Can feeding a millet-based diet improve the growth of children? A systematic review and meta-analysis
Undernutrition, such as stunting and underweight, is a major public health concern, which requires multi-sectoral attention. Diet plays a key role in growth and should optimally supply all required nutrients to support the growth. While millets (defined broadly to include sorghum) are traditional fo...
| Autores principales: | , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
MDPI
2022
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/141158 |
| _version_ | 1855521944105910272 |
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| author | Anitha, Seetha Givens, David Ian Subramaniam, Kowsalya Upadhyay, Shweta Kane-Potaka, Joanna Vogtschmidt, Yakima D. Botha, Rosemary |
| author_browse | Anitha, Seetha Botha, Rosemary Givens, David Ian Kane-Potaka, Joanna Subramaniam, Kowsalya Upadhyay, Shweta Vogtschmidt, Yakima D. |
| author_facet | Anitha, Seetha Givens, David Ian Subramaniam, Kowsalya Upadhyay, Shweta Kane-Potaka, Joanna Vogtschmidt, Yakima D. Botha, Rosemary |
| author_sort | Anitha, Seetha |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Undernutrition, such as stunting and underweight, is a major public health concern, which requires multi-sectoral attention. Diet plays a key role in growth and should optimally supply all required nutrients to support the growth. While millets (defined broadly to include sorghum) are traditional foods, and climate smart nutritious crops, which are grown across Africa and Asia, they have not been mainstreamed like rice, wheat, and maize. Diversifying staples with millets can potentially provide more macro and micro nutrients, compared to the mainstream crops. However, there is little known scientific evidence to prove millets’ efficacy on growth. Therefore, a systematic review and meta-analysis was conducted to collate evidence of the benefits of millets in improving the growth of children. Eight eligible randomized feeding trials were included in the meta-analysis. Results from the randomized effect model showed a significant effect (p < 0.05) of millet-based diets on mean height (+28.2%) (n = 8), weight (n = 9) (+26%), mid upper arm circumference (n = 5) (+39%) and chest circumference (n = 5) (+37%) in comparison to regular rice-based diets over for the period of 3 months to 4.5 years, which was based on largely substituting rice with millets. When an enhanced and diverse diet was served, replacing rice with millet had only minimal growth improvement on chest circumference (p < 0.05). The quality assessment using GRADE shows that the evidence used for this systematic review and meta-analysis had moderate quality, based on eight scoring criteria. These results demonstrate the value of adding millet as the staple for undernourished communities. Further understanding of the efficacy of millets on growth in a wider range of diets is important to develop appropriate dietary programs and improve the nutritional status of various age groups across Africa and Asia. |
| format | Journal Article |
| id | CGSpace141158 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | MDPI |
| publisherStr | MDPI |
| record_format | dspace |
| spelling | CGSpace1411582025-12-08T10:29:22Z Can feeding a millet-based diet improve the growth of children? A systematic review and meta-analysis Anitha, Seetha Givens, David Ian Subramaniam, Kowsalya Upadhyay, Shweta Kane-Potaka, Joanna Vogtschmidt, Yakima D. Botha, Rosemary infants adolescents child nutrition weight health underweight nutrients millets malnutrition nutrition children growth diet public health height Undernutrition, such as stunting and underweight, is a major public health concern, which requires multi-sectoral attention. Diet plays a key role in growth and should optimally supply all required nutrients to support the growth. While millets (defined broadly to include sorghum) are traditional foods, and climate smart nutritious crops, which are grown across Africa and Asia, they have not been mainstreamed like rice, wheat, and maize. Diversifying staples with millets can potentially provide more macro and micro nutrients, compared to the mainstream crops. However, there is little known scientific evidence to prove millets’ efficacy on growth. Therefore, a systematic review and meta-analysis was conducted to collate evidence of the benefits of millets in improving the growth of children. Eight eligible randomized feeding trials were included in the meta-analysis. Results from the randomized effect model showed a significant effect (p < 0.05) of millet-based diets on mean height (+28.2%) (n = 8), weight (n = 9) (+26%), mid upper arm circumference (n = 5) (+39%) and chest circumference (n = 5) (+37%) in comparison to regular rice-based diets over for the period of 3 months to 4.5 years, which was based on largely substituting rice with millets. When an enhanced and diverse diet was served, replacing rice with millet had only minimal growth improvement on chest circumference (p < 0.05). The quality assessment using GRADE shows that the evidence used for this systematic review and meta-analysis had moderate quality, based on eight scoring criteria. These results demonstrate the value of adding millet as the staple for undernourished communities. Further understanding of the efficacy of millets on growth in a wider range of diets is important to develop appropriate dietary programs and improve the nutritional status of various age groups across Africa and Asia. 2022-01-13 2024-04-12T13:37:23Z 2024-04-12T13:37:23Z Journal Article https://hdl.handle.net/10568/141158 en Open Access MDPI Anitha, Seetha; Givens, David Ian; Subramaniam, Kowsalya; Upadhyay, Shweta; Kane-Potaka, Joanna; Vogtschmidt, Yakima D.; Botha, Rosemary; et al. 2022. Can feeding a millet-based diet improve the growth of children? A systematic review and meta-analysis. Nutrients 14(1): 225. https://doi.org/10.3390/nu14010225 |
| spellingShingle | infants adolescents child nutrition weight health underweight nutrients millets malnutrition nutrition children growth diet public health height Anitha, Seetha Givens, David Ian Subramaniam, Kowsalya Upadhyay, Shweta Kane-Potaka, Joanna Vogtschmidt, Yakima D. Botha, Rosemary Can feeding a millet-based diet improve the growth of children? A systematic review and meta-analysis |
| title | Can feeding a millet-based diet improve the growth of children? A systematic review and meta-analysis |
| title_full | Can feeding a millet-based diet improve the growth of children? A systematic review and meta-analysis |
| title_fullStr | Can feeding a millet-based diet improve the growth of children? A systematic review and meta-analysis |
| title_full_unstemmed | Can feeding a millet-based diet improve the growth of children? A systematic review and meta-analysis |
| title_short | Can feeding a millet-based diet improve the growth of children? A systematic review and meta-analysis |
| title_sort | can feeding a millet based diet improve the growth of children a systematic review and meta analysis |
| topic | infants adolescents child nutrition weight health underweight nutrients millets malnutrition nutrition children growth diet public health height |
| url | https://hdl.handle.net/10568/141158 |
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