Impact of Pilot Project of Rural Maintenance Programme (RMP) on Destitute Women: CARE, Bangladesh

Background The rate of malnutrition among women in Bangladesh is high, but historically there has not been a specific program focusing on the improvement of the nutritional status of Bangladeshi women. Objective To observe changes in the nutritional status of destitute women of the Rural Maintenance Programme (RMP) by incorporating a health and nutrition intervention package with RMP ongoing activities. Methods An intervention study involving 1,275 poor destitute women was conducted from July 2004 to June 2005 in 17 districts in Bangladesh under two field offices, Mymensingh and Jessore, covering 8 and 9 districts, respectively. The respondents were divided into intervention, comparison, and control groups. All participants in the intervention and comparison groups were paid as part of the RMP and received weekly 30-minute nutrition interventions for 7 weeks in addition to routine training. The comparison group also received RMP training. The control group consisted of women with similar demographic characteristics to the intervention and comparison groups who did not receive pay or any intervention. The intervention was a unique combination of the three components of the UNICEF triangle model (food security, caring practices, and disease contol). Data on socioeconomic and anthropometric characteristics, immunization, and vitamin A capsule intake were also collected with the use of a structured questionnaire. Results After the intervention, the mean body weight had significantly increased by 1,333 g in the intervention group and had decreased by 277 g in the control group and 147 g in the comparison group. The body mass index of women in the intervention group had also significantly increased at the end of the study ( p < .001). There was a significant increase in the intake of iodized salt in the intervention group as well as increased immunization coverage in all groups. Intake of the first vitamin A capsule by children increased (from 60% to 97%) in the intervention group only. Conclusions The nutrition pilot intervention was highly effective in improving the nutritional status of women in the RMP.

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Knowledge and Practices of Back Care, Experience in Colombian Children

Global Pediatric Health ◽

10.1177/2333794x211023460 ◽

2021 ◽

Vol 8 ◽

pp. 2333794X2110234

Author(s):

Sonia Carolina Mantilla Toloza ◽

Carlos Alberto Jaimes Guerrero ◽

Piedad Rocio Lerma Castaño

Keyword(s):

Education Program ◽

School Context ◽

Intervention Group ◽

First Grade ◽

The Body ◽

Control Group ◽

Preventive Strategy ◽

Grade School ◽

Knowledge And Practice ◽

Back Care

Early back care has become the preventive strategy to mitigate bad postural habits and musculoskeletal alterations that trigger inadequate postural patterns in the body schema. The objective was to determine the knowledge and practice of back care in first-grade school children after applying an educational intervention for back care. Quasi-experimental study with pre-test and post-tests in a sample of 71 first grade school students. Knowledge and practices for back care were evaluated before and after of the intervention. During 5 weeks, a program of education for back care was developed in the intervention group, formed by concepts about anatomy, physiology, alterations of the spine, adoption of appropriate postures and movements in school life and the execution of adequate movements learned. Simultaneously, physical exercises based on aerobic work, strengthening and stretching the back muscles were carried out with the children in the control group. A linear regression model and a two-level hierarchical model were applied to estimate the effect of the intervention. After the execution of the back care education program, a better score was found in the knowledge and practice questionnaire, which was different between the intervention group and the control group (1.72 95% CI 1.21-2.24). The development of an education program generated a change in the score of the questionnaire on knowledge of back care in the intervnetion group, which suggests the implementation of these strategies in the school context during early childhood, contributing to the prevention of back disorders and deficiencies

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Pengaruh Clay Therapy terhadap Kecemasan Anak Usia Prasekolah yang Menjalani Prosedur Invasif di RSUD Al-Ihsan

Jurnal Sehat Masada ◽

10.38037/jsm.v13i2.115 ◽

2019 ◽

Vol 13 (2) ◽

pp. 72-86

Author(s):

Depi Lukitasari

Keyword(s):

