringer","year":"2014","journal-title":"BMC public health"},{"key":"2025121410095316000_10.6.e035347.43","doi-asserted-by":"crossref","first-page":"1891","DOI":"10.1017\/S0007114514000099","article-title":"\"Ethnic differences in infant feeding practices and their relationship with BMI at 3 years of age\u2013results from the Born in Bradford birth cohort study.\"","volume":"111.10","author":"Santorelli","year":"2014","journal-title":"Br. J. Nutr."},{"key":"2025121410095316000_10.6.e035347.44","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1111\/mcn.12169","article-title":"\"Bangladeshi women's experiences of infant feeding in the London Borough of Tower Hamlets.\"","volume":"12.3","author":"Rayment","year":"2016","journal-title":"Matern Child Nutr"},{"key":"2025121410095316000_10.6.e035347.45","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1017\/S1368980015000932","article-title":"Ethnic differences in dietary intake at age 12 and 18 months: the born in Bradford 1000 study","volume":"19","author":"Sahota","year":"2016","journal-title":"PHN"},{"key":"2025121410095316000_10.6.e035347.46","unstructured":"Country report for England . Themes identified and example quotes from focus groups and interviews with participants."},{"key":"2025121410095316000_10.6.e035347.47","unstructured":"Public Health England . Public Health England (2018). Public Health Profiles London: Public Health England, 2017. Available: https:\/\/fingertips.phe.org.uk\/ [Accessed 8 Jun 2018]."},{"key":"2025121410095316000_10.6.e035347.48","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.hjdsi.2015.06.002","article-title":"Co-development, innovation and mutual learning \u2013 or how we need to turn the world upside down","volume":"3","author":"Crisp","year":"2015","journal-title":"Healthc"},{"key":"2025121410095316000_10.6.e035347.49","first-page":"102","article-title":"\"Reverse innovation: Create far from home, win everywhere.\"","volume":"3.1","author":"Bhatti","year":"2014","journal-title":"South Asian Journal of Global Business Research"},{"key":"2025121410095316000_10.6.e035347.50","doi-asserted-by":"publisher","DOI":"10.1136\/bmjinnov-2017-000233"},{"key":"2025121410095316000_10.6.e035347.51","doi-asserted-by":"publisher","DOI":"10.1186\/1744-8603-9-25"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2019-035347","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T18:10:01Z","timestamp":1765735801000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2019-035347"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":51,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,6,21]]},"published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1136\/bmjopen-2019-035347"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2019-035347","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]}}}