Maternal and child nutrition – Authors' reply

Black, Robert E.; Bhutta, Zulfiqar A; Alderman, Harold; Ruel, Marie T.; Gillespie, Stuart; Haddad, Lawrence

doi:10.1016/s0140-6736(13)62320-x

Cited by 15 publications

(18 citation statements)

References 6 publications

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“…The women in the intervention group were unlikely to use their skills and advice if the recommended foods were less accessible, such as in cases of lack of cash or due to seasonal variability in production. Nutrition interventions are successful when counselling and education are integrated with practical services that address food accessibility, that is, through endorsing agricultural production or by economic support (5,20) . Furthermore, the nutrition advice and expectations given in the two study groups were not comparable and thus would yield different responses.…”

Section: Discussionmentioning

confidence: 99%

Dietary intake and processes of behaviour change in a nutrition education intervention for pregnant women in rural Malawi: a cluster-randomised controlled trial

Katenga-Kaunda

Iversen

Holmboe‐Ottesen

et al. 2020

Public Health Nutr.

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Objective: To examine if increased intake of locally available nutrient-dense foods among pregnant women improved the quality of their dietary intake and if use of the Theory of Planned Behaviour could explain changes in their dietary behaviour. Design: We used data from a randomised controlled trial where the intervention group received nutrition education and dietary counselling. We promoted the use of recipes that utilised powders to enhance dietary diversity. We examined how the intervention achieved changes in dietary intakes and used mixed effects logistic regression models with random effects at village level to explore changes over time of the outcomes, adjusted for selected explanatory variables. Setting: The study was conducted in twenty villages in rural Malawi. Participants: Data from 257 pregnant women who were enrolled during late first trimester and followed until birth. Results: The intervention achieved improvements in the Dietary Diversity Score (DDS) and the Six Food Group Pyramid (SFG) score, especially in intakes of micronutrient-rich foods. A third of the women in the intervention group attained optimal DDS, whereas about 50 % attained optimal SFG. The theorised behaviour mediators (i.e. nutrition attitudes, nutrition behaviour control and subjective norm) that had improved were also significantly associated with high DDS. Conclusions: Improved dietary intakes were achieved through promoting the use of locally available nutrient-dense foods. Attainment of high DDS was a consequence of the women’s belief in the effectiveness of the proposed nutrition recommendations. We identified critical personal and environmental constraints related to dietary intakes during pregnancy in a low-resource setting.

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Section: Discussionmentioning

confidence: 99%

Dietary intake and processes of behaviour change in a nutrition education intervention for pregnant women in rural Malawi: a cluster-randomised controlled trial

Katenga-Kaunda

Iversen

Holmboe‐Ottesen

et al. 2020

Public Health Nutr.

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“…The authorization to use the Timor-Leste NFNS data was obtained from the National Office of Statistics, Timor-Leste. 3 Burden is obtained by multiplying the total under 5 population by the weighted prevalence; 4 wasted = weight-for-height<-2 Z-score; 5 Severely wasted = weight-for-height <-3 Z-score; 6 Lao PDR = Lao People's Democratic Republic.…”

Section: Ethical Considerationsmentioning

confidence: 99%

“…Despite the statistically significant linear trend, the highest prevalence was not always in the 48 to 59 age group. The peak prevalence for concurrence was observed in 36 to 47 months age group in Cambodia, in 12 to 23 months age group in Lao PDR, Thailand and Timor- 3 Burden is obtained by multiplying the total under 5 population by the weighted prevalence; 4 Wasted & stunted = children with both weight-for-height<-2 Z-score and height-for-age<-2; 5 Severe wasted & severely stunted = children with both weight-for-height<-3 Z-score and height-for-age<-3 Z-score; 6 Lao PDR = Lao People's Democratic Republic.…”

Section: Prevalence and Burden Of The Concurrence Of Wasting And Stunmentioning

confidence: 99%

“…Undernutrition in the first 1000 days post-conception has both short-and long-term detrimental consequences for the health and nutrition status of children, and adversely affects the economic productivity of nations [1]. It is associated with cognitive deficits that lead to lower educational performance [1][2][3][4][5], physical growth deficits that can limit economic productivity in adulthood [1,6,7], immune system dysfunction and reduced efficacy of vaccines-hence increased susceptibility to and severity of infections [1,8,9]. Among women, the consequences of undernutrition during childhood can persist until reproductive age and cause intrauterine growth restriction [1,10].…”

Section: Introductionmentioning

confidence: 99%

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The Forgotten Agenda of Wasting in Southeast Asia: Burden, Determinants and Overlap with Stunting: A Review of Nationally Representative Cross-Sectional Demographic and Health Surveys in Six Countries

et al. 2020

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Childhood wasting is among the most prevalent forms of undernutrition globally. The Southeast Asia region is home to many wasted children, but wasting is not recognized as a public health problem and its epidemiology is yet to be fully examined. This analysis aimed to determine the burden of wasting, its predictors, and the level of wasting and stunting concurrence. Datasets from Demographic and Health Surveys and Multiple Indicator Cluster Surveys in six countries in the region were analyzed. The pooled weighted prevalence for wasting and concurrent wasting and stunting among children 0–59 months in the six countries was 8.9%, 95% CI (8.0–9.9) and 1.6%, 95% CI (1.5–1.8), respectively. This prevalence is approximately 12-fold higher than the 0.7% prevalence of high-income countries; and translated into an absolute number of 1,088,747 children affected by wasting and 272,563 concurrent wasting and stunting. Wasting prevalence was 50 percent higher in the 0–23-month age group. Predictors for wasting included source of drinking water, wealth index, urban residence, child’s age and history of illness and mother’s body mass index. In conclusion, our analysis showed that wasting is a serious public health problem in the region that should be addressed urgently using both preventive and curative approaches.

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“…Fortified mineral water improved folate status and reduced plasma homocysteine concentrations in the pregnant women [17]. The major nutrient deficiencies occurring in the world wide over 90% of the worlds stunted children are there in 34 countries [18].…”

Section: Bioavailability Based Micronutrient Choicesmentioning

confidence: 99%

Water as a New Vehicle for Nutrition

Polaki¹

2014

J Nutr Food Sci

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The beneficial effects of beverages with added micronutrients on human health are being increasingly promoted by health professionals. Nutrients fortified beverages available in the market today, are usually in the form of flavored water, fortified juices, sweetened beverages having high calories; however with an increase in the consumer awareness about calories, there is also a demand for the nutrients fortified mineral water without sugar and flavors, so as to get the taste of original water. And, owing to health considerations, from the perspective of obesity in sweetened beveragesand economic reasons for the developing countries, alternative raw materials for nutrient fortification need to be searched. Considering the above mentioned facts, water may be potential substrate and cheapest source, where the fortified nutrients will make a mark and healthy alternative for obesity and nutrient deficiency consumers. This review aims at highlighting the need for nutrients fortified mineral water.

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Maternal and child nutrition – Authors' reply

Cited by 15 publications

References 6 publications

Dietary intake and processes of behaviour change in a nutrition education intervention for pregnant women in rural Malawi: a cluster-randomised controlled trial

Dietary intake and processes of behaviour change in a nutrition education intervention for pregnant women in rural Malawi: a cluster-randomised controlled trial

The Forgotten Agenda of Wasting in Southeast Asia: Burden, Determinants and Overlap with Stunting: A Review of Nationally Representative Cross-Sectional Demographic and Health Surveys in Six Countries

Water as a New Vehicle for Nutrition

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