Helmizar Helmizar1,2, Fasli Jalal3, Nur Indrawati Lipoeto3, Endang L Achadi4. 1. Department of Nutrition, Faculty of Public Health, Andalas University Padang, Indonesia. Email: eelbiomed@gmail.com. 2. Department of Nutrition, Mohammad Natsir Bukiitinggi University, Bukiitinggi, Indonesia. 3. Department of Nutrition, Faculty of Medicine, Andalas University Padang, Indonesia. 4. Department of Nutrition, Faculty of Publich Health, University of Indonesia, Indonesia.
Abstract
BACKGROUND AND OBJECTIVES: To evaluate the effect of culturally-relevant food supplementation and psychosocial stimulation on infant growth and development. METHODS AND STUDY DESIGN: A community-based randomized controlled trial was conducted in 40 clusters from 5 selected villages in Tanah Datar District of West Sumatera, Indonesia. We assessed 355 infants aged 6 to 9 months at the beginning of the study. The infants were divided into 4 groups: 1) Food Supplementation (FS); 2) Psychosocial Stimulation (PS); 3) Food Supplementation and Psychosocial Stimulation (FS+PS); and 4) Control Group (CG). The formula food supplement was comprised of a variety of local food sources (local MP-ASI) and adjusted for the local habits. The quality of psychosocial stimulation was assessed with the Infant HOME inventory method. Progress at 6 months was assessed by anthropometry and the Bayley scores of cognition, language and motor function. RESULTS: There were improvements in linear growth, cognitive and motor development of children in the FS (p<0.05) and the FS+PS (p<0.01) groups compared to the CG. After six months of intervention, mean length increased to 6.86±2.08 cm and 6.66±2.41 cm for FS and FS+PS respectively (p<0.05). With the combination of food supplementation and psychosocial stimulation (FS+PS), cognitive development increased to 21.4±12.2 points (effect size 0.56) (p<0.01) and motor development increased to 20.7±18.4 points (effect size 0.50) (p<0.001). CONCLUSION: Combined intervention with local food supplementation and psychosocial stimulation improved infant growth, cognitive and motor development.
RCT Entities:
BACKGROUND AND OBJECTIVES: To evaluate the effect of culturally-relevant food supplementation and psychosocial stimulation on infant growth and development. METHODS AND STUDY DESIGN: A community-based randomized controlled trial was conducted in 40 clusters from 5 selected villages in Tanah Datar District of West Sumatera, Indonesia. We assessed 355 infants aged 6 to 9 months at the beginning of the study. The infants were divided into 4 groups: 1) Food Supplementation (FS); 2) Psychosocial Stimulation (PS); 3) Food Supplementation and Psychosocial Stimulation (FS+PS); and 4) Control Group (CG). The formula food supplement was comprised of a variety of local food sources (local MP-ASI) and adjusted for the local habits. The quality of psychosocial stimulation was assessed with the Infant HOME inventory method. Progress at 6 months was assessed by anthropometry and the Bayley scores of cognition, language and motor function. RESULTS: There were improvements in linear growth, cognitive and motor development of children in the FS (p<0.05) and the FS+PS (p<0.01) groups compared to the CG. After six months of intervention, mean length increased to 6.86±2.08 cm and 6.66±2.41 cm for FS and FS+PS respectively (p<0.05). With the combination of food supplementation and psychosocial stimulation (FS+PS), cognitive development increased to 21.4±12.2 points (effect size 0.56) (p<0.01) and motor development increased to 20.7±18.4 points (effect size 0.50) (p<0.001). CONCLUSION: Combined intervention with local food supplementation and psychosocial stimulation improved infant growth, cognitive and motor development.
Authors: O Yaw Addo; Katie Tripp; Simeon Nanama; Bope Albert; Fanny Sandalinas; Ambroise Nanema; Maria Elena Jefferds; Heather B Clayton; Ralph D Whitehead; Aashima Garg; Roland Kupka; Lindsey M Locks Journal: J Pediatr Date: 2020-02-28 Impact factor: 6.314
Authors: Tafere Gebreegziabher; Tesfaye Woltamo; David G Thomas; Tay S Kennedy; Barbara J Stoecker Journal: PLoS One Date: 2019-10-07 Impact factor: 3.240