{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T12:04:53Z","timestamp":1790597093791,"version":"4.1.0"},"reference-count":66,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:00Z","timestamp":1790380800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007686","name":"National Institute of Perinatology","doi-asserted-by":"publisher","award":["INPer 2020-1-15"],"award-info":[{"award-number":["INPer 2020-1-15"]}],"id":[{"id":"10.13039\/501100007686","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Evidence on complementary feeding (CF) practices among offspring of women with a history of high-risk pregnancy remains limited, despite their increased vulnerability to adverse maternal and neonatal outcomes. This study evaluated the associations between CF timing, first complementary foods, primary sources of information, and maternal, perinatal, and sociodemographic factors. Methods: A cross-sectional analysis was conducted involving 530 mother\u2013child dyads with a history of high-risk pregnancy. Data regarding CF practices, maternal characteristics, neonatal outcomes, and sociodemographic factors were obtained from clinical records and structured interviews. Three outcomes were analyzed: timing of CF initiation, first food offered, and primary source of information. Bivariate analyses (Pearson\u2019s chi-square) were followed by multivariable logistic regression adjusted for relevant covariates. Results: The introduction of CF occurred before 6 months of age in 22.3% of the cases (n = 118); 77.7% (n = 412) initiated it between 6 and 8 months of age. A breastfeeding duration of less than six months (aOR = 4.713, CI 95%; 2.829\u20137.838, p = 0.001) and a lack of financial support from parents or family (aOR = 1.830, CI 95%; 1.083\u20133.093, p = 0.024) demonstrated an independent association with early CF. Reliance on family members as the primary source of information (19.3%) correlated with shorter breastfeeding duration, suburban residence, and preterm birth. Vegetables were the most frequently introduced first food (69.6%), followed by fruit (28.1%); only 2.3% of infants received foods other than fruit and vegetables (cheese, yogurt, meat, or beans) during this initial stage. Conclusions: In this group of women with a history of high-risk pregnancies, the timing of complementary feeding initiation, the specific foods introduced, and the sources of information consulted were associated with maternal, perinatal, and sociodemographic factors. A breastfeeding duration of less than six months and a lack of financial support from the parents or family were identified as the main variables linked to the early introduction of complementary feeding. Furthermore, relying on the family as the primary source of information showed a close relationship with the timing of complementary feeding initiation.<\/jats:p>","DOI":"10.3390\/nu18193183","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:35:59Z","timestamp":1790595359000},"page":"3183","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated with Complementary Feeding Practices in Infants of Mothers with a History of High-Risk Pregnancy"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5490-1363","authenticated-orcid":false,"given":"Reyna","family":"S\u00e1mano","sequence":"first","affiliation":[{"name":"Coordinaci\u00f3n de Nutrici\u00f3n y Bioprogramaci\u00f3n, Instituto Nacional de Perinatolog\u00eda, Secretar\u00eda de Salud, Mexico City 11000, 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Breastfeeding: A Mother\u2019s Gift, for Every Child, UNICEF."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Nantel, A., and Gingras, V. (2023). Are complementary feeding practices aligned with current recommendations? A narrative review. Children, 10.","DOI":"10.3390\/children10050794"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Li, X., Zhang, J., Dai, X., Liu, X., Gao, R., Liu, X., Wei, M., and Cai, L. (2026). Association between the infant and child feeding index at 8 months and early childhood neurodevelopment. Front. Nutr., 12.","DOI":"10.3389\/fnut.2025.1727649"},{"key":"ref_4","unstructured":"United Nations Children\u2019s Fund (UNICEF) (2020). Improving Young Children\u2019s Diets During the Complementary Feeding Period, UNICEF."},{"key":"ref_5","unstructured":"World Health Organization, and United Nations Children\u2019s Fund (2021). Indicators for Assessing Infant and Young Child Feeding Practices: Definitions and Measurement Methods, World Health Organization."