Maternal and Child Nutrition最新文献

Women's Dietary Diversity and Child Feeding Practices Amidst COVID19 in India: Findings From National Family Health Surveys, 2016-2021. 2019冠状病毒病期间印度妇女饮食多样性和儿童喂养做法：2016-2021年全国家庭健康调查结果

IF 2.6 2区医学

Maternal and Child Nutrition Pub Date : 2025-10-10 DOI: 10.1111/mcn.70104

Anjali Pant, Suman Chakrabarti, Derek Headey, Nishmeet Singh, Phuong Hong Nguyen

{"title":"Women's Dietary Diversity and Child Feeding Practices Amidst COVID19 in India: Findings From National Family Health Surveys, 2016-2021.","authors":"Anjali Pant, Suman Chakrabarti, Derek Headey, Nishmeet Singh, Phuong Hong Nguyen","doi":"10.1111/mcn.70104","DOIUrl":"https://doi.org/10.1111/mcn.70104","url":null,"abstract":"The COVID-19 pandemic caused a crisis that jeopardized food consumption and dietary diversity. This study aimed to: (1) investigate relationship between COVID-19 and women's and children's diets in India; (2) examine how this varies by socioeconomic status and mothers' vegetarianism; and (3) assess whether mobility restrictions during India's national lockdown influenced these dietary changes. The analysis drew on data from India's National Family Health Survey 2015-16 and 2019-21, focusing on 11 states surveyed before and during COVID-19 (N = 567,727 women, 141,905 children). COVID-19 exposure was defined as interviews after 24 March 2020 (national lockdown). Outcomes included child feeding practices and women's food consumption and dietary diversity. The impact of COVID-19 on diets was estimated using a difference-in-difference model; effect of mobility reduction on diets was examined using linear regression. All analyses were adjusted for confounders, interview month, state fixed effects, and sampling weights. Results showed that COVID-19 exposure was linked to significant declines in child feeding practices (-6.9 percentage points [pp] for minimum dietary diversity, -5.0 pp for minimum acceptable diet, and -6.1 pp for fruit consumption) and women's diet (-5.7 pp for dietary diversity and green vegetable consumption). While magnitude of impact varied across socioeconomic sub-strata and mothers' vegetarianism status, the differences were not statistically significant. The diets of women and children were greatly impacted by mobility reduction. COVID-19 has worsened the diets of women and children in India. More research is needed on the impact of relief measures to strengthen food safety nets nationwide.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70104"},"PeriodicalIF":2.6,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rethinking Growth Monitoring and Promotion in the Era of Universal Health Coverage: Qualitative Assessment of Programme Delivery Challenges in Ethiopia. 重新思考全民健康覆盖时代的增长监测和促进：对埃塞俄比亚方案实施挑战的定性评估。

IF 2.6 2区医学

Maternal and Child Nutrition Pub Date : 2025-10-09 DOI: 10.1111/mcn.70118

Bereket Gebremichael, Kaleab Baye, Yetayesh Maru, Ramadanhi Noor, Firehiwot Mengistu, Hiwot Darsene, Yilkal Simachew, Tegene L Dadi, Rahel Dereje, Stanley Chitekwe

