Associations between feeding practices and growth and neurodevelopmental outcomes at 36 months among children living in low- and low-middle income countries who participated in the BRAIN-HIT trial

Tiddi, Barbara; Hansen, Nellie I.; Bann, Carla; Lander, Rebecca L.; Goudar, Shivaprasad S.; Pasha, Omrana; Chomba, Elwyn; Dhaded, Sangappa; Thorsten, Vanessa; Wallander, Jan L.; Biasini, Fred J.; Derman, Richard; Goldenberg, Robert L.; Carlo, Waldemar A.

doi:10.1186/s40795-018-0228-9

Cited by 7 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The modifications made to assess the feeding practices among the children aged ≥ 24 months, as well as combining two food groups, were consistent with the previously published study of Do et al (2018) [24]. The details of the indicators and the modifications are available in Supplementary Table S1.…”

Section: Feeding Indicatorsmentioning

confidence: 55%

See 1 more Smart Citation

Poor Adherence to the WHO Guidelines on Feeding Practices Increases the Risk for Respiratory Infections in Surinamese Preschool Children

Wormer

Shankar

Hensbroek

et al. 2021

IJERPH

View full text Add to dashboard Cite

Poor feeding practices in infants and young children may lead to malnutrition, which, in turn, is associated with an increased risk of infectious diseases, such as respiratory tract infections (RTIs), a leading cause of under-five mortality. We explored the association between RTIs and the WHO infant and young child feeding (IYCF) indicators: minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD), among infants and preschool children in Suriname. A validated pediatric food frequency questionnaire was used and data on RTIs, defined as clinical care for fever with respiratory symptoms, bronchitis, or pneumonia were obtained. Associations between feeding indicators and RTIs were explored using hierarchical logistic regression. Of 763 children aged 10–33 months, 51.7% achieved the MDD, 88.5% the MMF, and 46.5% the MAD. Furthermore, 73% of all children experienced at least one upper and/or lower RTI. Children meeting the MDD and MAD had significantly lower odds on RTIs (OR 0.53; 95%CI: 0.37–0.74, p < 0.001; OR 0.55; 95%CI: 0.39–0.78, p < 0.001, respectively). The covariates parity and household income were independently associated with RTIs. In conclusion, MDD and MAD were associated with (upper) RTIs. Whether these indicators can be used as predictors for increased risk for RTIs should be assessed in future prospective studies.

show abstract

Section: Feeding Indicatorsmentioning

confidence: 55%

“…MDD: this indicator was considered achieved when receiving foods from at least four out of the six food groups [24]; 2.…”

Section: Feeding Indicatorsmentioning

confidence: 99%

Poor Adherence to the WHO Guidelines on Feeding Practices Increases the Risk for Respiratory Infections in Surinamese Preschool Children

Wormer

Shankar

Hensbroek

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Vitamin D deficiency may also affect body composition. A cross-sectional analysis including 271 healthy community-dwelling elderly individuals has reported that lower vitamin D levels are associated with increased fat mass and visceral adipose tissue [ 16 ]. Other studies have confirmed the relationship between lower vitamin D levels and total and android body fat, waist circumference (WC), and waist-to-hip ratio [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Body composition in nonobese individuals according to vitamin D level

