scholarly journals Child diet and mother–child interactions mediate intervention effects on child growth and development

Author(s):  
Lilia Bliznashka ◽  
Dana C. McCoy ◽  
Saima Siyal ◽  
Christopher R. Sudfeld ◽  
Wafaie W. Fawzi ◽  
...  

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 812-812
Author(s):  
Lilia Bliznashka ◽  
Dana McCoy ◽  
Saima Siyal ◽  
Christopher Sudfeld ◽  
Wafaie Fawzi ◽  
...  

Abstract Objectives To test the hypothesis that child diet and maternal responsiveness mediated the effects of an integrated responsive stimulation (RS) and enhanced nutrition (EN) intervention on child growth and development. Methods We used data from the Pakistan Early Child Development Scale-up (PEDS) cluster-randomized controlled trial which evaluated the effectiveness of the Lady Health Worker (LHW) Program in rural Pakistan from 2010–2012. LHWs were randomized into one of four intervention arms (20 LHWs each): (1) RS: UNICEF-WHO Care for Child Development package (locally adapted), (2) EN: EN education and multiple micronutrient powders for children 6–24 mo, (3) RS + EN, and (4) Control. LHWs delivered the interventions in routine monthly home visits and group sessions. Mother-child pairs were enrolled form birth to 24 mo (N = 1324). Primary outcomes were child growth (assessed with length-for-age Z-score (LAZ)) and development (assessed with the Bayley Scales of Infant and Toddler Development, Third Edition) at 12 and 24 mo. We examined whether child diet (assessed with the WHO indicator for minimum acceptable diet) and maternal responsiveness (assessed with the Observation of Mother-Child Interaction tool) at 12 mo mediated intervention effects at 24 mo. Structural equation modelling was used to estimate the total, direct and indirect (via child diet and maternal responsiveness) intervention effects on child growth and development at 24 mo. Results The RS, EN and RS + EN interventions improved cognitive, language and motor development at 24 mo, but had no significant effect on LAZ and socio-emotional development. Child diet and maternal responsiveness mediated intervention effects on cognitive development, whereas maternal responsiveness alone mediated intervention effects on language and motor development. Despite the lack of significant total intervention effects on LAZ and socio-emotional development, there were significant positive indirect effects on LAZ via maternal responsiveness and child diet, and on socio-emotional development via maternal responsiveness. Conclusions Child diet and maternal responsiveness are two important mechanisms which mediated the effect of a RS and EN intervention on child growth and development. Leveraging these mechanisms can help enhance the effectiveness of RS and EN interventions. Funding Sources None.



2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Xin Li ◽  
Jin Zhu ◽  
Jun An ◽  
Yuqing Wang ◽  
Yili Wu ◽  
...  

AbstractCongenital Heart Defects (CHDs) are associated with different patterns of malnutrition and growth retardation, which may vary worldwide and need to be evaluated according to local conditions. Although tetralogy of Fallot (TOF) is one of the first described CHDs, the etiology outcomes in growth and development of TOF in early age child is still unclear in most cases. This study was designed to investigate the growth retardation status of Chinese pediatric TOF patients under 5 years old. The body height, body weight and body mass index (BMI) of 262 pediatric patients (138 boys and 124 girls) who underwent corrective surgery for TOF between 2014 and 2018 were measured using conventional methods. The average body height, body weight and BMI of the patients were significantly lower than WHO Child Growth Standards, while the most affected was body height. Meanwhile, higher stunting frequency and greater deterioration of both the body height and weight happened in elder age (aged 13–60 months) rather than in infant stage (aged 0–12 months) among these patients. Our results confirmed that intervention should be given at early age to prevent the growth retardation of TOF patients getting severer.



2021 ◽  
Vol 1943 (1) ◽  
pp. 012109
Author(s):  
F Agushybana ◽  
A Sadida ◽  
N R Ayuningtyas


2018 ◽  
Vol 14 (4) ◽  
pp. e12621 ◽  
Author(s):  
Phuong Hong Nguyen ◽  
Jed Friedman ◽  
Mohini Kak ◽  
Purnima Menon ◽  
Harold Alderman


2013 ◽  
Vol 5 (2) ◽  
pp. 3757-3766
Author(s):  
Mayrene Dias de Sousa Moreira ◽  
Maria Aparecida Munhoz Gaíva

Objetivo: descrever os registros de crescimento e desenvolvimento realizados  pelos enfermeiros na consulta de enfermagem de crianças menores de dois anos em unidades de saúde da família (USF). Métodos: Estudo documental com abordagem quantitativa que analisou prontuários e cadernetas de saúde da criança (CSC)  que tiveram consulta de enfermagem no período de janeiro a fevereiro de 2012 em quatro USF de Cuiabá-MT. Resultados: Dos 22 prontuários analisados, 100% tinham anotações de peso e estatura, 59,1% dos registros de desenvolvimento estavam incompletos e não se observou a presença de gráfico de crescimento e desenvolvimento (CD) nos prontuários. Todas as CSC tinham registros nos gráficos de peso e estatura e em 86,4% delas havia anotações dos marcos de desenvolvimento. Conclusão: A ausência de registros adequados de CD inviabiliza a identificação de situações de risco e o planejamento de ações para assistência à criança e sua continuidade. 



