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Longitudinal assessments of child growth: A six-year follow-up of a cluster-randomized maternal education trial
- Source :
- Clinical Nutrition. 40:5106-5113
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Summary Background & aims Child growth impairments are rampant in sub-Saharan Africa. To combat this important health problem, long-term follow-up studies are needed to examine possible benefits and sustainability of various interventions designed to correct inadequate child growth. Our aim was to perform a follow-up study of children aged 60–72 months whose mothers participated in a two-armed cluster-randomized education intervention trial lasting 6 months in rural Uganda when their children were 6–8 months old with data collection at 20–24 and at 36 months. The education focused on nutrition, hygiene, and child stimulation. Methods We measured growth using anthropometry converted to z-scores according to WHO guidelines. We also included assessments of body composition using bioimpedance. We used multilevel mixed effect linear regression models with maximum likelihood method, unstructured variance-covariance structure, and the cluster as a random effect component to compare data from the intervention (receiving the education and routine health care) with the control group (receiving only routine health care). Results Of the 511 children included in the original trial, data from 166/263 (63%) and 141/248 (57%) of the children in the intervention and control group, respectively, were available for the current follow-up study. We found no significant differences in any anthropometrical z-score between the two study groups at child age of 60–72 months, except that children in the intervention group had lower (P = 0.006) weight-for-height z-score than the controls. There were no significant differences in the trajectories of z-scores or height growth velocity (cm/year) from baseline (start of original trial) to child age of 60–72 months. Neither did we detect any significant difference between the intervention and control group regarding body composition (fat mass, fat free mass, and total body water) at child age 60–72 months. Separate gender analyses had no significant impact on any of the growth or body composition findings. Conclusion In this long-term study of children participating in a randomized maternal education trial, we found no significant impact of the intervention on anthropometrical z-scores, height growth velocity or body composition. Trial registration Clinical Trials (clinical trials.gov) ClinicalTrials.gov ID NCT 02098031.
- Subjects :
- Male
Rural Population
medicine.medical_specialty
media_common.quotation_subject
Body water
Psychological intervention
Mothers
Critical Care and Intensive Care Medicine
Disease cluster
Education, Nonprofessional
Child Development
Hygiene
Intervention (counseling)
Outcome Assessment, Health Care
Health care
Electric Impedance
Cluster Analysis
Humans
Medicine
Uganda
Longitudinal Studies
Child
Health Education
media_common
Nutrition and Dietetics
Anthropometry
Parenting
business.industry
Infant
Clinical trial
Child, Preschool
Body Composition
Linear Models
Multilevel Analysis
Physical therapy
Body-Weight Trajectory
Female
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 02615614
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- Clinical Nutrition
- Accession number :
- edsair.doi.dedup.....b5bd0e1de9a6d1d20f8383da88f1ad83