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Masuke, R., Msuya, S.E., Mahande, J.M., Diarz, E.J., Stray-Pedersen, B., Jahanpour, O., and Mgongo, M. (2021). Effect of inappropriate complementary feeding practices on the nutritional status of children aged 6-24 months in urban Moshi, Northern Tanzania: Cohort study. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0250562"},{"key":"ref_7","first-page":"e2021168","article-title":"Early and long-term consequences of nutritional stunting: From childhood to adulthood","volume":"92","author":"Soliman","year":"2021","journal-title":"Acta Biomed."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Twabi, H.S., Manda, S.O.M., and Small, D.S. (2021). Evaluating the effect of appropriate complementary feeding practices on child growth in Malawi using cross-sectional data: An application of propensity score matching. Front. Nutr., 8.","DOI":"10.3389\/fnut.2021.714232"},{"key":"ref_9","unstructured":"World Health Organization (2008). Indicators for Assessing Infant and Young Child Feeding Practices. Part 1: Definitions: Conclusions of a Consensus Meeting Held 6\u20138 November 2007, World Health Organization."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"nzac026","DOI":"10.1093\/cdn\/nzac026","article-title":"Prevalence of Infant and Young Child Feeding Practices and Differences in Estimates of Minimum Dietary Diversity Using 2008 and 2021 Definitions: Evidence from Bangladesh","volume":"6","author":"Roy","year":"2022","journal-title":"Curr. Dev. Nutr."},{"key":"ref_11","unstructured":"United Nations Children\u2019s Fund (UNICEF) (2019). The State of the World\u2019s Children 2019: Children, Food and Nutrition: Growing Well in a Changing World, UNICEF."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1186\/s13052-022-01275-w","article-title":"Complementary feeding in preterm infants: A position paper by Italian neonatal, paediatric and paediatric gastroenterology joint societies","volume":"48","author":"Baldassarre","year":"2022","journal-title":"Ital. J. Pediatr."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1159\/000351486","article-title":"The timing of introduction of complementary foods and later health","volume":"108","author":"Agostoni","year":"2013","journal-title":"World Rev. Nutr. Diet."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"852S","DOI":"10.1093\/ajcn\/nqy266","article-title":"Complementary feeding and micronutrient status: A systematic review","volume":"109","author":"Obbagy","year":"2019","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_15","unstructured":"World Health Organization (2023). WHO Guideline for Complementary Feeding of Infants and Young Children 6\u201323 Months of Age, World Health Organization."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1097\/NT.0000000000000064","article-title":"Food-based complementary feeding strategies for breastfed infants: What is the evidence that it matters?","volume":"49","author":"Krebs","year":"2014","journal-title":"Nutr. Today"},{"key":"ref_17","first-page":"e1150","article-title":"Effects of nutritional interventions during pregnancy on birth, child health and development outcomes: A systematic review of evidence from low- and middle-income countries","volume":"17","author":"Lassi","year":"2021","journal-title":"Campbell Syst. Rev."},{"key":"ref_18","unstructured":"Cunningham, F.G., Leveno, K.J., Dashe, J.S., Hoffman, B.L., Spong, C.Y., and Casey, B.M. (2022). Williams Obstetrics, McGraw-Hill. [26th ed.]."},{"key":"ref_19","unstructured":"Asociaci\u00f3n Mexicana de Agencias de Investigaci\u00f3n de Mercado y Opini\u00f3n P\u00fablica (AMAI) (2024). Nivel Socioecon\u00f3mico AMAI 2024, AMAI."},{"key":"ref_20","first-page":"S5","article-title":"Statistical validity of the Mexican Food Security Scale and the Latin American and Caribbean Food Security Scale","volume":"56","year":"2014","journal-title":"Salud Publica Mex."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Quintiliano-Scarpelli, D., Lehmann, N., Castillo, B., and Blanco, E. (2021). Infant feeding and information sources in Chilean families who reported baby-led weaning as a complementary feeding method. Nutrients, 13.","DOI":"10.3390\/nu13082707"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Usheva, N., Galcheva, S., Cardon, G., De Craemer, M., Androutsos, O., Kotowska, A., Socha, P., Koletzko, B.V., Moreno, L.A., and On Behalf of the ToyBox-Study Group (2021). Complementary Feeding and Overweight in European Preschoolers: The ToyBox-Study. Nutrients, 13.","DOI":"10.3390\/nu13041199"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/j.jneb.2020.11.018","article-title":"Comparing maternal and paternal complementary feeding practices: Findings from an online survey","volume":"53","author":"Spyreli","year":"2021","journal-title":"J. Nutr. Educ. Behav."