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[Intensive psychosensorial stimulation of malnourished children. I. Effects on psychomotor development and physical

R Puentes-Rojas, A Winter-Elizalde, E Mateluna-Gárate

    Boletin Medico Del Hospital Infantil De Mexico
    |May 1, 1989
    PubMed

    Insights

    Intensive psychosensorial stimulation improved psychomotor development in malnourished children but did not significantly impact physical growth. This intervention offers a promising avenue for cognitive enhancement in early childhood malnutrition.

    Area of Science:

    • Pediatrics
    • Developmental Psychology
    • Nutrition Science

    Background:

    • Moderate and severe malnutrition in children under 18 months poses significant risks to development.
    • Early intervention is crucial for mitigating the long-term effects of malnutrition.
    • Psychosensorial stimulation is a potential strategy to support development in vulnerable populations.

    Purpose of the Study:

    • To investigate the impact of intensive psychosensorial stimulation on the psychomotor development and physical growth of malnourished children.
    • To compare outcomes between a control group and an experimental group receiving home-based stimulation.
    • To evaluate the effectiveness of a multiprofessional ambulatory treatment system.

    Main Methods:

    • A prospective study comparing a control group (41 children) and an experimental group (55 children) aged under 18 months with moderate to severe malnutrition.
    • The experimental group received home-based intensive psychosensorial stimulation, with mothers trained and nurses providing periodic inspection.
    • Physical growth parameters (weight-for-age, weight-for-height, height-for-age) and psychomotor development (using EEDP and Brunet Lezine scales) were assessed at baseline, 6, and 12 months.

    Main Results:

    • Both groups showed similar improvements in weight-for-age, weight-for-height, serum iron, and transferrin saturation.
    • No significant changes were observed in height-for-age, serum albumin, or Total Iron-Binding Capacity (TIBC) between groups.
    • The experimental group demonstrated significantly greater improvement in psychomotor development (p < 0.01), with most children reaching normal ranges.

    Conclusions:

    • Intensive psychosensorial stimulation effectively enhances psychomotor development in malnourished children.
    • This intervention does not appear to significantly improve physical growth parameters in the studied population.
    • Psychosensorial stimulation is a valuable component in the comprehensive management of early childhood malnutrition, particularly for cognitive outcomes.

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