effect of nutritional supplementation on physical activity and exploratory behavior of Mexican infants aged 8–12 months

Background/Objectives: Physical activity and exploration in infancy affect physical and cognitive development. Nutritional supplementation improves activity in severely malnourished infants, but the evidence in mild-to-moderately malnourished and nutritionally at-risk infants is equivocal. We tested...

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Veröffentlicht in:European journal of clinical nutrition 2010-06, Vol.64 (6), p.644-651
Hauptverfasser: Aburto, N.J, Ramirez-Zea, M, Neufeld, L.M, Flores-Ayala, R
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container_title European journal of clinical nutrition
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creator Aburto, N.J
Ramirez-Zea, M
Neufeld, L.M
Flores-Ayala, R
description Background/Objectives: Physical activity and exploration in infancy affect physical and cognitive development. Nutritional supplementation improves activity in severely malnourished infants, but the evidence in mild-to-moderately malnourished and nutritionally at-risk infants is equivocal. We tested the effect of multiple-micronutrient supplementation on physical activity and exploration in Mexican infants. Subjects/Methods: Using a quasi experimental design, we analyzed data from a supplementation study that lacked a placebo-control group. We compared infants between 8 and 12 months measured at baseline who had received no supplementation (comparison group, n=78), with infants 8–12 months measured after 4 months of daily supplementation (treatment group, n=109). The treatment consisted of three supplement types: micronutrient powder, syrup (each containing only micronutrients) and a milk-based, fortified-food supplement (FFS; containing micronutrients and macronutrients). We formed the micronutrient-only group (MM) by combining the micronutrient powder and syrup groups. We measured activity and exploration by direct observation and used cluster analysis to form and characterize activity and exploration clusters. We performed logistic regression with activity or exploration cluster as the outcome variable and treatment versus comparison and MM or FFS versus comparison as the predictor variables. Results: Treatment versus comparison increased the odds of being in the high activity (odds ratio (OR)=2.35, P
doi_str_mv 10.1038/ejcn.2010.52
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Nutritional supplementation improves activity in severely malnourished infants, but the evidence in mild-to-moderately malnourished and nutritionally at-risk infants is equivocal. We tested the effect of multiple-micronutrient supplementation on physical activity and exploration in Mexican infants. Subjects/Methods: Using a quasi experimental design, we analyzed data from a supplementation study that lacked a placebo-control group. We compared infants between 8 and 12 months measured at baseline who had received no supplementation (comparison group, n=78), with infants 8–12 months measured after 4 months of daily supplementation (treatment group, n=109). The treatment consisted of three supplement types: micronutrient powder, syrup (each containing only micronutrients) and a milk-based, fortified-food supplement (FFS; containing micronutrients and macronutrients). We formed the micronutrient-only group (MM) by combining the micronutrient powder and syrup groups. We measured activity and exploration by direct observation and used cluster analysis to form and characterize activity and exploration clusters. We performed logistic regression with activity or exploration cluster as the outcome variable and treatment versus comparison and MM or FFS versus comparison as the predictor variables. Results: Treatment versus comparison increased the odds of being in the high activity (odds ratio (OR)=2.35, P&lt;0.05) and high exploration (OR=1.87, P&lt;0.05) cluster. MM increased the odds of being in the high activity (OR=2.64, P&lt;0.05) cluster and FFS increased the odds (OR=3.16, P&lt;0.05) of being in the high exploration cluster. 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Nutritional supplementation improves activity in severely malnourished infants, but the evidence in mild-to-moderately malnourished and nutritionally at-risk infants is equivocal. We tested the effect of multiple-micronutrient supplementation on physical activity and exploration in Mexican infants. Subjects/Methods: Using a quasi experimental design, we analyzed data from a supplementation study that lacked a placebo-control group. We compared infants between 8 and 12 months measured at baseline who had received no supplementation (comparison group, n=78), with infants 8–12 months measured after 4 months of daily supplementation (treatment group, n=109). The treatment consisted of three supplement types: micronutrient powder, syrup (each containing only micronutrients) and a milk-based, fortified-food supplement (FFS; containing micronutrients and macronutrients). We formed the micronutrient-only group (MM) by combining the micronutrient powder and syrup groups. We measured activity and exploration by direct observation and used cluster analysis to form and characterize activity and exploration clusters. We performed logistic regression with activity or exploration cluster as the outcome variable and treatment versus comparison and MM or FFS versus comparison as the predictor variables. Results: Treatment versus comparison increased the odds of being in the high activity (odds ratio (OR)=2.35, P&lt;0.05) and high exploration (OR=1.87, P&lt;0.05) cluster. MM increased the odds of being in the high activity (OR=2.64, P&lt;0.05) cluster and FFS increased the odds (OR=3.16, P&lt;0.05) of being in the high exploration cluster. 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Nutritional supplementation improves activity in severely malnourished infants, but the evidence in mild-to-moderately malnourished and nutritionally at-risk infants is equivocal. We tested the effect of multiple-micronutrient supplementation on physical activity and exploration in Mexican infants. Subjects/Methods: Using a quasi experimental design, we analyzed data from a supplementation study that lacked a placebo-control group. We compared infants between 8 and 12 months measured at baseline who had received no supplementation (comparison group, n=78), with infants 8–12 months measured after 4 months of daily supplementation (treatment group, n=109). The treatment consisted of three supplement types: micronutrient powder, syrup (each containing only micronutrients) and a milk-based, fortified-food supplement (FFS; containing micronutrients and macronutrients). We formed the micronutrient-only group (MM) by combining the micronutrient powder and syrup groups. We measured activity and exploration by direct observation and used cluster analysis to form and characterize activity and exploration clusters. We performed logistic regression with activity or exploration cluster as the outcome variable and treatment versus comparison and MM or FFS versus comparison as the predictor variables. Results: Treatment versus comparison increased the odds of being in the high activity (odds ratio (OR)=2.35, P&lt;0.05) and high exploration (OR=1.87, P&lt;0.05) cluster. MM increased the odds of being in the high activity (OR=2.64, P&lt;0.05) cluster and FFS increased the odds (OR=3.16, P&lt;0.05) of being in the high exploration cluster. Conclusions: Nutritional supplementation benefited activity and exploration in this sample of Mexican infants.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>20354559</pmid><doi>10.1038/ejcn.2010.52</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects 692/700/1720
692/700/459/1994
704/844/1759
Babies
Behavior
Biological and medical sciences
Child development
Clinical Nutrition
Cluster Analysis
cognition
Cognitive ability
Design of experiments
Dietary Supplements
Epidemiology
Exercise
Experimental design
Exploration
Exploratory behavior
Exploratory Behavior - drug effects
Feeding. Feeding behavior
Food, Fortified
Fundamental and applied biological sciences. Psychology
Health aspects
Humans
Infant
Infant Behavior - drug effects
infant feeding
infant nutrition
Infant Nutrition Disorders - drug therapy
Infants
Internal Medicine
Logistic Models
Malnutrition
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Mexicans
Mexico
Micronutrients
Micronutrients - pharmacology
Micronutrients - therapeutic use
Motor Activity - drug effects
Nutrition
nutritional adequacy
Odds Ratio
original-article
Physical activity
Psychological aspects
Public Health
Syrup
Vertebrates: anatomy and physiology, studies on body, several organs or systems
title effect of nutritional supplementation on physical activity and exploratory behavior of Mexican infants aged 8–12 months
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