Community Based Case Control Study on Effect of Nutrition Education Intervention on Predictors and Prevalence of Anaemia among Children aged 6 to 59 months in Pastoralist and Agro-Pastoralist community of Somali Region, Eastern Ethiopia

Abstract Background Anaemia is one of the major public health problems. It affects over 1.6 billion individuals of all age groups globally. Ethiopia is one of the seriously affected countries. Hence, the aim of this study is to assess the effect of nutrition education intervention (NEI) on anaemia prevalence and its predictors of preschool children in Pastoralist and Agro-pastoralist community of Somali Region, Eastern Ethiopia.Methods A group randomized controlled trial was conducted among 404 paired children 6–59 months to mothers/caregivers in two phases. A face-to-face interview for mothers/caregivers using a semi structured questionnaire and haemoglobin measurement of the children was done. The some procedure were repeated after eight months of NEI. Blood haemoglobin (Hb) level of the children were measured using Hemocue 301. SPSS version 20 was used, a chi-square test for categorical and t-test (independent and repeated paired) for continuous variables were performed.Results the overall anaemia prevalence was decreased from 72% at baseline and 51% at post intervention. The majority of this change had occurred in intervention group (79.3–44.8%). The mean Hb level score difference of the difference (DOD) were significantly improved (-1.163, p < 0.001) after NEI. While, intervention group showed significantly higher increment of Hb level (9.4 g/dl – 10.6 g/dl, p < 0.001).Conclusion The NEI has been observed effective and significantly improved the mean haemoglobin level and the anaemia prevalence in intervention group. Therefore, behaviour change communication, using religious leaders and other potential peoples advocating the use of locally available, accessible and affordable nutritious foods with proper infant and young child feeding and basic health services are highly effective to tackle the children’s anaemia status.

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Effect of Nutrition Education Intervention on Anaemia Among Children aged 6 to 59 Months in Pastoralist and Agro-Pastoralist Community of Somali Region, Eastern Ethiopia: Community Based Case Control Study

10.21203/rs.3.rs-1069966/v1 ◽

2021 ◽

Author(s):

Rashid Abdi Guled ◽

Nik Mazlan Mamat ◽

WanAzdie Mohd Abubakar ◽

Tefera Belachew ◽

Nega Assefa

Keyword(s):

Preschool Children ◽

Nutrition Education ◽

Case Control Study ◽

Intervention Group ◽

Case Control ◽

Community Based ◽

Eastern Ethiopia ◽

Somali Region ◽

The Mean ◽

Control Study

Abstract Background: Anaemia is one of the major public health problems. It affects over 1.6 billion individuals of all age groups globally. About 273.2 million children below five years of age were affected by anaemia, of which around two-thirds (62.3%) occur in Sub-Saharan Africa. The overall global anaemia prevalence rate reported was 24.8%, of which almost half (47.4%) of it occurs in preschool children. Ethiopia is one of the seriously affected countries. The Ethiopia Demographic and Health Survey (EDHS), 2016 report showed, 56% and 82.6% of preschool children in Ethiopia and the Somali region, respectively, were affected by some degree of anaemia. Hence, this study aims to assess the effect of nutrition education intervention (NEI) on anaemia prevalence in preschool children in the Pastoralist and Agro-pastoralist communities of the Somali Region, Eastern Ethiopia. Methods: A community based case control study was conducted among 404 paired children 6 – 59 months to mothers/caregivers in two phases. Adadle district was used as an NEI group and Gode district as a control group. A face-to-face interview for mothers/caregivers using a semi-structured questionnaire and haemoglobin measurement of the children was done. The same procedure was repeated after eight months of NEI. The blood haemoglobin (Hb) level of the children was measured using Hemocue 301. SPSS version 20 was used, a chi-square test for categorical and t-test (independent and repeated paired) for continuous variables were performed. Results: the overall anaemia prevalence was decreased from 72% at baseline and 51% at post-intervention. The majority of this change had occurred in the intervention group (79.3 - 44.8%). The mean Hb level score difference of the difference (DOD) was significantly improved (-1.163, p<0.001) after NEI. While, the intervention group showed a significantly higher increment of Hb level (9.4g/dl – 10.6g/dl, p<0.001). Conclusion: The NEI has been shown effective and significant improvement in the mean haemoglobin level and decreased the anaemia prevalence in the intervention group. Therefore, behaviour change communication, using religious leaders and other potential people. Advocating the use of locally available, accessible, and affordable nutritious foods, with proper infant and young child feeding and basic health services, are highly effective to tackle the children’s anaemia status.

