142 Community-Based Follow-Up with/without Food Supplementation and/or Psychosocial Stimulation in the Management of Children with Moderate Acute Malnutrition in Bangladesh

Hossain, MI; Ahmed, Tahmeed; Brown, K H

doi:10.1136/archdischild-2012-302724.0142

Cited by 1 publication

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“…Nonadherence or defaulting in the counselling/education group was also a problem for the study by Hossain et al They found that children who attended at least five of the six follow‐up visits gained more in weight (median: 0.86 vs. 0.62 kg, p = .002) and length (median: 2.4 vs. 2.0 cm, p = .009) than those who attended fewer times (M. I. Hossain & Ahmed, ; M. I. Hossain & Yasmin, ).…”

Section: Resultsmentioning

confidence: 99%

Systematic review of the treatment of moderate acute malnutrition using food products

Lelijveld

Beedle

Farhikhtah

et al. 2019

Maternal & Child Nutrition

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There is currently a lack of international guidance on the most appropriate treatment for moderate acute malnutrition (MAM), and discrepancies in national treatment guidelines exist. We aimed to explore whether food interventions are effective for MAM children 6-59 months old and whether they result in better outcomes compared with no treatment or management with nutrition counselling. A systematic literature search was conducted in October 2018, identifying studies that compared treating MAM children with food products versus management with counselling or no intervention. A total of 673 abstracts were screened, 101 full texts were read, and one study was identified that met our inclusion criteria. After broadening the criteria to include micronutrients in the control group and enrolment based on outdated anthropometric criteria, 11 studies were identified for inclusion. Seven of these found food products to be superior for anthropometric outcomes compared with counselling and/or micronutrient supplementation; two of the studies found no significant benefit of a food product intervention; and two studies were inconclusive.Hence, the majority of studies in this review found that food products resulted in greater anthropometric gains than counselling or micronutrient interventions. This was especially true if the supplementary food provided was of suitable quality and provided for an adequate duration. Improving quality of and adherence to counselling may improve its effectiveness, particularly in food secure contexts. There is currently a paucity of comparable studies on this topic as well as a lack of studies that include important functional outcomes beyond anthropometric proxies.

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Section: Resultsmentioning

confidence: 99%