Table 6.
Mental Developmental Index (MDI) | Physical Developmental Index (PDI) | |||||||
---|---|---|---|---|---|---|---|---|
Measures | N † | Mean ± SD (unadjusted) | Mean (adjusted)‡ | p value‡ | Mean ± SD (unadjusted) | Mean (adjusted)‡ | p value‡ | |
Exclusively breastfed at 6 months | Yes | 269 | 97.74 ± 10.61 | 92.02 | 0.24 | 100.55 ± 11.12 | 96.25 | 0.02 |
No | 495 | 93.38 ± 9.14 | 93.62 | 99.37 ± 10.27 | 99.78 | |||
SES tercile | Low | 81 | 97.51 ± 11.11 | 91.39 | 0.20 | 100.70 ± 10.53 | 96.60 | 0.24 |
Medium | 443 | 94.75 ± 10.28 | 92.92 | 99.39 ± 11.06 | 98.07 | |||
High | 240 | 94.34 ± 8.57 | 94.14 | 100.20 ± 9.68 | 99.37 | |||
Cookies | ||||||||
9 months | Yes | 325 | 95.24 ± 10.06 | 93.48 | 0.15 | 100.77 ± 10.14 | 98.95 | 0.06 |
No | 439 | 94.67 ± 9.78 | 92.35 | 99.05 ± 10.85 | 97.35 | |||
12 months | Yes | 489 | 95.26 ± 10.08 | 93.37 | 0.06 | 100.32 ± 10.53 | --- | --- |
No | 275 | 94.29 ± 9.55 | 91.88 | 98.84 ± 10.64 | --- | |||
Zambia | Yes | 131 | --- | --- | --- | 103.51 ± 9.41 | 104.50 | 0.01 |
No | 100 | --- | --- | 100.49 ± 10.46 | 100.96 | |||
Guatemala | Yes | 130 | --- | --- | --- | 95.59 ± 12.24 | 92.36 | 0.33 |
No | 133 | --- | --- | 96.79 ± 11.30 | 93.59 | |||
Pakistan | Yes | 228 | --- | --- | --- | 101.18 ± 9.11 | 98.24 | 0.99 |
No | 42 | --- | --- | 101.38 ± 7.37 | 98.23 | |||
Candy | ||||||||
9 months | Yes | 43 | 97.14 ± 10.67 | 94.28 | 0.33 | 100.21 ± 9.95 | 98.43 | 0.80 |
No | 721 | 94.78 ± 9.84 | 92.77 | 99.76 ± 10.63 | 98.00 | |||
12 months | Yes | 105 | 95.13 ± 9.39 | 92.74 | 0.93 | 99.07 ± 10.82 | 97.27 | 0.46 |
No | 659 | 94.88 ± 9.98 | 92.83 | 99.90 ± 10.55 | 98.14 | |||
Salty snacks | ||||||||
9 months | Yes | 181 | 95.46 ± 10.61 | 91.65 | 0.10 | 100.93 ± 10.85 | 97.50 | 0.51 |
No | 583 | 94.74 ± 9.66 | 93.20 | 99.43 ± 10.49 | 98.17 | |||
12 months | Yes | 346 | 95.71 ± 10.34 | 92.49 | 0.45 | 100.86 ± 9.94 | 97.86 | 0.75 |
No | 418 | 94.24 ± 9.47 | 93.13 | 98.89 ± 11.02 | 98.15 | |||
Sweet drinks | ||||||||
9 months | Yes | 210 | 96.07 ± 9.94 | 93.1 | 0.63 | 99.04 ± 11.64 | 97.48 | 0.39 |
No | 554 | 94.48 ± 9.85 | 92.69 | 100.07 ± 10.15 | 98.27 | |||
12 months | Yes | 367 | 95.42 ± 10.19 | 92.66 | 0.68 | 99.12 ± 10.91 | 97.82 | 0.64 |
No | 397 | 94.45 ± 9.61 | 93.01 | 100.40 ± 10.25 | 98.24 | |||
Junk food | ||||||||
9 months | Yes | 501 | 95.09 ± 9.87 | 92.91 | 0.70 | 100.13 ± 10.69 | 98.22 | 0.45 |
No | 263 | 94.57 ± 9.96 | 92.62 | 99.14 ± 10.36 | 97.59 | |||
12 months | Yes | 677 | 95.02 ± 10.02 | 92.85 | 0.71 | 99.89 ± 10.57 | 98.02 | 0.94 |
No | 87 | 94.01 ± 8.87 | 92.42 | 98.98 ± 10.70 | 97.92 |
†Numbers are among the 1,042 children with non-missing BSID-II scores. BSID-II scores were missing for 17/1062 (1.6%) children [Zambia: 12/246 (4.9%); Guatemala: 3/267 (1.1%); Pakistan: 2/278 (1.0%)]. SES (Socioeconomic Status).
‡BSID-II means were estimated using linear models fit to each Bayley index score. Models for each junk food type adjust for SES, site (Zambia, Guatemala, Pakistan), intervention group, sex, exclusively breastfed first 6 months, birth weight, preterm status, vitamin supplementation, maternal BMI, maternal education level, and number of living children. Tests of whether the association between measure and outcome differed by site were conducted. Interaction with site was significant for cookie consumption at 12 months (p = 0.04); PDI score means are shown by site for this measure. The models for exclusively breastfed first 6 months and SES only adjust all factors excluding junk food intake.