Venous Blood ◽

Intervention Group ◽

Invasive Procedure ◽

T Test ◽

The Body ◽

Preschool Age ◽

Control Group ◽

P Value ◽

Invasive Procedures ◽

Preschool Age Children

Background. During hospitalization large number of invasive procedure recived by patient and preceived as threatening and anxiety experience. One of the invasive procedures that commonly done is the venous blood extraction. The children in preschool age preceived venous blood extraction as something that endanger the integrity of the body and lead to anxiety experience. To reduce the anxiety during the venous blood extraction, a nurse could perform a clay theraphy. The aim of this research is to ascertain the effect of clay therapy toward scoreof anxiety in preschool age children that undergoing venous blood extraction in RSUD Al-Ihsan.Methode. The study was quasi-experiment with nonequivalent control group posttest only. A total of 34 children who recieve venous blood extraction was assigned into 2 group, 17 children in control and 17 children in intevention. The children anxiety level measured using anxiety observation sheet before the procedure complete. Data were analyzed used independent t test for bivariate and logistik regresion for multivariate. Result Findings. The results show a significat difference in anxiety score between control group and intervention group with p-value 0,001 < α 0.05 which means there is impact of clay therapy to level anxiety in preschool age children undergoing invasive procedure in RSUD Al-Ihsan. Conclusion. This research indicate that clay therapy may be used to reduce anxiety in children that undergoing venous blood extraction.

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Optimalisasi Pertumbuhan Bayi dengan Baby Massage and Spa

Jurnal Kesehatan ◽

10.26630/jk.v10i2.1416 ◽

2019 ◽

Vol 10 (2) ◽

pp. 276

Author(s):

Yusari Asih ◽

I Gusti Ayu Mirah WS

Keyword(s):

Body Length ◽

Head Circumference ◽

Intervention Group ◽

Sampling Technique ◽

Holistic Approach ◽

The Body ◽

Control Group ◽

P Value ◽

Control Group Design ◽

Significant Difference

Baby Massage and Spa was a traditional effort that uses a holistic approach through comprehensive care using a combination of massage and water therapy methods that are carried out in an integrated manner to balance the body, mind, and feelings. Age 3-6 months is the right time for babies to do massage and spa. The purpose of this study was to determine the effect of baby massage and spa on the growth of infants aged 3-5 months in Pringsewu District in 2018. This study uses a quasi-experimental approach with research design pre and post-test with control group design. The purposive sampling technique was taken with a sample of 30 infants as the intervention group and 30 infants as the control group. Data were processed using computerization and analyzed using the T-Test. The results showed that there were significant differences between body weight, body length and baby head circumference in the pre and post-treatment. There was no significant difference in the average increase in infant weight between babies who were carried out by baby massage and spa with babies who were not carried out by baby massage and spa with p-value 0.116. There is a significant difference in the baby's body length and head circumference performed by baby massage and spa with those not carried out by baby massage and spa with p-value 0.000. Baby Massage and Spa has a significant effect on increasing the growth of babies aged 3-5 months.

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Scaled-Up Nutrition Education on Pulse-Cereal Complementary Food Practice in Ethiopia: A Cluster-Randomized Trial

10.21203/rs.2.23631/v3 ◽

2020 ◽

Author(s):

Getenesh Berhanu Teshome ◽

Susan J. Whiting ◽

Timothy J. Green ◽

Demelash Mulualem ◽

Carol J. Henry

Keyword(s):

Nutritional Status ◽

Nutrition Education ◽

Weight Status ◽

Dietary Diversity ◽

Randomized Study ◽

Intervention Group ◽

Complementary Food ◽

Southern Ethiopia ◽

Control Group ◽

Cluster Randomized

Abstract Background Improving children's weight status through nutrition education (NE) for mothers about using pulses in complementary feeding has been demonstrated in pilot studies, but no effect on stunting was reported. The aim of the study was to evaluate the effectiveness of a 9-month pulse-nutrition education program on mothers' knowledge, attitude, and practices (KAP) towards pulses, as well as its impact on children's dietary diversity, and nutritional status. The NE was delivered by Health Extension Workers (HEWs). Methods A cluster randomized study was employed for the community-based interventional study. Twelve randomly selected villages in Sidama Zone, Southern Ethiopia were included in the study. A total of 772 mother-child pairs involved in the study; where 386 mother-child pairs in the intervention group received additional messages about pulse-cereal complementary food, and 386 pairs (the control) received only routine health education for 9 months. A survey on mothers’ KAP and anthropometric measurements of the children were taken at baseline, midline, and endline. Results At baseline and endline, maternal KAP and the dietary diversity score of the children (mean age at endline 18.8 ± 2.9 mo) were assessed. Results : Intervention mothers’ KAP improved ( p <0.001) at midline and endline compared to that of the control group, as did frequency of pulse consumption and DDS among children. At 9 months, the prevalence of stunting, wasting, and underweight was significantly reduced in the intervention group compared to the control group ( p =0.001). Conclusions NE delivered by HEWs improved KAP of mothers regarding pulse consumption and dietary diversity of children led to improved nutritional status of the children. Training HEWs on the use of pulses for CF may be an effective way to improve the health of children in Ethiopian communities.

