Health economics and nutrition: a review of published evidence

Gyles, Collin L.; Lenoir-Wijnkoop, Irène; Carlberg, Jared G.; Senanayake, Vijitha; Gutiérrez-Ibarluzea, Iñaki; Poley, Marten J.; Dubois, Dominique; Jones, Peter J.H.

doi:10.1111/j.1753-4887.2012.00514.x

Cited by 41 publications

(41 citation statements)

References 78 publications

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“…Nutrition affects the health economics outcomes at both the individual and the societal levels. An individual's nutritional choices affect his or health condition, thereby influencing productivity and economic contributions to the household and society at large (Gyles et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Maternal anthropometry in rural and urban areas of Ogun-East senatorial district, Nigeria: A comparative study

Jeminusi¹,

Sholeye²,

A³

2015

Int. J. Nutr. Metab.

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Maternal nutrition is a well documented determinant of pregnancy outcome. Maternal anthropometry has been shown to be a predictor of the occurrence or otherwise of low birth weight, foetal macrosomia, increased maternal and newborn morbidity and mortality. Rural-urban differences in nutritional status have been documented in literature. A cross-sectional comparative study of the anthropometric indices of 720 pregnant women accessing antenatal care at selected rural and urban primary health centres in Ogun State, Nigeria was carried out, using semi-structured, interviewer-administered questionnaires, adult weighing scales, a stadiometre and measuring tapes. The mean height, weight, and body mass index of rural participants were higher than those of urban participants, although the difference was not significant (p > 0.05) for these parameters. The mean mid-upper arm circumference value for urban participants was significantly higher (p = 0.014) than that of the rural participants. Community-level nutritional interventions, including adequate feeding of the girl child, will help to improve maternal nutrition in developing countries.

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Section: Discussionmentioning

confidence: 99%

Maternal anthropometry in rural and urban areas of Ogun-East senatorial district, Nigeria: A comparative study

Jeminusi¹,

Sholeye²,

A³

2015

Int. J. Nutr. Metab.

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“…[4, 5] Iron deficiency anaemia in infants and young children may lead to impaired development [4] with long term health implications. [6, 7]…”

Section: Introductionmentioning

confidence: 99%

Sustained effectiveness of weekly iron-folic acid supplementation and regular deworming over 6 years in women in rural Vietnam

et al. 2017

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BackgroundWeekly iron-folic acid (IFA) supplementation and regular deworming is effective for the prevention of iron deficiency and anaemia in women of child-bearing age. Between 2006 and 2013, a program of weekly IFA and biannual deworming was implemented in Yen Bai province, Vietnam. In this study we aimed to determine the effectiveness of the program in reducing anaemia and the prevalence of hookworm infection after 72 months (six years).MethodsThis prospective cohort study followed up a cohort of 389 women of child-bearing age from baseline until six years after the introduction of the weekly IFA (one tablet containing 200 mg ferrous sulphate, 0.4mg folic acid) and deworming (one 400mg tablet of albendazole given twice yearly) program (May 2006 to 2012). In each of the six surveys (baseline and five follow-up surveys) we measured haemoglobin and ferritin, and the burden of soil transmitted helminth (STH) infections, and in the 72 month survey we also administered a questionnaire to assess adherence and possible impediments to participating in the program.ResultsTwo hundred and fifty six (65.8%) of the original 389 women enrolled in the cohort attended the final 72 month survey. Haemoglobin levels were 122 g/L [95% C.I. 120, 124] at baseline and increased to 135g/L [95% C.I. 133, 138] after 72 months. The prevalence of anaemia was 37.8% [95% C.I. 31.0, 44.7] at baseline and reduced to 14.3% [95% C.I. 9.5, 19.1]. Hookworm infection prevalence, 75.9% [95% C.I. 68.1, 83.8] at baseline, reduced to 10.2% [95% C.I. 5.4, 15.0] with no moderate or heavy intensity infections. Seventy-two percent of participants reported still taking at least 75% of the weekly supplements, and 85.0% had taken the most recent deworming treatment.DiscussionAnaemia rates fell significantly during the six-year program, and STH infections were eliminated as a public health risk. Adherence was well maintained but long-term sustainability is challenging in the absence of ongoing external support.

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“…Studies that model the health and economic effects of dietary improvement are important to inform nutrition regulatory processes, including policies regarding labelling and health claims (Gyles et al . ; Lötters et al . ).…”

Section: Nutrition Economic Models To Determine Health Impactmentioning

confidence: 99%

Understanding the impact of European Regulation on the substantiation and use of claims on food and drinks: Design of the REDICLAIM project and initial results

et al. 2015

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The European Regulation on nutrition and health claims on foods (Nutrition and Health Claims Regulation: European Commission No. 1924/2006) establishes, for the first time, a common framework for the regulation of such claims across the European Union (EU). The opportunities for product innovation arising from this new legislation combined with protection of consumer interest in respect of controlling misleading advertising, while at the same time promoting public health, are noteworthy. But such opportunities need to be evaluated against the burden on industry of the need to undertake significant research activity into these claims and to present a scientific substantiation to satisfy the procedure for approval. Whether this legislation is driving product innovation and the development of healthy and nutritional food or whether it is a barrier to such developments is an area in need of investigation. The EU-funded project REDICLAIM is currently considering these issues and the impact of the Nutrition and Health Claims Regulation especially in relation to 'reduction of disease risk' claims. This article establishes the issues surrounding the common framework of health legislation and sets out the work programme for REDICLAIM.

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Health economics and nutrition: a review of published evidence

Cited by 41 publications

References 78 publications

Maternal anthropometry in rural and urban areas of Ogun-East senatorial district, Nigeria: A comparative study

Maternal anthropometry in rural and urban areas of Ogun-East senatorial district, Nigeria: A comparative study

Sustained effectiveness of weekly iron-folic acid supplementation and regular deworming over 6 years in women in rural Vietnam

Understanding the impact of European Regulation on the substantiation and use of claims on food and drinks: Design of the REDICLAIM project and initial results

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