An Integrated Infant and Young Child Feeding and Small-Quantity Lipid-based Nutrient Supplementation Program Is Associated with Improved Gross Motor and Communication Scores of Children 6-18 Months in the Democratic Republic of Congo

Addo, O Yaw; Tripp, Katie; Nanama, Simeon; Albert, Bope; Sandalinas, Fanny; Nanema, Ambroise; Jefferds, Maria Elena; Clayton, Heather B.; Whitehead, Ralph D.; Garg, Aashima; Kupka, Roland; Locks, Lindsey M.

doi:10.1016/j.jpeds.2020.01.023

Cited by 6 publications

(9 citation statements)

References 65 publications

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“…Previous studies reported the ability to digest soft, semi solid and solid foods improved as child age increased (Alder et al, 2004;Fein, Labiner-Wolfe, Scanlon, & Grummer-Strawn, 2008). Another explanation might be attributable with communication and motor development in a child's first two years of life (Addo et al, 2020), thus allowing mothers to be able to develop responsive feeding practice significantly. This is in line with Piaget's sensorimotor theory regarding child's cognitive development throughout the first two years of age.…”

Section: Discussionmentioning

confidence: 98%

Indonesia Infant and Young Child Feeding Practice: The Role of Women’s Empowerment in Household Domain

Puspitasari¹,

Gayatri²

2020

GJHS

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Previous studies showed the significant association between women’s empowerment and infant and young child feeding (IYCF) practice. Only around 40% of Indonesian children met adequate IYCF practice. Hence, each dimension of women’s empowerment in the household domain must be explored. We carried out a dataset of the 2017 Indonesia Demographic and Health Survey, with samples of 4,880 mothers of reproductive age in a marriage relationship with their last-born child aged 6-23 months. Logistic regression was applied. Mother with legal asset ownerships had lower odds of her child meeting (aOR: 0.83; 95% CI: 0.72, 0.95) minimum dietary diversity (MDD), (aOR: 0.75; 95% CI: 0.65, 0.87) minimum meal frequency (MMF) and (aOR: 0.74; 95% CI: 0.61, 0.90) minimum acceptable diet (MAD). Mother who could control her own earnings had higher odds of her child meeting MDD (aOR: 1.52; 95% CI: 1.32, 1.74) and MAD (aOR: 1.62; 95% CI: 1.34, 1.94). Employed mother had higher odds of meeting MMF (aOR: 1.58; 95% CI: 1.38, 1.82). Mother who did not approve of intimate partner violence was more likely to feed her child with MDD (1.39 times), MMF (1.41 times) and MAD (2.04 times). Mother with three or more parity had lower odds of her child meeting MDD (aOR: 0.81; 95% CI: 0.79, 0.93), MMF (aOR: 0.84; 95% CI: 0.72, 0.99) and MDD (aOR: 0.80; 95% CI: 0.65, 1.00). Mother who did not approve towards domestic violence, was working, controlled her assets and had a maximum of two parity was associated with official IYCF recommendation.

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Section: Discussionmentioning

confidence: 98%

Indonesia Infant and Young Child Feeding Practice: The Role of Women’s Empowerment in Household Domain

Puspitasari¹,

Gayatri²

2020

GJHS

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“…Multiple randomized controlled trials have demonstrated the efficacy of SQ-LNS on child development. [9][10][11] Additional measures have been shown to be needed to increase compliance with breast feeding and appropriate weaning feeding practices for infants and young children. These measures have evolved into Infant Young Child Feeding (IYCF) programs that focus on giving the mothers the skills required to continue to breast feed their infants beyond their first birthdays and introduce appropriate weaning foods at age 6 months.…”

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confidence: 99%

“…12 In this volume of The Journal, Addo et al report their efforts to evaluate the potential effectiveness in combining SQ-LNS with IYCF into a programmatic setting. 11 The hypothesis was that combining these 2 methods in an enhanced program would improve long-term outcomes. The main outcome measure obtained was child development scores.…”

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confidence: 99%

“…Globally, dietary diversification continues to be essential for improving nutrition and development of children in LMIC. 11 Interventions required to reduce malnutrition need to include education in addition to supplementation. The education is provided in the IYCF and the SQ-LNS would provide the essential nutrients that might be missing in the local weaning foods.…”

mentioning

confidence: 99%

“…The improvement in development scores is an important outcome, because children with higher development scores in early life will likely lead to higher IQ as adults and these children are likely to be productive adults. 11 Other important outcome measures that are important in this study include hemoglobin and growth variables, which also impact neurodevelopment.…”

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confidence: 99%

See 2 more Smart Citations

Optimizing Interventions to Prevent Chronic Malnutrition: The Search for the Holy Grail

Cole

2020

The Journal of Pediatrics

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Low dietary diversity is associated with linear growth faltering and subsequent adverse child developmental outcomes in rural Democratic Republic of the Congo (REDUCE program)

George

Coglianese²,

Bauler³

et al. 2022

Maternal & Child Nutrition

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The objective of this study was to investigate the association between dietary diversity, child growth and child developmental outcomes. This was a prospective cohort study. Developmental outcomes were assessed by communication, fine motor, gross motor, personal social, problem solving and combined developmental scores measured by the Extended Ages and Stages Questionnaire (EASQ) at a 6-month follow-up visit. Height and weight were measured at baseline and a 6-month followup. Baseline minimum dietary diversity (MDD) for children 6-23 months old was defined by consumption of five or more of the following food groups: (1) breast milk;(2) grains, roots and tubers; (3) legumes and nuts; (4) dairy products; (5) flesh foods; (6) eggs; (7) vitamin A-rich fruits and vegetables and (8) other fruits and vegetables.Participants were 117 children 6-23 months of age. Linear growth faltering was defined as a significant decline (p < 0.05) in length-for-age Z-scores (LAZ) between baseline and follow-up. Regression models were performed. The study was conducted in rural eastern Democratic Republic of the Congo (DRC). MDD was positively associated with change in LAZ (coefficient: 0.87 [95% confidence interval [CI]: 0.33, 1.40]), and a reduced odds of stunting (LAZ < −2) (odds ratio: 0.21 [95% CI: 0.07, 0.61]). MDD was also associated with a significantly higher combined EASQ-Z-scores

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An Integrated Infant and Young Child Feeding and Small-Quantity Lipid-based Nutrient Supplementation Program Is Associated with Improved Gross Motor and Communication Scores of Children 6-18 Months in the Democratic Republic of Congo

Cited by 6 publications

References 65 publications

Indonesia Infant and Young Child Feeding Practice: The Role of Women’s Empowerment in Household Domain

Indonesia Infant and Young Child Feeding Practice: The Role of Women’s Empowerment in Household Domain

Optimizing Interventions to Prevent Chronic Malnutrition: The Search for the Holy Grail

Low dietary diversity is associated with linear growth faltering and subsequent adverse child developmental outcomes in rural Democratic Republic of the Congo (REDUCE program)

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