An Egg Intervention Improves Ponderal But Not Linear Growth Among Infants 6–12 mo of Age in Rural Bangladesh
Animal source foods are rich in multiple nutrients. Regular egg consumption may improve infant growth in low- and middle-income countries. To assess the impact of daily egg consumption on linear growth among 6–12-mo olds in rural Bangladesh. We conducted a 2 × 4 factorial cluster-randomized controll...
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| Veröffentlicht in: | The Journal of nutrition 2024-07, Vol.154 (7), p.2290-2299 |
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| creator | Pasqualino, Monica M Shaikh, Saijuddin Hossain, Md Iqbal Islam, Md Tanvir Ali, Hasmot Haque, Rezwanul Ayesha, Kaniz Wu, Lee S-F Dyer, Brian Hasan, Khaled Alland, Kelsey Schulze, Kerry J Johura, Fatema-Tuz Alam, Munirul West, Keith P Ahmed, Tahmeed Labrique, Alain B Palmer, Amanda C |
| description | Animal source foods are rich in multiple nutrients. Regular egg consumption may improve infant growth in low- and middle-income countries.
To assess the impact of daily egg consumption on linear growth among 6–12-mo olds in rural Bangladesh.
We conducted a 2 × 4 factorial cluster-randomized controlled trial allocating clusters (n = 566) to treatment for enteric pathogens or placebo and a daily egg, protein supplement, isocaloric supplement, or control. All arms received nutrition education. Here, we compare the effect of the egg intervention versus control on linear growth, a prespecified aim of the trial. Infants were enrolled at 3 mo. We measured length and weight at 6 and 12 mo and visited households weekly to distribute eggs and monitor compliance. We used linear regression models to compare 12-mo mean length, weight, and z-scores for length-for-age (LAZ), weight-for-length, and weight-for-age (WAZ), and log-binomial or robust Poisson regression to compare prevalence of stunting, wasting, and underweight between arms. We used generalized estimating equations to account for clustering and adjusted models for baseline measures of outcomes.
We enrolled 3051 infants (n = 283 clusters) across arms, with complete 6 and 12 mo anthropometry data from 1228 infants (n = 142 clusters) in the egg arm and 1109 infants (n = 141 clusters) in the control. At baseline, 18.5%, 6.0%, and 16.4% were stunted, wasted, and underweight, respectively. The intervention did not have a statistically significant effect on mean LAZ (β: 0.05, 95% confidence interval [CI]: −0.01, 0.10) or stunting prevalence (β: 0.98, 95% CI: 0.89, 1.13) at 12 mo. Mean weight (β: 0.07 kg, 95% CI: 0.02, 0.11) and WAZ (β: 0.06, 95% CI: 0.02, 0.11) were significantly higher in the egg compared with control arms.
Provision of a daily egg for 6 mo to infants in rural Bangladesh improved ponderal but not linear growth.
NCT03683667, https://clinicaltrials.gov/ct2/show/NCT03683667. |
| doi_str_mv | 10.1016/j.tjnut.2024.05.006 |
| format | Article |
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To assess the impact of daily egg consumption on linear growth among 6–12-mo olds in rural Bangladesh.
We conducted a 2 × 4 factorial cluster-randomized controlled trial allocating clusters (n = 566) to treatment for enteric pathogens or placebo and a daily egg, protein supplement, isocaloric supplement, or control. All arms received nutrition education. Here, we compare the effect of the egg intervention versus control on linear growth, a prespecified aim of the trial. Infants were enrolled at 3 mo. We measured length and weight at 6 and 12 mo and visited households weekly to distribute eggs and monitor compliance. We used linear regression models to compare 12-mo mean length, weight, and z-scores for length-for-age (LAZ), weight-for-length, and weight-for-age (WAZ), and log-binomial or robust Poisson regression to compare prevalence of stunting, wasting, and underweight between arms. We used generalized estimating equations to account for clustering and adjusted models for baseline measures of outcomes.
We enrolled 3051 infants (n = 283 clusters) across arms, with complete 6 and 12 mo anthropometry data from 1228 infants (n = 142 clusters) in the egg arm and 1109 infants (n = 141 clusters) in the control. At baseline, 18.5%, 6.0%, and 16.4% were stunted, wasted, and underweight, respectively. The intervention did not have a statistically significant effect on mean LAZ (β: 0.05, 95% confidence interval [CI]: −0.01, 0.10) or stunting prevalence (β: 0.98, 95% CI: 0.89, 1.13) at 12 mo. Mean weight (β: 0.07 kg, 95% CI: 0.02, 0.11) and WAZ (β: 0.06, 95% CI: 0.02, 0.11) were significantly higher in the egg compared with control arms.
