Effect of fortified complementary food supplementation on child growth in rural Bangladesh: a cluster-randomized trial
| Autor: | Iqbal Hossain, Kerry Schulze, Hasmot Ali, Tahmeed Ahmed, M Munirul Islam, Alain B. Labrique, Rolf Klemm, Abu Ahmed Shamim, Rachel Fuli, Saijuddin Shaikh, Monira Parveen, Sucheta Mehra, Maithilee Mitra, Nuzhat Choudhury, Lee Wu, Rebecca D. Merrill, Saskia de Pee, Parul Christian, Keith P. West |
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| Rok vydání: | 2015 |
| Předmět: |
Counseling
Male Rural Population Pediatrics medicine.medical_specialty Epidemiology Population Infant nutrition disorder Food group Child Development Dietary Sucrose medicine Humans Micronutrients education Wasting Growth Disorders education.field_of_study Bangladesh business.industry Infant Oryza General Medicine Anthropometry medicine.disease Micronutrient Cicer Infant Nutrition Disorders Soybean Oil Malnutrition Breast Feeding Dietary Supplements Food Fortified Female Lens Plant medicine.symptom business Breast feeding Demography |
| Zdroj: | International journal of epidemiology. 44(6) |
| ISSN: | 1464-3685 |
| Popis: | BACKGROUND: Growth faltering in the first 2 years of life is high in South Asia where prevalence of stunting is estimated at 40-50%. Although nutrition counselling has shown modest benefits few intervention trials of food supplementation exist showing improvements in growth and prevention of stunting. METHODS: A cluster-randomized controlled trial was conducted in rural Bangladesh to test the effect of two local ready-to-use foods (chickpea and rice-lentil based) and a fortified blended food (wheat-soy-blend++ WSB++) compared with Plumpydoz all with nutrition counselling vs nutrition counselling alone (control) on outcomes of linear growth (length and length-for-age z-score LAZ) stunting (LAZ < -2) weight-for-length z-score (WLZ) and wasting (WLZ < -2) in children 6-18 months of age. Children (n = 5536) were enrolled at 6 months of age and in the food groups provided with one of the allocated supplements daily for a year. RESULTS: Growth deceleration occurred from 6 to 18 months of age but deceleration in LAZ was lower (by 0.02-0.04/month) in the Plumpydoz (P = 0.02) rice-lentil (< 0.01) and chickpea (< 0.01) groups relative to control whereas WLZ decline was lower only in Plumpydoz and chickpea groups. WSB++ did not impact on these outcomes. The prevalence of stunting was 44% at 18 months in the control group but lower by 5-6% (P |
| Databáze: | OpenAIRE |
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