Maternal and Child Nutrition最新文献

{"title":"Dietary Diversity in Pregnant Women and Its Association With Household Food Security in Rural Southern Angola.","authors":"Rocio Martin-Cañavate, Elena Trigo, Maria Romay-Barja, Lourdes Maria Faria, Ana Silva Gerardo, Isabel Aguado, Eva Iráizoz, Tayna Marques, Israel Molina, Estefania Custodio","doi":"10.1111/mcn.70051","DOIUrl":"https://doi.org/10.1111/mcn.70051","url":null,"abstract":"<p><p>Dietary diversity in pregnant women is key for maternal health and newborn growth and development. Food insecurity is one of the determinants of poor quality diets and can be measured by several indicators, but evidence of its association with dietary diversity in pregnant women is limited. We assessed the effect of food insecurity measured by the Food Insecurity Experience Scale (FIES) and by the household dietary diversity score (HDDS) on pregnant women's dietary diversity score in four rural areas of South Angola, using the baseline survey data of the MuCCUA trial (\"Mother and Child Chronic Undernutrition in Angola\" study). We constructed separate estimation models for each food insecurity indicator and adjusted for confounders on the overall sample and by \"commune\". Among 1379 pregnant women, only 6.7% met the minimum dietary diversity for women, 78.3% of the households experienced moderate/severe food insecurity as measured by FIES and 73.8% showed food insecurity reflected by a low HDDS. Significant negative effects were found between food insecurity measured by low HDDS and pregnant women's dietary diversity after adjusting for confounders, in all the models. Experiencing moderate/severe food insecurity as measured by FIES (FIESmodsev) also had a negative effect on pregnant women's dietary diversity overall, but the effect was only maintained in two communes. Results were similar for severe food insecurity (FIESsev) but effect was lost after adjusting for confounders in three communes. Although low HDDS, FIESmodsev and FIESsev showed similar prevalences of food insecurity, their impact on pregnant women's dietary diversity was different in terms of strength and significance. Addressing food insecurity should be considered when designing multifaceted interventions for improving dietary diversity in pregnant women. Trial registration: Clinical Trials NCT05571280. Registered 7 October 2022.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70051"},"PeriodicalIF":2.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210189","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}

{"title":"Motivators for Adherence and Drivers of Taboo-Breaking Behaviour Regarding Food Taboos Among Rural Pregnant Women in Bangladesh: Findings From Formative Research.","authors":"Shahrin Emdad Rayna, Fahmida Afroz Khan, Sharraf Samin, Saiqa Siraj, Saika Nizam, Syed Shariful Islam, Md Khalequzzaman","doi":"10.1111/mcn.70053","DOIUrl":"https://doi.org/10.1111/mcn.70053","url":null,"abstract":"<p><p>Understanding the influence of cultural practices on maternal health is crucial in addressing the nutritional challenges faced by pregnant women in rural Bangladesh. Despite improvements in maternal and child health indicators, food taboos remain prevalent, impacting nutritional and health outcomes of vulnerable populations. This qualitative study explored food taboos and factors related to their adherence or breaking, among rural pregnant women in Bangladesh, where a total of 90 participants, including 21 pregnant women, 23 mothers-in-law, 20 husbands, and 26 healthcare workers, were interviewed through 29 in-depth interviews and 11 focus group discussions. Nearly half of the participants adhered to food taboos, citing beliefs about their negative consequences on pregnancy and baby health. Commonly restricted animal source foods included white carp, trout, duck meat, and mutton, due to fears of convulsions, speech disorders, or undesirable traits in the baby. Raw papayas and pineapples were avoided due to beliefs they could cause miscarriage. Adherence to these taboos was related to the pregnant mother's desire to avoid harm to her child, preference for vaginal delivery, avoid financial stress of caesarean section, profound respect for her elders, early age at marriage, and primiparity. Factors enabling the breaking of food taboos included nutritional counselling by healthcare workers, increased family understanding of maternal nutrition, reduced reinforcement of taboos, and the lack of negative consequences from consuming tabooed foods. The findings underscore the need to use scientific evidence to challenge food taboos by enhancing nutritional counselling programmes and engaging family members and community elders to foster dietary changes for pregnant women.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70053"},"PeriodicalIF":2.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210190","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}

{"title":"The Association Between Urbanisation and Household Food Security in Nigeria.","authors":"Joseph B Ajefu, Michael Henry, Sabastine U Ugbaje","doi":"10.1111/mcn.70044","DOIUrl":"https://doi.org/10.1111/mcn.70044","url":null,"abstract":"<p><p>A growing number of studies have shown that urbanisation is commonly associated with a change in dietary or consumption patterns towards more expensive and exotic foods. Previous attempts to investigate the implications of urbanisation on household food security have commonly employed dichotomous or binary indicators of urbanisation. Unlike previous studies, we employ satellite-based night-time light intensity data from the US Air Force Defense Meteorological Satellites Programme and use it as a proxy for different stages or degrees of urbanisation. The night-time light data provide a continuous, spatially explicit, and objective proxy for urbanisation. The data are measured with consistent quality across countries, regardless of the different institutional capacities, allowing for consistent measurement of urban growth across various communities and regions. In our analysis, we explore the impact of variations in nightlight intensity on household food security in Nigeria. Our results show that night-time light is positively associated with household food security. However, we find that higher polynomial terms of night-time light intensity exhibit a nonlinear relationship between urbanisation and household food security. Based on the results, our findings will advance the current understanding of the relationship between urbanisation and household food security, which could have implications on maternal and child wellbeing.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70044"},"PeriodicalIF":2.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183346","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}