Provision of a daily egg for 6 mo to infants in rural Bangladesh improved ponderal but not linear growth.
NCT03683667, https://clinicaltrials.gov/ct2/show/NCT03683667.</description><identifier>ISSN: 0022-3166</identifier><identifier>ISSN: 1541-6100</identifier><identifier>EISSN: 1541-6100</identifier><identifier>DOI: 10.1016/j.tjnut.2024.05.006</identifier><identifier>PMID: 38759886</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>animal source foods ; Animal-based foods ; Anthropometry ; Babies ; Bangladesh ; Body weight ; Clinical trials ; Clustering ; Confidence intervals ; Dietary supplements ; Eggs ; Food consumption ; Food sources ; growth ; Households ; Infants ; Nutrients ; Nutrition ; Regression analysis ; Regression models ; Statistical analysis ; Underweight ; Weight</subject><ispartof>The Journal of nutrition, 2024-07, Vol.154 (7), p.2290-2299</ispartof><rights>2024 American Society for Nutrition</rights><rights>Copyright © 2024. Published by Elsevier Inc.</rights><rights>Copyright American Institute of Nutrition Jul 2024</rights><rights>Copyright © 2024 American Society for Nutrition. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c267t-be10062bca9cb7bc6d03019c411b53c09d7c8d073780c959ea17c0a3339bd2433</cites><orcidid>0000-0002-9973-2097</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38759886$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pasqualino, Monica M</creatorcontrib><creatorcontrib>Shaikh, Saijuddin</creatorcontrib><creatorcontrib>Hossain, Md Iqbal</creatorcontrib><creatorcontrib>Islam, Md Tanvir</creatorcontrib><creatorcontrib>Ali, Hasmot</creatorcontrib><creatorcontrib>Haque, Rezwanul</creatorcontrib><creatorcontrib>Ayesha, Kaniz</creatorcontrib><creatorcontrib>Wu, Lee S-F</creatorcontrib><creatorcontrib>Dyer, Brian</creatorcontrib><creatorcontrib>Hasan, Khaled</creatorcontrib><creatorcontrib>Alland, Kelsey</creatorcontrib><creatorcontrib>Schulze, Kerry J</creatorcontrib><creatorcontrib>Johura, Fatema-Tuz</creatorcontrib><creatorcontrib>Alam, Munirul</creatorcontrib><creatorcontrib>West, Keith P</creatorcontrib><creatorcontrib>Ahmed, Tahmeed</creatorcontrib><creatorcontrib>Labrique, Alain B</creatorcontrib><creatorcontrib>Palmer, Amanda C</creatorcontrib><title>An Egg Intervention Improves Ponderal But Not Linear Growth Among Infants 6–12 mo of Age in Rural Bangladesh</title><title>The Journal of nutrition</title><addtitle>J Nutr</addtitle><description>Animal source foods are rich in multiple nutrients. Regular egg consumption may improve infant growth in low- and middle-income countries.
To assess the impact of daily egg consumption on linear growth among 6–12-mo olds in rural Bangladesh.
We conducted a 2 × 4 factorial cluster-randomized controlled trial allocating clusters (n = 566) to treatment for enteric pathogens or placebo and a daily egg, protein supplement, isocaloric supplement, or control. All arms received nutrition education. Here, we compare the effect of the egg intervention versus control on linear growth, a prespecified aim of the trial. Infants were enrolled at 3 mo. We measured length and weight at 6 and 12 mo and visited households weekly to distribute eggs and monitor compliance. We used linear regression models to compare 12-mo mean length, weight, and z-scores for length-for-age (LAZ), weight-for-length, and weight-for-age (WAZ), and log-binomial or robust Poisson regression to compare prevalence of stunting, wasting, and underweight between arms. We used generalized estimating equations to account for clustering and adjusted models for baseline measures of outcomes.
We enrolled 3051 infants (n = 283 clusters) across arms, with complete 6 and 12 mo anthropometry data from 1228 infants (n = 142 clusters) in the egg arm and 1109 infants (n = 141 clusters) in the control. At baseline, 18.5%, 6.0%, and 16.4% were stunted, wasted, and underweight, respectively. The intervention did not have a statistically significant effect on mean LAZ (β: 0.05, 95% confidence interval [CI]: −0.01, 0.10) or stunting prevalence (β: 0.98, 95% CI: 0.89, 1.13) at 12 mo. Mean weight (β: 0.07 kg, 95% CI: 0.02, 0.11) and WAZ (β: 0.06, 95% CI: 0.02, 0.11) were significantly higher in the egg compared with control arms.
Provision of a daily egg for 6 mo to infants in rural Bangladesh improved ponderal but not linear growth.
