Improving Dietary Intake to Prevent Anemia in Adolescent Girls through Community Kitchens in a Periurban Population of Lima, Peru

Creed‐Kanashiro, Hilary; Uribe, Tula G.; Bartolini, Rosario; Fukumoto, M; López, Teresa Torres; Zavaleta, Nelly; Bentley, Margaret E.

doi:10.1093/jn/130.2.459s

Cited by 36 publications

(42 citation statements)

References 3 publications

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“…This study reported a nonsignificant increase in birth weight (SMD 156.80; 95% CI −1.82 to 315.42) . Another study from Peru consisted of participatory training with community kitchen leaders, educational materials, and increased access to heme iron (chicken liver and blood) for adolescents in the first 5 months, and reported a reduction in anemia rates (RR 0.32; 95% CI 0.26–0.69; n = 22). Another study from India targeted university students and provided them with iron along with energy supplementation and reported a nonsignificant effect on hemoglobin concentration (MD –0.10; 95% CI –0.46 to 0.26; n = 30).…”

Section: Resultsmentioning

confidence: 79%

Systematic review on evidence‐based adolescent nutrition interventions

Lassi

Moin

Das

et al. 2017

Annals of the New York Academy of Sciences

105

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Adolescence is a critical stage in the life cycle, and adequate nutrition is necessary for the proper growth and development of individuals and their offspring. Here, we comprehensively review all published systematic reviews (through October 2016) on adolescents (10-19 years) and women of reproductive age, including pregnant women, which targeted interventions related to nutrition. For interventions where there was no existing systematic review on adolescents, we reviewed primary studies/trials. We included interventions on micronutrient supplementation (iron, folic acid, iron-folic acid (IFA), calcium, vitamin D, vitamin A, zinc, iodine, and multiple micronutrients), food/protein energy supplementation, nutrition education for pregnant adolescents, obesity prevention and management, and management of gestational diabetes. We identified a total of 35 systematic reviews, of which only five were conducted on adolescents, and 107 primary studies on adolescents. Our review suggests that iron alone, IFA, zinc, and multiple micronutrient supplementation in adolescents can significantly improve serum hemoglobin concentration. While zinc supplementation in pregnant adolescents showed improvements in preterm birth and low birth weight, we found a paucity of trials on calcium, vitamin D, vitamin A, and iodine supplementation. We found limited evidence on food/protein energy supplementation in adolescents. Interventions to prevent and manage obesity showed a nonsignificant impact on reducing body mass index. This review underscores the importance of adolescent nutrition interventions. It is imperative that countries design nutritional interventions, particularly for adolescents.

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Section: Resultsmentioning

confidence: 79%

Systematic review on evidence‐based adolescent nutrition interventions

Lassi

Moin

Das

et al. 2017

Annals of the New York Academy of Sciences

105

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“…Iron supplementation programs, for a variety of reasons, have not been effective in reducing anemia prevalence (Galloway & McGuire, 1991;Vijayaraghaven et al, 1990) and operational research on how best to improve existing iron supplementation programs is needed (Yip, 1994). New and innovative strategies are needed, particularly those that improve the overall health and nutrition status of adolescent girls before they enter their reproductive years (Gillespie & Johnston, 1998;Kurz & Johnson-Welch, 1994;Kanani & Poorjara, 2000;Creed-Kanashiro et al, 2000). This will require tailored programs that target women in all socioeconomic groups and who live within both rural and urban areas, but particularly in need of intervention are the urban poor, who are a rapidly growing marginalized segment of the Indian population.…”