{"title":"Rethinking Growth Monitoring and Promotion in the Era of Universal Health Coverage: Qualitative Assessment of Programme Delivery Challenges in Ethiopia.","authors":"Bereket Gebremichael, Kaleab Baye, Yetayesh Maru, Ramadanhi Noor, Firehiwot Mengistu, Hiwot Darsene, Yilkal Simachew, Tegene L Dadi, Rahel Dereje, Stanley Chitekwe","doi":"10.1111/mcn.70118","DOIUrl":"https://doi.org/10.1111/mcn.70118","url":null,"abstract":"Growth monitoring and promotion (GMP) programmes have been implemented for decades in almost all countries. Despite this long history of implementation, GMP has been criticised for being ineffective, calling for a rethink of the programme. With a view of contributing evidence towards the redesign of GMP, we conducted a qualitative evaluation of the programme in various contexts of Ethiopia. We conducted focus-group discussions (FGDs; n = 28) and key informant interviews (KIIs; n = 193) with programme managers, service providers and caregivers beneficiaries. Supply-side, service delivery, and barriers hindering effective coverage were identified. Lack of functional weighing scales, budget constraints, limited transportation facilities, overlap of interventions, and the low motivation and performance of health workers were identified as main barriers affecting the quality-of-service delivery. The benefits of participating in GMP were not always clear to beneficiaries. Competing priorities like household chores, long travel distances to health centres, and in some contexts culturally insensitive practices deterred participation. Although GMP can serve as an entry point for mainstreaming nutrition into universal health coverage (UHC), the programme would need to be redesigned and supported by adequate supply, resources (financial and human), planning, and quality service delivery that is contextual and culturally sensitive.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70118"},"PeriodicalIF":2.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Use of Home Fortification Products in Humanitarian Settings: A Scoping Review. 家庭强化产品在人道主义环境中的使用：范围审查。

IF 2.6 2区医学

Maternal and Child Nutrition Pub Date : 2025-10-07 DOI: 10.1111/mcn.70128

Jacqueline M Lauer, Alexandra DeShaw, Isabelle Ward, Davidson H Hamer, Lindsey M Locks

{"title":"The Use of Home Fortification Products in Humanitarian Settings: A Scoping Review.","authors":"Jacqueline M Lauer, Alexandra DeShaw, Isabelle Ward, Davidson H Hamer, Lindsey M Locks","doi":"10.1111/mcn.70128","DOIUrl":"https://doi.org/10.1111/mcn.70128","url":null,"abstract":"Home fortification products (HFPs), including multiple micronutrient powders and small-quantity lipid-based nutrient supplements, are specialized, nutrient-filled products added to foods with the aim of filling critical nutrient gaps. Despite their potential, there is limited documentation of the use of HFPs in humanitarian settings. The aim of this scoping review was to explore the evidence base and feasibility of implementing HFP programming in humanitarian settings specifically among young children 6-59 months of age and pregnant and lactating women. Electronic databases (PubMed, Embase, and CINAHL) were searched in December 2024, yielding 70 articles after duplicates were eliminated. Two research assistants independently selected articles that met inclusion criteria and analyzed them thematically. A total of eight studies (six quantitative, one qualitative, and one mixed methods) were included. The limited studies examined indicate that the use of HFPs is more feasible when carried out in the context of ongoing humanitarian programming, including general food distribution, growth monitoring, and behaviour change communication. Adherence and acceptability monitoring, along with sensitization and education efforts, also contributed to successful HFP programming. Hindering the use of HFPs were logistical issues, including delays in obtaining the products, sharing of HFPs across household members, and a lack of trust in both implementers and HFPs. HFPs appeared to have mixed results regarding improving health outcomes, such as growth, anaemia, and morbidities, though effects were difficult to isolate. Overall, this review demonstrates that HFPs are feasible to implement and potentially beneficial; however, more studies, including implementation research and effectiveness trials, are needed to better determine whether and how HFP programming should be implemented in humanitarian settings.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70128"},"PeriodicalIF":2.6,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of the ABA-Feed Infant Feeding Intervention: A Qualitative Study With Women, Peer Supporters and Coordinators. aba喂养婴儿干预的经验：一项妇女、同伴支持者和协调者的质性研究。

IF 2.6 2区医学

Maternal and Child Nutrition Pub Date : 2025-10-07 DOI: 10.1111/mcn.70124

Joanne Clarke, Nicola Crossland, Stephan Dombrowski, Pat Hoddinott, Jenny Ingram, Debbie Johnson, Kate Jolly, Christine MacArthur, Jennifer McKell, Ngawai Moss, Julia Sanders, Nicola Savory, Beck Taylor, Gill Thomson