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A Nutrition Education Intervention Using NOVA Is More Effective Than MyPlate Alone: A Proof-of-Concept Randomized Controlled Trial

Nutrients ◽

10.3390/nu11122965 ◽

2019 ◽

Vol 11 (12) ◽

pp. 2965

Author(s):

Aydin Nazmi ◽

Marilyn Tseng ◽

Derrick Robinson ◽

Dawn Neill ◽

John Walker

Keyword(s):

Nutrition Education ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

Education Intervention ◽

Proof Of Concept ◽

Food Groups ◽

Randomized Controlled ◽

The Impact ◽

Level Of Processing

The ability to classify foods based on level of processing, not only conventional MyPlate food groups, might be a useful tool for consumers faced with a wide array of highly processed food products of varying nutritional value. The objective of this study was to assess the impact of a proof-of-concept nutrition education intervention on nutrition knowledge, assessed by correct classification of foods according to MyPlate food groups, MyPlate ‘limit’ status (for fat, sugar, sodium), and level of processing (NOVA categories). We utilized a randomized, controlled design to examine the impact of a MyPlate vs. combined MyPlate + NOVA intervention vs. control group. Intervention groups received educational flyers via email and participants were assessed using electronic baseline and follow-up surveys. The MyPlate + NOVA intervention group performed at least as well as the MyPlate group on classifying conventional food groups and ‘limit’ status. Moreover, the MyPlate + NOVA group far outperformed the other groups on classifying NOVA categories. Longer-term trials are needed, but our results suggest that NOVA principles may be more easily understood and applied than those of MyPlate. Education strategies focusing on level of food processing may be effective in the context of the modern food environment.

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Effect of community-based nutrition education intervention on calcium intake and bone mass in postmenopausal Vietnamese women

Public Health Nutrition ◽

10.1017/s1368980008002632 ◽

2009 ◽

Vol 12 (5) ◽

pp. 674-679 ◽

Cited By ~ 16

Author(s):

Vu Thi Thu Hien ◽

Nguyen Cong Khan ◽

Le Bach Mai ◽

Nguyen Thi Lam ◽

Tuan Mai Phuong ◽

...

Keyword(s):

Bone Mass ◽

Nutrition Education ◽

Calcium Intake ◽

Controlled Trial ◽

Intervention Group ◽

Ultrasound Measurement ◽

Education Intervention ◽

Red River Delta ◽

Community Based ◽

Serum Pth

AbstractObjectiveTo examine the effect of community-based nutrition education intervention on calcium intake and bone mass in Vietnamese postmenopausal women.DesignA controlled trial was conducted in two groups as intervention and control. The intervention group was given nutrition education during 18 months to improve calcium intake, while the control subjects had the usual diet. Calcium intake and bone mass were evaluated every 6 months. Bone mass was assessed by speed of sound (SOS) at calcaneus, referred to as quantitative ultrasound measurement. Anthropometric indices and serum parathyroid hormone (PTH) were determined at baseline and at the end of intervention.SettingTwo rural communes of Hai Duong province located in the Red River Delta in Vietnam.SubjectsA total of 140 women aged 55–65 years, who were more than 5 years postmenopausal and with low calcium intake (<400 mg/d), were recruited. After 18 months of intervention, 108 women completed the study.ResultsCalcium intake in the intervention group had increased significantly (P < 0·01) while it had no significant changes in controls. SOS values were not changed significantly in the intervention subjects while it decreased significantly by 0·5 % in the controls (P < 0·01). The intervention led to a decrease in serum PTH by 12 % (P < 0·01). In the controls, there was an increase in serum PTH by 32 % (P < 0·001).ConclusionNutrition education intervention was effective in improving calcium intake and retarding bone loss in the studied subjects.