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Preliminary Results on the Effectiveness of a Nutrition Intervention in Lowering Diabetes Risk in Prediabetic People Living with HIV (PLWH) in MASH Cohort (OR36-06-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz035.or36-06-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Alicia Sneij Perez ◽

Adriana Campa ◽

Leslie Seminario ◽

Sabrina Martinez ◽

Fatma Huffman ◽

...

Keyword(s):

Blood Glucose ◽

Fasting Blood Glucose ◽

Intervention Group ◽

Nutrition Intervention ◽

Control Group ◽

Reactive Protein ◽

Research Initiative ◽

Significant Difference ◽

Hs Crp

Abstract Objectives The objective of this study is to assess the effectiveness of a 6-month nutrition intervention to improve glycemic parameters and inflammation in prediabetic PLWH on stable ART with undetectable HIV viral load. Methods A 6-month randomized, controlled nutrition intervention was conducted in prediabetic PLWH. The study participants for the intervention were recruited from the Miami Adult Studies for HIV (MASH) cohort at the FIU-Borinquen Research Clinic. Upon their consent, the participants were randomized into the intervention group or the control group. Participants randomized in the intervention group met once a month for approximately 1 hour where they received medical nutrition therapy, nutrition counseling and nutrition education; participants randomized into the control group received educational material at baseline. Blood was drawn at baseline and at 6-month to measure fasting blood glucose (FBG) and high sensitivity C-reactive protein (hs-CRP). Results A total of 38 participants were recruited and randomized into either the intervention group (n = 20) or the control group (n = 18). We found that the FBG for the 6-month follow-up for the intervention group was significantly lower than the baseline FBG values of the same study group (paired t-test; P = 0.031). No significant difference was found in the control group between the baseline and 6-month fasting blood glucose values (P = 0.068). Moreover, no significant difference was found in pre/post C-reactive protein (CRP) levels in the intervention or control group (paired t-test; P = 0.404 and P = 0.117 respectively). There was a significant difference in CRP levels at baseline (P = 0.028) between the study groups but no difference at the 6-month follow up (Mann Whitney U test: P = 0.430). Conclusions The results from this intervention support the notion that a nutrition intervention is effective in prediabetic PLWH to lower diabetes risk by significantly lowering fasting blood glucose and may be implemented into larger scale interventions; however, no significant changes was seen in hs-CRP values between the 2 groups. Funding Sources National Institute of General Medical Sciences (NIGMS): Research Initiative for Scientific Enhancement (RISE), Biomedical Research Initiative (BRI) Grant, National Institute on Drug Abuse 5U01DA040381-03 and FIU-Dissertation Funding.

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Food Choices of Adolescents and Testing the Efficacy of Smart Phone Aided Nutrition Education Program (P21-062-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz041.p21-062-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Nida Jawed ◽

Anishta Mehndi ◽

Nilofer Safdar

Keyword(s):