NCT03683667, https://clinicaltrials.gov/ct2/show/NCT03683667.</description><subject>animal source foods</subject><subject>Animal-based foods</subject><subject>Anthropometry</subject><subject>Babies</subject><subject>Bangladesh</subject><subject>Body weight</subject><subject>Clinical trials</subject><subject>Clustering</subject><subject>Confidence intervals</subject><subject>Dietary supplements</subject><subject>Eggs</subject><subject>Food consumption</subject><subject>Food sources</subject><subject>growth</subject><subject>Households</subject><subject>Infants</subject><subject>Nutrients</subject><subject>Nutrition</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Statistical analysis</subject><subject>Underweight</subject><subject>Weight</subject><issn>0022-3166</issn><issn>1541-6100</issn><issn>1541-6100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kcFu1DAQhi0EokvhCZCQJS5cEsZ2YicHDtuqlJVWgBCcLceZ3SZK7GI7i7jxDrwhT4K3Wzhw4DSX75-Z__8Jec6gZMDk67FMo1tSyYFXJdQlgHxAVqyuWCEZwEOyAuC8EEzKM_IkxhEAWNU2j8mZaFTdNo1cEbd29Gq_pxuXMBzQpcE7uplvgz9gpB-96zGYiV4sib73iW4HhybQ6-C_pRu6nr07SnfGpUjlrx8_Gaezp35H13ukg6Oflju1cfvJ9BhvnpJHOzNFfHY_z8mXt1efL98V2w_Xm8v1trBcqlR0mA1I3lnT2k51VvYggLW2YqyrhYW2V7bpQQnVgG3rFg1TFowQou16XglxTl6d9mYjXxeMSc9DtDhNxqFfohZQS6lAVm1GX_6Djn4JLn-XqaZWrOLAMiVOlA0-xoA7fRuG2YTvmoE-1qFHfVeHPtahodbZQFa9uN-9dDP2fzV_8s_AmxOAOYzDgEFHO6Cz2A8BbdK9H_574DdXuJte</recordid><startdate>20240701</startdate><enddate>20240701</enddate><creator>Pasqualino, Monica M</creator><creator>Shaikh, Saijuddin</creator><creator>Hossain, Md Iqbal</creator><creator>Islam, Md Tanvir</creator><creator>Ali, Hasmot</creator><creator>Haque, Rezwanul</creator><creator>Ayesha, Kaniz</creator><creator>Wu, Lee S-F</creator><creator>Dyer, Brian</creator><creator>Hasan, Khaled</creator><creator>Alland, Kelsey</creator><creator>Schulze, Kerry J</creator><creator>Johura, Fatema-Tuz</creator><creator>Alam, Munirul</creator><creator>West, Keith P</creator><creator>Ahmed, Tahmeed</creator><creator>Labrique, Alain B</creator><creator>Palmer, Amanda C</creator><general>Elsevier Inc</general><general>American Institute of Nutrition</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9973-2097</orcidid></search><sort><creationdate>20240701</creationdate><title>An Egg Intervention Improves Ponderal But Not Linear Growth Among Infants 6–12 mo of Age in Rural Bangladesh</title><author>Pasqualino, Monica M ; Shaikh, Saijuddin ; Hossain, Md Iqbal ; Islam, Md Tanvir ; Ali, Hasmot ; Haque, Rezwanul ; Ayesha, Kaniz ; Wu, Lee S-F ; Dyer, Brian ; Hasan, Khaled ; Alland, Kelsey ; Schulze, Kerry J ; Johura, Fatema-Tuz ; Alam, Munirul ; West, Keith P ; Ahmed, Tahmeed ; Labrique, Alain B ; Palmer, Amanda C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c267t-be10062bca9cb7bc6d03019c411b53c09d7c8d073780c959ea17c0a3339bd2433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>animal source foods</topic><topic>Animal-based foods</topic><topic>Anthropometry</topic><topic>Babies</topic><topic>Bangladesh</topic><topic>Body weight</topic><topic>Clinical trials</topic><topic>Clustering</topic><topic>Confidence intervals</topic><topic>Dietary supplements</topic><topic>Eggs</topic><topic>Food consumption</topic><topic>Food sources</topic><topic>growth</topic><topic>Households</topic><topic>Infants</topic><topic>Nutrients</topic><topic>Nutrition</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Statistical analysis</topic><topic>Underweight</topic><topic>Weight</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pasqualino, Monica M</creatorcontrib><creatorcontrib>Shaikh, Saijuddin</creatorcontrib><creatorcontrib>Hossain, Md Iqbal</creatorcontrib><creatorcontrib>Islam, Md Tanvir</creatorcontrib><creatorcontrib>Ali, Hasmot</creatorcontrib><creatorcontrib>Haque, Rezwanul</creatorcontrib><creatorcontrib>Ayesha, Kaniz</creatorcontrib><creatorcontrib>Wu, Lee S-F</creatorcontrib><creatorcontrib>Dyer, Brian</creatorcontrib><creatorcontrib>Hasan, Khaled</creatorcontrib><creatorcontrib>Alland, Kelsey</creatorcontrib><creatorcontrib>Schulze, Kerry