Section: Anemia Burden For Indian Women Me Bentley and Pl Griffithsmentioning

confidence: 99%

The burden of anemia among women in India

2003

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Objective: This research investigates the prevalence and determinants of anemia among women in Andhra Pradesh. We examined differences in anemia related to social class, urban=rural location and nutrition status body mass index (BMI). We hypothesized that rural women would have higher prevalence of anemia compared to urban women, particularly among the lower income groups, and that women with low body mass index (BMI; < 18.5 kg=m 2 ) would have a higher risk compared to normal or overweight women. Design: The National Family Health Survey 1998=99 (NFHS-2) provides nationally representative cross-sectional survey data on women's hemoglobin status, body weight, diet, social, demographic and other household and individual level factors. Ordered logit regression analyses were applied to identify socio-economic, regional and demographic determinants of anemia. Setting: Andhra Pradesh, a southern Indian state. Subjects: A total of 4032 ever-married women aged 15 -49 from 3872 households. Results: Prevalence of anemia was high among all women. In all 32.4% of women had mild (100 -109.99 g=l for pregnant women, 100 -119.99 for non-pregnant women), 14.19% had moderate (70 -99.99 g=l), and 2.2% had severe anemia ( < 70 g=l). Protective factors include Muslim religion, reported consumption of alcohol or pulses, and high socioeconomic status, particularly in urban areas. Poor urban women had the highest rates and odds of being anemic. Fifty-two percent of thin, 50% of normal BMI, and 41% of overweight women were anemic. Conclusions: New program strategies are needed, particularly those that improve the overall nutrition status of women of reproductive ages. This will require tailored programs across socio-economic groups and within both rural and urban areas, but particularly among the urban and rural poor.

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“…17 Promising results using nutrition education as a strategy to improve iron nutriture and reduce anemia have been obtained in Peru. 18 In addition, bioengineered foods may offer another means for dietary modi cation in the near future. Genetically engineered high-iron rice, bioengineered high-phytase rice, low-phytic acid maize, and rice containing soybean ferritin gene are a few examples.…”

confidence: 99%

Intervention Strategies for Improving Iron Status of Young Children and Adolescents in India

Ahluwalia

2002

Nutrition Reviews

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Despite advances in scientific knowledge regarding multiple etiology, treatment, and potential strategies for combating iron deficiency and deficiencies of other micronutrients, iron deficiency anemia, vitamin A deficiency, and iodine deficiency remain significant public health challenges for growing children and adolescents. The short-term efficient supplementation approach, although technically feasible, has not been successful due to problems with delivery and compliance. Evidence is building that preventive supplementation coupled with nutrition education may be a more effective strategy associated with better compliance and improvement in iron status. Long-term, effective approaches include fortification, dietary modification, public health and disease control measures, and income generation programs. Food fortification can be a cost-effective intervention strategy if technologically feasible, nutritionally sound, culturally acceptable and economically viable food vehicle(s) and fortificant(s) can be identifed. Foods such as wheat, rice, and salt are commonly consumed in India; research is underway to evaluate various fortificants for these foods. Doubly fortified salt with iodine and iron may be particularly promising in the Indian situation as it is affordable, culturally acceptable, and may enhance iron absorption from Indian dietaries containing inhibitors of iron absorption. Feasibility studies are underway to evalute the stability and storage issues as well as bioavailability of fortificant iron. Dietary modification involves increased iron intake, by increasing total food intake and consumption of locally available iron-rich foods, and dietary practices favoring iron absorption. Blood loss associated with worm infestation can be controlled by periodic deworming and reducing reinfestation. Coordinating these major intervention approaches by building partnerships between the community, existing nutrition and health programs, government, industry, and academic institutions is critical for success of these programs. Nutrition education must be integral to all of these strategies discusssed. Primary health care system and school infrastructure and staff, along with school children and community members, can be powerful resources for addressing malnutrition in children and adolescents.

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Improving Dietary Intake to Prevent Anemia in Adolescent Girls through Community Kitchens in a Periurban Population of Lima, Peru

Cited by 36 publications

References 3 publications

Systematic review on evidence‐based adolescent nutrition interventions

Systematic review on evidence‐based adolescent nutrition interventions

The burden of anemia among women in India

Intervention Strategies for Improving Iron Status of Young Children and Adolescents in India

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