Fasting can be caused by physiology (i.e. 3. 1. Within this population, the number of children aged 623 months are estimated to be 5,952, of which 5,084 reside in urban kebeles and 868 in rural kebeles (smallest administration units) [9]. Please upload a new copy of Figure 1 as the detail is not clear. For . These are, 55 days lent fast period preceding Easter, the fast of the apostles ranging 1444 days, the Fast of the Prophets of 43 days, the Fast of the Assumption 15 days in august, 3 days of the Fast of Nineveh, Tsome Gehad of Christmas and Epiphany (one day of fasting before Christmas and one day of fasting before Advent) and with the exception of two months after Ethiopian Easter, every Wednesday and Friday are fasting days almost all year-round. Is the manuscript technically sound, and do the data support the conclusions? There are two risks to not drinking all day: (1) mom gets dehydrated, and (2) if the dehydration is severe enough milk supply can decrease. The years from birth to two years of age is a critical period for infants and young children to have proper feeding practices in order to prevent child malnutrition [1]. A mum who lost her son to suicide tells CNA what parents should look out for and how they can support their children. This result is in line with the result from a study done in Dejen District North West Ethiopia [13]. Health & Parenting Guide - Your Guide to Raising a Happy - WebMD A study done by Seleshe et al also showed that this religious periodic restriction of animal food consumption influences meat consumption pattern in the population. The main aim of this study was to see how fasting practices of mothers and caregivers affected the dietary diversity of infants aged 6 to 23 months by measuring their food consumption patterns before and during fasting season. Please do not edit.]. However, previously, reviewers provided feedback that the paper has limitations with regards to grammar, language and referencing. For more information please contact gro.solp@sserpeno. Socioeconomic factors like womens literacy rate [5, 17] and the timing of different studies also vary [13, 19, 20, 22]. WHO. Parents should assess their children's ability to fast based on their health, activity level, tolerance to hunger and eating frequency. 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. Fasting Guidelines and Information Determinants of childhood malnutrition and consequences in developing countries. Fasting isnt just about the food, its about the sacrifice. 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. Kids can still experience the spiritual benefits of fasting by choosing something else to give up rather than food. Counseling was given to the mothers/caregivers whose children showed a significant difference in their dietary diversity during the two periods. Particularly, the impact of fasting on children`s dietary diversity is not explored in Ethiopia. Dietary diversity and associated factors among children of Orthodox Christian mothers/caregivers during the fasting season in Dejen District, North West Ethiopia. The .gov means its official. Line 238: should be. To use PACE, you must first register as a user. However, it dropped to 7.3% during the fasting period which is higher than the Dejen report (2%) [13]. for problems that arise from fasting because their little bodies are still growing and their metabolisms are so high. The study participants were informed about the purpose and procedures of the study. Children 6-23 months whose mothers/care givers were Orthodox Tewahido Christian and who were living in randomly selected households were considered as the study population. You should upload this letter as a separate file labeled 'Response to Reviewers'. As a library, NLM provides access to scientific literature. Hepatitis A(hep A) - The hep A virus can cause liver failure. Statistical significance was determined at p<0.05. Most doctors discourage fasting for children before they reach puberty. of which 5,084 reside in Line 129: should be dietary diversity to be 27.2% and 13.6% before and during fasting period, respectively, Line 139: should be ..stayed up to some hours without consuming, Line 142: Include reference for the WHO IYCF indicator, Line 145: Write MDD in full first time use, Lin 147 to 148: We have interviewed should be We intervewed, Lines 168 and 169:should be..were males and the rest were females, Line 171: One hundred and twenty-five (57.4%) mothers, Table 1: Should be Fathers occupation not Father occupation, Line 186: all of the fasting mothers/caregivers practice avoided animal source foods, Lines 208 and 209: should be. Lastly the, reference number 2 is incorrectly cited, Reviewer #1:Yes:Ukegbu, Patricia Ogechi, The effect of mothers and caregivers fasting status on the dietary diversity of children 6-23 months: A longitudinal study in Debrebirhan, Ethiopia. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. Fourth, fast spindle density in central and frontocentral regions at age 6 months predicts overall developmental status at age 12 months, and motor skills at age 12 and 24 months. Fruits. They were also told about their right to participate or not participate in the study. The proportion of children who met the minimum dietary diversity before the fasting season was significantly higher (23.4%) compared to during the fasting period (5.5%). Is the manuscript presented in an intelligible fashion and written in standard English? Addis Ababa, Ethiopia; Alive & Thrive. 1. Reviewer #1:The authors have adequately addressed all comments raised in the previous review. Reviewer #1:The authors have adequately addressed all comments raised in the previous round of review. Even if you choose not to let your child fast from food, that doesnt mean they cant still participate in the spiritual discipline of fasting with the rest of the family! The McNemar paired test was used for comparison of baseline and end line measurements. Perioperative fasting and feeding in adults, obstetric, paediatric and Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. 