This study assesses the effectiveness of a nutrition advice programme - The ten steps for healthy feeding of children under two years old - on nutritional status, diet, and morbidity history of children. This is a randomized controlled trial in mostly socioeconomic deprived families (intervention=200; controls=300). Mothers of the intervention group received dietary counseling in the first year of life. Both groups received routine care by their paediatricians and research assessment at 6 and 12 months, 4 years, 8 years and 12 years of age.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Enrollment
500
Step 1 - Provide Exclusive breastfeeding up to 6 mo. Step 2- After 6 mo, gradually introduce complementary foods and continue breastfeeding up to 2 y or more. Step 3 - Complementary foods should be given 3 times a day (cereals, beans, fruits, and vegetables) if the child is breastfed, and 5 times a day if not. Step 4- Mealtimes must be adjusted to the children's cues of hunger and satiety. Step 5: Foods should gradually get thicker up to the time when the child is able to eat a family meal. Complementary foods should not be liquefied. Step 6: A large variety of healthy foods should be given daily to guarantee the intake of different nutrients. Step 7: Different fruits and vegetables should be offered daily. Step 8: Sugar, sweets, soft drinks, salty snacks, cookies, and processed and fried foods must be avoided. Step 9: Good hygiene practices in food preparation and handling. Step 10: Adequate feeding during child illness.
Household
São Leopoldo, Rio Grande do Sul, Brazil
Effectiveness of a nutrition advice programme in exclusive breastfeeding.
Group difference in months of esclusive breastfeeding
Time frame: 1 year
Effectiveness of a nutrition advice programme in dietary intake
Group differences in energy, fats, protein, carbohidrates and micronutrients intake
Time frame: 1 year
Effectiveness of a nutrition advice programme in dietary intake
Group differences in energy, fats, protein, carbohidrates and micronutrients intake
Time frame: 4 years
Effectiveness of a nutrition advice programme in dietary intake
Group differences in energy, fats, protein, carbohidrates and micronutrients intake
Time frame: 8 years
Effectiveness of a nutrition advice programme in dietary intake
Group differences in energy, fats, protein, carbohidrates and micronutrients intake
Time frame: 12 years
Effectiveness of a nutrition advice programme in occurrence of diarrhea, respiratory problems, use of medication, dental caries,anemia and hospitalization.
Group differences in the % of children with each condition
Time frame: 1 year
Effectiveness of a nutrition advice programme in nutritional status
Group differences in the % of overweight and obese children.
Time frame: 1 year
Effectiveness of a nutrition advice programme in nutritional status
Group differences in the % of overweight and obese children.
Time frame: 4 years
Effectiveness of a nutrition advice programme in nutritional status
Group differences in the % of overweight and obese children.
Time frame: 8 Years
Effectiveness of a nutrition advice programme in nutritional status
Group differences in the % of overweight and obese children.
Time frame: 12 Years
Salty taste preferences
Evaluate the most preferred concentration of salt
Time frame: 12 years
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