Evaluation of Preschool Meals Programmes on the Nutritional Health of Aboriginal Children

Coyne, Terry; Dowling, N. Maritza; Condon-Paoloni, Deanne

doi:10.5694/j.1326-5377.1980.tb131876.x

Cited by 7 publications

(23 citation statements)

References 16 publications

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“…The initial search yielded 1101 records, duplicates were removed and 50 eligible articles remained of which 35 met the inclusion/exclusion criteria for this review. The first article was published in 198034 and the latest in 2017 35Figure 1 outlines the flow of included articles, table 1 summarises study characteristics and figure 2 presents health outcomes as forest plots.…”

Section: Resultsmentioning

confidence: 99%

Effect of nutrition interventions on diet-related and health outcomes of Aboriginal and Torres Strait Islander Australians: a systematic review

et al. 2019

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ObjectiveTo review the literature on nutrition interventions and identify which work to improve diet-related and health outcomes in Australian Aboriginal and Torres Strait Islander people.Study designSystematic review of peer-reviewed literature.Data sourcesMEDLINE, PubMed, Embase, Science Direct, CINAHL, Informit, PsychInfo and Cochrane Library, Australian Indigenous Health InfoNet.Study selectionPeer-reviewed article describing an original study; published in English prior to December 2017; inclusion of one or more of the following outcome measures: nutritional status, food/dietary/nutrient intake, diet-related biomedical markers, anthropometric or health measures; and conducted with Australian Aboriginal and Torres Strait Islander people.Data extraction and synthesisTwo independent reviewers extracted data and applied the Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project. A purpose designed tool assessed community engagement in research, and a framework was applied to interventions to report a score based on numbers of settings and strategies. Heterogeneity of studies precluded a meta-analysis. The effect size of health outcome results were estimated and presented as forest plots.ResultsThirty-five articles (26 studies) met inclusion criteria; two rated moderate in quality; 12 described cohort designs; 18 described interventions in remote/very remote communities; none focused solely on urban communities; and 11 reported moderate or strong community engagement. Six intervention types were identified. Statistically significant improvements were reported in 14 studies of which eight reported improvements in biochemical/haematological markers and either anthropometric and/or diet-related outcomes.ConclusionsStore-based intervention with community health promotion in very remote communities, fiscal strategies and nutrition education and promotion programmes show promise. Future dietary intervention studies must be rigorously evaluated, provide intervention implementation details explore scale up of programmes, include urban communities and consider a multisetting and strategy approach. Strong Aboriginal and Torres Strait Islander community engagement is essential for effective nutrition intervention research and evaluation.PROSPERO registration numberCRD42015029551.

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Section: Resultsmentioning

confidence: 99%

Effect of nutrition interventions on diet-related and health outcomes of Aboriginal and Torres Strait Islander Australians: a systematic review

et al. 2019

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“…Our analysis of Coyne 1980 found no significant effects of supplementation on height (MD 0.61, 95% CI ‐0.31 to 1.54, n = 116; Analysis 7.2).…”

Section: Resultsmentioning

confidence: 58%

“…Two of the studies in high‐income countries provided iron‐fortified cereal; one also provided meat. Food in a study in Australian day cares comprised “hot lunches, nutritious snacks, and vitamin supplementation” (Coyne 1980, p 369).…”

Section: Resultsmentioning

confidence: 99%

Food Supplementation for Improving the Physical and Psychosocial Health of Socio‐economically Disadvantaged Children Aged Three Months to Five Years: A Systematic Review

Kristjansson

Liberato

Jandu

et al. 2015

Campbell Systematic Reviews

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This Campbell systematic review examines whether food supplementation is effective in improving the health of disadvantaged children under 5. The review summarizes findings from 32 studies: 21 randomised controlled trials (RCTs), and 11 controlled before‐and‐after studies (CBAs). Supplementary feeding for young, disadvantaged children has small effects on children's weight and growth in low‐ and middle‐income countries. Children who are younger, and poorer or more undernourished grow more in response to supplementary feeding. More leakage occurs from take home rations. Therefore, food supplementation programs implemented through day care centres seem to be more effective, as are those with stricter supervision. Both single and multiple interventions were effective for weight gain in children but the effect size for multiple interventions was higher. The effect is also higher for higher energy meals. There is a positive effect on psychomotor development, which is development of skills that require both mental and muscular activity (such as crawling, walking, talking). However, there was no clear evidence of an effect on cognitive development. Abstract BACKGROUNDUndernutrition contributes to five million deaths of children under five each year. Furthermore, throughout the life cycle, undernutrition contributes to increased risk of infection, poor cognitive functioning, chronic disease, and mortality. It is thus important for decision‐makers to have evidence about the effectiveness of nutrition interventions for young children. OBJECTIVESPrimary objective 1. To assess the effectiveness of supplementary feeding interventions, alone or with co‐intervention, for improving the physical and psychosocial health of disadvantaged children aged three months to five years. Secondary objectives 1. To assess the potential of such programmes to reduce socio‐economic inequalities in undernutrition. 2. To evaluate implementation and to understand how this may impact on outcomes. 3. To determine whether there are any adverse effects of supplementary feeding. SEARCH METHODSWe searched CENTRAL, Ovid MEDLINE, PsycINFO, and seven other databases for all available years up to January 2014. We also searched http://ClinicalTrials.gov and several sources of grey literature. In addition, we searched the reference lists of relevant articles and reviews, and asked experts in the area about ongoing and unpublished trials. SELECTION CRITERIARandomised controlled trials (RCTs), cluster‐RCTs, controlled clinical trials (CCTs), controlled before‐and‐after studies (CBAs), and interrupted time series (ITS) that provided supplementary food (with or without co‐intervention) to children aged three months to five years, from all countries. Adjunctive treatments, such as nutrition education, were allowed. Controls had to be untreated. DATA COLLECTION AND ANALYSISTwo or more review authors independently reviewed searches, selected studies for inclusion or exclusion, extracted data, and assessed risk of bias. We conducted meta‐analyses*** for continuous d...

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“…A total of 13 clinical trials met the inclusion criteria. Nine were randomised controlled trials (RCTs); 16 –24 and four were controlled clinical trials but not randomised (CCTs) 25 –28 . Nine of the 13 studies were identified through searching Medline; three further studies were revealed by searching the AMI.…”

Section: Resultsmentioning

confidence: 99%

“…Only three of the studies were hospital based; two were undertaken in Alice Springs Hospital, 16 , 18 and one in Brewarrina 17 . One of the RCTs randomly allocated by community rather than individual, 22 and two of the CCTs compared communities who received an intervention with those who did not 26 , 28 . The number of participants varied from 11 patients in the only adult study, 23 to 1143 children in one of the community intervention studies 22 .…”

Section: Resultsmentioning

confidence: 99%

Randomised controlled trials addressing Australian Aboriginal health needs: A systematic review of the literature

1999

J Paediatrics Child Health

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Evaluation of Preschool Meals Programmes on the Nutritional Health of Aboriginal Children

Cited by 7 publications

References 16 publications

Effect of nutrition interventions on diet-related and health outcomes of Aboriginal and Torres Strait Islander Australians: a systematic review

Effect of nutrition interventions on diet-related and health outcomes of Aboriginal and Torres Strait Islander Australians: a systematic review

Food Supplementation for Improving the Physical and Psychosocial Health of Socio‐economically Disadvantaged Children Aged Three Months to Five Years: A Systematic Review

Randomised controlled trials addressing Australian Aboriginal health needs: A systematic review of the literature

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