Effects of a community-based approach of food and psychosocial stimulation on growth and development of severely malnourished children in Bangladesh: a randomised trial

European Journal of Clinical Nutrition
B NaharL A Persson

Abstract

Psychosocial stimulation (PS) and food supplementation (FS) improve development of malnourished children. This study evaluates the effects of a community-based approach of PS and FS on growth and development of severely malnourished children. Severely underweight hospitalised children aged 6-24 months (n = 507) were randomly allocated on discharge to five groups: (i) PS, (ii) FS, (iii) PS+FS, (iv) clinic-control and (v) hospital-control. PS included play sessions and parental counselling on child development. This was done at each fortnightly follow-up visit, that is, every second week, for 6 months at community clinics. FS included distribution of cereal-based food packets (150-300 kcal/day) for 3 months. All groups received medical care, micronutrient supplementation, health-education and growth monitoring. Children's development was assessed using revised version of Bayley Scales of Infant Development at baseline and after 3 and 6 months of intervention. Anthropometry was measured using standard procedure. Comparing groups with any stimulation with those with no stimulation there was a significant effect of stimulation on children's mental development index (group*session interaction P = 0.037, effect size = 0.37 s.d.) and w...Continue Reading

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Jun 5, 2014·Nature·Sathish SubramanianJeffrey I Gordon
Dec 18, 2012·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Aisha K YousafzaiZulfiqar A Bhutta
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Jun 27, 2019·Maternal & Child Nutrition·Baitun NaharTahmeed Ahmed
May 29, 2018·Gates Open Research·Tessa W Ahner-McHaffieBrian Dooley
Jul 25, 2017·Pediatric Clinics of North America·Rebecca J ScharfBeena Koshy
Aug 8, 2021·International Journal of Environmental Research and Public Health·Tania JahirMahbubur Rahman

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