{"title":"Experiences of the ABA-Feed Infant Feeding Intervention: A Qualitative Study With Women, Peer Supporters and Coordinators.","authors":"Joanne Clarke, Nicola Crossland, Stephan Dombrowski, Pat Hoddinott, Jenny Ingram, Debbie Johnson, Kate Jolly, Christine MacArthur, Jennifer McKell, Ngawai Moss, Julia Sanders, Nicola Savory, Beck Taylor, Gill Thomson","doi":"10.1111/mcn.70124","DOIUrl":"https://doi.org/10.1111/mcn.70124","url":null,"abstract":"UK breastfeeding rates are low, with health inequalities in initiation and continuation. Breastfeeding peer support interventions are recommended in UK and global policy. The Assets-based feeding help Before and After birth (ABA-feed) trial tested the effectiveness of proactive, woman-centred support for infant feeding delivered by trained peer supporters (infant feeding helpers; IFHs) in addition to usual care at 17 UK sites. Using data from an embedded process evaluation, this paper reports the views and experiences of women receiving, and the IFHs and coordinators delivering, ABA-feed. Women (n = 2475) were recruited to the trial antenatally; 1458 were allocated to the intervention. Thirty women from five study sites took part in qualitative interviews between 9 and 23 weeks postnatal. IFHs (n = 72) and coordinators (n = 25) from across all sites participated in individual or group interviews towards the end of the intervention period. Interview transcripts were analysed alongside 1147 free-text responses from an 8-week postnatal follow-up survey using Framework Analysis. The ABA-feed intervention was highly acceptable to women, including younger women, those with less education, from diverse ethnic groups, single mothers, and those who intended to formula feed, as well as to IFHs and coordinators. Both remote and in-person support was acceptable. While women valued proactive daily contact during the first 14 days postpartum, some IFHs found this challenging, and some struggled with supporting women who chose formula feeding or were less engaged. This study highlights the value of flexible, proactive, woman-centred infant feeding support. TRIAL REGISTRATION: ISRCTN17395671.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70124"},"PeriodicalIF":2.6,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

USAID Funding Cuts Highlight the Stark Lack of Investment in Adolescent Health and Nutrition Globally. 美国国际开发署资金削减凸显全球青少年健康和营养投资严重不足。

IF 2.6 2区医学

Maternal and Child Nutrition Pub Date : 2025-09-30 DOI: 10.1111/mcn.70103

Tawanda Mukwekwezeke, Natasha Lelijveld

引用次数: 0

Diet and Care Mediate the Effects of Parenting and Nutrition Interventions on Childhood Infections. 饮食和护理调节父母教养和营养干预对儿童感染的影响。

IF 2.6 2区医学

Maternal and Child Nutrition Pub Date : 2025-09-29 DOI: 10.1111/mcn.70127

Nazia Binte Ali, Arjumand Rizvi, Saima Siyal, Wafaie W Fawzi, Aisha K Yousafzai, Christopher R Sudfeld

