scholarly journals Eggs in Early Complementary Feeding and Child Growth: A Randomized Controlled Trial

PEDIATRICS ◽  
2017 ◽  
Vol 140 (1) ◽  
pp. e20163459 ◽  
Author(s):  
Lora L. Iannotti ◽  
Chessa K. Lutter ◽  
Christine P. Stewart ◽  
Carlos Andres Gallegos Riofrío ◽  
Carla Malo ◽  
...  
2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Nancy F Krebs ◽  
◽  
K Michael Hambidge ◽  
Manolo Mazariegos ◽  
Jamie Westcott ◽  
...  

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 863-863
Author(s):  
Chessa Lutter ◽  
Bess Caswell ◽  
Charles Arnold ◽  
Lora Iannotti ◽  
Elizabeth Prado ◽  
...  

Abstract Objectives Complementary feeding diets in low- and middle-income countries are usually inadequate to meet requirements for healthy growth and development. Food-based interventions may prevent nutrient inadequacies provided they do not replace other nutrient-rich foods. They may also be more sustainable than manufactured food supplements. We describe the contribution of daily egg supplementation to usual energy intake, usual energy intake by food group, and minimum dietary diversity of rural Malawian infants and young children. Methods We conducted a randomized controlled trial in rural Malawi in which 660 children aged 6 to 9 months were randomly allocated to receive an egg a day for 6 months or to a control group. Dietary intake of foods and drinks was assessed at baseline, 3-month midline, and 6-month endline visits using a tablet-based mulitpass 24-hour recall. Up to two repeat recalls were collected at each timepoint in a subsample of 100 children per intervention group. Results The intervention resulted in an increased usual energy intake in the intervention group of 30 kcal at midline (P = 0.128) and 36 kcal at endline (P = 0.087). It also resulted in a 7 kcal displacement of legumes and nuts in children at endline (P = 0.059). At midline and endline, usual energy intake from eggs was about 30 kcal higher in the egg group compared to controls (P < 0.0001). Compared to controls, children in the egg group were over 9 times more likely to consume eggs at midline and endline. At midline and endline more than 80% of children in the egg group consumed a minimally diverse diet compared to 53% at midline and 60% at endline in the control group. Conclusions Mothers in the egg group fed eggs to young children on a regular basis without substantial displacement of other nutrient-rich complementary foods. The intervention resulted in higher energy intake from eggs, greater dietary diversity, and an increased percentage of children meeting a minimum dietary diversity cutoff. Funding Sources Bill & Melinda Gates Foundation.


Appetite ◽  
2018 ◽  
Vol 130 ◽  
pp. 315
Author(s):  
Janneke Schultink ◽  
Merel van Vliet ◽  
Shelley van der Veek ◽  
Jeanne de Vries ◽  
Carel Vereijken ◽  
...  

2019 ◽  
Vol 45 (1) ◽  
Author(s):  
Ziba Rafieyan-Kopaei ◽  
Zohreh Fathian-Dastgerdi ◽  
Mohammad Javad Tarrahi ◽  
Fereshteh Zamani-Alavijeh

Abstract Objective Complementary feeding from the age of 6 months along with breastfeeding is essential for the health of infants. The effect of educational interventions on preventing the early or late onset of complementary feeding and correcting other relevant behaviors depends on the framing of educational messages. This study aimed to compare different types of message framing on maternal behaviors in complementary feeding of infants. Materials and methods This randomized controlled trial was performed on 96 mothers in three groups of 32 subjects with four-month-old infants in Isfahan (central Iran) during May–September 2018. Data were collected through self-report using a valid researcher-made questionnaire including demographic factors, knowledge, attitude, self-efficacy, and the complementary feeding related behaviors of mothers. For 4 months, the mothers received gain-framed messages in the GF group and loss-framed messages in the LF group from two different channels. The control group only received routine education. Data analysis was performed in SPSS20 using paired t-test, ANOVA, and Chi-square at the significance level of below 0.05. Results In this study, all three groups were matched in terms of demographic characteristics and mean scores of attitude, knowledge, and self-efficacy regarding the complementary feeding of their infants. Following the intervention, the mean knowledge score increased in all three groups and was more favorable in the intervention groups compared to the control group. However, no difference was observed between the GF and LF groups regarding their knowledge. In addition, the GF and LF groups were similar in terms of self-efficacy and behavior of mothers concerning the appropriate onset of complementary feeding. Meanwhile, the mean scores of attitude and behavior of mothers regarding the timely onset, diversity, and appropriateness of continuing complementary feeding were higher in the LF group compared with the GF group. Conclusion Framing messages changes the attitude and knowledge and improves behaviors related to complementary feeding. The interesting point is the different impacts of different types of framing on psychological and behavioral variables. In general, loss-framed messages have more effects on the attitude and certain parts of maternal behaviors. Trial registration IRCT, IRCT20180901040919N1. Registered 29 October 2018, https://en.irct.ir/trial/33782


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