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An intervention study to monitor weight gain in infants using a home based complementary food recipe and a hand
D G Harendra De Silva1, Shaman Rajindrajith, A Pathmeswaran
1Department of Paediatrics, Faculty of Medicine, University of Kelaniya, Sri Lanka.
Insights
A homemade, energy-dense weaning food effectively prevents infant growth faltering. This intervention significantly improved weight gain in infants during the crucial weaning period, promoting healthier development.
Area of Science:
- Pediatrics
- Nutrition Science
- Public Health
Background:
- Infant growth faltering is a significant concern during the weaning period.
- Optimal nutrition is crucial for preventing growth faltering and ensuring healthy infant development.
- Home-based, energy-dense complementary foods offer a potential solution for improving infant nutrition.
Purpose of the Study:
- To evaluate the effectiveness of a homemade, energy-dense weaning food in preventing growth faltering in infants.
- To assess the impact of a specific energy-dense complementary food on infant weight gain.
- To determine if a specially prepared weaning food can mitigate growth faltering during infancy.
Main Methods:
- A randomized controlled trial involving infants recruited at 4 months of age.
- The intervention group received a hand blender, recipe, and preparation advice for an energy-dense weaning food (110-130 kcal/100ml).
- Monthly follow-up assessments were conducted until 12 months of age, comparing weight gain between intervention and control groups.
Main Results:
- Infants in the intervention group exhibited significantly greater weight gain (2.43 +/- 0.72 kg) compared to the control group (2.02 +/- 0.62 kg; p = 0.0002).
- While both groups experienced a decline in weight-for-age Z-scores, the reduction was less pronounced in the intervention group.
- The study demonstrated a statistically significant positive effect of the homemade energy-dense food on infant weight gain.
Conclusions:
- A homemade, high-energy-density complementary food is effective in enhancing infant weight gain during the weaning phase.
- This intervention shows promise for preventing growth faltering and improving nutritional status in infants.
- The findings support the use of accessible, energy-dense homemade foods to support infant growth.
Objectives:
To assess the efficacy of a home made energy dense weaning food, containing 110-130 kcal (26-30kJ) per 100 ml on prevention of growth faltering during infancy.
Methodology:
Infants attending four child health welfare clinics in the Medical Officer of Health (Ragama) area were recruited at the age of 4 months. The intervention group received a specially designed hand blender, recipe and advice to prepare a weaning food. The control group received weaning foods without any intervention. They were followed up monthly up to the age of 12 months.
Results:
152 infants completed the study (83 from intervention group). The infants in the intervention group gained significantly more weight than the control group (intervention group 2.43 +/- 0.72 kg, control group 2.02 +/-0.62 kg, p = 0.0002). Both groups showed a drop in the Z score for mean weight for age during the study period but this was less marked in the intervention group.
Conclusions:
A high energy density home made complementary food was effective in improving the weight gain of infants during the weaning period.
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