Preventive small-quantity lipid-based nutrient supplements reduce severe wasting and severe stunting among young children: An individual participant data meta-analysis of randomized controlled trials

Background: Meta-analyses show that small-quantity lipid-based nutrient supplements (SQ-LNS) reduce child wasting and stunting. There is little information regarding effects on severe wasting or stunting. Objective: We aimed to identify the effect of SQ-LNS on prevalence of severe wasting (weight-fo...

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Autores principales: Dewey, Kathryn G., Ashorn, Per, Ruel, Marie T., Leroy, Jef L., Huybregts, Lieven, Becquey, Elodie
Formato: Journal Article
Lenguaje:Inglés
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://hdl.handle.net/10568/141325
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author Dewey, Kathryn G.
Ashorn, Per
Ruel, Marie T.
Leroy, Jef L.
Huybregts, Lieven
Becquey, Elodie
author_browse Ashorn, Per
Becquey, Elodie
Dewey, Kathryn G.
Huybregts, Lieven
Leroy, Jef L.
Ruel, Marie T.
author_facet Dewey, Kathryn G.
Ashorn, Per
Ruel, Marie T.
Leroy, Jef L.
Huybregts, Lieven
Becquey, Elodie
author_sort Dewey, Kathryn G.
collection Repository of Agricultural Research Outputs (CGSpace)
description Background: Meta-analyses show that small-quantity lipid-based nutrient supplements (SQ-LNS) reduce child wasting and stunting. There is little information regarding effects on severe wasting or stunting. Objective: We aimed to identify the effect of SQ-LNS on prevalence of severe wasting (weight-for-length z-score < -3) and severe stunting (length-for-age z-score < -3). Methods: We conducted a two-stage meta-analysis of individual participant data from 14 randomized controlled trials of SQ-LNS provided to children 6 to 24 mo of age. We generated study-specific and subgroup estimates of SQ-LNS vs. control and pooled the estimates using fixed-effects models. We used random effects meta-regression to examine study-level effect modifiers. In sensitivity analyses, we examined whether results differed depending on study arm inclusion criteria and types of comparisons.
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spelling CGSpace1413252025-10-26T13:01:28Z Preventive small-quantity lipid-based nutrient supplements reduce severe wasting and severe stunting among young children: An individual participant data meta-analysis of randomized controlled trials Dewey, Kathryn G. Ashorn, Per Ruel, Marie T. Leroy, Jef L. Huybregts, Lieven Becquey, Elodie lipids food supplements stunting nutrition water quality wasting disease (nutritional disorder) children hygiene nutrient supplements growth Background: Meta-analyses show that small-quantity lipid-based nutrient supplements (SQ-LNS) reduce child wasting and stunting. There is little information regarding effects on severe wasting or stunting. Objective: We aimed to identify the effect of SQ-LNS on prevalence of severe wasting (weight-for-length z-score < -3) and severe stunting (length-for-age z-score < -3). Methods: We conducted a two-stage meta-analysis of individual participant data from 14 randomized controlled trials of SQ-LNS provided to children 6 to 24 mo of age. We generated study-specific and subgroup estimates of SQ-LNS vs. control and pooled the estimates using fixed-effects models. We used random effects meta-regression to examine study-level effect modifiers. In sensitivity analyses, we examined whether results differed depending on study arm inclusion criteria and types of comparisons. 2022-11 2024-04-12T13:37:42Z 2024-04-12T13:37:42Z Journal Article https://hdl.handle.net/10568/141325 en Open Access Elsevier Dewey, Kathryn G.; Ashorn, Per; Ruel, Marie T.; Leroy, Jef L.; Huybregts, Lieven; Becquey, Elodie; et al. Preventive small-quantity lipid-based nutrient supplements reduce severe wasting and severe stunting among young children: An individual participant data meta-analysis of randomized controlled trials. American Journal of Clinical Nutrition 116(5): 1314–1333. https://doi.org/10.1093/ajcn/nqac232
spellingShingle lipids
food supplements
stunting
nutrition
water quality
wasting disease (nutritional disorder)
children
hygiene
nutrient supplements
growth
Dewey, Kathryn G.
Ashorn, Per
Ruel, Marie T.
Leroy, Jef L.
Huybregts, Lieven
Becquey, Elodie
Preventive small-quantity lipid-based nutrient supplements reduce severe wasting and severe stunting among young children: An individual participant data meta-analysis of randomized controlled trials
title Preventive small-quantity lipid-based nutrient supplements reduce severe wasting and severe stunting among young children: An individual participant data meta-analysis of randomized controlled trials
title_full Preventive small-quantity lipid-based nutrient supplements reduce severe wasting and severe stunting among young children: An individual participant data meta-analysis of randomized controlled trials
title_fullStr Preventive small-quantity lipid-based nutrient supplements reduce severe wasting and severe stunting among young children: An individual participant data meta-analysis of randomized controlled trials
title_full_unstemmed Preventive small-quantity lipid-based nutrient supplements reduce severe wasting and severe stunting among young children: An individual participant data meta-analysis of randomized controlled trials
title_short Preventive small-quantity lipid-based nutrient supplements reduce severe wasting and severe stunting among young children: An individual participant data meta-analysis of randomized controlled trials
title_sort preventive small quantity lipid based nutrient supplements reduce severe wasting and severe stunting among young children an individual participant data meta analysis of randomized controlled trials
topic lipids
food supplements
stunting
nutrition
water quality
wasting disease (nutritional disorder)
children
hygiene
nutrient supplements
growth
url https://hdl.handle.net/10568/141325
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