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Effects of the Conceptual Model of Health Literacy as a Risk: A Randomised Controlled Trial in a Clinical Dental Context

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15081630 ◽

2018 ◽

Vol 15 (8) ◽

pp. 1630 ◽

Cited By ~ 4

Author(s):

Linda Stein ◽

Maud Bergdahl ◽

Kjell Sverre Pettersen ◽

Jan Bergdahl

Keyword(s):

Health Literacy ◽

Conceptual Model ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

Post Intervention ◽

Convenience Sample ◽

Communication Techniques ◽

The Mean ◽

Randomised Controlled

Numerous conceptual models of health literacy have been proposed in the literature, but very few have been empirically validated in clinical contexts. The aim of this study was to test the effects of the conceptual model of health literacy as a risk in a clinical dental context. A convenience sample of 133 Norwegian-speaking adults was recruited. Participants were randomly allocated to an intervention group (n = 64, 54% women, mean age = 50 years) and a control group (n = 69, 49% women, mean age = 46 years). Clinical measurements were conducted pre-intervention and six months post-intervention. In the intervention group, communication regarding patients’ oral health was tailored to their health literacy levels using recommended communication techniques, whereas the control group received brief information not tailored to health literacy levels. The ANCOVA showed significant between-group effects, finding reduced post-intervention mean gingival (p < 0.000) and mean plaque (p < 0.000) indices in the intervention group when controlling for baseline index scores. The adjusted Cohen’s d indicated large effect sizes between the intervention group and the control group for both the mean gingival index (−0.98) and the mean plaque index (−1.33). In conclusion, the conceptual model of health literacy as a risk had a large effect on important clinical outcomes, such as gingival status and oral hygiene. The model may be regarded as a suitable supplement to patient education in populations.

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The Effects of a Nutrition Education Intervention on Sports Nutrition Knowledge during a Competitive Season in Highly Trained Adolescent Swimmers

Nutrients ◽

10.3390/nu13082713 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2713

Author(s):

Weelun Foo ◽

Mark A. Faghy ◽

Andy Sparks ◽

Josh W. Newbury ◽

Lewis A. Gough

Keyword(s):

Nutrition Education ◽

Knowledge Score ◽

Nutrition Knowledge ◽

Sports Nutrition ◽

Education Intervention ◽

Post Intervention ◽

Competitive Swimming ◽

Individual Basis ◽

Competitive Season ◽

The Mean

The aim of this study was to evaluate the effects of a seven-week nutrition education intervention on the sports nutrition knowledge (SNK) of highly trained UK adolescent swimmers. Fifteen national and international adolescent swimmers (males = 5; females = 10, 15.5 ± 1.1 years, 170.2 ± 7.5 cm, 60.3 ± 5.7 kg) participated in the study during seven consecutive weeks of the competitive swimming season. The participants received 30 min of nutrition education once per week in a classroom-based setting after they had completed their regular swim training. An undergraduate sports nutrition student delivered all nutrition education sessions and SNK questionnaires were administered to the participants pre- and post-intervention. The mean total SNK score improved by 8.3% (SD = 8.4%, 95% CI = 4.1–12.6; p = 0.006; ES = 1.0) following the nutrition education sessions. On an individual basis, ten swimmers significantly improved their total SNK score, whereas four swimmers did not improve, and one swimmer performed significantly worse after the intervention. Moreover, the swimmers’ knowledge of hydration improved by 22.2% (SD = 20.6%, 95% CI = 11.8–32.6, p = 0.004, ES = 1.1) over the seven-week timeframe, which was the only nutrition topic to have a significantly increased knowledge score. The current study therefore suggests that a nutrition education intervention can positively influence the SNK of highly trained adolescent swimmers.

