Nutritional supplementation, psychosocial stimulation and development of stunted children: the Jamaican study - abstract
West Indian med. j
; West Indian med. j;40(suppl. 1): 15-16, Apr. 1991.
Article
em En
| MedCarib
| ID: med-5610
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
In developing countries, low height for age (stunting) is extremely common in children, and is associated with poor development. It is uncertain whether their poor development is due to poor nutrition or deprived social backgrounds, and whether nutritional supplementation improves their development. We assessed the effects of giving supplementation for two years, with or without psychosocial stimulation, to 129 stunted children aged 9 to 24 months. The children were identified from a survey of poor neighbourhoods in Kingston. They were randomly assigned to 4 groups control, supplemented, stimulated, and both treatments. A group of matched non-stunted children (n=32) was also studied. All children were visited every week. The supplement comprised 1 kg of full cream milk. The stimulation comprised teaching mothers to play with their children for an hour each week. All children had their developmental levels (DQs) assessed regularly on the Griffith's Test. Initially, the stunted groups' DQs were significantly lower than those of the non-stunted groups, and the control group declined further during the study. Stimulation benefited the children's scores in the locomotor and performance subscales, and the developmental quotients. The effect on hearing and speech approached significant levels (p= <0.08). The treatment effects were additive, not interactive, and both groups made substantial gains. The results indicate that supplementation improves stunted children's development, and suggest that their poor development is at least partly attributed to undernutrition (AU)
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Coleções:
01-internacional
Base de dados:
MedCarib
Assunto principal:
Transtornos da Nutrição do Lactente
/
Fenômenos Fisiológicos da Nutrição do Lactente
Tipo de estudo:
Prognostic_studies
Limite:
Child
/
Humans
/
Infant
País/Região como assunto:
Caribe ingles
/
Jamaica
Idioma:
En
Revista:
West Indian med. j
Ano de publicação:
1991
Tipo de documento:
Article
/
Congress and conference