دورية أكاديمية
Combined infant and young child feeding with small-quantity lipid-based nutrient supplementation is associated with a reduction in anemia but no changes in anthropometric status of young children from Katanga Province of the Democratic Republic of Congo: a quasi-experimental effectiveness study.
| العنوان: | Combined infant and young child feeding with small-quantity lipid-based nutrient supplementation is associated with a reduction in anemia but no changes in anthropometric status of young children from Katanga Province of the Democratic Republic of Congo: a quasi-experimental effectiveness study. |
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| المؤلفون: | Addo, O Yaw, Locks, Lindsey M, Jefferds, Maria Elena, Nanama, Simeon, Albert, Bope, Sandalinas, Fanny, Nanema, Ambroise, Whitehead, R Donnie, Mei, Zuguo, Clayton, Heather B, Garg, Aashima, Kupka, Roland, Tripp, Katie |
| بيانات النشر: | OXFORD UNIV PRESS |
| سنة النشر: | 2020 |
| المجموعة: | London School of Hygiene & Tropical Medicine: LSHTM Research Online |
| الوصف: | BACKGROUND: Small-quantity lipid-based nutrient supplements (SQ-LNS) are efficacious in controlled settings; data are scarce on the effectiveness utilizing health care delivery platforms. OBJECTIVE: We evaluated the impact of an infant young child feeding (IYCF)-SQ-LNS intervention on anemia and growth in children aged 6-18 mo in the Democratic Republic of Congo following a quasi-experimental effectiveness design. METHODS: An intervention health zone (HZ) received enhanced IYCF including improved counseling on IYCF during pregnancy until 12 mo after birth and daily use of SQ-LNS for infants 6-12 mo; the control HZ received the standard IYCF package. We analyzed data from 2995 children, collected in repeated cross-sectional surveys. We used adjusted difference-in-difference analyses to calculate changes in anemia, iron and vitamin A deficiencies, stunting, wasting, and underweight. RESULTS: Of mothers, 70.5% received SQ-LNS at least once in the intervention HZ, with 99.6% of their children consuming SQ-LNS at least once. The mean number of batches of SQ-LNS (28 sachets per batch, 6 batches total) received was 2.3 ± 0.8 (i.e., 64.4 ± 22.4 d of SQ-LNS). The enhanced program was associated with an 11.0% point (95% CI: -18.1, -3.8; P < 0.01) adjusted relative reduction in anemia prevalence and a mean +0.26-g/dL (95% CI: 0.04, 0.48; P = 0.02) increase in hemoglobin but no effect on anthropometry or iron or vitamin A deficiencies. At endline in the intervention HZ, children aged 8-13 mo who received ≥3 monthly SQ-LNS batch distributions had higher anthropometry z scores [length-for-age z score (LAZ): +0.40, P = 0.04; weight-for-age z score (WAZ): +0.37, P = 0.04] and hemoglobin (+0.65 g/dL, P = 0.007) and a lower adjusted prevalence difference of stunting (-16.7%, P = 0.03) compared with those who received none. CONCLUSIONS: The enhanced IYCF-SQ-LNS intervention using the existing health care delivery platform was associated with a reduction in prevalence of anemia and improvement in mean hemoglobin. At endline ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text |
| اللغة: | English |
| العلاقة: | https://researchonline.lshtm.ac.uk/id/eprint/4660033/1/Combined%20infant%20and%20young%20child%20feeding%20with%20small-quantity%20lipid-based%20nutrient%20supplementation%20is%20associated%20with%20a%20reduct.pdfTest; Addo, O Yaw; Locks, Lindsey M; Jefferds, Maria Elena; Nanama, Simeon; Albert, Bope; Sandalinas, Fanny ; Nanema, Ambroise; Whitehead, R Donnie; Mei, Zuguo; Clayton, Heather B; +3 more. Garg, Aashima; Kupka, Roland; Tripp, Katie; (2020) Combined infant and young child feeding with small-quantity lipid-based nutrient supplementation is associated with a reduction in anemia but no changes in anthropometric status of young children from Katanga Province of the Democratic Republic of Congo: a quasi-experimental effectiveness study. AMERICAN JOURNAL OF CLINICAL NUTRITION, 112 (3). pp. 683-694. ISSN 0002-9165 DOI: https://doi.org/10.1093/ajcn/nqaa170Test |
| الإتاحة: | https://doi.org/10.1093/ajcn/nqaa170Test https://researchonline.lshtm.ac.uk/id/eprint/4660033Test/ https://researchonline.lshtm.ac.uk/id/eprint/4660033/1/Combined%20infant%20and%20young%20child%20feeding%20with%20small-quantity%20lipid-based%20nutrient%20supplementation%20is%20associated%20with%20a%20reduct.pdfTest |
| حقوق: | cc_by |
| رقم الانضمام: | edsbas.C689987D |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |