Micronutrient status of populations and preventive nutrition interventions in South East Asia

Roos, Nanna; Ponce, Maiza Campos; Doak, Colleen M.; Dijkhuizen, Marjoleine A.; Polman, Katja; Chamnan, Chhoun; Kuong, Khov; Chea, Mary; Prak, Sophanneary; Kounnavong, Sengchanh; Mai, L B; Lua, Tran Thi; Muslimatun, Siti; Famida, Umi; Wasantwisut, Emorn; Winichagoon, Pattanee; Doets, Esmée L.; Greffeuille, Valérie; Wieringa, Frank T.; Berger, Jacques

doi:10.1007/s10995-018-2639-2

Cited by 24 publications

(24 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall, protein intake was sufficient, except that there were relatively high proportions of insufficient intake among older adult women (31.1%), and pregnant women (31.9%) and lactating women (41.1%). Precisely during these life stages, getting enough protein requires more attention since it is required for optimal maternal and child health and for maintenance of muscle function in the elderly [46,47].…”

Section: Discussionmentioning

confidence: 99%

Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country

Ratsavong¹,

Elsacker

Doungvichit

et al. 2020

Nutr J

View full text Add to dashboard Cite

Background: Recognition of discrepancies between men and women in nutritional intake is important to tackle food and nutrition insecurity and the often-double burden of malnutrition. The purpose of this study was to assess nutritional status and dietary intake of the Lao population, with a focus on possible influences of gender.Methods: Dietary intake was assessed in a national cross-sectional study of 1771 randomized participants aged from 1.01 to 89 years, using 24-h dietary recall. Dietary reference intakes were used to assess nutrient insufficiency. Chi-square test was used to evaluate gender differences and multiple univariate logistic regression to examine associations between gender, nutritional status, demographics and nutrient insufficiency. Results: Nutrient insufficiencies were higher among pregnant and lactating women than other adult men and women, especially for protein and micronutrients such as vitamin B3, B1, C and other vitamins. Dietary intake and BMI were similar between men and women; all had insufficient intake of all types of nutrients, except sodium. However, women had lower intake than men for almost all nutrients and age groups. The prevalence of overnutrition was higher among those aged 18 years and over for both sexes. Among adult women (15-49.9 years old) and older adult women (50 years old or above), the proportions were: underweight 8.6% (both groups), overweight 18.4 and 20.5%, and obese 34.2 and 39.1%, respectively. Among pregnant and lactating women, the rates of underweight were 7.5 and 1.4%, of overweight were 17.8 and 27.1%, and obese, 21.9 and 40.0%. Among adult and older men, 3.2 and 8.3% were underweight; 21.0 and 18.6% were overweight and 28.2 and 27.6% were obese. Multiple univariate logistic regressions revealed that the factors rural area, dry season and Northern-Lowland region were associated with inadequate micronutrient intake among children, adolescents and adults of both genders. Conclusions: Dietary intakes were alarmingly micronutrient-insufficient. Macronutrient imbalance and double burden of malnutrition were confirmed in both sexes. Gender differences were limited; men and women had similarly insufficient intakes, but pregnant and lactating women were disproportionately affected. Nutritional interventions should also take men and older people into account to solve nutrition problems.

show abstract

Section: Discussionmentioning

confidence: 99%

Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country

Ratsavong¹,

Elsacker

Doungvichit

et al. 2020

Nutr J

View full text Add to dashboard Cite

show abstract

“…According to the Bangladesh National micronutrient survey 2011, among children aged 6-60 months, 33% were anemic, 3.9% had iron deficiency, 20.5% had vitamin A deficiency, and 44.6% had zinc deficiency at the national level [33,34]. A recent review of the micronutrient status of under-five year South Asian children also reported similar burdens of anemia and iron, zinc, and vitamin A deficiencies [35].…”

Section: Discussionmentioning

confidence: 99%

Why Do Children in Slums Suffer from Anemia, Iron, Zinc, and Vitamin A Deficiency? Results from a Birth Cohort Study in Dhaka

et al. 2019

View full text Add to dashboard Cite

Considering the high burden of micronutrient deficiencies in Bangladeshi children, this analysis aimed to identify the factors associated with micronutrient deficiencies and association of plasma micronutrient concentration trajectories from 7 to 24 months with the concentrations at 60 months of age. Plasma samples were collected at 7, 15, 24, and 60 months of age, and hemoglobin, ferritin, zinc, and retinol concentrations of 155, 153, 154, and 155 children were measured, respectively. A generalized estimating equation was used to identify the factors associated with micronutrient deficiencies, while latent class growth modeling identified the trajectories of plasma micronutrients from 7 to 24 months and its association with the concentrations of micronutrients at 60 months was examined using multiple linear regression modeling. Early (AOR = 2.21, p < 0.05) and late convalescence (AOR = 1.65, p < 0.05) stage of an infection, low ferritin (AOR = 3.04, p < 0.05), and low retinol (AOR = 2.07, p < 0.05) were associated with increased anemia prevalence. Wasting at enrollment was associated with zinc deficiency (AOR = 1.8, p < 0.05) and birth weight was associated with ferritin deficiency (AOR = 0.58, p < 0.05). Treatment of drinking water was found protective against vitamin A deficiency (AOR = 0.57, p < 0.05). Higher trajectories for ferritin and retinol during 7-24 months were positively associated with plasma ferritin (β = 13.72, p < 0.05) and plasma retinol (β = 3.99, p < 0.05) at 60 months.

show abstract

“…They concluded a need for multileveled interventions that address both proximate and distal factors underlying child malnutrition, and also advocated for more comprehensive implementation science studies examining scale-up efforts (Cordon et al 2019). Similarly, Roos et al (2018) examined population-based nutrition interventions in South East Asia. Researchers cited lack of routine data collection and monitoring as a major barrier to program scale up in countries such as Cambodia, Indonesia, and Vietnam (Roos et al 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, Roos et al (2018) examined population-based nutrition interventions in South East Asia. Researchers cited lack of routine data collection and monitoring as a major barrier to program scale up in countries such as Cambodia, Indonesia, and Vietnam (Roos et al 2018). Moreover, Kim et al (2017) reported intersectoral coordination as a major facilitator in scaling up nutrition interventions in India, where governments, policy makers, and stakeholders have a shared understanding of overall program goals and priority actions (Kim et al 2017).…”

Section: Introductionmentioning

confidence: 99%

Barriers and Facilitators to the Implementation of Large-Scale Nutrition Interventions in Africa: A Scoping Review

Ezezika

Gong

Abdirahman

et al. 2021

Glob Implement Res Appl

View full text Add to dashboard Cite

The effective implementation of large-scale nutrition interventions in Africa is an ongoing challenge. This scoping review identifies and explores the barriers and facilitators to the implementation of large-scale nutrition interventions in the African region. We searched PubMed, EMBASE, Scopus, ERIC, and Web of Science using search terms focused specifically on barriers and facilitators to the implementation of nutrition interventions in Africa. To supplement the database search, reference lists in publications included for full-text review were also examined to identify eligible articles for inclusion. Eligible studies underwent quality assessment, and a directed content analysis approach to data extraction was conducted and aligned to the Consolidated Framework for Implementation Research (CFIR) to facilitate narrative synthesis. The search identified 1452 citations and following removal of duplicates and our inclusion/exclusion criteria, 34 papers were eligible for inclusion. More than half of included studies (n = 19) reflect research conducted in East Africa. Overarching thematic areas spanning the barriers and facilitators that were identified included policy and legislation; leadership management; resources mobilization; and cultural context and adaptability. Key activities that facilitate the development of successful implementation include (1) more supportive policy and legislation to improve government competency, (2) effective leadership, strategic partnership, and coordination across multiple sectors, (3) more effective resource mobilization, and (4) adequate adaptation of the intervention so that it is culturally relevant, tailored to local needs and aligned to research data. The barriers and facilitators identified under the CFIR domains can be used to build knowledge on how to adapt large-scale nutrition interventions to national and local settings.Registration Open Science Framework (https://osf.io/6m8fy).

show abstract

Micronutrient status of populations and preventive nutrition interventions in South East Asia

Cited by 24 publications

References 27 publications

Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country

Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country

Why Do Children in Slums Suffer from Anemia, Iron, Zinc, and Vitamin A Deficiency? Results from a Birth Cohort Study in Dhaka

Barriers and Facilitators to the Implementation of Large-Scale Nutrition Interventions in Africa: A Scoping Review

Contact Info

Product

Resources

About