et al. 2020

View full text Add to dashboard Cite

Obesity is associated with lower 25-hydroxyvitamin D (25OHD) levels, but the association between 25OHD deficiency and specific body composition (BC) patterns remains unclear. The aim of this study was to analyze the correlation between 25OHD levels and BC in a population of healthy, nonobese individuals. Cross-sectional, observational study including a convenience sample of community-dwelling healthy individuals aged ≥18 years who responded to a study advertisement and were randomly selected. The participants filled out a questionnaire and had fasting blood drawn and anthropometric indices taken. Dual-energy x-ray absorptiometry was performed for BC analysis (fat and lean body mass). The subjects were divided according to 25OHD levels into three groups: I (≤20 ng/mL, vitamin D deficient), II (>20 and <30 ng/mL, vitamin D insufficient), and III (≥30 ng/mL, vitamin D sufficient). Of 299 individuals selected, 51 were excluded, yielding a final sample of 248 (128 women) who had serum 25OHD levels measured. Women presented higher 25OHD levels than men (27.8±12.0 ng/mL and 24.8±11.3 ng/mL, respectively; p = 0.03). Including both sexes, Group I had greater body mass index (BMI; 26.6±2.5 kg/m2) and waist circumference (WC; 91.8.8±9.1 cm) compared with the other groups. Group I also had 75.7% and 65.3% of abnormal BMI and WC values, respectively, (p<0.05 for both) and a higher percentage of trunk and android fat confirmed by multivariate analysis. No differences in BC were observed in individuals with insufficient versus sufficient 25OHD levels. Individuals with lower 25OHD levels had increased fat in the android region and trunk. This study confirms the association of lower 25OHD levels with greater BMI and WC and increased deposition of fat in body compartments, which, even in nonobese individuals, are commonly associated with increased metabolic risk.

show abstract

Lay health workers in primary and community health care for maternal and child health: identification and treatment of wasting in children

Papadopoulou,

Lim,

Chin

et al. 2023

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Background Since the early 2010s, there has been a push to enhance the capacity to effectively treat wasting in children through community‐based service delivery models and thus reduce morbidity and mortality. Objectives To assess the effectiveness of identification and treatment of moderate and severe wasting in children aged five years or under by lay health workers working in the community compared with health providers working in health facilities. Search methods We searched MEDLINE, CENTRAL, two other databases, and two ongoing trials registers to 24 September 2021. We also screened the reference lists of related systematic reviews and all included studies. Selection criteria We included randomised controlled trials (RCTs) and non‐randomised studies in children aged five years or under with moderate wasting (defined as weight‐for‐height Z‐score (WHZ) below −2 but no lower than ≥ −3, or mid‐upper‐arm circumference (MUAC) below 125 mm but no lower than 115 mm, and no nutritional oedema) or severe wasting (WHZ below −3 or MUAC below 115 mm or nutritional oedema). Eligible interventions were: • identification by lay health workers (LHWs) of children with wasting (intervention 1); • identification by LHWs of children with wasting and medical complications needing referral (intervention 2); and • identification by LHWs of children with wasting without medical complications needing referral (intervention 3). Eligible comparators were: • identification and treatment of wasting by health professionals such as nurses or doctors (at health facilities); and • identification and treatment of wasting by health facility‐based teams, including health professionals and LHWs. Data collection and analysis Two review authors independently screened trials, extracted data and assessed risk of bias using the Cochrane risk of bias tool (RoB 2) and Cochrane Effective Practice and Organisation of Care (EPOC) guidelines. We used a random‐effects model to meta‐analyse data, producing risk ratios (RRs) for dichotomous outcomes in trials with individual allocation, adjusted RRs for dichotomous outcomes in trials with cluster allocation (using the generic inverse variance method in Review Manager 5), and mean differences (MDs) for continuous outcomes. We used the GRADE approach to assess the certainty of the evidence. Main results We included two RCTs and five non‐RCTs. Six studies were from African countries, and one was from Pakistan. Six studies included children with severe wasting, and one included children with moderate wasting. All studies offered home‐based ready‐to‐use therapeutic food treatment and monitoring. Children received antibiotics in three studies, vitamins or micronutrients in three studies, and deworming treatment in two studies. In three studies, the comparison arm involved LHWs screening...

show abstract

Associations between feeding practices and growth and neurodevelopmental outcomes at 36 months among children living in low- and low-middle income countries who participated in the BRAIN-HIT trial

Cited by 7 publications

References 18 publications

Poor Adherence to the WHO Guidelines on Feeding Practices Increases the Risk for Respiratory Infections in Surinamese Preschool Children

Poor Adherence to the WHO Guidelines on Feeding Practices Increases the Risk for Respiratory Infections in Surinamese Preschool Children

Body composition in nonobese individuals according to vitamin D level

Lay health workers in primary and community health care for maternal and child health: identification and treatment of wasting in children

Contact Info

Product

Resources

About