2017 ◽  
Vol 1 (2) ◽  
pp. 225-236
Author(s):  
Dwi Ulfa Nurdahlia ◽  
Endang Setyowati

The child is a trust given by Allah in His people, there are few things should be noted currently child growth and development. Especially the development of aqidah and moral development (akhlak). Developments relating with aqidah as faith, while morals relating with child behavior. pattern against children educaton operations can be performed non-verbal and verbal. No only firmly embodied in or operating verbal language. But can be also shown operating non-verbal, such as what can be done with how to operate physical punishment. Physical punishment is done by parents like hitting the child, not mean parents is cruel for hitting the hearts of Islamic education denid entry, as long as the beating is done based on the rules has been determined. However. Parents can establish morals (akhlak) children with how do good communication. By using language what mannered. Therefore, important for parents teach about speak politely by hearts early on. With communications using language that good will creates the sponsored children hearts speak, because language has the role of character formation for kid.



2017 ◽  
Vol 52 (1) ◽  
pp. 51 ◽  
Author(s):  
Dwi Susanti ◽  
Florentina Sustini

It’s Important to conduct child development screening regularly in primary health services, so child developmental delay cases can be detected and treated as early as possible. Child development screening program in Puskesmas should been carried out integrated with growth screening in Stimulation, Detection, and Early Intervention of Child Growth and Development (SDIDTK) Program. Aims of this study was to gathering informations about the implementation of child development screening activity conducted by Puskesmas Mojo. This was a cross sectional study with kualitatif method. Primary data taken from under 5 years old child’s mothers, kindergarten teachers, cadres, and health staff of Puskesmas Mojo. Secondary data gotten from PWS KIA report of Puskesmas Mojo.Results of SDIDTK activities in Puskesmas Mojo according to PWS KIA report, achieve 88.1% in 2013 and 95.2% in 2014. Child development screening activities done infrequenly in Posyandu. Routine activities of Posyandu was growth/nutrition screening. Child development screening activities done by visiting kindergarten school every 6 month but not every child getting development screen, only those who suspicious have developmental delay because of minimum number of staff and aids. Results of SDIDTK activities in Puskesmas Mojo only represents child growth screening activities.



2020 ◽  
Vol 7 (1) ◽  
pp. 43
Author(s):  
Patricia Kitsao Wekulo ◽  
Margaret Nampijja ◽  
Domnick O. Okullo ◽  
Kenneth O. Okelo ◽  
Milka Njeri ◽  
...  

<p class="abstract"><strong>Background:</strong> The massive use of technology can be leveraged to facilitate access to growth and development programs for children. Existing programs supporting such initiatives for children younger than three years are inadequate and not accessible to most families. In most cases, primary caregivers are unable to identify delayed milestones in their children’s growth and development due to inadequate information. They therefore often report the cases when they have become very severe and difficult to reverse. In order to promote early identification of possible developmental delays, African Population and Health Research Center together with Val Partners will develop, implement and evaluate the use of mobile phone technology to help caregivers track their children's developmental outcomes.</p><p class="abstract"><strong>Methods:</strong> The study will employ a quasi-experimental design and will use a mixed-methods approach combining quantitative and qualitative methodologies. In one arm, 110 caregivers will be trained on the use of a mobile phone application to assess child growth and development. The other arm, with 110 caregivers, will receive standard care provided by community health volunteers. Child developmental outcomes will be assessed in both arms. Feasibility of the intervention will be assessed qualitatively. Performance data will be compared across the two arms using mixed linear models to assess the effect of the intervention on child development.</p><p class="abstract"><strong>Conclusions: </strong>The findings are expected to provide evidence on whether the intervention is feasible and has an effect on child developmental outcomes. The results will inform the scalability and sustainability of the project.</p><p class="abstract"><strong>Trial Registration: </strong>The trial has been registered with the Pan African Clinical Trial Registry (www.pactr.org) database (ID number: PACTR201905787868050).<strong></strong></p>



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