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Nutrients 2018, 10(12), 1910; https://doi.org/10.3390/nu10121910

The Effectiveness of Nutrition Education for Overweight/Obese Mother with Stunted Children (NEO-MOM) in Reducing the Double Burden of Malnutrition

1
Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
2
Southeast Asian Ministers of Education Organization Regional Center for Food and Nutrition (SEAMEO RECFON), Pusat Kajian Gizi Regional (PKGR), Universitas Indonesia, Jakarta 10430, Indonesia
3
Institute for Social Science Research, The University of Queensland, Indooroopilly, Queensland 4068, Australia
4
Department of Health Promotion and Behavior Sciences, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
5
Department of Food, Nutrition, Dietetics and Health, Kansas State University, Manhattan, KS 66506, USA
*
Author to whom correspondence should be addressed.
Received: 15 November 2018 / Revised: 30 November 2018 / Accepted: 1 December 2018 / Published: 4 December 2018
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Abstract

(1) Background: In households experiencing the double burden of malnutrition, stunted children are in a better position for growth improvement when parents are able to direct their resources to support nutrition requirements. This study assesses the effectiveness of maternal nutrition education to reduce child stunting. (2) Methods: This was a Randomized Controlled Trial involving pairs of overweight/obese mothers with stunted children aged 2 to 5 years old in urban Indonesia. Methods: Seventy-one mother-child pairs were randomly assigned to receive either a 12-week nutrition education or printed educational materials. Mixed factorial ANOVA was used to test for between-group differences over time in relation to child’s height, weight, maternal self-efficacy, outcome expectation, and caloric intake. (3) Results: Across groups, there was a significant effect of time on child height and weight but no significant differences were observed between-groups. Maternal self-efficacy, outcome expectations in providing animal protein for the children (p-value = 0.025) and mother’s total caloric intake (p-value = 0.017) favored the intervention group over the comparison group. (4) Conclusions: The behavioral intervention produced strong improvement in maternal self-efficacy to engage in physical activity, eat fruits and vegetables and to provide children with growth-promoting animal protein, but did not significantly influence child height gain. View Full-Text
Keywords: nutrition education; health promotion; behavioral intervention; self-efficacy; stunting; overweight; obesity; physical activity; dual burden of malnutrition nutrition education; health promotion; behavioral intervention; self-efficacy; stunting; overweight; obesity; physical activity; dual burden of malnutrition
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Mahmudiono, T.; Mamun, A.A.; Nindya, T.S.; Andrias, D.R.; Megatsari, H.; Rosenkranz, R.R. The Effectiveness of Nutrition Education for Overweight/Obese Mother with Stunted Children (NEO-MOM) in Reducing the Double Burden of Malnutrition. Nutrients 2018, 10, 1910.

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