Effects of Community‐based Follow‐up Care in Managing Severely Underweight Children

Hossain, Iqbal; Nahar, Baitun; Hamadani, Jena D.; Ahmed, Tahmeed; Brown, Kenneth H.

doi:10.1097/mpg.0b013e31821dca49

Cited by 15 publications

(13 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…After 3 months of intervention, the children who had received food and PS had significantly higher follow-up attendance than the controls, and those who received FS had higher weight gain compared with the other groups (Hossain et al, 2011). In this paper, we present the findings at the end of study, that is, after 6 months of intervention.…”

Section: Introductionmentioning

confidence: 53%

Effects of a community-based approach of food and psychosocial stimulation on growth and development of severely malnourished children in Bangladesh: a randomised trial

et al. 2012

View full text Add to dashboard Cite

Background/Objective: Psychosocial stimulation (PS) and food supplementation (FS) improve development of malnourished children. This study evaluates the effects of a community-based approach of PS and FS on growth and development of severely malnourished children. Subjects/Methods: Severely underweight hospitalised children aged 6-24 months (n ¼ 507) were randomly allocated on discharge to five groups: (i) PS, (ii) FS, (iii) PS þ FS, (iv) clinic-control and (v) hospital-control. PS included play sessions and parental counselling on child development. This was done at each fortnightly follow-up visit, that is, every second week, for 6 months at community clinics. FS included distribution of cereal-based food packets (150-300 kcal/day) for 3 months. All groups received medical care, micronutrient supplementation, health-education and growth monitoring. Children's development was assessed using revised version of Bayley Scales of Infant Development at baseline and after 3 and 6 months of intervention. Anthropometry was measured using standard procedure. Results: Comparing groups with any stimulation with those with no stimulation there was a significant effect of stimulation on children's mental development index (group * session interaction P ¼ 0.037, effect size ¼ 0.37 s.d.) and weight-for-age Z-score (group * session interaction P ¼ 0.02, effect size ¼ 0.26 s.d.). Poor levels of development and nutritional status were sustained, however, due to their initial very severe malnutrition. There was no effect on motor development and linear growth. Conclusion: Children receiving any stimulation showed a significant benefit to mental development and growth in weight. More intensive intervention with longer duration is needed to correct their poor developmental levels and nutritional status.

show abstract

Section: Introductionmentioning

confidence: 53%

Effects of a community-based approach of food and psychosocial stimulation on growth and development of severely malnourished children in Bangladesh: a randomised trial

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Fifteen of the 20 trials had been completed – and the results of four had been published – by the time of our search. 40 – 43 Two had reported statistically significant results; one demonstrated that community follow-up increased linear growth and clinic attendance 43 and the other that long-chain n -3 polyunsaturated fatty acid in erythrocytes increased among severely malnourished children who were given ready-to-use therapeutic food enriched with polyunsaturated fatty acid. 42 The other two published trials, which detected no significant differences, compared alternative formulations of ready-to-use therapeutic food with standard formulations.…”

Section: Resultsmentioning

confidence: 99%

Inpatient management of children with severe acute malnutrition: a review of WHO guidelines

Tickell

Denno

2016

Bull. World Health Organ.

View full text Add to dashboard Cite

ObjectiveTo understand how the World Health Organization’s (WHO’s) guidelines on the inpatient care of children with complicated severe acute malnutrition may be strengthened to improve outcomes.MethodsIn December 2015, we searched Google scholar and WHO’s website for WHO recommendations on severe acute malnutrition management and evaluated the history and cited evidence behind these recommendations. We systematically searched WHO International Clinical Trials Registry Platform, clinicaltrials.gov and the Controlled Trials metaRegister until 10 August 2015 for recently completed, ongoing, or pending trials.FindingsWHO’s guidelines provide 33 recommendations on the topic. However, 16 (48.5%) of these recommendations were based solely on expert opinion – unsupported by published evidence. Another 11 (33.3%) of the recommendations were supported by the results of directly relevant research – i.e. either randomized trials (8) or observational studies (3). The other six recommendations (18.2%) were based on studies that were not conducted among children with complicated severe malnutrition or studies of treatment that were not identical to the recommended intervention. Trials registries included 20 studies related to the topic, including nine trials of alternative feeding regimens. Acute medical management and follow-up care studies were minimally represented.ConclusionWHO’s guidelines on the topic have a weak evidence base and have undergone limited substantive adjustments over the past decades. More trials are needed to make that evidence base more robust. If the mortality associated with severe malnutrition is to be reduced, inpatient and post-discharge management trials, supported by studies on the causes of mortality, are needed.

show abstract

“…O baixo peso, assim como o peso insuficiente ao nascer, são os principais determinantes da morbimortalidade infantil (26). Quanto a esta última variável, destaca-se a consistência do Índice IPR/ Pré-Natal, no qual ter tido o pré-natal adequado proporciona menores chances de ocorrência desse agravo.…”

Section: Discussionunclassified

Desenvolvimento e aplicação de um novo índice para avaliação do pré-natal

Silva¹,

Lima²,

Costa³

et al. 2013

Rev Panam Salud Publica

View full text Add to dashboard Cite

show abstract

Effects of Community‐based Follow‐up Care in Managing Severely Underweight Children

Cited by 15 publications

References 22 publications

Effects of a community-based approach of food and psychosocial stimulation on growth and development of severely malnourished children in Bangladesh: a randomised trial

Effects of a community-based approach of food and psychosocial stimulation on growth and development of severely malnourished children in Bangladesh: a randomised trial

Inpatient management of children with severe acute malnutrition: a review of WHO guidelines

Desenvolvimento e aplicação de um novo índice para avaliação do pré-natal

Contact Info

Product

Resources

About