Nutritional Status ◽

Nutrition Education ◽

Vegetable Intake ◽

Promising Result ◽

Intervention Group ◽

Smart Phone ◽

Smartphone App ◽

Control Group ◽

Lifestyle Behaviors ◽

Health And Nutrition

Abstract Objectives To assess the nutritional status & lifestyle behaviors and see the response of nutrition education delivery by smartphone technology among school going adolescents. Methods A cross-sectional analytical study design was conducted on total of 150 adolescents (aged 14–19 years) from private schools of Karachi (East) using multi-staged random sampling. Data was collected on adolescent's socio-demographics, lifestyle behaviors, nutritional status and dietary behaviors. Based on the need for providing the health and nutrition literacy to our adolescent population through m-health, the smartphone app by the name of ‘Health and Nutrition Daily guidelines for Youth” ‘HANDY’ was developed for the project. Also, a brochure was designed which included the same information as the app, representing the conventional form of education. Participants were divided into two groups – Control group was provided information through brochures and the Intervention group was given brochures and Smartphone App. Results Majority of the students were from upper middle income group. Almost 30% adolescents were obese. Among lifestyle behaviors, 32% didn't meet the criteria for 60 minutes of physical activity per day and excessive use of screen time (>2 hours a day) was 70% among adolescents. According to WHO recommendation only 36.6% were consuming vegetable intake, whereas fruit consumption was slightly better (50.3%). Snacking between meals was also found to be very common (32%) amongst adolescents. Different type of processed food including carbonated beverages and junk food consumption varied between 22–48%. After the baseline information, the intervention group was exposed to smartphone app and brochure versus brochure only and results showed that 76% of the participants in the intervention group liked the smart-phone application versus 34% who preferred brochure for healthier lifestyle. This shows a promising result of smartphone App usage in adolescents for inculcating healthy lifestyle habits. Conclusions As it was a pilot project, the potentiality of the app was found to be highly encouraging. Thus, longitudinal study with larger sample size, will be beneficial to test the efficacy of this app in producing a healthy behavior change. Funding Sources This project was funded by Scaling up Nutrition Academia and Research Pakistan, AusAid, and (ASK development).

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Evaluation of Knowledge, Attitudes, and Self-Reported Behaviors Among 3-5 Year Old School Children using an Oral Health and Nutrition Intervention.

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.35.1.x166887284341868 ◽

2010 ◽

Vol 35 (1) ◽

pp. 59-64 ◽

Cited By ~ 2

Author(s):

Jonelle Grant ◽

Jonathan Kotch ◽

Rocio Quinonez ◽

Jill Kerr ◽

Michael Roberts

Keyword(s):

Oral Health ◽

Intervention Program ◽

Health Knowledge ◽

Intervention Group ◽

Nutrition Intervention ◽

Control Group ◽

Entire Group ◽

Health And Nutrition ◽

Age Cohort ◽

Post Test

Methods: Ninety 3-5 year old children, 43 in the control group and 47 in the intervention group, participated in the study. An age and developmental appropriate prop-based oral health and nutrition intervention program was used. Subjects in the intervention group received a pre-test, an 8-10 minute prop-supported intervention, followed by an immediate post-test. The same test was repeated two weeks later. The control group received a pre-test and post-test two weeks later but no intervention. Results: Intervention improved scores in the immediate post-test but these improvements were not sustained two weeks later. The only positive relationship found for the entire group between pre-and two week post-test scores was for oral health knowledge. There were no significant findings when adjusted for race, intervention type or group. Conclusions:Changing oral health and nutrition knowledge, attitude and behavior may require intense and repetitive interventions to have a significant effect in this age cohort.

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A randomized controlled trial of a specific reminiscence approach to promote the well-being of nursing home residents with dementia

International Psychogeriatrics ◽

10.1017/s1041610204000055 ◽

2004 ◽

Vol 16 (1) ◽

pp. 33-49 ◽

Cited By ~ 80

Author(s):

Claudia K. Y. Lai ◽

Iris Chi ◽

Jeanie Kayser-Jones

Keyword(s):

Randomized Controlled Trial ◽

Nursing Home ◽

Repeated Measures ◽

Comparison Group ◽

Controlled Trial ◽

Intervention Group ◽

Nursing Home Residents ◽

Well Being ◽

Control Group ◽

Randomized Controlled

Background: To date, no firm conclusions can be reached regarding the effectiveness of reminiscence for dementia. Researchers have emphasized that there is an urgent need for more systematic research in the area.Objective and Method: A single-blinded, parallel-groups (one intervention, one comparison, and one no-intervention group) randomized controlled trial (RCT) was adopted to investigate whether a specific reminiscence program leads to higher levels of psychosocial well-being in nursing home residents with dementia. The intervention adopted a life-story approach, while the comparison group provided friendly discussions to control for any changes in outcome as a result of social contacts and attention. The Social Engagement Scale (SES) and Well-being/Ill-being Scale (WIB) were the outcome measures used. The outcomes of the groups were examined with reference to the baseline (T0), immediately (T1), and six weeks (T2) after intervention. The final sample had 101 subjects (control group: n=30; comparison group: n=35; intervention group: n=36). Using multivariate analysis with repeated measures, no significant differences in outcome were found between groups at either T1 or T2. Wilcoxon signed rank tests were performed for each group comparing outcomes between T1 and T0, T2 and T1, and T2 and T0. Significant differences were observed in the intervention group when comparing T1 and T0 WIB (p=.014), but not for the other groups.Conclusion: Although the intervention did not lead to significant differences between the three groups over time, there was a significant improvement in psychosocial well-being for the intervention group.

