| Title: |
Effect of fortified complementary food supplementation on child growth in rural Bangladesh:A cluster-randomized trial |
| Authors: |
Christian, Parul; Shaikh, Saijuddin; Shamim, Abu Ahmed; Mehra, Sucheta; Wu, Lee; Mitra, Maithilee; Ali, Hasmot; Merrill, Rebecca D.; Choudhury, Nuzhat; Parveen, Monira; Fuli, Rachel D.; Hossain, Md Iqbal; Islam, Md Munirul; Klemm, Rolf; Schulze, Kerry; Labrique, Alain; De Pee, Saskia; Ahmed, Tahmeed; West, Keith P. |
| Source: |
Christian, P, Shaikh, S, Shamim, A A, Mehra, S, Wu, L, Mitra, M, Ali, H, Merrill, R D, Choudhury, N, Parveen, M, Fuli, R D, Hossain, M I, Islam, M M, Klemm, R, Schulze, K, Labrique, A, De Pee, S, Ahmed, T & West, K P 2015, 'Effect of fortified complementary food supplementation on child growth in rural Bangladesh : A cluster-randomized trial', International Journal of Epidemiology, vol. 44, no. 6, pp. 1862-1876. https://doi.org/10.1093/ije/dyv155 |
| Publication Year: |
2015 |
| Collection: |
University of Bristol: Bristol Reserach |
| Subject Terms: |
/dk/atira/pure/core/keywords/exercise_nutrition_and_health_sciences; name=SPS Exercise; Nutrition and Health Sciences; /dk/atira/pure/core/keywords/faculty_of_social_sciences_and_law/sps_health_social_care_and_disability_research_centre; name=SPS Health Social Care and Disability Research Centre; Bangladesh; Complementary food; Growth; Micronutrients; Stunting; Supplementation |
| Description: |
Background: Growth faltering in the first 2 years of life is high in South Asia where prevalence of stunting is estimated at 40-50%. Although nutrition counselling has shown modest benefits, few intervention trials of food supplementation exist showing improvements in growth and prevention of stunting. Methods: A cluster-randomized controlled trial was conducted in rural Bangladesh to test the effect of two local, ready-to-use foods (chickpea and rice-lentil based) and a fortified blended food (wheat-soy-blend++, WSB++) compared with Plumpy'doz, all with nutrition counselling vs nutrition counselling alone (control) on outcomes of linear growth (length and length-for-age z-score, LAZ), stunting (LAZ < -2), weight-for-length z-score (WLZ) and wasting (WLZ < -2) in children 6-18 months of age. Children (n=5536) were enrolled at 6 months of age and, in the food groups, provided with one of the allocated supplements daily for a year. Results: Growth deceleration occurred from 6 to 18 months of age but deceleration in LAZ was lower (by 0.02-0.04/month) in the Plumpy'doz (P=0.02), rice-lentil (< 0.01), and chickpea (< 0.01) groups relative to control, whereas WLZ decline was lower only in Plumpy'doz and chickpea groups. WSB++ did not impact on these outcomes. The prevalence of stunting was 44% at 18 months in the control group, but lower by 5-6% (P ≤ 0.01) in those receiving Plumpy'doz and chickpea. Mean length and LAZ at 18 months were higher by 0.27-0.30cm and 0.07-0.10 (all P < 0.05), respectively, in all four food groups relative to the control. Conclusions: In rural Bangladesh, small amounts of daily fortified complementary foods, provided for a year in addition to nutrition counselling, modestly increased linear growth and reduced stunting at 18 months of age. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/26275453; info:eu-repo/semantics/altIdentifier/hdl/https://hdl.handle.net/1983/82daaae8-8666-4217-9128-f595889f8bff |
| DOI: |
10.1093/ije/dyv155 |
| Availability: |
https://hdl.handle.net/1983/82daaae8-8666-4217-9128-f595889f8bff; https://research-information.bris.ac.uk/en/publications/82daaae8-8666-4217-9128-f595889f8bff; https://doi.org/10.1093/ije/dyv155; https://www.scopus.com/pages/publications/84962753452 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.F2F6D281 |
| Database: |
BASE |