Effect of Ready-to-Use Foods for Preventing Child Undernutrition in Niger: Analysis of a Prospective Intervention Study Over 15 Months of Follow-Up

Hdl Handle:
http://hdl.handle.net/10144/618852
Title:
Effect of Ready-to-Use Foods for Preventing Child Undernutrition in Niger: Analysis of a Prospective Intervention Study Over 15 Months of Follow-Up
Authors:
Prudhon, C; Langendorf, C; Roederer, T; Doyon, S; Mamaty, AA; Woi-Messe, L; Manzo, ML; de Pee, S; Grais, RF
Journal:
Maternal & Child Nutrition
Abstract:
Strategies for preventing undernutrition comprise a range of interventions, including education, provision of complementary food and cash transfer. Here, we compared monthly distributions of two different lipid-based nutrient supplements (LNS), large-quantity LNS (LNS-LQ) and medium-quantity LNS (LNS-MQ) for 15 months on prevention of undernutrition among children 6 to 23 months. Both groups also received cash transfer for the first 5 months of the intervention. We conducted a prospective intervention study in Maradi, Niger, between August 2011 and October 2012. Six and 11 villages were randomly allocated to LNS-LQ/Cash and LNS-MQ/Cash, respectively. Children measuring 60-80 cm were enrolled in the respective groups and followed up monthly. Poisson regression was used to assess differences between interventions and adjust for baseline characteristics, intervention periods and child-feeding practices. The analysis included 2586 children (1081 in the LNS-LQ/Cash group and 1505 in the LNS-MQ/Cash group). This study suggests that provision of LNS-LQ (reference) or LNS-MQ had, overall, similar effect on incidence of severe acute malnutrition (RR = 0.97; 95% CI: 0.67-1.40; P = 0.88), moderate acute malnutrition (RR = 1.20; 95% CI: 0.97-1.48; P = 0.08), severe stunting (RR = 0.94; 95% CI: 0.70-1.26; P = 0.69), moderate stunting (RR = 0.95; 95% CI: 0.76-1.19; P = 0.67) and mortality (RR = 0.83; 95% CI: 0.41-1.65; P = 0.59). Compared with LNS-LQ, LNS-MQ showed a greater protective effect on moderate acute malnutrition among children with good dietary adequacy: RR = 0.72; 95% CI: 0.56-0.94; P = 0.01. These results highlight the need to design context-specific programmes. Provision of LNS-LQ might be more appropriate when food insecurity is high, while when food security is better, distribution of LNS-MQ might be more appropriate.
Publisher:
Wiley-Blackwell
Issue Date:
17-Jan-2016
URI:
http://hdl.handle.net/10144/618852
DOI:
10.1111/mcn.12236
PubMed ID:
26775560
Type:
Article
Language:
en
ISSN:
1740-8709
Appears in Collections:
Nutrition

Full metadata record

DC FieldValue Language
dc.contributor.authorPrudhon, Cen
dc.contributor.authorLangendorf, Cen
dc.contributor.authorRoederer, Ten
dc.contributor.authorDoyon, Sen
dc.contributor.authorMamaty, AAen
dc.contributor.authorWoi-Messe, Len
dc.contributor.authorManzo, MLen
dc.contributor.authorde Pee, Sen
dc.contributor.authorGrais, RFen
dc.date.accessioned2017-03-17T18:24:27Z-
dc.date.available2017-03-17T18:24:27Z-
dc.date.issued2016-01-17en
dc.identifier.citationEffect of ready-to-use foods for preventing child undernutrition in Niger: analysis of a prospective intervention study over 15 months of follow-up. 2016: Matern Child Nutren
dc.identifier.issn1740-8709en
dc.identifier.pmid26775560en
dc.identifier.doi10.1111/mcn.12236en
dc.identifier.urihttp://hdl.handle.net/10144/618852-
dc.description.abstractStrategies for preventing undernutrition comprise a range of interventions, including education, provision of complementary food and cash transfer. Here, we compared monthly distributions of two different lipid-based nutrient supplements (LNS), large-quantity LNS (LNS-LQ) and medium-quantity LNS (LNS-MQ) for 15 months on prevention of undernutrition among children 6 to 23 months. Both groups also received cash transfer for the first 5 months of the intervention. We conducted a prospective intervention study in Maradi, Niger, between August 2011 and October 2012. Six and 11 villages were randomly allocated to LNS-LQ/Cash and LNS-MQ/Cash, respectively. Children measuring 60-80 cm were enrolled in the respective groups and followed up monthly. Poisson regression was used to assess differences between interventions and adjust for baseline characteristics, intervention periods and child-feeding practices. The analysis included 2586 children (1081 in the LNS-LQ/Cash group and 1505 in the LNS-MQ/Cash group). This study suggests that provision of LNS-LQ (reference) or LNS-MQ had, overall, similar effect on incidence of severe acute malnutrition (RR = 0.97; 95% CI: 0.67-1.40; P = 0.88), moderate acute malnutrition (RR = 1.20; 95% CI: 0.97-1.48; P = 0.08), severe stunting (RR = 0.94; 95% CI: 0.70-1.26; P = 0.69), moderate stunting (RR = 0.95; 95% CI: 0.76-1.19; P = 0.67) and mortality (RR = 0.83; 95% CI: 0.41-1.65; P = 0.59). Compared with LNS-LQ, LNS-MQ showed a greater protective effect on moderate acute malnutrition among children with good dietary adequacy: RR = 0.72; 95% CI: 0.56-0.94; P = 0.01. These results highlight the need to design context-specific programmes. Provision of LNS-LQ might be more appropriate when food insecurity is high, while when food security is better, distribution of LNS-MQ might be more appropriate.en
dc.languageENGen
dc.language.isoenen
dc.publisherWiley-Blackwellen
dc.rightsArchived with thanks to Maternal & Child Nutritionen
dc.titleEffect of Ready-to-Use Foods for Preventing Child Undernutrition in Niger: Analysis of a Prospective Intervention Study Over 15 Months of Follow-Upen
dc.typeArticleen
dc.identifier.journalMaternal & Child Nutritionen

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