J</creatorcontrib><creatorcontrib>Johura, Fatema-Tuz</creatorcontrib><creatorcontrib>Alam, Munirul</creatorcontrib><creatorcontrib>West, Keith P</creatorcontrib><creatorcontrib>Ahmed, Tahmeed</creatorcontrib><creatorcontrib>Labrique, Alain B</creatorcontrib><creatorcontrib>Palmer, Amanda C</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pasqualino, Monica M</au><au>Shaikh, Saijuddin</au><au>Hossain, Md Iqbal</au><au>Islam, Md Tanvir</au><au>Ali, Hasmot</au><au>Haque, Rezwanul</au><au>Ayesha, Kaniz</au><au>Wu, Lee S-F</au><au>Dyer, Brian</au><au>Hasan, Khaled</au><au>Alland, Kelsey</au><au>Schulze, Kerry J</au><au>Johura, Fatema-Tuz</au><au>Alam, Munirul</au><au>West, Keith P</au><au>Ahmed, Tahmeed</au><au>Labrique, Alain B</au><au>Palmer, Amanda C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An Egg Intervention Improves Ponderal But Not Linear Growth Among Infants 6–12 mo of Age in Rural Bangladesh</atitle><jtitle>The Journal of nutrition</jtitle><addtitle>J Nutr</addtitle><date>2024-07-01</date><risdate>2024</risdate><volume>154</volume><issue>7</issue><spage>2290</spage><epage>2299</epage><pages>2290-2299</pages><issn>0022-3166</issn><issn>1541-6100</issn><eissn>1541-6100</eissn><abstract>Animal source foods are rich in multiple nutrients. Regular egg consumption may improve infant growth in low- and middle-income countries.
To assess the impact of daily egg consumption on linear growth among 6–12-mo olds in rural Bangladesh.
We conducted a 2 × 4 factorial cluster-randomized controlled trial allocating clusters (n = 566) to treatment for enteric pathogens or placebo and a daily egg, protein supplement, isocaloric supplement, or control. All arms received nutrition education. Here, we compare the effect of the egg intervention versus control on linear growth, a prespecified aim of the trial. Infants were enrolled at 3 mo. We measured length and weight at 6 and 12 mo and visited households weekly to distribute eggs and monitor compliance. We used linear regression models to compare 12-mo mean length, weight, and z-scores for length-for-age (LAZ), weight-for-length, and weight-for-age (WAZ), and log-binomial or robust Poisson regression to compare prevalence of stunting, wasting, and underweight between arms. We used generalized estimating equations to account for clustering and adjusted models for baseline measures of outcomes.
We enrolled 3051 infants (n = 283 clusters) across arms, with complete 6 and 12 mo anthropometry data from 1228 infants (n = 142 clusters) in the egg arm and 1109 infants (n = 141 clusters) in the control. At baseline, 18.5%, 6.0%, and 16.4% were stunted, wasted, and underweight, respectively. The intervention did not have a statistically significant effect on mean LAZ (β: 0.05, 95% confidence interval [CI]: −0.01, 0.10) or stunting prevalence (β: 0.98, 95% CI: 0.89, 1.13) at 12 mo. Mean weight (β: 0.07 kg, 95% CI: 0.02, 0.11) and WAZ (β: 0.06, 95% CI: 0.02, 0.11) were significantly higher in the egg compared with control arms.
Provision of a daily egg for 6 mo to infants in rural Bangladesh improved ponderal but not linear growth.
NCT03683667, https://clinicaltrials.gov/ct2/show/NCT03683667.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38759886</pmid><doi>10.1016/j.tjnut.2024.05.006</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-9973-2097</orcidid></addata></record> |
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| identifier | ISSN: 0022-3166 |
| ispartof | The Journal of nutrition, 2024-07, Vol.154 (7), p.2290-2299 |
| issn | 0022-3166 1541-6100 1541-6100 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3056670649 |
| source | Alma/SFX Local Collection |
| subjects | animal source foods Animal-based foods Anthropometry Babies Bangladesh Body weight Clinical trials Clustering Confidence intervals Dietary supplements Eggs Food consumption Food sources growth Households Infants Nutrients Nutrition Regression analysis Regression models Statistical analysis Underweight Weight |
| title | An Egg Intervention Improves Ponderal But Not Linear Growth Among Infants 6–12 mo of Age in Rural Bangladesh |
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