Effectiveness of a program intervention with reduced-iron multiple micronutrient powders on iron status, morbidity and growth in young children in Ethiopia
Despite the potential for improving iron status and child growth in low- and middle-income settings, concerns on the safety of high iron dosages of Micronutrient Powders (MNP currently limit their applicability in programs. We examined the effectiveness and risks of an integrated complementary feedi...
| Autores principales: | , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
MDPI
2018
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/171210 |
| _version_ | 1855541607620673536 |
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| author | Samuel, Aregash Brouwer, Inge D. Feskens, Edith J. Adish, Abdulaziz Kebede, Amha |
| author_browse | Adish, Abdulaziz Brouwer, Inge D. Feskens, Edith J. Kebede, Amha Samuel, Aregash |
| author_facet | Samuel, Aregash Brouwer, Inge D. Feskens, Edith J. Adish, Abdulaziz Kebede, Amha |
| author_sort | Samuel, Aregash |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Despite the potential for improving iron status and child growth in low- and middle-income settings, concerns on the safety of high iron dosages of Micronutrient Powders (MNP currently limit their applicability in programs. We examined the effectiveness and risks of an integrated complementary feeding program with low iron dose (6 mg/serving) MNP among 6–23-month-old Ethiopian children using a quasi-experimental study design comparing children from five intervention districts (n = 1172) to those from four matched non-intervention districts (n = 1137). Haemoglobin concentrations increased in intervention and decreased in non-intervention children (group-difference +3.17 g/L), but without improvement in iron stores. Intervention children were 2.31 times more likely to have diarrhoea and 2.08 times more likely to have common cold and flu, but these differences decreased towards the end of the intervention. At end line, intervention children had higher mean Height-for-Age Zscore (HAZ) and a 51% reduced odds of being stunted compared to non-intervention children. MNP with low iron dose, when provided combined with other Infant and Young Child Feeding (IYCF) interventions, marginally improved haemoglobin status and resulted in a remarkable improvement in linear growth in 6–23-month-old children. These benefits likely outweigh the relatively small increase in the risk of diarrhoea. |
| format | Journal Article |
| id | CGSpace171210 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2018 |
| publishDateRange | 2018 |
| publishDateSort | 2018 |
| publisher | MDPI |
| publisherStr | MDPI |
| record_format | dspace |
| spelling | CGSpace1712102025-02-19T14:31:38Z Effectiveness of a program intervention with reduced-iron multiple micronutrient powders on iron status, morbidity and growth in young children in Ethiopia Samuel, Aregash Brouwer, Inge D. Feskens, Edith J. Adish, Abdulaziz Kebede, Amha programmes iron trace elements morbidity growth children child nutrition complementary foods diarrhoea respiratory diseases influenzavirus quantitative analysis infant feeding child feeding Despite the potential for improving iron status and child growth in low- and middle-income settings, concerns on the safety of high iron dosages of Micronutrient Powders (MNP currently limit their applicability in programs. We examined the effectiveness and risks of an integrated complementary feeding program with low iron dose (6 mg/serving) MNP among 6–23-month-old Ethiopian children using a quasi-experimental study design comparing children from five intervention districts (n = 1172) to those from four matched non-intervention districts (n = 1137). Haemoglobin concentrations increased in intervention and decreased in non-intervention children (group-difference +3.17 g/L), but without improvement in iron stores. Intervention children were 2.31 times more likely to have diarrhoea and 2.08 times more likely to have common cold and flu, but these differences decreased towards the end of the intervention. At end line, intervention children had higher mean Height-for-Age Zscore (HAZ) and a 51% reduced odds of being stunted compared to non-intervention children. MNP with low iron dose, when provided combined with other Infant and Young Child Feeding (IYCF) interventions, marginally improved haemoglobin status and resulted in a remarkable improvement in linear growth in 6–23-month-old children. These benefits likely outweigh the relatively small increase in the risk of diarrhoea. 2018 2025-01-29T12:57:51Z 2025-01-29T12:57:51Z Journal Article https://hdl.handle.net/10568/171210 en Open Access MDPI Samuel, Aregash; Brouwer, Inge D.; Feskens, Edith J.; Adish, Abdulaziz; Kebede, Amha; et al. 2018. Effectiveness of a program intervention with reduced-iron multiple micronutrient powders on iron status, morbidity and growth in young children in Ethiopia. Nutrients 10(10): 1508. https://doi.org/10.3390/nu10101508 |
| spellingShingle | programmes iron trace elements morbidity growth children child nutrition complementary foods diarrhoea respiratory diseases influenzavirus quantitative analysis infant feeding child feeding Samuel, Aregash Brouwer, Inge D. Feskens, Edith J. Adish, Abdulaziz Kebede, Amha Effectiveness of a program intervention with reduced-iron multiple micronutrient powders on iron status, morbidity and growth in young children in Ethiopia |
| title | Effectiveness of a program intervention with reduced-iron multiple micronutrient powders on iron status, morbidity and growth in young children in Ethiopia |
| title_full | Effectiveness of a program intervention with reduced-iron multiple micronutrient powders on iron status, morbidity and growth in young children in Ethiopia |
| title_fullStr | Effectiveness of a program intervention with reduced-iron multiple micronutrient powders on iron status, morbidity and growth in young children in Ethiopia |
| title_full_unstemmed | Effectiveness of a program intervention with reduced-iron multiple micronutrient powders on iron status, morbidity and growth in young children in Ethiopia |
| title_short | Effectiveness of a program intervention with reduced-iron multiple micronutrient powders on iron status, morbidity and growth in young children in Ethiopia |
| title_sort | effectiveness of a program intervention with reduced iron multiple micronutrient powders on iron status morbidity and growth in young children in ethiopia |
| topic | programmes iron trace elements morbidity growth children child nutrition complementary foods diarrhoea respiratory diseases influenzavirus quantitative analysis infant feeding child feeding |
| url | https://hdl.handle.net/10568/171210 |
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