A 2-Year Integrated Agriculture and Nutrition and Health Behavior Change Communication Program Targeted to Women in Burkina Faso Reduces Anemia, Wasting, and Diarrhea in Children 3–12.9 Months of Age at Baseline: A Cluster-Randomized Controlled Trial

Olney, Deanna K.; Pedehombga, Abdoulaye; Ruel, Marie T.; Dillon, Andrew

doi:10.3945/jn.114.203539

Cited by 178 publications

(232 citation statements)

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“…In this context, it would be helpful to evaluate agricultural production for its nutritional production in addition to mass or energy yield [44], which could incentivize the production of more nutritious food. Programs that attempt to improve micronutrient status through increased household agricultural production are likely to be more effective when paired with nutrition and health behavior change communication [45]. Arimond et al [46] outline five pathways for how agricultural interventions can improve nutrition: consumption of own production; increases in income; reductions in market prices; shifts in consumer preferences; and shifts in control of resources.…”

Section: Discussionmentioning

confidence: 99%

Global trends in dietary micronutrient supplies and estimated prevalence of inadequate intakes

et al. 2017

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Understanding dietary patterns is vital to reducing the number of people experiencing hunger (about 795 million), micronutrient deficiencies (2 billion), and overweight or obesity (2.1 billion). We characterize global trends in dietary quality by estimating micronutrient density of the food supply, prevalence of inadequate intake of 14 micronutrients, and average prevalence of inadequate intake of these micronutrients for all countries between 1961 and 2011. Over this 50-year period, the estimated prevalence of inadequate intakes of micronutrients has declined in all regions due to increased total production of food and/or micronutrient density. This decline has been particularly strong in East and Southeast Asia and weaker in South Asia and sub-Saharan Africa. Sub-Saharan Africa is the only region where dietary micronutrient density has declined over this 50-year period. At the global level, micronutrients with the lowest levels of adequate estimated intake are calcium, iron, vitamin A, and zinc, but there are strong differences between countries and regions. Fortification has reduced the estimated prevalence of inadequate micronutrient intakes in all low-income regions, except South Asia. The food supply in many countries is still far below energy requirements, which suggests a need to increase the availability and accessibility of nutritious foods. Countries where the food energy supply is adequate show a very large variation in dietary quality, and in many of these countries people would benefit from more diverse diets with a greater proportion of micronutrient-dense foods. Dietary quality can be improved through fortification, biofortification, and agricultural diversification, as well as efforts to improve access to and use of micronutrient-dense foods and nutritional knowledge. Reducing poverty and increasing education, especially of women, are integral to sustainably addressing malnutrition.

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Section: Discussionmentioning

confidence: 99%

Global trends in dietary micronutrient supplies and estimated prevalence of inadequate intakes

et al. 2017

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“…Homestead food production programs have shown to change diets and reduce anemia among women and children. This is a promising intervention that has been used in Bangladesh and Nepal, among other countries (Olney, Pedehombga, Ruel, & Dillon, ; Talukder et al, ).…”

Section: Discussionmentioning

confidence: 99%

Determinants of anemia among women and children in Nepal and Pakistan: An analysis of recent national survey data

Harding

Aguayo²,

Namirembe

et al. 2017

Maternal & Child Nutrition

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Anemia remains one of the most intractable public health challenges in South Asia. This paper analyzes individual-level and household-level determinants of anemia among children and women in Nepal and Pakistan. Applying multivariate modified Poisson models to recent national survey data, we find that the prevalence of anemia was significantly higher among women from the poorest households in Pakistan (adjusted prevalence ratio and more than 5% of all years lost to disability (YLD) globally (2013).In 2012, South Asia accounted for 38% of the entire world's YLD associated with anemia (Kassebaum et al., 2014;Stevens et al., 2013). The region has made little progress in resolving this problem, despite decades of economic growth. The modeled data suggest that between 1995 and 2011, the prevalence of anemia among nonpregnant women in South Asia declined slightly from 53% (95% credibility interval: 42-64%) to 47% (33-59%) and there --------------------------------------------------------------------------------------------------------------------------------This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“…First, there was a gradual increase in OFSP production and consumption over the course of the study. Studies have noted that interventions targeting dietary change may require extended exposure before significant changes in nutritional status are observed (34–36). Randomized controlled feeding studies with OFSP (35, 37) and pro-VA biofortified maize (38, 39) noted no significant impacts on serum or breast-milk retinol concentrations after 3 wk to 60 d of daily consumption.…”

Section: Discussionmentioning

confidence: 99%

Promotion of Orange-Fleshed Sweet Potato Increased Vitamin A Intakes and Reduced the Odds of Low Retinol-Binding Protein among Postpartum Kenyan Women

Girard

Grant

Watkinson

et al. 2017

The Journal of Nutrition

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Background: Orange-fleshed sweet potato (OFSP) improves vitamin A (VA) status of young children; research with pregnant and lactating women is limited.Objective: We examined the effectiveness of the Mama SASHA (Sweetpotato Action for Security and Health in Africa) program to improve nutrition knowledge, diets, and nutritional status of pregnant and lactating women (PLW) in Western Kenya.Methods: Eight health facilities were allocated to the Mama SASHA intervention or comparison arms. PLW in intervention facilities received enhanced nutrition counseling at health clinics, were linked with community-based maternal support groups, and received vouchers for OFSP vine cuttings. Control PLW received clinic-based nutrition counseling only. A total of 505 women in early and midpregnancy, attending their first antenatal care visit, and with no previous engagement in project activities were enrolled from the 8 facilities. Nutrition and health-seeking knowledge, food security, dietary patterns, and anthropometric measurements were collected at 4 time points at ≤9 mo postpartum. VA intakes were assessed with multipass 24-h recalls in a subsample of 206 mothers at 8–10 mo postpartum. VA status was assessed by using serum retinol-binding protein (RBP). Impacts were estimated with multilevel mixed models adjusted for clustering and differences at enrollment.Results: At enrollment, 22.9% of women had RBP <1.17 μmol/L. By 9 mo postpartum, intervention women had significantly higher intakes of VA [adjusted difference = 297.0 retinol activity equivalent (RAE) units; 95% CI: 82, 513 RAE units; P = 0.01; n = 206], greater consumption of VA-rich fruit and vegetables in the previous 7 d (difference-in-difference estimate: 0.40 d; 95% CI: 0.23, 0.56 d; P < 0.01), and a 45% reduction in the odds of RBP <1.17 μmol/L (OR: 0.55; 95% CI: 0.33, 0.92; P = 0.01).Conclusion: Promotion of OFSP to PLW through health services is a feasible strategy to improve women’s nutrition knowledge, VA intakes, and maternal RBP.

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A 2-Year Integrated Agriculture and Nutrition and Health Behavior Change Communication Program Targeted to Women in Burkina Faso Reduces Anemia, Wasting, and Diarrhea in Children 3–12.9 Months of Age at Baseline: A Cluster-Randomized Controlled Trial

Cited by 178 publications

References 20 publications

Global trends in dietary micronutrient supplies and estimated prevalence of inadequate intakes

Global trends in dietary micronutrient supplies and estimated prevalence of inadequate intakes

Determinants of anemia among women and children in Nepal and Pakistan: An analysis of recent national survey data

Promotion of Orange-Fleshed Sweet Potato Increased Vitamin A Intakes and Reduced the Odds of Low Retinol-Binding Protein among Postpartum Kenyan Women

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