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. HHS Vulnerability Disclosure, Help 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. There have been no studies in children and, current studies in adults lack long-term intervention and follow up period. For specific medical advice, diagnoses and treatment, please consult your doctor. The subjects had been practicing the fasting rituals for a mean of 17 7.2 years. When their bodies feel hunger, it reminds them to turn their thoughts to God. 3. Mothers' Income and Young Adult Children's Education and Fast Food Please let us know if we need to submit that again. High caloric intake at breakfast instead of dinner has also been associated with improved weight loss/weight maintenance. The Effect of Ramadan Fasting on Outcome of Pregnancy HF0, or Hacker Fellowship Zero, is a start-up accelerator that provides 12-week residencies for batches of fellows from 10 different start-ups. Vitamin A rich fruits and vegetables were consumed by 9.2% of the children before the fasting time. In addition, 66.5% of them stayed up to 3 PM without eating/drinking any meal/drinks and 50.9% of them skipped breakfasts and stayed up to 6PM pm, and 3.6% of the fasting group fasted until 3 pm without taking any food or drink (Table 2). During the fasting period, the mean DDS was 2.68 ( 0.68), ranging between 1 and 6. NIGHT OF OPEN HEAVEN || DAY 45 [100 DAYS FASTING & PRAYER - Facebook The objective of the present community-based longitudinal study was therefore to estimate the effect of mothers/caregivers fasting practices during the Ethiopian Orthodox Lent fasting season on dietary diversity of children aged 623 months in Debrebirhan, Ethiopia. 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]. Fasting for more than 200 days a year is required of all Orthodox Tewahido religion followers above the age of seven. In addition, fasting mothers were divided into groups with appropriate, moderate, . c) If any authors received a salary from any of your funders, please state which authors and which funders. When submitting your revision, we need you to address these additional requirements. dchild didnt like it/ he refuse to eat/ I dont remember. According to the Ethiopian Orthodox Tewahido practice close to 200 . If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the Comments to the Author section, enter your conflict of interest statement in the Confidential to Editor section, and submit your "Accept" recommendation. Result: A total of 218 and 216 mothers/caregivers with children 6-23 months participated in the Background Nutritional improvement through appropriate feeding practices is critical for young children's healthy growth and development. The guidance on this page has been clinically reviewed by CHOC pediatric experts. The https:// ensures that you are connecting to the If children are fasting, parents should not expect a small child to fast a full day from the onset. The collected data was entered into Epi Data 7 after checking its completeness. Families can exercise together to meet the recommended 60 minutes per day. Due to reduced intake the baby's bowel movements might go for a toss. Sickness has varying effects on children's insulin needs. 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]. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. The manuscript is therefore recommended for publication in your reputable journal, While the revised paper is improved, the authors have not addressed comments adequately from previous reviews. Produced by Clare Toeniskoetter , Will Reid and Mary Wilson. 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. The study was conducted in Debrebirhan woreda, which is located in North Shewa Zone, Amhara Regional State, 130 km away from Addis Ababa. Our statistical reporting guidelines are available at https://journals.plos.org/plosone/s/submission-guidelines#loc-statistical-reporting. It is therefore suggested that this paragraph be rephrased to capture actual findings of the study. https://journals.plos.org/plosone/s/file?id=ba62/PLOSOne_formatting_sample_title_authors_affiliations.pdf. In order for them to experience the feeling of hunger for the thing they sacrificed, it needs to be something they will really miss. To take advantage of our partnership with AJE, visit the AJE website (http://learn.aje.com/plos/) for a 15% discount off AJE services. If they'll be preparing press materials, please inform our press team within the next 48 hours. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. or non-volitional (i.e. In the fasting period 99.1%, 82.1%, 42.6%, 0.46%, 7.3%, 18.3% and 19.7% of children have consumed grains, roots and tubers, legumes and nuts, dairy products, flesh foods, eggs, Vitamin A rich fruits and vegetable and other fruits and vegetables respectively (Fig 1). The McNemar paired test was used to compare the MDD before and during the fasting time and statistical significance was set at p < 0.05. University of Zurich. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. This result was almost close to the finding from a study done in Addis Ababa [25]. Follow these tips for helping your child manage a healthy weight: Lets not forget the importance of activity. (1-10 days), group 3 with moderate fasting (11-20 days) and group 4 with full fasting (21-30 days). Why Children's Health is the Foundation of Lifelong Health Generally, the authors tried to describe the effect of mothers/caregivers fasting status on the dietary diversity of children 6-23months in the study area. Most doctors discourage fasting for children before they reach puberty. the contents by NLM or the National Institutes of Health. 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. Dietary diversity and associated factors among infants and young children in Wolaita Zone, Southern Ethiopia. In fact, for a lot of kids, giving up video games or TV shows will be a whole lot more effective in helping them understand sacrifice and putting God first! Inclusion in an NLM database does not imply endorsement of, or agreement with, 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 is now the second revision which addresses main comments from previous reviews. We used an interviewer administered questionnaire to collect the required information from the mothers/caregivers. Dietary diversity and associated factors among children aged 623 months in Sinan Woreda, Northwest Ethiopia: a cross-sectional study. Our pediatric healthcare system is dedicated to preserving the magic of childhood. 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). During the fasting period, all of the fasting mothers/caregivers practice avoided animal source foods. This was similar to a study conducted in Dejen during the Lent fast season, where the consumption of Vitamin A rich fruits and vegetables was found to be 17.5% [13]. PDF The effect of mothers and caregivers' fasting status on the dietary 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. Look for canned fruit that says it's light or packed in its own juice.
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