A Community-Based Positive Deviance/Hearth Infant and Young Child Nutrition Intervention in Ecuador Improved Diet and Reduced Underweight Marion L. Roche,

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A Community-Based Positive Deviance/Hearth Infant and Young Child Nutrition Intervention in Ecuador Improved Diet and Reduced Underweight Marion L. Roche, PhD, Grace S. Marquis, PhD, Theresa W. Gyorkos, PhD, Brittany Blouin, MSc, Julieta Sarsoza, MD, Harriet V. Kuhnlein, PhD Journal of Nutrition Education and Behavior Volume 49, Issue 3, Pages 196-203.e1 (March 2017) DOI: 10.1016/j.jneb.2016.10.007 Copyright © 2016 Society for Nutrition Education and Behavior Terms and Conditions

Figure 1 Mean percentage (±SD) of recommended intake from complementary foods for intervention and comparison infants and young children aged 6–30 months (n = 264) at 6-month follow-up in a community nutrition intervention evaluation in the Ecuadorian Andes (September to October, 2009) based on a 24-hour dietary recall. aIntervention children's protein intake was 358% ± 170%, and comparison children's protein intake was 296% ± 162%. bIntervention children's vitamin C intake was 235% ± 146% and comparison children's vitamin C intake was 201% ± 163%. *Significant differences at follow-up after adjusting for covariates (P < .05). Age-specific recommendations were used to assess dietary intake of vitamins, minerals, and energy from complementary foods.15,16 For breastfed infants. average intake from breast milk was assumed.15 Statistical test was ANCOVA, controlling for the child's age and sex, maternal education, and socioeconomic status. Journal of Nutrition Education and Behavior 2017 49, 196-203.e1DOI: (10.1016/j.jneb.2016.10.007) Copyright © 2016 Society for Nutrition Education and Behavior Terms and Conditions

Figure 2 Percentage of intervention and comparison infants and young children aged 6–30 months (n = 264) at 6-month follow-up who consumed promoted foods in the previous 2 weeks (September to October, 2009). *P < .05; **P < .001: Significance is based on the difference in the proportion of children consuming foods in the intervention and comparison groups. Fisher's exact test was used to compare the proportions of children consuming foods in the Food Frequency Questionnaire and was confirmed with binary logistic regression with adjustment for age, sex, and socioeconomic status. Journal of Nutrition Education and Behavior 2017 49, 196-203.e1DOI: (10.1016/j.jneb.2016.10.007) Copyright © 2016 Society for Nutrition Education and Behavior Terms and Conditions