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Community Based Case Control Study on Effect of Nutrition Education Intervention on Nutritional Status and Contributing Factors Among Under Five Children In Pastoralist And Agro-Pastoralist Community of Somali Region, Eastern Ethiopia.

10.21203/rs.3.rs-122521/v1 ◽

2020 ◽

Author(s):

Rashid Abdi Guled ◽

Nik Mazlan Mamat ◽

Tefera Belachew ◽

Wan Azdie Mohd Abu Bakar ◽

Nega Assefa

Keyword(s):

Nutritional Status ◽

Nutrition Education ◽

World Health ◽

Categorical Variables ◽

Control Group ◽

Education Intervention ◽

Post Intervention ◽

Under Five ◽

Under Five Children ◽

Pastoralist Community

Abstract Background: Undernutrition is most common public health problem in developing world. It is responsible for more than three million global deaths of under five children every year. Severe wasting and stunting are the major contributors of this problems. Hence, this study was designed to document the effect of nutrition education intervention (NEI) on nutritional status of the children in pastoralist and agro-pastoralist community of Somali regional state, Eastern Ethiopia.Methods: A group randomized controlled trial was carried out among 404 paired child to mothers/caregivers in two phases. A chi-square for categorical variables, t-test and for continuous variables were used. In addition, World Health Organization (WHO) AnthroPlus software were also used.Results: After NEI this has shown statistically significant improvement, in all three types of malnutrition compared to control. The malnutrition prevalence has been significantly decreased within the group from baseline to post intervention; wasting (19% to 9.4%, p = 0.005), underweight (18.5% to 7.4%, p= 0.029), and stunting (31.2% to 21.7%, p= 0.001). Whereas, the control group showed no significant difference (p >0.05) in all three types. The overall mean Z-score difference of the difference (DOD) of wasting and underweight between groups from pre and post intervention were shown better off, compared to control group, with mean DOD wasting of (-0.738, p <0.001) and underweight of (-0.615, p <0.001). But, this was not seen in stunting (-0.239, p >0.05).Conclusion: The NEI using behaviour change communication (BCC) showed promising outcome, and need to be further scaled up and adapted to other districts in the zone or other areas in the region.

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Therapeutic Effects of Hab Shabyar on Open-Angle Glaucoma: A Double-Blinded, Randomized, Placebo-Controlled Trial

10.31661/gmj.v0i0.1218 ◽

2019 ◽

Vol 8 ◽

pp. 1218

Author(s):

Ebrahim Khalil BaniHabib ◽

Ali Mostafai ◽

Seyyed Mohammad Bagher Fazljou ◽

Ghadir Mohammdi

Keyword(s):

Placebo Group ◽

Intraocular Pressure ◽

Open Angle Glaucoma ◽

Controlled Trial ◽

Intervention Group ◽

Therapeutic Effects ◽

Open Angle ◽

The Mean ◽

The Right ◽

Double Blinded

Background: Open-angle glaucoma (OAG) is one of the leading causes of blindness worldwide. This study evaluates the therapeutic effects of hab shabyar in patients with open-angle glaucoma. Materials and Methods: In this clinical randomized controlled trial, 50 patients with OAG were randomized into two groups. The intervention group was received a drop of timolol plus 500 mg of hab shabyar every 12 hours. The placebo group was received a drop of timolol every 12 hours plus 500 mg of wheat germ as a placebo. The intraocular pressure in patients with OAG was measured in each group and compared at before the intervention (t1), one month (t2), and two months (t3) after the intervention. Results: The mean decrease in intraocular pressure for the right eye at three times in the intervention group was statistically significant, but the mean decrease in the placebo group was not significant. Similar results were obtained for the left eye at t1 when compared to t3. The patients in the intervention group expressed more satisfaction than the patients in the placebo group (P≤0.001). Conclusion: Our study demonstrated that consumption of timolol plus hab shabyar instead of consuming of timolol alone was probably more effective for reducing intraocular pressure in patients with OAG.[GMJ.2019;In press:e1218]

