{"title":"Effect of counselling about complementary food flour soaking on nutritional and health status of children 6–23 months, a quasi-experimental study","authors":"Mekonnen Tegegne , Kalkidan Hassen Abate , Tefera Belechew","doi":"10.1016/j.clnesp.2025.01.038","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Strategies for achieving improved nutrition in young children in developing countries where plant-based complementary foods are the main source of nutrients can address the challenge of meeting nutritional needs from these foods.</div></div><div><h3>Objectives</h3><div>This study aimed to assess the effect of counseling about complementary food flour soaking on nutritional and health status of children 6–23 months.</div></div><div><h3>Methods</h3><div>A total of 726 mother-child pairs (intervention n = 363 and control n = 363) were enrolled in this study. Participants in the intervention district received personalized nutritional counseling for six months. Interviewer-administered questionnaires and anthropometric measurements were used to collect data. The data were analyzed using SPSS. The difference in difference regression analysis and the Poisson regression analyses were used to estimate the effect of the interventions on anthropometric Z-score and incidence of disease episodes, respectively. Mean differences and Incidence Rate Ratio were computed as a measure of intervention effects.</div></div><div><h3>Result</h3><div>The results showed that the intervention improved the Weight-for-Age Z score of children by 0.30 (β = 0.30, 95 % CI: 0.15–0.45) and Weight-for-length Z score by 0.47 (β = 0.47, 95 % CI: 0.25–0.69). However, the intervention did not improve Length-for-age and health status.</div></div><div><h3>Conclusion</h3><div>The findings imply the need for strengthening social behavior change communication to improve the complementary feeding practices of mothers in the study area.</div><div>The trial was <strong>registered on</strong> ClinicalTrials.gov with a registration number NCT05254717.</div></div>","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"66 ","pages":"Pages 281-289"},"PeriodicalIF":2.9000,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical nutrition ESPEN","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2405457725000397","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Strategies for achieving improved nutrition in young children in developing countries where plant-based complementary foods are the main source of nutrients can address the challenge of meeting nutritional needs from these foods.
Objectives
This study aimed to assess the effect of counseling about complementary food flour soaking on nutritional and health status of children 6–23 months.
Methods
A total of 726 mother-child pairs (intervention n = 363 and control n = 363) were enrolled in this study. Participants in the intervention district received personalized nutritional counseling for six months. Interviewer-administered questionnaires and anthropometric measurements were used to collect data. The data were analyzed using SPSS. The difference in difference regression analysis and the Poisson regression analyses were used to estimate the effect of the interventions on anthropometric Z-score and incidence of disease episodes, respectively. Mean differences and Incidence Rate Ratio were computed as a measure of intervention effects.
Result
The results showed that the intervention improved the Weight-for-Age Z score of children by 0.30 (β = 0.30, 95 % CI: 0.15–0.45) and Weight-for-length Z score by 0.47 (β = 0.47, 95 % CI: 0.25–0.69). However, the intervention did not improve Length-for-age and health status.
Conclusion
The findings imply the need for strengthening social behavior change communication to improve the complementary feeding practices of mothers in the study area.
The trial was registered on ClinicalTrials.gov with a registration number NCT05254717.
期刊介绍:
Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.