Effects of psychosocial stimulation on growth and development of severely malnourished children in a nutrition unit in Bangladesh

Nahar, Baitun; Hamadani, Jena D.; Ahmed, Tahmeed; Tofail, Fahmida; Rahman, Anisur; Huda, Syed Nazmul; Grantham‐McGregor, Sally

doi:10.1038/ejcn.2008.44

Cited by 114 publications

(149 citation statements)

References 17 publications

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“…111,112 In Bangladesh, addition of stimu lation and home visits to standard nutrition and health care for severely malnourished children improved development outcomes and weight-for-age Z score (WAZ). 113 Another trial in Bangladesh, which added responsive parenting (includ ing feeding) to an informal nutrition and child development education programme, showed benefi ts on several feeding and parenting behaviours, child self-feeding, and develop ment outcomes; addition of iron-fortifi ed micronutrient powders to the intervention improved weight gain and WAZ but had no additional eff ect on development outcomes. 114 A zinc supple men tation and responsive stimulation inter vention in under weight children in Jamaica showed synergistic eff ects on child development between the two inter ventions: greater benefi ts on development outcomes were identifi ed in the zinc and stimulation group, compared with little or no eff ect in the groups receiving either.…”

Section: Early Child Developmentmentioning

confidence: 99%

Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition?

Ruel¹,

Alderman²

2013

The Lancet

1,447

1,431

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Section: Early Child Developmentmentioning

confidence: 99%

Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition?

Ruel¹,

Alderman²

2013

The Lancet

1,447

1,431

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“…Importantly, this test has shown sensitivity to differences in ECD outcomes due to interventions in diverse contexts (Hamadani et al 2006;Nahar et al 2009;Attanasio et al 2014). However, test administration is time consuming and requires highly trained professionals working in controlled environments; test kits and test administration fees are expensive; and identifying professional testers who can administer it in local languages is challenging.…”

Section: Introductionmentioning

confidence: 99%

Concurrent Validity and Feasibility of Short Tests Currently Used to Measure Early Childhood Development in Large Scale Studies: Methodology and Results

Rubio‐Codina¹,

Araujo²,

Attanasio³

et al. 2016

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work is licensed under a Creative Commons IGO 3.0 AttributionNonCommercial-NoDerivatives (CC-IGO BY-NC-ND 3.0 IGO) license (http://creativecommons.org/licenses/by-nc-nd/3.0/igo/ legalcode) and may be reproduced with attribution to the IDB and for any non-commercial purpose, as provided below. No derivative work is allowed.Any dispute related to the use of the works of the IDB that cannot be settled amicably shall be submitted to arbitration pursuant to the UNCITRAL rules. The use of the IDB's name for any purpose other than for attribution, and the use of IDB's logo shall be subject to a separate written license agreement between the IDB and the user and is not authorized as part of this CC-IGO license.Following a peer review process, and with previous written consent by the Inter-American Development Bank (IDB), a revised version of this work may also be reproduced in any academic journal, including those indexed by the American Economic Association's EconLit, provided that the IDB is credited and that the author(s) receive no income from the publication. Therefore, the restriction to receive income from such publication shall only extend to the publication's author(s). With regard to such restriction, in case of any inconsistency between the Creative Commons IGO 3.0 Attribution-NonCommercial-NoDerivatives license and these statements, the latter shall prevail.Note that link provided above includes additional terms and conditions of the license.The opinions expressed in this publication are those of the authors and do not necessarily reflect the views of the Inter-American Development Bank, its Board of Directors, or the countries they represent.

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“…Children were assessed with the revised version of Bayley Scales of Infant Development (BSID-II) (Bayley, 1993) at HNFU by a trained tester, blind to the children's group. The test has not been validated in Bangladesh but has been used previously (Hamadani et al, 2001(Hamadani et al, , 2006Black et al, 2004;Tofail et al, 2008;Nahar et al, 2009) and demonstrated theoretically expected associations with nutritional and socio-economic status and home environment, and has acceptable test-retest reliability. The BSID-II includes mental development index (MDI) and psychomotor development index (PDI).…”

Section: Measurementsmentioning

confidence: 99%

“…Recently, a hospital-based non-randomised trial of PS with very severely malnourished children showed improvement in children's growth and development (Nahar et al, 2009). …”

Section: Introductionmentioning

confidence: 99%

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

et al. 2012

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Background/Objective: 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. Subjects/Methods: Severely underweight hospitalised children aged 6-24 months (n ¼ 507) were randomly allocated on discharge to five groups: (i) PS, (ii) FS, (iii) PS þ 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. Results: 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 ¼ 0.037, effect size ¼ 0.37 s.d.) and weight-for-age Z-score (group * session interaction P ¼ 0.02, effect size ¼ 0.26 s.d.). Poor levels of development and nutritional status were sustained, however, due to their initial very severe malnutrition. There was no effect on motor development and linear growth. Conclusion: Children receiving any stimulation showed a significant benefit to mental development and growth in weight. More intensive intervention with longer duration is needed to correct their poor developmental levels and nutritional status.

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Effects of psychosocial stimulation on growth and development of severely malnourished children in a nutrition unit in Bangladesh

Cited by 114 publications

References 17 publications

Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition?

Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition?

Concurrent Validity and Feasibility of Short Tests Currently Used to Measure Early Childhood Development in Large Scale Studies: Methodology and Results

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

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