Exclusive breastfeeding promotion and neuropsychological outcomes in 5-8 year old children from Uganda and Burkina Faso: Results from the PROMISE EBF cluster randomized trial

PloS One
James K TumwineNicolas Meda

Abstract

The beneficial effects from exclusive breastfeeding (EBF) have been widely acknowledged. We assessed the effect of exclusive breastfeeding promotion by peer counsellors in Uganda and Burkina Faso, on cognitive abilities, social emotional development, school performance and linear growth among 5-8 years old children. Children in the PROMISE EBF trial (2006-2008) were re-enrolled in the follow-up PROMISE Saving Brains (SB) study (2013-2015). Caretaker interviews captured sociodemographic characteristics and social emotional development using the parent version of the Strengths and Difficulties Questionnaire (SDQ). Overall cognition and working memory were assessed using the Kaufman Assessment Battery for Children, second edition (KABC2), cognitive flexibility was measured with the Child Category Test (CCT), and attention with the Test of Variables of Attention (T.O.V.A), while school performance was measured by a standardized test on arithmetic and reading. Country-pooled, age adjusted z-scores from each of the above outcomes were entered into a linear regression model controlling for confounders. The number of children re-enrolled in the intervention and control arms were: 274/396 (69.2%) and 256/369 (69.4%) in Uganda and 265/39...Continue Reading

Associated Clinical Trials

References

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Jan 22, 2008·Lancet·Robert E BlackUNKNOWN Maternal and Child Undernutrition Study Group
May 7, 2008·Archives of General Psychiatry·Michael S KramerUNKNOWN Promotion of Breastfeeding Intervention Trial (PROBIT) Study Group
Jan 9, 2010·Maternal & Child Nutrition·Jolly NankundaUNKNOWN PROMISE-EBF Study Group
Aug 19, 2010·BMC Pregnancy and Childbirth·Abdoulaye Hama DialloUNKNOWN PROMISE-EBF Study Group
Oct 28, 2010·International Breastfeeding Journal·Ingunn Ms EngebretsenJames K Tumwine
Oct 28, 2010·International Breastfeeding Journal·Jolly NankundaUNKNOWN PROMISE-EBF Study Group
May 17, 2011·PloS One·Victoria NankabirwaUNKNOWN PROMISE EBF Research Consortium
Nov 24, 2012·International Journal of Epidemiology·Salomi KafouriTomás Paus
Aug 27, 2013·PloS One·Bernardo L HortaUNKNOWN COHORTS group
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Jun 22, 2014·BMC Public Health·Ingunn Marie Stadskleiv EngebretsenUNKNOWN PROMISE EBF-study group
Jan 1, 2014·International Breastfeeding Journal·Ingunn Marie S EngebretsenUNKNOWN PROMISE-EBF study group
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Jul 28, 2015·Acta Paediatrica·Bernardo L HortaCesar G Victora
Dec 1, 2015·PloS One·Lumbwe CholaUNKNOWN PROMISE-EBF Study Group

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Citations

Sep 6, 2018·PloS One·Anselme Simeon SanouEsperance Kashala-Abotnes
Oct 29, 2019·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Samantha TurnerMaría Pastor-Valero
Jul 8, 2018·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Ingunn M S EngebretsenJutta Dierkes
Oct 29, 2020·Child and Adolescent Psychiatry and Mental Health·Ingunn Marie Stadskleiv EngebretsenJames K Tumwine

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Clinical Trials Mentioned

NCT01882335

Software Mentioned

TOVA
PROBIT
PROMISE
Stata

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