Helmizar Helmizar, Jalal Fasli, Lipoeto Nur Indrawati, Achadi Endang L
Department of Nutrition, Faculty of Public Health, Andalas University Padang, Indonesia. Email:
Department of Nutrition, Mohammad Natsir Bukiitinggi University, Bukiitinggi, Indonesia.
Asia Pac J Clin Nutr. 2017 Jan;26(1):97-103. doi: 10.6133/apjcn.102015.10.
To evaluate the effect of culturally-relevant food supplementation and psychosocial stimulation on infant growth and development.
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.
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).
Combined intervention with local food supplementation and psychosocial stimulation improved infant growth, cognitive and motor development.
评估具有文化相关性的食物补充和心理社会刺激对婴儿生长发育的影响。
在印度尼西亚西苏门答腊省塔纳达塔尔区5个选定村庄的40个群组中进行了一项基于社区的随机对照试验。在研究开始时，我们评估了355名6至9个月大的婴儿。这些婴儿被分为4组：1）食物补充组（FS）；2）心理社会刺激组（PS）；3）食物补充与心理社会刺激组（FS + PS）；4）对照组（CG）。配方食物补充剂由多种当地食物来源（当地的辅食）组成，并根据当地习惯进行了调整。采用婴儿家庭环境量表法评估心理社会刺激的质量。通过人体测量以及贝利认知、语言和运动功能评分评估6个月时的进展情况。
与对照组相比，FS组（p <0.05）和FS + PS组（p <0.01）儿童的线性生长、认知和运动发育均有所改善。干预6个月后，FS组和FS + PS组的平均身长分别增加到6.86±2.08厘米和6.66±2.41厘米（p <0.05）。通过食物补充和心理社会刺激相结合（FS + PS），认知发育提高到21.4±12.2分（效应量0.56）（p <0.01），运动发育提高到20.7±18.4分（效应量0.50）（p <0.001）。
当地食物补充和心理社会刺激相结合的干预措施改善了婴儿的生长、认知和运动发育。
