Nutrition and maternal, neonatal, and child health

Christian, Parul; Mullany, Luke C.; Hurley, Kristen M.; Katz, Joanne; Black, Robert E.

doi:10.1053/j.semperi.2015.06.009

Cited by 169 publications

(123 citation statements)

References 135 publications

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“…The critical importance of the first 1000 d in establishing a developmental trajectory for healthy infants is well recognized (4), and the dire consequences of poor nutrition and stunting during this time have lifelong consequences such that early, progressive interventions are essential. When compared with agricultural species that display starkly greater growth rates (e.g., piglets grow ∼10 times faster than do human infants), the relative nutrient requirements and developmental timelines are altered accordingly.…”

Section: Introductionmentioning

confidence: 99%

The Potential Impact of Animal Science Research on Global Maternal and Child Nutrition and Health: A Landscape Review

Odle

Jacobi

Boyd

et al. 2017

Advances in Nutrition

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High among the challenges facing mankind as the world population rapidly expands toward 9 billion people by 2050 is the technological development and implementation of sustainable agriculture and food systems to supply abundant and wholesome nutrition. In many low-income societies, women and children are the most vulnerable to food insecurity, and it is unequivocal that quality nutrition during the first 1000 d of life postconception can be transformative in establishing a robust, lifelong developmental trajectory. With the desire to catalyze disruptive advancements in global maternal and child health, this landscape review was commissioned by the Bill & Melinda Gates Foundation to examine the nutritional and managerial practices used within the food-animal agricultural system that may have relevance to the challenges faced by global human health. The landscape was categorized into a framework spanning 1) preconception, 2) gestation and pregnancy, 3) lactation and suckling, and 4) postweaning and toddler phases. Twelve key findings are outlined, wherein research within the discipline of animal sciences stands to inform the global health community and in some cases identifies gaps in knowledge in which further research is merited. Notable among the findings were 1) the quantitative importance of essential fatty acid and amino acid nutrition in reproductive health, 2) the suggested application of the ideal protein concept for improving the amino acid nutrition of mothers and children, 3) the prospect of using dietary phytase to improve the bioavailability of trace minerals in plant and vegetable-based diets, and 4) nutritional interventions to mitigate environmental enteropathy. The desired outcome of this review was to identify potential interventions that may be worthy of consideration. Better appreciation of the close linkage between human health, medicine, and agriculture will identify opportunities that will enable faster and more efficient innovations in global maternal and child health.

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Section: Introductionmentioning

confidence: 99%

The Potential Impact of Animal Science Research on Global Maternal and Child Nutrition and Health: A Landscape Review

Odle

Jacobi

Boyd

et al. 2017

Advances in Nutrition

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“…Maternal nutritional status during pregnancy is an important determinant of child health, development, and well-being [1, 2]. Among various strategies, micronutrient supplementation during pregnancy has been identified as an effective intervention to improve maternal nutrition and pregnancy outcomes [3].…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, side effects or metallic aftertaste have also been reported as barriers to adherence [5, 11]. However, these data, especially in low- and middle- income countries, have often been obtained from cross-sectional studies and/or are self-reported [1, 3, 5, 10–12]. Further, data on adherence to micronutrient supplementation within the context of a supplementation intervention prior to pregnancy (even among women of reproductive age) are limited.…”

Section: Introductionmentioning

confidence: 99%

Predictors of adherence to micronutrient supplementation before and during pregnancy in Vietnam

et al. 2017

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BackgroundPoor adherence to micronutrient supplementation often limits the effectiveness of public health programs. While predictors of adherence to micronutrient supplementation during pregnancy are well documented, information on adherence to preconception supplements is scarce. The objective of this study was to describe the predictors of adherence to preconception and prenatal micronutrient supplementation among women participating in a randomized control trial in Vietnam.MethodsAdherence data were collected prospectively from a double blind randomized controlled trial in rural Vietnam. Five thousand eleven women of reproductive age were randomized to receive preconception supplements for weekly consumption containing either: Folic Acid, Iron and Folic Acid (IFA), or Multiple Micronutrients. Women who became pregnant received prenatal IFA supplements for daily consumption through delivery. Village health workers visited participants’ homes every two weeks to deliver supplements and record consumption and side effects. Multivariate logistic regression was used to assess individual, household, and programmatic predictors of supplement adherence.ResultsAdherence was high with 78 and 82% of the women consuming more than 80% of the preconception and prenatal supplements, respectively. Women of minority ethnicity (OR = 0.78 95% CI = 0.67, 0.91) and farmers (OR = 0.71 95% CI = 0.58, 0.88) were less likely to consume >80% of the preconception supplements while socioeconomic status (SES) (OR = 2.71 highest vs. lowest quintile; 95% CI = 2.10, 3.52) was positively associated with >80% adherence in the entire preconception sample with available information (n = 4417). Women in their first pregnancy had lower prenatal adherence compared to multiparous women. At the programmatic level, each village health worker visit was associated with higher odds of >80% adherence by 3–5% before pregnancy and 18% during pregnancy.ConclusionsKey determinants of adherence included SES, ethnicity, occupation (farmer) and parity which may be helpful for targeting women for counseling on supplement adherence. Increased contact with village health workers was positively associated with adherence to micronutrient supplementation both before conception and during pregnancy indicating the need for resources to support community outreach to women of reproductive age.Trial registration NCT01665378. Registered on August 12, 2012.

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“…[28][29][30][31][32][33][34][35][36] Commonalities in the unfinished agenda emerge through the lens of various disciplines, emphasizing the need for more cross-disciplinary, coordinated, and integrated program approaches across the life cycle and across physical and mental maternal and child health, nutrition, and family planning. Processes for behavior change and for assessing and intervening in the broader systems within which healthcare is delivered-within communities and across multiple sectors including health, nutrition, education, child and social protection-also emerge as critical for accelerating progress.…”

Section: Unfinished Agendamentioning

confidence: 99%

Ensuring healthy pregnancies, births, and babies

Darmstadt

2015

Seminars in Perinatology

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Nutrition and maternal, neonatal, and child health

Cited by 169 publications

References 135 publications

The Potential Impact of Animal Science Research on Global Maternal and Child Nutrition and Health: A Landscape Review

The Potential Impact of Animal Science Research on Global Maternal and Child Nutrition and Health: A Landscape Review

Predictors of adherence to micronutrient supplementation before and during pregnancy in Vietnam

Ensuring healthy pregnancies, births, and babies

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