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Predicted changes in socioemotional competence score from the baseline to the endline by intervention group.
Source publication
Undernutrition and a lack of learning opportunities can jeopardize long-term growth and development among infants in low- and middle-income countries. We conducted a 6-month 2 × 2 cluster-randomized trial to assess the effects of multiple micronutrient-fortified beverages and responsive caregiving interventions among infants 6–18 months in 72 commu...
Citations
... Sin embargo, los porcentajes aún son muy elevados, por lo que, este problema no solo debe enfocarse bajo el modelo biomédico tradicional. Es necesario abordarlo teniendo en cuenta los factores socioeconómicos, geográficos y étnicos que afectan el desarrollo y nutrición del niño, con énfasis en la prevención sustentada en la capacitación y motivación de las madres mediante preparaciones alimentarias con alto contenido de proteínas y hierro costo-efectivas (Black et al., 2021;Kowalski et al. 2023). ...
En las provincias de la región de Lima, las condiciones ecológicas y socioeconómicas, la malnutrición y anemia son indicadores de una inadecuada nutrición. En tal sentido el objetivo general de esta investigación fue realizar un estudio sobre el raviol de sangrecita y bazo de bovino que contribuya aportando proteínas y hierro en la población escolar. El método se desarrolló desde el enfoque cuantitativo, orientación descriptiva, explicativo, transversal y prospectiva, analizó a 62 escolares del distrito de Huacho, con especial atención en un grupo de 05 a 12 años de edad. Se observó que el raviol de sangrecita y bazo de bovino elaborado es de mejor calidad nutricional y mayor aporte de nutrientes que los embutidos comerciales. Se concluye que, la variedad de platos servidos con arroz chaufa, tallarines, causa rellena y arroz con frijoles elaborados con raviol de sangrecita, son una opción nutritiva y agradable para la alimentación escolar.
... Most previous studies were intervention trials and assessed children's responsive caregiving level at single time point. Moreover some studies were inconsistent in their conclusions, with few research focused on changing trends in infancy responsive caregiving [14,[44][45][46]. Our study con rms that responsive caregiving in infancy is bene cial to children's emotional development and that continuously increasing trend also helps to reduce EBPs. ...
Background
Providing responsive caregiving might benefit children’s cognitive and emotional development, but the role of infancy responsive caregiving trajectory is unclear. This birth cohort study aimed to examine the effect of infancy responsive caregiving trajectory on children’s emotional and behavioral problems (EBPs) at 2 and 3–5 years old.
Methods
A total of 2321 mother-child dyads from Shanghai Maternal-Child Pairs Cohort (Shanghai MCPC) were included in this study. Responsive caregiving was assessed using questionnaires at 2-, 6-, and 12-month old. The Strength and Difficulties Questionnaire (SDQ) was used to assess children’s EBPs. Group-based trajectory model (GBTM) was used to identify responsive caregiving trajectory. Ordered logistic regression was fitted to analyse the association of responsive caregiving trajectories and children’s EBPs.
Results
The study participants were categorized into four trajectory groups: Increasing group (n = 26, 1.12%), Fluctuating group (n = 366, 15.77%), Decline group (n = 125, 5.39%), And normal group (n = 1804, 77.73%). Compared to children in normal group, children in decline group had significantly increased risk of emotional symptoms, conduct problems, peer problems and prosocial behavior problems at 2 years old (aOR = 3.49, 2.70, 3.67 and 1.96), also conduct problems and hyperactivity at 3–5 years old (aOR = 1.96, 1.85). Children in fluctuating group had increased risk of hyperactivity and prosocial behavior problems at 2 years old (aOR = 1.81, 1.63), and prosocial behavior problems at 3–5 years old (aOR = 1.41). While, children increasing group did not show any increased risks of EBPs at 2 and 3–5 years old.
Conclusions
Consistently decreasing, low-level fluctuations in responsive caregiving during infancy could increase the risks of children’s EBPs. Maintaining consistent and stable level of responsive caregiving during infancy had beneficial effects on children’s emotional development.
... For avoiding gastrointestinal problems, other ferrous compounds have been used, but they are more expensive as for example ferrous bisglycinate [164][165][166]. The bioavailability of ferrous bisglycinate (chelated form of iron) is high and they have been used in public health strategies to improve anemia [167,168]. ...
Anemia is a multifactorial condition; approaches to address it must recognize that the causal factors represent an ecology consisting of internal (biology, genetics, and health) and external (social/behavioral/demographic and physical) environments. In this paper, we present an approach for selecting interventions, followed by a description of key issues related to the multiple available interventions for prevention and reduction of anemia. We address interventions for anemia using the following 2 main categories: 1) those that address nutrients alone, and, 2) those that address nonnutritional causes of anemia. The emphasis will be on interventions of public health relevance, but we also consider the clinical context. We also focus on interventions at different stages of the life course, with a particular focus on women of reproductive age and preschool-age children, and present evidence on various factors to consider when selecting an intervention—inflammation, genetic mutations, nutrient delivery, bioavailability, and safety. Each section on an intervention domain concludes with a brief discussion of key research areas.
This ethnographical qualitative study focused on health perceptions and practices of rural Guatemalan women. Researchers gathered data through interviews and observations in health, school, and village settings. Three themes emerged in data analysis: health practices are related to the situation of poverty; knowledge gaps exist related to healthcare; and natural remedies are a prevalent practice in rural communities. The findings can help structure sustainable health programs not only for rural Guatemalan communities but where poverty and/or lack of knowledge influence health, as well as point to the importance of nurses practicing cultural humility and providing collaborative care.
