Perinatal intervention strategies providing food with micronutrients to pregnant and breastfeeding women in low- and middle-income countries: A scoping review.

Autor: McDonald CM; Departments of Pediatrics, and Epidemiology & Biostatistics, University of California, San Francisco, California, USA.; Institute for Global Nutrition and Department of Nutrition, University of California, Davis, California, USA., Wessells KR; Institute for Global Nutrition and Department of Nutrition, University of California, Davis, California, USA., Stewart CP; Institute for Global Nutrition and Department of Nutrition, University of California, Davis, California, USA., Dewey KG; Institute for Global Nutrition and Department of Nutrition, University of California, Davis, California, USA., de Pee S; Nutrition Division, World Food Programme HQ, Rome, Italy., Rana R; Nutrition Division, World Food Programme HQ, Rome, Italy., Hafeez-Ur-Rehman H; Nutrition Division, World Food Programme HQ, Rome, Italy., Mwangi MN; Micronutrient Forum, Washington, DC, USA., Hess SY; Institute for Global Nutrition and Department of Nutrition, University of California, Davis, California, USA.
Jazyk: angličtina
Zdroj: Maternal & child nutrition [Matern Child Nutr] 2024 Oct; Vol. 20 (4), pp. e13681. Date of Electronic Publication: 2024 Jul 01.
DOI: 10.1111/mcn.13681
Abstrakt: In resource-constrained settings, pregnant and breastfeeding women and girls (PBW/G) are particularly vulnerable to undernutrition. Micronutrient-fortified balanced energy protein (BEP) supplementation may be provided to boost maternal nutritional status and improve birth and infant outcomes. We conducted a scoping review of the published literature to determine the impact of BEP and other related nutrition interventions that provided fortified food or cash along with a minimum of 3 micronutrients on maternal, birth, and infant/child outcomes in low- and middle-income countries. We conducted a PubMed search using pre-defined keywords and controlled vocabulary search terms. All titles and abstracts were reviewed for eligibility by two independent reviewers, and data were extracted according to outcome type. We identified 149 eligible research articles that reported on a total of 21 trials and/or programme evaluations which assessed the health impact of one or more products (fortified lipid-based nutrient supplement [LNS, n = 12], fortified blended flours [n = 5], milk-based beverages [n = 2], and local food/snacks [n = 3]) that provided 118-750 kcal/day and varying levels of protein and micronutrients. Only one of these programme evaluations assessed the impact of the provision of cash and fortified food. Effects on maternal outcomes such as gestational weight gain and duration of gestation were promising but inconsistent. Birth outcomes were reported in 15 studies, and the effects on birthweight and birth length were generally positive. Seven studies demonstrated sustained benefits on infant and child growth out of the 15 studies that reported at least one of these outcomes, although data were sparse. Additional research is needed to investigate issues of dose, cost-effectiveness, and incorporation into multi-component interventions.
(© 2024 The Author(s). Maternal & Child Nutrition published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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