scholarly journals Physical and Nutrition Education Intervention Improves Body Weight Status of Adolescents in Uasin Gishu County, Kenya: A Cluster-Randomized Controlled Trial

2020 ◽  
Vol 8 (1) ◽  
pp. 318-332
Author(s):  
Wandia Florence ◽  
Sophie Ochola ◽  
Ogada Irene
Keyword(s):  
Randomized Controlled Trial ◽  
Body Weight ◽  
Nutrition Education ◽  
Weight Status ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Education Intervention ◽  
Randomized Controlled ◽  
Body Weight Status ◽  
Cluster Randomized

scholarly journals The Effect of Eggs on Growth Among Infants 6–12 months of Age in Rural Bangladesh: A Cluster Randomized Controlled Trial

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 885-885
Author(s):  
Monica Pasqualino ◽  
Saijuddin Shaikh ◽  
Md Iqbal Hossain ◽  
Md Tanvir Islam ◽  
Hasmot Ali ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Nutrition Education ◽  
Regression Models ◽  
Linear Growth ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Rural Bangladesh ◽  
Randomized Controlled ◽  
Z Scores ◽  
Cluster Randomized

Abstract Objectives To assess the impact of daily egg supplementation on infant growth from 6–12 months of age in Bangladesh. Methods A cluster randomized controlled trial was conducted in rural Bangladesh to test the effect of daily egg supplementation and nutrition education versus nutrition education alone on linear growth and stunting prevalence among infants. Infants were enrolled at 3 months of age and assigned to a trial arm based on their geographic sector of residence. Households were visited weekly to distribute eggs and monitor compliance starting at 6 months of age. Length, weight, head circumference, and mid upper arm circumference were measured at 6, 9, and 12 months, as well as dietary intake from home foods in the last 24 hours. Analyses were conducted on an intention-to-treat basis. Linear regression models were developed for continuous outcomes. For dichotomous outcomes, prevalence ratios were estimated using log-binomial regression models. Generalized estimating equations were used with all models to account for clustering. Each model was adjusted for the baseline measure of the outcome variable. Results Overall, 909 infants were enrolled in the treatment arm from 142 clusters and 842 infants in the control arm from 140 clusters. Prevalence of stunting at baseline was 19.4%, wasting was 6.7%, and underweight was 18.1%. After 6 months of supplementation, the intervention had no effect on mean length-for-age z-scores (β = 0.05, 95% CI: −0.12, 0.23) or prevalence of stunting (PR = 1.00, 95% CI: 0.90, 1.10). Infants in the egg arm had significantly higher mean weight-for-length z-scores (β = 0.11, 95% CI: 0.04, 0.18) and weight-for-age z-scores (β = 0.08, 95% CI: 0.03, 0.12), adjusting for baseline measures of the outcomes. Our presented results will include findings from mixed-effects regression analyses assessing the effect of the intervention on growth rate. Conclusions The provision of a daily egg for 6 months to infants in rural Bangladesh had an effect on ponderal but not linear growth. Funding Sources Bill and Melinda Gates Foundation.

scholarly journals The Impact of an Antenatal Balanced Plate Nutrition Education Intervention on Infant Birthweight: A Cluster Randomized Controlled Trial in Rural Bangladesh (OR25-01-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Morseda Chowdhury ◽  
Michael Dibley ◽  
Ashraful Alam ◽  
Patrick J Kelly ◽  
Camille Raynes-Greenow
Keyword(s):  
Randomized Controlled Trial ◽  
Pregnant Women ◽  
Nutrition Education ◽  
Rural Population ◽  
Low Birthweight ◽  
Controlled Trial ◽  
Education Intervention ◽  
Community Based ◽  
Randomized Controlled ◽  
Cluster Randomized

Abstract Objectives Low birthweight (LBW) is strongly associated with neonatal mortality. Evidence that nutrition education improves diet during pregnancy and reduces LBW is still weak. We investigated the effect of a nutrition education intervention for pregnant women in improving birthweight of infants. Our primary hypothesis was that women who receive the ‘balanced plate nutrition education’ during pregnancy would deliver babies 100 g heavier than those who receive standard nutrition education. Methods We conducted a parallel, two-arm, cluster-randomized controlled trial in Bangladesh, in which we randomly assigned 36 clusters in equal ratio to intervention or standard care. Participants in the intervention clusters received ‘balanced plate nutrition education’ with a practical demonstration from community health workers 4–7 times starting from the first trimester of pregnancy. The participants in the control clusters received standard nutrition education delivered by healthcare providers during antenatal care. Eligible participants were pregnant women of 12 weeks gestation or less. The primary outcome was mean birthweight and incidence of LBW (defined as birthweight less than 2500 gm). The trial is registered with number ACTRN12616000080426. Results We included all assigned participants in the intervention (445) and comparison (448) groups in the analyses (Figure 1). Baseline characteristics were balanced between the treatment groups (Table 1). The mean birthweight increased by 125.3 g (95% confidence interval (CI) 5·7, 244·9; P = 0·04) and the risk of LBW was reduced by 54% (relative risk (RR) 0·46; 95% CI 0·28, 0·78; P = 0·004) in the intervention compared to the comparison group (Table 2). In post hoc analyses amongst adolescent mothers we observed a significant improvement in birthweight and reduction in LBW (mean difference 297·3 g; 95% CI 85·0, 509·6; P = 0·006 and RR 0·31; 95% CI 0·12, 0·77; P = 0·01). Conclusions A community-based balanced plate nutrition education was effective in increasing birthweight and reducing the incidence of LBW in a rural population of Bangladesh. A community-based, balanced-plate nutrition education was effective in increasing birthweight and reducing the incidence of low birthweight in a rural population of Bangladesh. Funding Sources James P. Grant School of Public Health; Bangladesh, and Sydney Medical School; Australia. Supporting Tables, Images and/or Graphs

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