Impact of iron supplementation and deworming on growth performance in preschool Beninese children

Dossa, Romain; Ategbo, Eric Alain; Koning, F. L. H. A. De; Raaij, J.M.A. van; Hautvast, J.G.A.J.

doi:10.1038/sj.ejcn.1601126

Cited by 65 publications

(59 citation statements)

References 16 publications

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“…The results suggest that food group consumption patterns of preschool children are similar to those of adults in this area of Burkina Faso. Some studies conducted elsewhere reported similar dietary patterns [2,[20][21]. Markedly inadequate intakes in this study were observed for vitamins A, C, B 6, B 12 , folate and absorbable iron.…”

Section: Discussionsupporting

confidence: 49%

Impact of an integrated nutrition intervention on nutrient intakes, morbidity and growth of rural Burkinabe preschool children

Sanou¹,

Turgeon-O’Brien²,

Desrosiers³

2011

African Journal of Food, Agriculture, Nutrition and Development

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Iron deficiency and undernutrition often co-exist among children and the prevalence in sub-Saharan African is high. In Burkina Faso, 92% of children under the age of five years were anaemic and 39% were stunted in 2003 according to Demographics and health survey. Risk factors include inadequate dietary intakes and infections that often occur concomitantly. Orphans and vulnerable children who are already at increased risk for poor psycho-emotional development due to their social status are particularly susceptible to malnutrition. Therefore, there is a challenge to develop effective interventions that address the multiple risk factors of nutritional deficiencies in these children. An integrated nutrition intervention including dietary modification and changes in hygiene practices was implemented targeting a group of preschool orphans and vulnerable children living in group foster homes. The amount of iron-rich foods particularly goat meat and condiments as well as citrus fruits were increased in the diet. The hygiene component of the intervention focused on handwashing, eating in individual plates, food storage and stool disposal. All members of the foster homes at large benefitted from the activities of the intervention; however, measurements and impact evaluation focused on preschool children (12 -72 months). Energy and nutrient intakes, anthropometric indices and morbidity including diarrhoea, fever, vomiting and respiratory infections were assessed at baseline and after 18 weeks. Mean bioavailable iron intake was increased from 0.4 to 0.9 mg/d. The intervention resulted in a decrease in the prevalence of inadequate intakes for energy, proteins and most micronutrients. The intervention increased the meat-fish-poultry contribution to energy and iron intakes from 1.6 to 3.5% and from 5.2 to 7.9%, respectively. There was also a decrease in the incidence of infection (from 73 to 9%, p<0.01) and overall morbidity (from 39 to 15%, p<0.05) most likely due to deworming and improvements in hygiene behaviours. Contrary to baseline, helminths such as Hymelolepis nana,Strongyloïdes stercoralis and Necator americanus that often cause blood loss were rarely found at the end of the intervention. The overall changes resulted in improvements in height-for-age z-score (-1.63 to -1.27, p<0.01) and weight-for-age zscore (-1.22 to -1.06, p<0.05). In conclusion, an intervention that targets bioavailable iron and hygiene behaviours improved child growth, iron status and overall morbidity in areas of high incidence of infection.

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Section: Discussionsupporting

confidence: 49%

Impact of an integrated nutrition intervention on nutrient intakes, morbidity and growth of rural Burkinabe preschool children

Sanou¹,

Turgeon-O’Brien²,

Desrosiers³

2011

African Journal of Food, Agriculture, Nutrition and Development

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“…5,21 A few intervention trials providing anthelmintic drugs to children less than 5 years of age have found no overall improvements in biochemical status and growth, 22,23 in line with the notion that deworming benefits are seen only in children with heavier worm burdens, most of whom are school age. However, we previously reported that deworming benefited young Zanzibari children (< 30 months) with low worm burdens.…”

Section: Introductionmentioning

confidence: 83%

Early Helminth Infections Are Inversely Related to Anemia, Malnutrition, and Malaria and Are Not Associated with Inflammation in 6- to 23-Month-Old Zanzibari Children

