Evidence map›Paper›PMID 32693855›Full record

Trial reportPublic health nutrition2021

Effect of maternal nutritional education and counselling on children's stunting prevalence in urban informal settlements in Nairobi, Kenya.

C K Nyamasege, E W Kimani-Murage, M Wanjohi, Dwm Kaindi, Y Wagatsuma

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

C K NyamasegeGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki305-8575, Japan.ORCID 0000-0002-1007-0673
E W Kimani-MurageAfrican Population and Health Research Center (APHRC), Nairobi, Kenya.
M WanjohiAfrican Population and Health Research Center (APHRC), Nairobi, Kenya.
Dwm KaindiDepartment of Food Science, Nutrition and Technology, University of Nairobi, Nairobi, Kenya.
Y WagatsumaDepartment of Clinical Trial and Clinical Epidemiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki305-8575, Japan.
African Population and Health Research Center · KEUniversity of Tsukuba · JPUniversity of Nairobi · KE

Funding

Wellcome Trust 097146
6 · The paper itself

Abstract

objectiveTo determine whether the prevalence of stunting differed between an intervention group and a control group and to identify factors associated with the children's linear growth.

designThis was a follow-up study of mother-child pairs who participated in a 2012-2015 cluster randomised controlled trial. Linear mixed effects models were performed to model the children's linear growth and identify the determinants of child linear growth.

settingThe study was conducted in two slums in Nairobi. The intervention group received monthly nutrition education and counselling (NEC) during pregnancy and infancy period.

participantsA birth cohort of 1004 was followed up every 3 months after delivery to the 13th month. However, as a result of dropouts, a total of 438 mother-child pairs participated during the 55-month follow-up. The loss to follow-up baseline characteristics did not differ from those included for analysis.

resultsLength-for-age z-scores decreased from birth to the 13th month, mean -1·42 (sd 2·04), with the control group (33·5 %) reporting a significantly higher prevalence of stunting than the intervention group (28·6 %). Conversely, the scores increased in the 55th month, mean -0·89 (sd 1·04), with significantly more males (16·5 %) stunted in the control group than in the intervention group (8·3 %). Being in the control group, being a male child, often vomiting/regurgitating food, mother's stature of <154 cm and early weaning were negatively associated with children's linear growth.

conclusionsHome-based maternal NEC reduced stunting among under five years; however, the long-term benefits of this intervention on children's health need to be elucidated.

Indexed as

CounselingGrowth DisordersFemaleFollow-Up StudiesHumansInfantKenyaMalePregnancyPrevalenceCommunity health workersKenyaMaternal nutrition education and counsellingStuntingUrban slums

Identifiers

PMID32693855
PMCPMC7611536
OpenAlexW3044826436

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.