Malnutrition is a major public health concern among children in developing countries, leading to impaired growth and increased risk of morbidity. This study evaluated the effectiveness of nutrient-dense composite flour cookies as a dietary intervention to improve the nutritional status of malnourished children. Composite cookies were developed using soy, chickpea, and peanut, and were subjected to nutritional and quality analysis including proximate composition and other physicochemical assessments prior to intervention. A randomized controlled trial was conducted among 60 malnourished children aged 3 to 10 years, divided into intervention and control groups. The intervention group received the composite cookies along with their regular diet, while the control group continued with their usual diet. Anthropometric indicators including weight, body mass index (BMI), and mid-upper arm circumference (MUAC), as well as biochemical parameters such as hemoglobin and serum albumin, were assessed at baseline and after a 3-month intervention period. The study aimed to determine whether supplementation with nutrient-rich composite cookies could significantly improve growth and nutritional outcomes in malnourished children.
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Change in Weight-for-Age Z-score (WAZ)
Timeframe: Baseline and monthly up to 3 months
Change in Height-for-Age Z-score (HAZ)
Timeframe: Baseline and monthly up to 3 months
Change in BMI-for-Age Z-score (BAZ)
Timeframe: Baseline and monthly up to 3 months
Change in Mid-Upper Arm Circumference (MUAC)
Timeframe: Baseline and monthly up to 3 months
Change in Serum Albumin Levels
Timeframe: Baseline and monthly over a 3-month period
Change in Hemoglobin
Timeframe: Baseline and monthly up to 3 months
Change in Physical Signs of Malnutrition
Timeframe: Baseline and monthly up to 3 months
Change in Daily Energy Intake
Timeframe: Baseline and monthly up to 3 months
Change in Daily Protein Intake
Timeframe: Baseline and monthly up to 3 months
Change in Daily Carbohydrate Intake
Timeframe: Baseline and monthly up to 3 months
Change in Daily Fat Intake
Timeframe: Baseline and monthly up to 3 months
Change in Appetite Score
Timeframe: Baseline and monthly up to 3 months
Change in Energy and Fatigue Levels
Timeframe: Baseline and monthly up to 3 months