Anemia, Breast Feeding, Exclusive, Overweight and Obesity
Conditions
Keywords
Health Plan Implementation, Feeding and Eating Disorders of Childhood, Breastfeeding, Complementary feeding, Morbidity, Anemia, Public policy
Brief summary
This study assesses the effectiveness of a nutrition advice programme - The ten steps for healthy feeding of children under two years old - on nutritional status, diet, and morbidity history of children. This is a randomized controlled trial in mostly socioeconomic deprived families (intervention=200; controls=300). Mothers of the intervention group received dietary counseling in the first year of life. Both groups received routine care by their paediatricians and research assessment at 6 and 12 months, 4 years, 8 years and 12 years of age.
Interventions
BEHAVIORALDietary Advice
Step 1 - Provide Exclusive breastfeeding up to 6 mo. Step 2- After 6 mo, gradually introduce complementary foods and continue breastfeeding up to 2 y or more. Step 3 - Complementary foods should be given 3 times a day (cereals, beans, fruits, and vegetables) if the child is breastfed, and 5 times a day if not. Step 4- Mealtimes must be adjusted to the children's cues of hunger and satiety. Step 5: Foods should gradually get thicker up to the time when the child is able to eat a family meal. Complementary foods should not be liquefied. Step 6: A large variety of healthy foods should be given daily to guarantee the intake of different nutrients. Step 7: Different fruits and vegetables should be offered daily. Step 8: Sugar, sweets, soft drinks, salty snacks, cookies, and processed and fried foods must be avoided. Step 9: Good hygiene practices in food preparation and handling. Step 10: Adequate feeding during child illness.
Sponsors
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Federal University of Health Science of Porto Alegre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Newborn infants with birth weight ≥ 2.500 g and gestational age ≥ 37 weeks were considered eligible for the study.
Exclusion criteria
* HIV-positive mothers * Congenital malformation * Infants referred to intensive care unit * Multiple pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness of a nutrition advice programme in exclusive breastfeeding. | 1 year | Group difference in months of esclusive breastfeeding |
| Effectiveness of a nutrition advice programme in dietary intake | 1 year | Group differences in energy, fats, protein, carbohidrates and micronutrients intake |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness of a nutrition advice programme in occurrence of diarrhea, respiratory problems, use of medication, dental caries,anemia and hospitalization. | 1 year | Group differences in the % of children with each condition |
| Effectiveness of a nutrition advice programme in nutritional status | 1 year | Group differences in the % of overweight and obese children. |
| Salty taste preferences | 12 years | Evaluate the most preferred concentration of salt |
Countries
Brazil
Outcome results
None listed