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The problem
Intervention: This is an observational study examining associations between breastfeeding history, protein intake, and nutritional status; no intervention was tested
Who it was tested with: 81 schoolchildren aged 5-9 years from Licán indigenous community, Riobamba, Ecuador.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"A descriptive cross-sectional study including 81 children (5-9 years) was conducted." This is an observational study documenting associations without intervention testing or causal design; the unexpected finding that stunted children consume more protein per kilogram warrants further investigation to understand underlying mechanisms.
Cross-sectional design cannot determine causality. Breastfeeding and weaning data relied on maternal recall. The counterintuitive finding of higher protein intake in stunted children suggests unmeasured confounders or measurement issues may be present.
Across countries and designs
13 studies · 11 countries
