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Title: Reducing wasting in young children with preventive supplementation: a cohort study in Niger
Authors: Isanaka, Sheila
Roederer, Thomas
Djibo, Ali
Luquero, Francisco J
Nombela, Nohelly
Guerin, Philippe J
Grais, Rebecca F
Affiliation: Departments of Epidemiology and Nutrition, Harvard School of Public Health, Boston, MA; Harvard Humanitarian Initiative, Harvard University, Cambridge, MA; Epicentre, Paris, France; Ministry of Health, Niger, Niamey, Niger; Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland
Citation: Pediatrics 2010;126(2):e442-50
Journal: Pediatrics
Issue Date: 26-Jul-2010
DOI: 10.1542/peds.2009-2814
PubMed ID: 20660552
Abstract: OBJECTIVE: To compare the incidence of wasting, stunting, and mortality among children aged 6 to 36 months who are receiving preventive supplementation with either ready-to-use supplementary foods (RUSFs) or ready-to-use therapeutic foods (RUTFs). SUBJECTS AND METHODS: Children aged 6 to 36 months in 12 villages of Maradi, Niger, (n = 1645) received a monthly distribution of RUSFs (247 kcal [3 spoons] per day) for 6 months or RUTFs (500-kcal sachet per day) for 4 months. We compared the incidence of wasting, stunting, and mortality among children who received preventive supplementation with RUSFs versus RUTFs. RESULTS: The effectiveness of RUSF supplementation depended on receipt of a previous preventive intervention. In villages in which a preventive supplementation program was previously implemented, the RUSF strategy was associated with a 46% (95% confidence interval [CI]: 6%-69%) and 59% (95% CI: 17%-80%) reduction in wasting and severe wasting, respectively. In contrast, in villages in which the previous intervention was not implemented, we found no difference in the incidence of wasting or severe wasting according to type of supplementation. Compared with the RUTF strategy, the RUSF strategy was associated with a 19% (95% CI: 0%-34%) reduction in stunting overall. CONCLUSION: We found that the relative performance of a 6-month RUSF supplementation strategy versus a 4-month RUTF strategy varied with receipt of a previous nutritional intervention. Contextual factors will continue to be important in determining the dose and duration of supplementation that will be most effective, acceptable, and sustainable for a given setting.
Type: Article
Language: en
MeSH: Malnutrition
Food Supplementation
ISSN: 1098-4275
Rights: Published by the American Academy of Pediatrics Archived on this site with kind permission from Pediatrics, copyright 2010 by the American Academy of Pediatrics
Appears in topics: Nutrition

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