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学科主题: 公共卫生
题名:
Effectiveness of an educational intervention to improve child feeding practices and growth in rural China: updated results at 18 months of age
作者: Zhang, Jingxu1; Shi, Ling2; Chen, Da-fang3; Wang, Jing4; Wang, Yan1
关键词: child growth ; complementary feeding ; infant feeding behaviour ; nutritional interventions ; randomised controlled trial
刊名: MATERNAL AND CHILD NUTRITION
发表日期: 2013
DOI: 10.1111/j.1740-8709.2012.00447.x
卷: 9, 期:1, 页:118-129
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Nutrition & Dietetics ; Pediatrics
研究领域[WOS]: Nutrition & Dietetics ; Pediatrics
关键词[WOS]: RANDOMIZED CONTROLLED-TRIAL ; NUTRITION EDUCATION ; YOUNG-CHILDREN ; HEALTH SURVEYS ; INFANT GROWTH ; INDEX ; BANGLADESH
英文摘要:

Inappropriate complementary feeding practices have led to, in part, significant disparities in growth and nutritional status between rural and urban children in China. A cluster-randomised, controlled trial was implemented in Laishui, China to assess the effectiveness of an educational intervention on caregivers′ feeding practices and children′s growth. Eight townships were randomly assigned to the intervention or control. Five hundred ninety-nine healthy infants were enrolled at 24 months old, and were followed up at ages 6, 9, 12, 15 and 18 months. The intervention group received information on enhanced home-prepared recipes and food preparation and hygiene through group training, counselling and home visit. Key outcomes were children′s physical growth, caregivers′ knowledge and behaviours on complementary feeding, and the infant and child feeding index (ICFI). Analysis was by intention to treat. The intervention group achieved better knowledge and practices related to complementary feeding, and significantly higher ICFI scores at each follow-up point. Children in the intervention group achieved higher z-scores for weight-for-age (WAZ) and weight-for-height (WHZ) than the control (0.18 vs. 0.01 and 0.49 vs. 0.19, respectively) at 18 months old, and were less likely to have stunted growth (odds ratio?=?0.71, 95% confidence interval: 0.530.94). Mixed model showed that the intervention group achieved significantly better linear growth over time, including WAZ (P?=?0.016), WHZ (P?=?0.030) and HAZ (P?=?0.078). These results indicated that an educational intervention delivered through local health services can enhance caregivers′ knowledge and practices of complementary feeding and ultimately improve children′s growth.

语种: 英语
项目资助者: Proctor &amp ; Gamble Fellowship at Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
WOS记录号: WOS:000312296100010
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/57871
Appears in Collections:北京大学公共卫生学院_期刊论文

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作者单位: 1.Laishui Cty Maternal & Child Hlth Hosp, Laishui, Hebei, Peoples R China
2.Peking Univ, Hlth Sci Ctr, Dept Child Adolescent & Womens Hlth, Sch Publ Hlth, Beijing 100191, Peoples R China
3.Univ Massachusetts Boston, Coll Nursing & Hlth Sci, Boston, MA USA
4.Peking Univ, Hlth Sci Ctr, Dept Epidemiol & Biostat, Sch Publ Hlth, Beijing 100191, Peoples R China

Recommended Citation:
Zhang, Jingxu,Shi, Ling,Chen, Da-fang,et al. Effectiveness of an educational intervention to improve child feeding practices and growth in rural China: updated results at 18 months of age[J]. MATERNAL AND CHILD NUTRITION,2013,9(1):118-129.
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