{"title":"Diet and Care Mediate the Effects of Parenting and Nutrition Interventions on Childhood Infections.","authors":"Nazia Binte Ali, Arjumand Rizvi, Saima Siyal, Wafaie W Fawzi, Aisha K Yousafzai, Christopher R Sudfeld","doi":"10.1111/mcn.70127","DOIUrl":"https://doi.org/10.1111/mcn.70127","url":null,"abstract":"The effect of community-based multi-input interventions that promote health, nutrition, and development on childhood infections, and the pathways that explain these effects remain unclear. We conducted a secondary analysis of a factorial-designed clustered randomized controlled trial (N = 1489) conducted in rural Pakistan to estimate the effects of responsive stimulation and enhanced nutrition (responsive feeding and multiple micronutrient powders (MNPs)) interventions on diarrhoea, fever, and acute respiratory infection (ARI) among children under 2 years using Poisson regression models. We used a counterfactual framework and weighting-based approach to conduct mediation analyses through diet and care-related factors. The responsive stimulation intervention reduced diarrhoea between 12 and 24 months of age (rate ratio (RR): 0.87; 95% CI: 0.77, 0.97), fever from 6 to 24 months (RR: 0.80; 95% CI: 0.73, 0.88), and ARI from 6 to 24 months (RR: 0.91; 95% CI: 0.83, 0.99). In contrast, enhanced nutrition increased rates of fever from 6 to 24 months (RR: 1.34; 95% CI: 1.22, 1.48). Reductions in maternal depressive symptoms partially mediated the positive effects of responsive stimulation on diarrhoea, fever, and ARI between 6 and 24 months (54.7%, 15.6%, and 49.1% mediated, respectively) and also provided positive indirect effects for the enhanced nutrition intervention on these outcomes. Improvements in meal frequency contributed to reductions in child diarrhoea for both interventions. Responsive stimulation and enhanced nutrition had contrasting effects on childhood infections, but both interventions improved diet and care-related mediators that contributed positive indirect effects. The provision of iron-containing MNPs may explain the overall negative effect of the enhanced nutrition package on fever. Trial Registration: Clinicaltrials.gov identifier: NCT007159636.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70127"},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anaemia Among Mother-Child Dyads in India: Trends, Drivers, and Future Projections. 印度母子双性贫血：趋势、驱动因素和未来预测。

IF 2.6 2区医学

Maternal and Child Nutrition Pub Date : 2025-09-29 DOI: 10.1111/mcn.70106

Sarang Pedgaonker, Trupti Meher, Monali Gupta, Suman Chakrabarti, Phuong Hong Nguyen, Shri Kant Singh, Laxmi Kant Dwivedi, Aditi, Samuel Scott

{"title":"Anaemia Among Mother-Child Dyads in India: Trends, Drivers, and Future Projections.","authors":"Sarang Pedgaonker, Trupti Meher, Monali Gupta, Suman Chakrabarti, Phuong Hong Nguyen, Shri Kant Singh, Laxmi Kant Dwivedi, Aditi, Samuel Scott","doi":"10.1111/mcn.70106","DOIUrl":"https://doi.org/10.1111/mcn.70106","url":null,"abstract":"Anaemia among mothers and their children is a widespread public health challenge with profound consequences for individuals and societies. While anaemia has been studied separately in women and children, there remains a literature gap examining anaemia in mother-child dyads, limiting insights on interventions that may simultaneously address anaemia in both groups. Our study examines trends and drivers of anaemia among mother-child dyads (mothers aged 15-49 years and their children aged 6-59 months; N = 408,342) in India using nationally-representative data from 2006 to 2021 and estimates the potential future reduction in anaemia among mother-child dyads based on changes in selected drivers. We employed descriptive statistics, multivariable logistic regression and population attributable fraction (PAF) analysis. The co-occurrence of anaemia among mothers-child dyads changed very slightly, from 35% in 2006% to 33% in 2016 and to 37% in 2021. Subnational analyses revealed varying trends by states, with Delhi showing the highest increase (17%-32%) and Sikkim the largest decrease (29%-16%) between 2006 and 2021. Maternal education, regular consumption of nonvegetarian food and green leafy vegetables, consumption of iron folic acid supplements, utilization of government health services, and improved sanitation at both household and community levels were associated with lower likelihood of anaemia among mother-child dyads. The cumulative PAF suggested that addressing these factors collectively could reduce anaemia prevalence among mother-child dyads by 18% to 28% (under different scenarios) by 2030. The study underscores the need for comprehensive, multi-sectoral interventions targeting both maternal and child health to effectively combat anaemia in mother-child dyads.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70106"},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From Insult to Injury: Exploring the Associations Between Severe Malnutrition in Childhood, Rehabilitation Weight Gain and Adult Adiposity in a Prospective Cohort Study. 从侮辱到伤害：在一项前瞻性队列研究中探索儿童严重营养不良、康复体重增加和成人肥胖之间的关系。