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The Effect of Baduanjin on Promoting the Physical Fitness and Health of Adults

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2014/784059 ◽

2014 ◽

Vol 2014 ◽

pp. 1-8 ◽

Cited By ~ 13

Author(s):

Ran Li ◽

Li Jin ◽

Ping Hong ◽

Zi-Hong He ◽

Chuan-Ye Huang ◽

...

Keyword(s):

Physical Fitness ◽

Statistical Significance ◽

Intervention Group ◽

Blood Lipid ◽

The Body ◽

Control Group ◽

Triceps Brachii ◽

Fitness And Health ◽

Subcutaneous Adipose ◽

Lower Corner

The purpose of study was to assess the efficacy of a 16-week Baduanjin qigong training intervention in promoting physical fitness and health for adults. An experimental design was adopted, and subjects were assigned randomly into an experimental group (n=55) and a control group (n=55). In the intervention group comprised of adults, there were no significant variations in blood glucose, blood lipid, blood pressure, heart rate variability, and vital capacity indices. The body weight and body mass index (BMI) dropped in the intervention group. Compared with the control group, the skinfold thicknesses decreased at lower corner of scapula, triceps brachii, and abdomen, with a statistical significance (P<0.001;P=0.005;P=0.003). By comparing the physical fitness indices, it was found that the increase of the results of sit-and-reach test in the intervention group had statistical significance (P=0.001). In conclusion, it was found by our trial that Baduanjin exercise could significantly improve the physical flexibility and subcutaneous adipose accumulation in the healthy adults.

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Fortification of maize meal improved the nutritional status of 1–3-year-old African children

Public Health Nutrition ◽

10.1079/phn2005782 ◽

2005 ◽

Vol 8 (5) ◽

pp. 461-467 ◽

Cited By ~ 25

Author(s):

Alufheli E Nesamvuni ◽

Hester H Vorster ◽

Barrie M Margetts ◽

Annamarie Kruger

Keyword(s):

Weight Gain ◽

Vitamin A ◽

Nutritional Status ◽

Small Sample ◽

Control Group ◽

Serum Retinol ◽

Positive Effects ◽

African Children ◽

Maize Meal ◽

Experimental Group

AbstractObjectiveTo evaluate the effectiveness of a vitamin-fortified maize meal to improve the nutritional status of 1–3-year-old malnourished African children.DesignA randomised parallel intervention study was used in which 21 experimental children and their families received maize meal fortified with vitamin A, thiamine, riboflavin and pyridoxine, while 23 control children and their families received unfortified maize meal. The maize meal was provided for 12 months to replace the maize meal habitually consumed by these households.MethodsSixty undernourished African children with height-for-age or weight-for-age below the 5th percentile of the National Center for Health Statistics' criteria and aged 1–3 years were randomly assigned to an experimental or control group. Baseline measurements included demographic, socio-economic and dietary data, as well as height, weight, haemoglobin, haematocrit, serum retinol and retinol-binding protein (RBP). Anthropometric, blood and serum variables were measured again after 12 months of intervention. Complete baseline measurements were available for 44 children and end data for only 36. Changes in these variables from baseline to end within and between groups were assessed for significance with paired t-tests, t-tests and analysis of variances using the SPSS program, controlling for expected weight gain in this age group over 12 months. Relationships between changes in variables were examined by calculating correlation coefficients.ResultsThe children in the experimental group had a significantly (P≤0.05) higher increase in body weight than control children (4.6 kg vs. 2.0 kg) and both groups had significant (P≤0.05) but similar increases in height. The children in the experimental group showed non-significant increases in haemoglobin and serum retinol, while the control children had a significant (P = 0.007) decrease in RBP. The change in serum retinol showed a significant correlation with baseline retinol (P = 0.014), RBP (P = 0.007) and weight (P = 0.029), as well as with changes in haemoglobin (P = 0.029).ConclusionDespite a small sample size, this study showed positive effects of a vitamin-fortified maize meal on weight gain and some variables of vitamin A status in 1–3-year-old African children. The study confirmed the relationship between vitamin A and iron status. The results suggest that fortification of maize meal would be an effective strategy to address micronutrient deficiencies in small children in South Africa.

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