A village-matched evaluation of providing a local supplemental food during pregnancy in rural Bangladesh: a preliminary study
Stevens, Briony, Watt, Kerrianne, Brimbecombe, Julie, Clough, Alan, Judd, Jenni A., and Lindsay, Daniel (2018) A village-matched evaluation of providing a local supplemental food during pregnancy in rural Bangladesh: a preliminary study. BMC Pregnancy and Childbirth, 18. 286.
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Abstract
Background: Prenatal balanced protein energy supplementation consumed by undernourished women improves mid-upper arm circumference in early infancy. This study aimed to identify whether locally produced maternal food-based supplementation improved anthropometric measures at birth and early infancy.
Methods: A village-matched evaluation, applying principles of a cluster randomised controlled trial, of a locally produced supplemental food to 87 undernourished pregnant women. 12 villages (intervention: n = 8; control: n = 4) in Pirganj sub-district, Rangpur District, northern Bangladesh. Daily supplements were provided.
Results: Anthropometric data at birth were available for 77 mother-infant dyads and longer-term infant growth data for 75 infants. Mid-upper arm circumference (MUAC) was significantly larger in infants of mothers in the intervention group compared with the control group at 6 months (p < 0.05). The mean birth weight in babies of supplemented mothers (mean: 2.91 kg; SD: 0.19) was higher than in babies of mothers in the control group (mean: 2.72 kg; SD: 0.13), and these changes persisted until 6 months. Also, the proportion of low birth weight babies in the intervention group was much lower (event rate = 0.04) than in the control group (event rate = 0.16). However, none of these differences were statistically significant (p > 0.05; most likely due to small sample size). The intervention reduced the risk of wasting at 6 months by 63.38% (RRR = 0.6338), and of low birth weight by 88.58% (RRR = 0.8858), with NNT of 2.22 and 6.32, respectively. Only three pregnant women require this intervention in order to prevent wasting at 6 months in one child, and seven need the intervention to prevent low birth weight of one child.
Conclusions: Locally produced food-based balanced protein energy supplementation in undernourished pregnant women in northern Bangladesh resulted in larger MUAC in infants at 6 months. Further research, with larger sample sizes, is required to confirm the role of locally produced supplementation for undernourished pregnant women on weight and linear growth in newborns and infants.
| Item ID: | 54734 |
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| Item Type: | Article (Research - C1) |
| ISSN: | 1471-2393 |
| Keywords: | maternal undernutrition, Bangladesh, low-income country, balanced protein energy supplementation, low birth weight |
| Copyright Information: | © The Author(s). 2018 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
| Funders: | World Vision New Zealand |
| Date Deposited: | 25 Jul 2018 07:37 |
| FoR Codes: | 42 HEALTH SCIENCES > 4206 Public health > 420601 Community child health @ 100% |
| SEO Codes: | 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920501 Child Health @ 100% |
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