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A preliminary test of a developmental model for the study of undernourished children in Indonesia

H Walka1, E Pollitt

  • 1University of California, Davis, USA.

European Journal of Clinical Nutrition
|July 21, 2000
PubMed

Insights

Micronutrient and energy supplementation improved growth in undernourished children. Structural equation modeling showed the conceptual model fit older children

Area of Science:

  • Nutritional Science
  • Developmental Pediatrics
  • Public Health

Background:

  • Undernutrition in children impairs growth and development.
  • Micronutrient and energy supplementation are potential interventions.
  • Understanding the pathways of these interventions is crucial.

Purpose of the Study:

  • To test a conceptual model of micronutrient and energy supplementation effects on growth and development.
  • To analyze baseline data from a longitudinal study in West Java.
  • To use structural equation modeling to assess model fit.

Main Methods:

  • Two cohorts of nutritionally-at-risk children (12- and 18-month-olds) were recruited.
  • Children received condensed milk + micronutrients (E), skimmed milk + micronutrients (M), or skimmed milk (S) for 12 months.
  • Socioeconomic status, nutritional status, motor development, and behavior were measured.

Main Results:

  • The structural equation model fit the data for the older cohort.
  • The model did not fit the data for the younger cohort.
  • No significant differences were found in model parameter estimations between cohorts.

Conclusions:

  • The conceptual model is applicable to older undernourished children.
  • Further refinement may be needed for younger children.
  • Supplementation strategies should consider age-specific effects.
Abstract

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