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| Title: | Prevention of malnutrition among young children in rural Bangladesh by a food-health-care educational intervention: a randomized, controlled trial |
| Authors: | Roy, Swapan Kumar
Jolly, Saira Parveen
Shafique, Sohana
Fuchs, George J.
Mahmud, Zeba
Chakraborty, Barnali
Roy, Suchismita |
| Keywords: | Children
Child Development
Child Nutrition
Child Nutrition Disorders
Infant Nutrition
Nutritional Status
Bangladesh |
| Issue Date: | 2007 |
| Citation: | Food and Nutrition Bulletin 2007;28(4):375-383 |
| Abstract: | Background. As a result of inappropriate feeding, poor
health and hygiene, and poor caring practices, the nutritional
status of many young infants deteriorates with
advancing age.
Objective. To explore the effectiveness of a nutrition
education package to prevent malnutrition among young
children.
Methods. A community-based, randomized, controlled
trial was conducted among 605 normal and mildly
malnourished children aged 6 to 9 months in 121 Community
Nutrition Centers (CNCs) of the Bangladesh
Integrated Nutrition Project (BINP) in four regions of
Bangladesh from 2000 to 2002. The intervention group
received weekly nutrition education based on the nutrition
triangle concept of UNICEF for 6 months, whereas
the control group received regular BINP services. Both
groups were observed for a further 6 months to assess
the sustainability of the effects. Information on socioeconomic
status, feeding patterns, morbidity, and anthropometric
features was collected.
Results. A significant increase in the frequency of
complementary feeding was observed in the intervention
group as compared with the control group, and
the increase was sustained throughout the observation
period. The intervention group had a higher weight
gain than the control group after the end of the intervention intervention
(0.86 vs. 0.77kg, p = 0.053) and after the end of
the observation period (1.81 vs. 1.39 kg, p < .001). The
proportion of normal and mildly malnourished children
was greater in the intervention group than in the control
group after the end of the observations (88.9% vs. 61.5%,
p < .001). Nutrition education successfully prevented
malnutrition in all the areas. Variation in the outcome
of nutrition education among the regions was observed.
Conclusions. This culturally appropriate nutrition
education package based on the nutrition triangle model
effectively prevented growth faltering and malnutrition
among young children. |
| URI: | http://hdl.handle.net/123456789/605 |
| Appears in Collections: | Child health research papers
|
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| 2007-FoodNutrBull-375-RoySK.pdf | | 218Kb | Adobe PDF | View/Open |
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