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Adherence to a Lifestyle Exercise and Nutrition Intervention in University Employees during the COVID-19 Pandemic: A Randomized Controlled Trial

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18147510 ◽

2021 ◽

Vol 18 (14) ◽

pp. 7510

Author(s):

Guillermo García Pérez de Sevilla ◽

Olga Barceló Guido ◽

María de la Paz De la Cruz ◽

Ascensión Blanco Fernández ◽

Lidia B. Alejo ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Effect Size ◽

Exercise Intervention ◽

Controlled Trial ◽

Intervention Group ◽

Nutrition Intervention ◽

Sitting Time ◽

Post Intervention ◽

University Employees ◽

Randomized Controlled

Healthy lifestyles should be encouraged in the workplace through the occupational health teams of the companies. The objective of the present study was to evaluate the adherence to a lifestyle intervention carried out in university employees during the COVID-19 pandemic and its impact on health-related quality of life (HrQoL). A randomized controlled trial following the CONSORT guidelines was performed, consisting of three supervised interventions lasting for 18 weeks: an educational intervention on healthy habits, a nutritional intervention, and a telematic aerobic and strength exercise intervention. Lifestyle and HrQoL were analyzed six months post-intervention to assess adherence. Twenty-three middle-aged participants completed the study. The intervention group significantly improved their lifestyle according to the Health Promoting Lifestyle Profile II questionnaire, especially in the categories of Health Responsibility, Physical Activity, and Nutrition, with a large effect size. Sitting time was reduced by 2.5 h per day, with a moderate effect size. Regarding HrQoL, the intervention group showed a clinically significant improvement in the Physical Component Summary. Despite the lockdown and the mobility restrictions caused by the COVID-19 pandemic, this intervention performed on university employees achieved adherence to a healthier lifestyle and improved their HrQoL, which is of great clinical relevance.

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Impact of a behaviourally focused nutrition education intervention on attitudes and practices related to eating habits and activity levels in Indian adolescents

Public Health Nutrition ◽

10.1017/s1368980021000203 ◽

2021 ◽

pp. 1-12

Author(s):

Panchali Moitra ◽

Jagmeet Madan ◽

Preeti Verma

Keyword(s):

Nutrition Education ◽

Eating Habits ◽

Vegetable Consumption ◽

Controlled Trial ◽

Cluster Randomised Controlled Trial ◽

Control Group ◽

Activity Levels ◽

Post Intervention ◽

Attitudes And Practices ◽

Indian Adolescents

Abstract Objective: To evaluate the effectiveness of a behaviourally focused nutrition education (NE) intervention based on the Health Belief Model (HBM) to improve knowledge, attitudes and practices (KAP) related to eating habits and activity levels in 10–12-year-old adolescents in Mumbai, India. Design: School-based cluster randomised controlled trial. The experimental group (EG) received weekly NE and three parent sessions over 12 weeks; no sessions were conducted for the control group (CG). The theoretical framework of HBM and focus group discussion results guided the development of behaviour change communication strategies and NE aids. KAP were measured using a validated survey instrument, administered at baseline and endline in EG and CG. Paired and independent t tests determined within-group and between-group changes in pre–post scores. Setting: Two aided and two private schools that were randomly allocated to either an EG or CG. Participants: Adolescent boys and girls (n 498; EG n 292 and CG n 206). Results: EG reported improvements in mean knowledge (39·3%), attitude (7·3 %), diet (9·6 %) and activity practice (9·4%) scores from pre to post intervention. No significant changes were observed in CG. Significant improvements in scores associated with perceived benefits, barriers and self-efficacy, breakfast and vegetable consumption, and moderate-to-vigorous activities were observed in EG. Conclusions: Integrating NE into the academic curriculum and adopting evidence-based lessons that entail targeted information delivery and participatory activities can improve knowledge, foster right attitudes and facilitate better eating and activity-related practices in Indian adolescents.