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Baldassarre, M.E., Panza, R., Farella, I., Posa, D., Capozza, M., Mauro, A.D., and Laforgia, N. (2020). Vegetarian and Vegan Weaning of the Infant: How Common and How Evidence-Based? A Population-Based Survey and Narrative Review. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17134835"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Alvisi, P., Congiu, M., Ficara, M., De Gregorio, P., Ghio, R., Spisni, E., Di Saverio, P., Labriola, F., Lacorte, D., and Lionetti, P. (2021). Complementary Feeding in Italy: From Tradition to Innovation. Children, 8.","DOI":"10.3390\/children8080638"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"An, M., Liu, X., Guo, H., and Zhou, Q. (2022). The associations between caregivers\u2019 emotional and instrumental feeding, children\u2019s emotional eating, and children\u2019s consumption of ultra-processed foods in China. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19084439"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/s13006-020-00262-3","article-title":"Maternal nutritional status and child feeding practices: A retrospective study in Santal communities, Birbhum District, West Bengal, India","volume":"15","author":"Stiller","year":"2020","journal-title":"Int. Breastfeed. J."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Taha, Z., Garemo, M., and Nanda, J. (2020). Complementary feeding practices among infants and young children in Abu Dhabi, United Arab Emirates. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-09393-y"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"44726","DOI":"10.1038\/srep44726","article-title":"Age of Complementary Foods Introduction and Risk of Anemia in Children Aged 4-6 years: A Prospective Birth Cohort in China","volume":"7","author":"Wang","year":"2017","journal-title":"Sci. Rep."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e45","DOI":"10.1016\/j.pedn.2021.07.003","article-title":"Timing and types of fluids and foods first introduced in a representative sample of toddlers attending day care programs across Lebanon: Are parents following international recommendations?","volume":"62","author":"Issa","year":"2022","journal-title":"J. Pediatr. Nurs."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Cheikh Ismail, L., Al Dhaheri, A.S., Ibrahim, S., Ali, H.I., Chokor, F.A.Z., O\u2019Neill, L.M., Mohamad, M.N., Kassis, A., Ayesh, W., and Kharroubi, S. (2022). Nutritional status and adequacy of feeding Practices in Infants and Toddlers 0\u201323.9 months living in the United Arab Emirates (UAE): Findings from the feeding Infants and Toddlers Study (FITS) 2020. BMC Public Health, 22.","DOI":"10.1186\/s12889-022-12616-z"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"e13541","DOI":"10.1111\/mcn.13541","article-title":"Early introduction of complementary foods\/drinks and milk feeding type in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC)","volume":"19","author":"Marks","year":"2023","journal-title":"Matern Child Nutr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e12642","DOI":"10.1111\/ijpo.12642","article-title":"Potential interaction between timing of infant complementary feeding and breastfeeding duration in determination of early childhood gut microbiota composition and BMI","volume":"15","author":"Differding","year":"2020","journal-title":"Pediatr. Obes."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Ahmed, J.A., Sadeta, K.K., and Lenbo, K.H. (2022). Magnitude and factors associated with appropriate complementary feeding practice among mothers of children 6\u201323 months age in Shashemene town, Oromia-Ethiopia: Community based cross sectional study. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0265716"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Maas-Mendoza, E., Vega-S\u00e1nchez, R., V\u00e1zquez-Osorio, I.M., Heller-Rouassant, S., and Flores-Quijano, M.E. (2022). Infant feeding practices that substitute exclusive breastfeeding in a semirural Mexican community: Types, moments, and associated factors. Nutrients, 14.","DOI":"10.3390\/nu14102017"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1017\/S0007114520001634","article-title":"Introduction to complementary feeding in the first year of life and risk of overweight at 24 months of age: Changes from 2004 to 2015 Pelotas (Brazil) Birth Cohorts","volume":"124","author":"Schneider","year":"2020","journal-title":"Br. J. Nutr."