Special nutritious solutions to enhance complementary feeding

Pee, Saskia de

doi:10.1111/mcn.12265

Cited by 15 publications

(12 citation statements)

References 30 publications

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“…One aim of complementary feeding interventions is to ensure that infant diets meet micronutrient needs; a range of micronutrients is often lacking, and complementary foods may also lack sufficient energy density and essential fatty acids (Dewey & Brown, 2003;Michaelsen et al, 2011). Home fortification approaches, including multiple-micronutrient powders and small-quantity lipidbased nutrient supplements (SQ-LNS), have been proposed as one option for filling nutrient gaps and supporting healthy infant growth and development (de Pee, 2015).…”

mentioning

confidence: 99%

Impact of small quantity lipid‐based nutrient supplements on infant and young child feeding practices at 18 months of age: results from four randomized controlled trials in Africa

Arimond

Abbeddou

Kumwenda

et al. 2016

Maternal & Child Nutrition

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Optimal infant and young child feeding (IYCF) practices can help ensure nutrient adequacy and support healthy growth and development. Small‐quantity lipid‐based nutrient supplements (SQ‐LNS) have been proposed to help fill nutrient gaps, but little is known about the impact of provision of SQ‐LNS on breastfeeding or complementary feeding practices. In the context of four coordinated randomized controlled nutrient supplementation trials in diverse sites in Africa, we compared IYCF practices at infant age 18 months (after 9–12 months of supplementation) between those receiving and not receiving SQ‐LNS. Practices were assessed by caregiver recall. Continued breastfeeding ranged from 74% (Ghana site) to 97% (Burkina Faso site) and did not differ between groups in any site; prevalence of frequent breastfeeding also did not differ. In two sites (Burkina Faso and Malawi), infants receiving SQ‐LNS were more likely to meet the World Health Organization recommendations for frequency of feeding (percentage point differences of 12–14%, P < 0.0001 and P = 0.005, respectively; the remaining two sites did not have data for this indicator). Most indicators of infant dietary diversity did not differ between groups in any site, but in the same two sites where frequency of feeding differed, infants receiving SQ‐LNS were less likely to have low frequency of consumption of animal‐source foods in the previous week (percentage point differences of 9–19% for lowest tertile, P = .02 and P = 0.04, respectively). We conclude that provision of SQ‐LNS did not negatively impact self‐reported IYCF practices and may have positively impacted frequency of feeding.

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mentioning

confidence: 99%

Impact of small quantity lipid‐based nutrient supplements on infant and young child feeding practices at 18 months of age: results from four randomized controlled trials in Africa

Arimond

Abbeddou

Kumwenda

et al. 2016

Maternal & Child Nutrition

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“…Their framework is based on a literature review of interventions related to scaling up nutrition, health, agriculture and development, along with analysis of the key elements identified from the review. Like CSA, nutrition interventions in developing countries are highly site-and context-specific (de Pee, 2015;Vossennaar et al, 2016;Raymond et al, 2018). Accordingly, we judged the Gillespie et al (2015) framework to be the most well-aligned with our objectives.…”

Section: Analytical Frameworkmentioning

confidence: 95%

Scaling up agricultural interventions: Case studies of climate-smart agriculture

Westermann

Förch

Thornton

et al. 2018

Agricultural Systems

131

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“…To achieve their intended benefits, SQ-LNS need to be acceptable to the target groups in terms of organoleptic properties and user-friendliness in household settings ( 33 , 34 ) . Poor sensory attributes of SQ-LNS ( 30 , 33 ) can lead to low adherence to the supplementation regimen for the test products.…”

Section: Acceptability Of Small-quantity Lipid-based Nutrient Supplemmentioning

confidence: 99%

Lipid-based nutrient supplements and linear growth in children under 2 years: a review

et al. 2017

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The prevalence of stunting remains high in low- and middle-income countries despite adoption of comprehensive nutrition interventions, particularly in low-income countries. In the present paper, we review current evidence on the acceptability and efficacy of small-quantity lipid-based nutrient supplements (SQ-LNS) on preventing stunting in children under 2 years, discuss the factors that affect their efficacy, highlight the implications of the current findings at pragmatic level and identify research priorities. Although the present paper is not a generic systematic review, we used a systematic approach to select relevant literature. The review showed that there is growing interest in the potential benefits of using SQ-LNS to prevent growth faltering. Acceptability studies showed that SQ-LNS are generally well accepted. However, results on the efficacy of SQ-LNS on improving linear growth or preventing growth faltering in infants and young children are still inconclusive. Factors that may affect efficacy include the duration of the trial, composition and dosage of SQ-LNS given, and baseline demographics and nutritional status of research participants. Future research should focus on controlled and long-term follow-up trials to obtain more conclusive results. In the long term, there will be need for studies to investigate how provision of SQ-LNS can be integrated with existing strategies to prevent stunting in low- and middle-income settings.

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Special nutritious solutions to enhance complementary feeding

Cited by 15 publications

References 30 publications

Impact of small quantity lipid‐based nutrient supplements on infant and young child feeding practices at 18 months of age: results from four randomized controlled trials in Africa

Impact of small quantity lipid‐based nutrient supplements on infant and young child feeding practices at 18 months of age: results from four randomized controlled trials in Africa

Scaling up agricultural interventions: Case studies of climate-smart agriculture

Lipid-based nutrient supplements and linear growth in children under 2 years: a review

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