酸奶补充和营养教育对营养不良婴儿的影响:达卡贫民窟的一项试点 RCT。

The Effects of Yogurt Supplementation and Nutritional Education on Malnourished Infants: A Pilot RCT in Dhaka's Slums.

机构信息

Centre for Research in Mathematics and Data Science, School of Health Sciences, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia.

Environmental Interventions Unit, Laboratory of Food Safety and One Health, Infectious Disease Division, Laboratory Sciences and Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.

出版信息

Nutrients. 2023 Jun 30;15(13):2986. doi: 10.3390/nu15132986.

Abstract

Our objective was to quantify the effects of yogurt supplementation and nutrition education over three months on the linear growth of infants at risk of stunting. We conducted a three-arm pilot randomized controlled trial: (1) nutrition education for mothers; (2) nutrition education plus a daily yogurt supplement (50 g) for the index child; and (3) usual care (control). Dyads of children aged 4-6 months and at risk of stunting [length-for-age z-score (LAZ) ≤ -1 SD and >-2 SD] and their mothers with ≤10 years of education were eligible for the study. Participants were recruited from five slum areas in Dhaka, Bangladesh. Intention-to-treat (N = 162) and complete-case analyses (N = 127) showed no between-group statistically significant differences in LAZ or weight-for-age (WAZ). However, the yogurt group showed greater change in linear growth compared to the control (LAZ: mean difference 0.20, 95% CI: -0.06, 0.47, -value 0.13), which was also slightly greater than the education-only group. Children in the yogurt plus group were five times (95% CI: 0.80, 31.80, -value 0.09) more likely to meet the minimum dietary diversity (MDD) score compared to the control. A 3-month follow-up of this pilot study did not demonstrate that yogurt was beneficial to linear growth. However, there were encouraging trends that merit replication of the intervention with larger samples and longer follow-ups.

摘要

我们的目的是量化酸奶补充和营养教育在三个月内对有发育迟缓风险的婴儿线性生长的影响。我们进行了一项三臂随机对照试验:(1)母亲的营养教育;(2)营养教育加上每日酸奶补充(50 克)给指数儿童;(3)常规护理(对照组)。年龄在 4-6 个月、有发育迟缓风险的儿童(年龄与身高 z 评分 [LAZ] ≤ -1 SD 且>-2 SD)及其受教育程度≤10 年的母亲及其母亲为研究对象。参与者从孟加拉国达卡的五个贫民窟招募。意向治疗(N = 162)和完全案例分析(N = 127)显示,LAZ 或体重与年龄(WAZ)在组间无统计学显著差异。然而,与对照组相比,酸奶组的线性生长变化更大(LAZ:平均差异 0.20,95%置信区间:-0.06,0.47,-值 0.13),这也略高于仅接受教育组。与对照组相比,酸奶加组的儿童有五倍(95%置信区间:0.80,31.80,-值 0.09)更有可能达到最低膳食多样性(MDD)评分。这项试点研究的 3 个月随访并未表明酸奶对线性生长有益。然而,有一些令人鼓舞的趋势表明,值得用更大的样本和更长的随访时间来复制该干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/10346178/0550cb492701/nutrients-15-02986-sch001.jpg

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