IF 2.6 2区医学

Maternal and Child Nutrition Pub Date : 2025-09-29 DOI: 10.1111/mcn.70101

Debbie S Thompson, Kimberley McKenzie, Asha Badaloo, Charles Opondo, Jonathan Wells, Mubarek Abera, Amir Kirolos, Albert Koulman, Marko Kerac, Michael S Boyne

{"title":"From Insult to Injury: Exploring the Associations Between Severe Malnutrition in Childhood, Rehabilitation Weight Gain and Adult Adiposity in a Prospective Cohort Study.","authors":"Debbie S Thompson, Kimberley McKenzie, Asha Badaloo, Charles Opondo, Jonathan Wells, Mubarek Abera, Amir Kirolos, Albert Koulman, Marko Kerac, Michael S Boyne","doi":"10.1111/mcn.70101","DOIUrl":"https://doi.org/10.1111/mcn.70101","url":null,"abstract":"The relationships between severe malnutrition (SM), rehabilitation weight gain, and cardiometabolic risk in adult survivors have not been fully elucidated. We utilised a previously collected data set to explore these associations in a cohort of adults who were hospitalised for SM as children from 1963 to 1995. We studied 278 adult SM survivors: 60% male; median age (IQR) 26.5(11.3) years; mean BMI 23.6(5.2) kg/m2). Children's minimum weight-for-age z scores after hospitalisation (minWAZ) were analysed against adiposity as adults in sex-disaggregated regression models. Higher minWAZ was associated with greater adult waist circumference (mean difference:1.8 cm, 95%CI 0.7, 2.9, p = 0.001), fat mass (difference:2.4 kg, 95%CI 0.17,1.06, p = 0.007) and android fat mass (difference:0.19 kg, 95%CI 0.09, 0.29, p < 0.001) in bivariate analyses. Approximately 13% of the effect of minWAZ on adult fat mass was mediated by rehabilitation weight gain in g/kg/day (Sobel's p = 0.053). In male and not female adult survivors, rehabilitation weight gain > 12.9 g/kg/day was associated with greater adult fat mass (difference:5 kg, 95%CI 2, 9, p = 0.006) and android fat (difference:0.5 kg, 95%CI 0.1, 0.8, p = 0.006). Female sex was the strongest predictor of adult fat mass (difference:12.7 kg, 95%CI 9.6, 15.7, p < 0.001) and android fat mass (difference:0.9 kg, 95%CI 0.6, 1.2 p < 0.001) and adult age the strongest predictor of adult waist circumference (difference:0.67 cm, 95%CI 0.39, 0.94, p < 0.001). Faster rehabilitation weight gain as an independent, causal risk factor for adiposity in male SM survivors requires further exploration and more modest weight gain targets may contribute to reducing their risk of adult cardiometabolic disease.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70101"},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Distance From Treatment Is Associated With Poorer Admission Status and Worse Outcomes Among Acutely Malnourished Children. 在急性营养不良儿童中，与治疗的距离与较差的入院状况和较差的预后有关。

IF 2.6 2区医学

Maternal and Child Nutrition Pub Date : 2025-09-26 DOI: 10.1111/mcn.70119

Suvi T Kangas, Abel Khisa, Zachary Tausanovitch, Bareye Ouologuem, Issa Niamanto Coulibaly, Koniba Diassana, Alhousseyni Haidara, Grace Heymsfield, Christian Ritz, André Briend, Jeanette Bailey