Kung’u¹,

Goodman²,

Haji³

et al. 2009

The American Journal of Tropical Medicine and Hygiene

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Abstract. Helminths aggravate anemia and malnutrition among school children. We studied this association in a crosssectional study of 6-to 23-month-old Zanzibari children ( N = 2322) and a sub-sample of 690 children matched on age and helminth infection status. Ascaris , hookworm, and Trichuris infections were diagnosed along with recent fever, malaria infection, mid-upper arm circumference (MUAC) and hemoglobin concentration (Hb). Alpha-1-acid glycoprotein (AGP), C-reactive protein (CRP), height, and weight were measured in the sub-sample. Infected children had higher Hb (β = 5.44 g/L, P < 0.001) and MUAC-for-age Z score (β = 0.30 Z, P < 0.001) compared with uninfected children after adjusting for covariates. Although helminths were not associated with inflammation, their association with Hb or MUAC-for-age Z score was modified by inflammation. Malaria-infected children were less likely to be infected with helminths (adjusted odds ratios 0.63 [95% confidence interval: 0.49, 0.81]). Non-anemic, better nourished, or non-malaria-infected children may be more exploratory of their environments and therefore increase their exposure to soil-transmitted helminths.

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“…On the other hand, exposure to aflatoxins (ingested through complementary foods) has been associated with stunting (24) , and another study in Benin described high intestinal parasite loads in pre-school children who also received diets that were low in energy and Fe and that contained high amounts of fibre and phytate (25) . As happened for Benin, dietary diversity had a non-significant association with length-for-age in models adjusted for a selection of covariates in Arimond and Ruel's analysis of Haiti DHS 2000 data (4) .…”

Section: Discussionmentioning

confidence: 99%

Complementary feeding and attained linear growth among 6–23-month-old children

Onyango

Borghi

Onís

et al. 2013

Public Health Nutr.

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Objective: To examine the association between complementary feeding indicators and attained linear growth at 6-23 months. Design: Secondary analysis of Phase V Demographic and Health Surveys data (2003)(2004)(2005)(2006)(2007)(2008). Country-specific ANOVA models were used to estimate effects of three complementary feeding indicators (minimum meal frequency, minimum dietary diversity and minimum adequate diet) on length-for-age, adjusted for covariates and interactions of interest. Setting: Twenty-one countries (four Asian, twelve African, four from the Americas and one European). Subjects: Sample sizes ranging from 608 to 13 676. Results: Less than half the countries met minimum meal frequency and minimum dietary diversity, and only Peru had a majority of the sample receiving a minimum adequate diet. Minimum dietary diversity was the indicator most consistently associated with attained length, having significant positive effect estimates (ranging from 0?16 to 1?40 for length-for-age Z-score) in twelve out of twenty-one countries. Length-for-age declined with age in all countries, and the greatest declines in its Z-score were seen in countries (Niger, 21?9; Mali, 21?6; Democratic Republic of Congo, 21?4; Ethiopia, 21?3) where dietary diversity was persistently low or increased very little with age. Conclusions: There is growing recognition that poor complementary feeding contributes to the characteristic negative growth trends observed in developing countries and therefore needs focused attention and its own tailored interventions. Dietary diversity has the potential to improve linear growth. Using four food groups to define minimum dietary diversity appears to capture enough information in a simplified, standard format for multi-country comparisons of the quality of complementary diets.

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Impact of iron supplementation and deworming on growth performance in preschool Beninese children

Cited by 65 publications

References 16 publications

Impact of an integrated nutrition intervention on nutrient intakes, morbidity and growth of rural Burkinabe preschool children

Impact of an integrated nutrition intervention on nutrient intakes, morbidity and growth of rural Burkinabe preschool children

Early Helminth Infections Are Inversely Related to Anemia, Malnutrition, and Malaria and Are Not Associated with Inflammation in 6- to 23-Month-Old Zanzibari Children

Complementary feeding and attained linear growth among 6–23-month-old children

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