The goal of this clinical trail study is to measure neurophysiologic parameters to assess the effect of malnutrition on the peripheral nervous system and their response to treatment in three categories (SAM, severe wasting, and severe stunting) of childhood malnutrition. 83 under-5 children from three categories of undernourished groups- severe stunting (n=30), Severe acute malnourished (n=22), wasting (n=31), and 45 age-matched healthy children from urban/peri-urban areas were enrolled. SAm were provided with appropriate nutritional therapy/treatment that include supplementation of a high-calorie diet; i.e., F-100 milk and khichuri-halwa for nutritional rehabilitation. Egg milk and micronutrient supplementation were for recovery from severe stunting. Wasted children were treated with suitable local nutritional management (NM), such as infant and young child feeding practices (IYCF), providing MNP and nutrition education. Wasted children with medical complications were treated with specialized therapeutic milk (F-75) and those without medical complications were treated with a suitable local Nutritional Management (NM) \& routine medicines to treat simple medical conditions at community nutrition center (CNC) with weekly follow up. At day 60 of intervention, children were again brought to icddr,b for a nerve conduction test.
Age range
6 Months – 60 Months
Sex
ALL
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Compound muscle action potential (CMAP) amplitude
Timeframe: 60 days
Motor nerve conduction velocity
Timeframe: 60 Days
Motor nerve corrected distal latency
Timeframe: 60 Days
Sensory nerve action potential (SNAP) amplitude
Timeframe: 60 Days
Sensory nerve conduction velocity
Timeframe: 60 Days
Sensory nerve corrected distal latency
Timeframe: 60 Days