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OP0159 EFFICACY OF COMPREHENSIVE TECHNOLOGY-ASSISTED HOME-BASED EXERCISE IN ANKYLOSING SPONDYLITIS: A RANDOMIZED, CONTROLLED TRIAL

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.5100 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 100.3-100

Author(s):

Y. Wang ◽

X. Liu ◽

Y. Shi ◽

X. Ji ◽

W. Wang ◽

...

Keyword(s):

Exercise Intervention ◽

Medical Center ◽

Controlled Trial ◽

Intervention Group ◽

Exercise Program ◽

Group Differences ◽

Control Group ◽

Home Based ◽

The Mean

Background:Clinical practice guidelines recommend that exercise is an essential component in the self-management of Ankylosing Spondylitis (AS). Attending supervised interventions requiring periodic medical center visits can be burdensome and patients may decline participation, whereas, effective home-based exercise interventions that do not need regular medical center visits are likely to be more accessible and acceptable for patients with AS. Recently, increasing evidences have been accumulated that the wearable devices could facilitate patients with inflammatory arthritis by giving exercise instructions and improving self-efficacy. Therefore, patients with AS may benefit from an effective technology-assisted home-based exercise intervention.Objectives:To investigate the efficacy of a comprehensive technology-assisted home-based exercise intervention on disease activity in patients with AS.Methods:This study was a 16-week assessor-blinded, randomized, waiting-list controlled trial (ChiCTR1900024244). Patients with AS were randomly allocated to the home-based exercise intervention group and the waiting-list control group. A 16-week comprehensive exercise program consisting of a moderate intensity (64%-76% HRmax) aerobic training for 30min on 5 days/week and a functional training for 60min on 3 days/week was given to patients in the intervention group immediately after randomization, with 1.5h training sessions for two consecutive days by a study physical therapist at baseline and Week 8. The aerobic exercise intensity was controlled by a Mio FUSE Wristband with a smartphone application. The functional training consisted of the posture training, range of motion exercises, strength training, stability training and stretching exercises. Patients in control group received standard care during the 16-week follow-up and started to receive the exercise program at Week 16. The primary outcome was ASDAS at Week 16. The secondary outcomes were BASDAI, BASFI, BASMI, ASAS HI, peak oxygen uptake, body composition and muscle endurance tests. The mean difference between groups in change from baseline was analyzed with the analysis of covariance.Results:A total of 54 patients with AS were enrolled (26 in intervention group and 28 in control group) and 46 (85.2%) patients completed the 16-week follow-up. The mean difference of ASDAS between groups in change from baseline to 16-week follow-up was −0.2 (95% CI, −0.4 to 0.003, P = 0.032), and the mean change from baseline was -0.4 (95% CI, -0.5 to -0.2) in the intervention group vs -0.1 (95% CI, -0.3 to 0.01) in the control group, respectively. Significant between-group differences were found between groups for BASDAI (−0.5 [95% CI, −0.9 to −0.2], P = 0.004), BASMI (−0.7 [95% CI, −1.1 to −0.4], P <0.001), BASFI (−0.3 [95% CI, −0.6 to 0.01], P=0.035), peak oxygen uptake (2.7 [95% CI, 0.02 to 5.3] ml/kg/min, P=0.048) and extensor endurance test (17.8 [95% CI, 0.5 to 35.2]s, P=0.044) at Week 16. Between-group differences were detected in ASAS HI (−0.9 [95% CI, −1.7 to −0.1], P=0.030), body fat percentage (−1.0 [95% CI, −2.0 to −0.01] %, P=0.048) and visceral adipose tissue (−4.9 [95% CI, −8.5 to −1.4] cm2, P=0.008) at Week 8, but not at Week 16. No significant between-group differences were detected in the total lean mass, time up and go test and the flexor endurance test during the follow-up.Conclusion:Comprehensive technology-assisted home-based exercise has been shown to have beneficial effects on disease activity, physical function, spinal mobility, aerobic capacity, and body composition as well as in improving fatigue and morning stiffness of patients with AS.References:[1]van der Heijde D, Ramiro S, Landewé R, et al. Ann Rheum Dis 2017;76:978–991.Disclosure of Interests:None declared

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