Eggs in Early Complementary Feeding and Child Growth: A Randomized Controlled Trial
Iannotti LL, Lutter CK, Stewart CP, Gallegos Riofrío CA, Malo C, Reinhart G, Palacios A, Karp C, Chapnick M, Cox K, Waters WF
Pediatrics · 192 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
- Consumo medido con
- Cuestionario de frecuencia de consumo
Quién lo pagó
- Financiación
- Posiblemente financiado por la industria
- Empresa
- Mathile Institute for the Advancement of Human Nutrition
Según 1 financiador declarado.
Publicación
- Publicado
- 2017-06-07 · Pediatrics · vol. 140 · número 1
- Editorial
- American Academy of Pediatrics
- Citado
- 300 citas · más que el 100% de estudios similares · 17.8× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 28 trabajos
- Acceso
- De pago
- Áreas de investigación
- Child Nutrition and Water Access · Breastfeeding Practices and Influences · Obesity, Physical Activity, Diet
- Palabras clave
- Medicine, Confidence interval, Randomized controlled trial, Poisson regression, Underweight, Anthropometry, Demography, Animal science, Rate ratio, Pediatrics, Body mass index, Internal medicine, Population, Overweight, Environmental health
- MeSH
- humans, anthropometry, longitudinal studies, child development, time factors, eggs, adolescent, infant, ecuador, female, male, infant nutritional physiological phenomena, young adult
11 autores
- Lora Lynn Iannotti🇺🇸Washington University in St. Louis
- Chessa K. Lutter🇺🇸University of Maryland, College Park
- Christine P. Stewart🇺🇸University of California, Davis
- Carlos Andres Gallegos Riofrío🇪🇨Universidad San Francisco de Quito
- Carla Malo🇪🇨Universidad San Francisco de Quito
- Gregory A. Reinhart🇺🇸Mathile Institute For The Advancement of Human Nutrition
- ANA MARIA PALACIOS🇺🇸Mathile Institute For The Advancement of Human Nutrition
- Celia Karp🇪🇨Universidad San Francisco de Quito
- Melissa Chapnick🇺🇸Washington University in St. Louis
- Katherine Laura Cox🇺🇸Washington University in St. Louis
- William F. Waters🇪🇨Universidad San Francisco de Quito
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Eggs are a good source of nutrients for growth and development. We hypothesized that introducing eggs early during complementary feeding would improve child nutrition.
Methods
A randomized controlled trial was conducted in Cotopaxi Province, Ecuador, from March to December 2015. Children ages 6 to 9 months were randomly assigned to treatment (1 egg per day for 6 months [n = 83]) and control (no intervention [n = 80]) groups. Both arms received social marketing messages to encourage participation in the Lulun Project (lulun meaning "egg" in Kichwa). All households were visited once per week to monitor morbidity symptoms, distribute eggs, and monitor egg intakes (for egg group only). Baseline and end point outcome measures included anthropometry, dietary intake frequencies, and morbidity symptoms.
Results
Mothers or other caregivers reported no allergic reactions to the eggs. Generalized linear regression modeling showed the egg intervention increased length-for-age z score by 0.63 (95% confidence interval [CI], 0.38-0.88) and weight-for-age z score by 0.61 (95% CI, 0.45-0.77). Log-binomial models with robust Poisson indicated a reduced prevalence of stunting by 47% (prevalence ratio [PR], 0.53; 95% CI, 0.37-0.77) and underweight by 74% (PR, 0.26; 95% CI, 0.10-0.70). Children in the treatment group had higher dietary intakes of eggs (PR, 1.57; 95% CI, 1.28-1.92) and reduced intake of sugar-sweetened foods (PR, 0.71; 95% CI, 0.51-0.97) compared with control.
Conclusions
The findings supported our hypothesis that early introduction of eggs significantly improved growth in young children. Generally accessible to vulnerable groups, eggs have the potential to contribute to global targets to reduce stunting.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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