{"title":"Distance From Treatment Is Associated With Poorer Admission Status and Worse Outcomes Among Acutely Malnourished Children.","authors":"Suvi T Kangas, Abel Khisa, Zachary Tausanovitch, Bareye Ouologuem, Issa Niamanto Coulibaly, Koniba Diassana, Alhousseyni Haidara, Grace Heymsfield, Christian Ritz, André Briend, Jeanette Bailey","doi":"10.1111/mcn.70119","DOIUrl":"https://doi.org/10.1111/mcn.70119","url":null,"abstract":"Distance from health facilities is an important predictor of treatment seeking and health outcomes. We aimed to describe the relationship between distance from care with admission characteristics and treatment outcomes among children admitted to malnutrition treatment. Data was collected as part of an observational study on the effectiveness of a simplified malnutrition treatment program in the Nara district of Mali. Treatment was provided at 37 health centers and 51 community health sites. Linear and logistics mixed models were fitted to estimate associations between distance from treatment with admission anthropometrics and programmatic outcomes. A total of 49,074 children with mid-upper arm circumference (MUAC) < 125 mm or edema were admitted to treatment between December 2018 and December 2023. Most (60%) lived within the village/town where treatment was provided (0 km) while 7%, 27% and 7% lived 1-5 km, 6-15 km and > 15 km from the treatment site, respectively. Up to 91% recovered attaining twice a MUAC ≥ 125 mm. Distance from treatment was consistently associated with lower anthropometrics at admission with 0.63, 1.38 and 2.18 mm lower MUAC among children living 1-5, 6-15, and > 15 km distance from the treatment site, respectively (p < 0.001), compared to 0 km. This suggests later treatment seeking among those living further from treatment. Living > 15 km from treatment site was associated with 49% increased risk of defaulting, 20% decreased risk of referral to inpatient care and 18% increased risk of missing a visit when compared to 0 km, and when adjusting for admission anthropometry. Poorer admission status and worse treatment outcomes are observed among children living farther from treatment sites, emphasizing the need to further decentralize malnutrition treatment.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70119"},"PeriodicalIF":2.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Longitudinal Impact of Fetal Malnutrition on the Anthropometric Growth of Young Children in Leyte, the Philippines. 胎儿营养不良对菲律宾莱特市幼儿人体测量生长的纵向影响。

IF 2.6 2区医学

Maternal and Child Nutrition Pub Date : 2025-09-26 DOI: 10.1111/mcn.70120

Mackenzie E Bruzzio, Jennifer Friedman, Christopher Barry, Emily McDonald, Blanca Jarilla, Veronica Tallo, Susannah Colt

{"title":"The Longitudinal Impact of Fetal Malnutrition on the Anthropometric Growth of Young Children in Leyte, the Philippines.","authors":"Mackenzie E Bruzzio, Jennifer Friedman, Christopher Barry, Emily McDonald, Blanca Jarilla, Veronica Tallo, Susannah Colt","doi":"10.1111/mcn.70120","DOIUrl":"https://doi.org/10.1111/mcn.70120","url":null,"abstract":"Poor intrauterine growth has long-term implications for child growth and nutritional status. Fetal malnutrition (FM) is a type of poor intrauterine growth defined by the presence of soft tissue wasting at birth and is identified using the Clinical Assessment of Nutritional Status Score (CANSCORE) tool, independent of gestational age. There is limited evidence evaluating FM as a predictor of longitudinal growth and nutritional status in young children. In this longitudinal birth cohort in Leyte, the Philippines, mother-infant dyads were enroled, and infants were followed for 24 months after delivery. Infants were evaluated using CANSCORE within 48 h of birth by a trained midwife, and FM was defined as CANSCORE < 25. Weight and length were measured at birth, 1-, 6-, 12-, 18- and 24-month visits. Weight-for-age (WAZ), length-for-age (LAZ) and weight-for-length (WLZ) z scores were determined using WHO Anthro. Associations between FM and anthropometric z scores were assessed using multivariable linear regression, adjusting for maternal body mass index (BMI), family socioeconomic status (SES) and child's sex. Among N = 246 infants included for analysis, 8 (3%) were classified with FM at birth. Despite limited power, FM was significantly associated with reduced WAZ, LAZ and WLZ at nearly all timepoints in the fully adjusted models. CANSCORE is a user-friendly tool for assessing FM in areas with limited equipment and predicted that newborns with FM were at continued risk for undernutrition and growth stunting until age 24 months. Identification of FM at birth provides opportunities for targeted early nutrition interventions for high-risk infants.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70120"},"PeriodicalIF":2.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0