Intervention study shows suboptimal growth among children receiving a food supplement for five months in a slum in Bangladesh

Choudhury, Nuzhat, Bromage, Sabri, Alam, Md. Ashraful, Shamsir Ahmed, A. M., Munirul Islam, M., Iqbal Hossain, M., Mahfuz, Mustafa, Mondal, Dinesh, Haque, Rashidul and Ahmed, Tahmeed (2016) Intervention study shows suboptimal growth among children receiving a food supplement for five months in a slum in Bangladesh. Acta Paediatrica, International Journal of Paediatrics, 105 10: e464-e473. doi:10.1111/apa.13528


Author Choudhury, Nuzhat
Bromage, Sabri
Alam, Md. Ashraful
Shamsir Ahmed, A. M.
Munirul Islam, M.
Iqbal Hossain, M.
Mahfuz, Mustafa
Mondal, Dinesh
Haque, Rashidul
Ahmed, Tahmeed
Title Intervention study shows suboptimal growth among children receiving a food supplement for five months in a slum in Bangladesh
Journal name Acta Paediatrica, International Journal of Paediatrics   Check publisher's open access policy
ISSN 1651-2227
0803-5253
Publication date 2016-10-01
Year available 2016
Sub-type Article (original research)
DOI 10.1111/apa.13528
Open Access Status Not yet assessed
Volume 105
Issue 10
Start page e464
End page e473
Total pages 10
Place of publication Chichester, West Sussex United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Abstract This study assessed weight and height changes among underweight children who received a locally produced, cereal-based, ready-to-use supplementary food.
Formatted abstract
Aim

This study assessed weight and height changes among underweight children who received a locally produced, cereal-based, ready-to-use supplementary food.

Methods

We recruited 500 underweight Bangladeshi children aged 6–23 months from a Dhaka slum and individually matched them by sex and neighbourhood with 480 well-nourished controls. The intervention group received the daily food supplement for five months, and both groups received daily micronutrient supplements. Their weight, height, mid-upper-arm circumference and head circumference were measured monthly.

Results

The children's mean daily weight gain decreased from 1.27 to 0.66 grams per kilogram per day (g/kg/day) in the intervention group and 0.77 to 0.49 g/kg/day in the controls after adjusting for age differences between the two groups from baseline to five months of follow-up. The mean monthly height gain decreased from 1.13 to 1.03 millimetres per metre per month in the intervention children and 1.26 to 1.01 in the controls. The weight gain was highest in the intervention children who were most wasted at baseline and the controls who were least stunted.

Conclusion

The children showed suboptimal growth despite food supplements, highlighting the need for ongoing research to develop inexpensive, locally sourced food supplements to improve the nutrition of underweight children in Bangladesh.
Keyword Bangladesh
Children
Growth
Malnutrition
Ready-to-use supplementary food
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID T32 ES007069
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Public Health Publications
 
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