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document
Green banana-supplemented diet in the home management of acute and prolonged diarrhoea in children : a community-based trial in rural Bangladesh . SUMMARY OBJECTIVE To determine the effectiveness of green banana in the home management of acute ( < 7 days ) or prolonged ( ≥ 7 days ) diarrhoea at the community level . METHODS A cluster randomized field trial was conducted among 2968 Bangladeshi rural children 6-36 months old . Wards ( villages ) were randomly assigned to either a standard care group or a standard care plus green banana group where mothers were instructed to add cooked green banana to the diets of diarrhoeal children . Through a village-based surveillance system , diarrhoeal morbidity data ( severity , duration , compliance ) were collected for 14 days . Treatment effects were determined by analysing cumulative probability of cure by testing Cox proportional hazards models and relative risk ( RR ) . RESULTS The cumulative probability of cure was significantly ( P < 0.001 ) different in children receiving GB for both acute [ hazard ratio ( HR ) = 0.63 ( 95 % CI : 0.56-0.67 ) ] and prolonged diarrhoea [ HR = 0.38 ( 95 % CI : 0.26-0.59 ) ] . The recovery rates of children with acute diarrhoea receiving GB ( vs. control ) were significantly more by day 3 : 79.9 % vs . 53.3 % [ ( RR ) = 0.47 , 95 % CI : 0.41-0.55 ] , ( P < 0.001 ) and day 7 : 96.6 % vs . 89.1 % ( RR = 0.32 ; 0.22-0.46 ) , ( P < 0.001 ) . Children with prolonged diarrhoea receiving green banana had significantly higher recovery rates by day 10 : 79.8 % vs . 51.9 % ( RR = 0.42 ; 0.23-0.73 ) , ( P < 0.001 ) and day 14 : 93.6 % vs . 67.2 % ( RR = 0.22 ; 0.08-0.54 ) , ( P < 0.001 ) . CONCLUSION A green banana-supplemented diet hastened recovery of acute and prolonged childhood diarrhoea managed at home in rural Bangladesh .
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Intervention_Pharmacological
Green banana-supplemented diet
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Intervention_Pharmacological
green banana
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Outcome_Physical
acute and prolonged diarrhoea in children :
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Outcome_Other
acute
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Outcome_Physical
prolonged
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Participant_Condition
acute and prolonged diarrhoea
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Participant_Age
children
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Participant_Sample-size
2968
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Participant_Age
6-36 months old