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/MPG.0000000000001454","article-title":"Complementary Feeding: A Position Paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition","volume":"64","author":"Fewtrell","year":"2017","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"2921","DOI":"10.1590\/1413-81232021267.14232019","article-title":"Food diversity among indigenous children from two municipalities of the Brazilian Western Amazon","volume":"26","author":"Maciel","year":"2021","journal-title":"Ci\u00eanc. Sa\u00fade Coletiva"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"6252","DOI":"10.1038\/s41598-022-10308-7","article-title":"Complementary feeding pattern and its determinants among mothers in selected primary health centers in the urban metropolis of Ekiti State, Nigeria","volume":"12","author":"Esan","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1111\/mcn.12267","article-title":"High consumption of commercial food products among children less than 24 months of age and product promotion in Kathmandu Valley, Nepal","volume":"12","author":"Pries","year":"2016","journal-title":"Matern Child Nutr."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/S0140-6736(15)01024-7","article-title":"Lancet Breastfeeding Series Group.; et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect","volume":"387","author":"Victora","year":"2016","journal-title":"Lancet"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/j.midw.2013.07.014","article-title":"Engaging and supporting fathers to promote breastfeeding A concept analysis","volume":"30","author":"Sherriff","year":"2014","journal-title":"Midwifery"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1186\/s41043-024-00554-y","article-title":"Early initiation of complementary feeding practice and its associated factors among children aged 6 to 24 months in Northeast Ethiopia","volume":"43","author":"Wasihun","year":"2024","journal-title":"J. Health Popul. Nutr."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"115","DOI":"10.3945\/ajcn.113.073049","article-title":"Maternal prepregnancy obesity and insulin treatment during pregnancy are independently associated with delayed lactogenesis in women with recent gestational diabetes mellitus","volume":"99","author":"Matias","year":"2014","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"E215","DOI":"10.1152\/ajpendo.00403.2016","article-title":"Prior lactation reduces future diabetic risk through sustained post weaning effects on insulin sensitivity","volume":"312","author":"Bajaj","year":"2017","journal-title":"Am. J. Physiol. Endocrinol. Metab."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"407","DOI":"10.3945\/an.115.011007","article-title":"Does insulin explain the relation between maternal obesity and poor lactation outcomes? An overview of the literature","volume":"7","year":"2016","journal-title":"Adv. Nutr."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1093\/nutrit\/nuad019","article-title":"Optimal timing of introduction of complementary feeding: A systematic review and meta-analysis","volume":"81","author":"Padhani","year":"2023","journal-title":"Nutr. Rev."},{"key":"ref_48","unstructured":"National Library of Medicine (2006). Drugs and Lactation Database (LactMed\u00ae): Thyroid."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1177\/15568253261457856","article-title":"Impact of gestational hypothyroidism on exclusive breastfeeding in the early postnatal period","volume":"21","author":"Imdadoglu","year":"2026","journal-title":"Breastfeed. Med."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1016\/j.jand.2012.06.005","article-title":"Pregravid body mass index is associated with early introduction of complementary foods","volume":"112","author":"Mehta","year":"2012","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Portela, D.S., Vieira, T.O., Matos, S.M., de Oliveira, N.F., and Vieira, G.O. (2015). Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: Results from a cohort. BMC Pregnancy Childbirth, 15.","DOI":"10.1186\/s12884-015-0518-z"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Wang, L., van Grieken, A., van der Velde, L.A., Vlasblom, E., Beltman, M., L\u2019Hoir, M.P., Boere-Boonekamp, M.M., and Raat, H. (2019). Factors associated with early introduction of complementary feeding and consumption of non-recommended foods among Dutch infants: The BeeBOFT study. