Promoting healthy nutrition in children of Bangladeshi origin in East London

PROJECT STATUS: COMPLETED
Summary

Bangladeshi children living in east London have a much higher risk of poor nutrition and obesity than the average child in the UK, and so are more likely to develop longer-term health problems and chronic diseases such as heart disease, poor oral health and diabetes.

Nurture Early for Optimal Nutrition (NEON) is a community-based approach to mobilise local communities to help improve nutrition when a child is 6 months - 2 years old, a key time in their development.

This community-led approach identified several practices and factors that could be targeted to improve children's health:

  • specific cultural beliefs (e.g. ‘chubby equals healthy’), and modifiable practices (e.g. a tendency to over feed and preference for fast food)
  • environmental factors such as fast-food outlets and advertising. First-time parents were especially keen to have more support and information from health professional
  • cultural behaviours such as that hand feeding by parents is seen as a symbol of love for the child and may continue for years, potentially causing over-feeding.

Project details: Promoting healthy nutrition in children of Bangladeshi origin in East London

Key Findings
Process-outcome measures met predefined-progression-rules for a definitive-trial which deemed the intervention as feasible. The secondary-outcomes analysis revealed no significant changes in children's BMI z-scores. This could be attributed to the abbreviated follow-up period of 6-months, reduced from 12-months, due to COVID-19-related delays. CEBQ analysis showed increased food-responsiveness, along with decreased emotional-over/undereating. A similar trend was observed in PFSQ. The EIA-tool found no potential discrimination areas, and video-analysis revealed a decrease in force-feeding-practices. Participant-feedbacks revealed improved awareness and knowledge-sharing.
Community-oriented healthcare, underpinned by a strong evidence base and clear narrative, can foster a healthier society. Community-based interventions using PLA approaches have shown potential in promoting health equity in HICs. NEON’s PLA cycle resulted in promising behavioural changes at individual and familial levels. It yielded positive results, underscoring the need for full-cycle completion for comprehensive impact assessment. Future research should utilise the PLA methodology to explore its effectiveness in addressing public health issues in HICs.
IMPACTS

Overall, there has been improved nutrition and feeding practices, maternal and neonatal survival rates, overall

The research has influenced Tower Hamlets and Newham Local Authority early year programmes.

The NEON film has been included in The Birthing a Better Future Art & Science Exhibition, aimed at raising awareness of the crucial first two years of life, currently touring the UK.

Download and share the impacts of the NEON programme

Contact: Prof Monica Lakhanpaul m.lakhanpaul@ucl.ac.uk

Partners & Collaborators
Tower Hamlets GP Care Group
Newham Council
Waltham Forest Council
Lead Investigator
Monica Lakhanpaul
Investigating Team
Priyaka Pitel
Logan Manikam
Jennifer Martin
Resources
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