Cluster‐randomized trial on complementary and responsive feeding education to caregivers found improved dietary intake, growth and development among rural Indian toddlers

Bibliographic Data

ID15535840
AuthorsShahnaz Vazir (National Institute of Nutrition, corresponding author), Patrice Engle, Patrice L Engle (California Polytechnic State University), N Balakrishna (0000-0002-5613-0942, University of North Carolina at Chapel Hill), Paula L Griffiths, P Griffiths (0000-0002-0591-9724, Loughborough University), Susan L Johnson (0000-0002-2804-9477, University of Colorado Denver), Hillary Creed-Kanashiro (0000-0001-8282-0835, Instituto de Investigación Nutricional), Hilary Creed‐Kanashiro, Sylvia Fernandez Rao (0000-0002-6896-3140, National Institute of Nutrition), Monal R Shroff (California Polytechnic State University), Margaret E Bentley (0000-0002-1220-0208, University of North Carolina at Chapel Hill)
Year2012
Volume9
Issue1
Pages99-117
Publication date2012-05-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1740-8709.2012.00413.x
PMID22625182
PMCIDPMC3434308
OpenAlexW1803497403
LanguageEN
Citations received67
References cited29

Inadequate feeding and care may contribute to high rates of stunting and underweight among children in rural families in India. This cluster-randomized trial tested the hypothesis that teaching caregivers appropriate complementary feeding and strategies for how to feed and play responsively through home-visits would increase children's dietary intake, growth and development compared with home-visit-complementary feeding education alone or routine care. Sixty villages in Andhra Pradesh were randomized into three groups of 20 villages with 200 mother-infant dyads in each group. The control group (CG) received routine Integrated Child Development Services (ICDS); the complementary feeding group (CFG) received the ICDS plus the World Health Organization recommendations on breastfeeding and complementary foods; and the responsive complementary feeding and play group (RCF&PG) received the same intervention as the CFG plus skills for responsive feeding and psychosocial stimulation. Both intervention groups received bi-weekly visits by trained village women. The groups did not differ at 3 months on socioeconomic status, maternal and child nutritional indices, and maternal depression. After controlling for potential confounding factors using the mixed models approach, the 12-month intervention to the CFG and RCF&PG significantly (P < 0.05) increased median intakes of energy, protein, Vitamin A, calcium (CFG), iron and zinc, reduced stunting [0.19, confidence interval (CI): 0.0-0.4] in the CFG (but not RCF&PG) and increased (P < 0.01) Bayley Mental Development scores (mean = 3.1, CI: 0.8-5.3) in the RCF&PG (but not CFG) compared with CG. Community-based educational interventions can improve dietary intake, length (CFG) and mental development (RCF&PG) for children under 2 years in food-secure rural Indian families

Body mass index · Breastfeeding · Cluster randomised controlled trial · Environmental health · Micronutrient · Nutrition Education · Overweight · Population · Psychiatry · Psychosocial · Randomized controlled trial · Socioeconomic status · Underweight · Breastfeeding Practices and Influences · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Medicine · Gerontology · Internal Medicine · Pediatrics

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