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-6722-4"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"S\u00e1mano, R., Chico-Barba, G., Mart\u00ednez-Rojano, H., Mendoza-Flores, M.E., Hern\u00e1ndez-Trejo, M., Hern\u00e1ndez-Ch\u00e1vez, C., Luna-Hidalgo, A., Aguirre-Minutti, E., Gamboa, R., and Flores-Quijano, M.E. (2025). Association of Pre- and Gestational Conditions and Barriers to Breastfeeding with Exclusive Breastfeeding Practices. Nutrients, 17.","DOI":"10.3390\/nu17142309"},{"key":"ref_54","unstructured":"World Health Organization (2022). WHO Recommendations for Care of the Preterm or Low Birth Weight Infant, World Health Organization."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"ESPGHAN Committee on Nutrition, Aggett, P.J., Agostoni, C., Axelsson, I., De Curtis, M., Goulet, O., Hernell, O., Koletzko, B., Lafeber, H.N., and Michaelsen, K.F. (2006). Feeding preterm infants after hospital discharge: A commentary by the ESPGHAN Committee on Nutrition. J. Pediatr. Gastroenterol. Nutr., 42, 596\u2013603.","DOI":"10.1097\/01.mpg.0000221915.73264.c7"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"e2022058859","DOI":"10.1542\/peds.2022-058859","article-title":"Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation","volume":"150","author":"Kemper","year":"2022","journal-title":"Pediatrics"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1111\/j.1740-8709.2011.00333.x","article-title":"The role and influence of grandmothers on child nutrition: Culturally designated advisors and caregivers","volume":"8","author":"Aubel","year":"2012","journal-title":"Matern. Child Nutr."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1186\/s41043-023-00408-z","article-title":"Peer counselling as an approach to improve complementary feeding practices: A narrative review","volume":"42","author":"Haque","year":"2023","journal-title":"J. Health Popul. Nutr."},{"key":"ref_59","first-page":"CD001141","article-title":"Support for healthy breastfeeding mothers with healthy term babies","volume":"10","author":"Gavine","year":"2022","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_60","first-page":"209","article-title":"Nutritional management of low birth weight and preterm infants in low- and low-middle-income countries","volume":"122","author":"Azhar","year":"2025","journal-title":"Neonatology"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1159\/000543833","article-title":"Feeding dynamics in very preterm infants with delayed oral feeding attainment","volume":"122","author":"Gentle","year":"2025","journal-title":"Neonatology"},{"key":"ref_62","unstructured":"Dewey, K. (2003). Guiding Principles for Complementary Feeding of the Breastfed Child, Pan American Health Organization."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"e71651","DOI":"10.1002\/fsn3.71651","article-title":"Iron-rich food consumption and predictors among children aged 6 to 23 months in Ethiopia: A frequentist and Bayesian hierarchical approach","volume":"14","author":"Beressa","year":"2026","journal-title":"Food Sci. Nutr."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1001\/jamapediatrics.2018.5199","article-title":"Association of infant temperament with subsequent obesity in young children of mothers with gestational diabetes mellitus","volume":"173","author":"Faith","year":"2019","journal-title":"JAMA Pediatr."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"4442","DOI":"10.1017\/S1368980021002718","article-title":"Feeding practices and factors associated with the provision of iron-rich foods to children aged 6\u201323 months in Matam area, Senegal","volume":"24","author":"Akpaki","year":"2021","journal-title":"Public Health Nutr."},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Garcia, A.L., Looby, S., McLean-Guthrie, K., and Parrett, A. (2019). An exploration of complementary feeding practices, information needs and sources. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16224311"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/19\/3183\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:50:55Z","timestamp":1790596255000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/19\/3183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,26]]},"references-count":66,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2026,10]]}},"alternative-id":["nu18193183"],"URL":"https:\/\/doi.org\/10.3390\/nu18193183","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,26]]}}}