Pachón Helena, Schroeder Dirk G, Marsh David R, Dearden Kirk A, Ha Tran Thu, Lang Tran Thi
Division of Nutritional Sciences, Cornell University, Ithaca, NY, USA.
Food Nutr Bull. 2002 Dec;23(4 Suppl):62-9.
Forty-two percent of Vietnamese children are stunted by two years of age. Since 1990, Save the Children Federation/US (SC) has implemented integrated nutrition programs targeting young children. We evaluated the effect of SC's nutrition program on the complementary food intake of young rural Vietnamese children. Using a longitudinal, prospective, randomized design, we followed 238 children (119 each from intervention and comparison communes) age 5 to 25 months old for six months with a re-survey at 12 months. We gathered 24-hour recall data at baseline and at months 2, 4, 6, and 12. Dietary energy intake was calculated using the 1972 Vietnamese food composition table. Key outcomes were daily frequency of consuming intervention-promoted food and non-breastmilk liquids and food, daily quantity of non-breastmilk liquids and food consumed, daily energy intake, and proportion of children meeting daily median energy requirements. Young rural children exposed to SC's program consumed intervention-promoted, and any, foods more frequently, ate a greater quantity of any food, consumed more energy, and were more likely to meet their daily energy requirements than comparison children. Some effects were only observed during the intensive intervention period; others persisted into or were evident only at the 12-month follow-up, approximately four months after program completion. Based on the mothers' reports, the intervention did not apparently compromise breastfeeding prevalence or frequency. The intervention improved children's food and energy intake and protected them from declining as rapidly as comparison children in meeting their energy requirements.
42%的越南儿童在两岁时发育迟缓。自1990年以来，美国救助儿童会（SC）实施了针对幼儿的综合营养项目。我们评估了SC营养项目对越南农村幼儿辅食摄入量的影响。采用纵向、前瞻性、随机设计，我们跟踪了238名5至25个月大的儿童（干预公社和对照公社各119名），为期6个月，并在12个月时进行重新调查。我们在基线以及第2、4、6和12个月收集了24小时回忆数据。膳食能量摄入量使用1972年越南食物成分表进行计算。主要结果包括食用干预推广食物以及非母乳液体和食物的每日频率、食用的非母乳液体和食物的每日量、每日能量摄入量以及达到每日能量中位数需求的儿童比例。与对照儿童相比，参与SC项目的农村幼儿更频繁地食用干预推广食物以及任何食物，食用的任何食物量更多，消耗的能量更多，并且更有可能满足其每日能量需求。一些影响仅在强化干预期间观察到；其他影响持续到12个月随访时，或者仅在项目结束后约四个月的12个月随访时才明显。根据母亲们的报告，干预显然没有影响母乳喂养的普及率或频率。该干预改善了儿童的食物和能量摄入量，并保护他们在满足能量需求方面不会像对照儿童那样迅速下降。