{"title":"Effect of Family MUAC Utilization in Identifying Severity of Acute Malnutrition at Admission to Nutrition Programs Among Children Aged 6-59 Months Ethiopia.","authors":"Meron Tamirat, Alinoor Mohammed Farah, Gudina Egeta, Aweke Kebede, Samson Gebremedhin, Seifu Hagos Gebreyesus","doi":"10.1111/mcn.70054","DOIUrl":"https://doi.org/10.1111/mcn.70054","url":null,"abstract":"<p><p>Mid-upper arm circumference (MUAC) screening is a simple community-level method for detecting acute malnutrition. The Family MUAC approach, which trains caregivers to measure their children's MUAC and refer them for treatment, has shown promise, but evidence regarding its impact on malnutrition severity at admission is limited. To address this gap, we conducted a longitudinal study from March to May 2024 in two districts in Eastern Ethiopia, enrolling 360 children aged 6-59 months. We compared children referred by their mothers or caregivers using the Family MUAC (n = 180) with those referred by Health Extension Workers (HEWs) (n = 180). We found that the median MUAC at admission was 119 mm (IQR 116-120) in the mother-referral group versus 116 mm (IQR 115-119) in the HEWs-referral group, and the proportion of severe acute malnutrition (MUAC < 115 mm) was lower among caregiver-referred children (4.2% vs. 18.4%). Multivariable regression analysis showed that mother/caregiver-referred children had an 80.5% lower risk of severe MUAC at admission [ARR 0.195(0.06, 0.59)] and a 75% reduced likelihood of SAM admission compared to the HEWs-Referral group (ARR 0.25; 95% CI, 0.148-0.448). The Family MUAC approach significantly reduced the severity of malnutrition at admission. Consequently, this strategy should be expanded and prioritized in national screening programs.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70054"},"PeriodicalIF":2.8,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182831","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}

{"title":"Interpregnancy Weight Change and Adverse Birth Outcomes: Cohort Study Using Brazil's Routine Register-Based Linked Data.","authors":"Aline S Rocha, Thais Rangel Bousquet Carrilho, Priscila R F Costa, Enny S Paixao, Natanael J Silva, Helena B M da Silva, Ila R Falcão, Rosemeire L Fiaccone, Mauricio L Barreto, Rita de Cássia Ribeiro-Silva","doi":"10.1111/mcn.70052","DOIUrl":"https://doi.org/10.1111/mcn.70052","url":null,"abstract":"<p><p>The effects of interpregnancy weight change (IPWC) on the risk of adverse birth outcomes in subsequent pregnancies are still not fully understood. Existing studies present conflicting results regarding the association between IPWC and preterm birth, while evidence of its relationship with low birth weight (LBW) or macrosomia is limited, particularly in low- and middle-income countries. This population-based longitudinal study used Brazil's routine register-based linked data from 2008 to 2015 to evaluate the association between IPWC and adverse birth outcomes in a subsequent pregnancy. Preterm birth, LBW, and macrosomia were compared across categories of IPWC between pregnancies (including changes in BMI unit, changes in BMI category, and percentage of weight change). Logistic and multinomial logistic regressions were used to estimate the association between IPWC and adverse birth outcomes. We analysed 15,570 live births from 7785 multiparous women. Women who reduced their BMI between pregnancies had an increased chance of delivering preterm neonates (OR 1.27; 95% CI 1.01-1.60) and those who increased their BMI by ≥ 4 units between pregnancies had an increased chance of macrosomia (OR 1.60; 95% CI 1.21-2.12) compared to those who maintained their BMI. Similar results were observed when IPWC was defined as changes in BMI categories and percentage changes in weight. The results of this study show that IPCW were associated with changes in both the newborn's maturity and size in a subsequent pregnancy. These findings support the need to develop experimental studies on the effects of maternal weight management within and between pregnancies to improve outcomes for both mothers and babies.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70052"},"PeriodicalIF":2.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162690","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}

{"title":"A Global Scoping Review on Alternative Ready-to-Use Therapeutic Foods.","authors":"Patrizia Pajak, Sebsibie Teshome, Anne Berton, Heather Stobaugh, Alison Fleet, Durga Khatiwada, Bernardette Cichon","doi":"10.1111/mcn.70035","DOIUrl":"https://doi.org/10.1111/mcn.70035","url":null,"abstract":"<p><p>Alternative ready-to-use therapeutic foods (RUTF) formulations provide an opportunity to lower costs, facilitate local or national ingredient use, and enhance the availability and acceptability of RUTF. This scoping review aimed to identify and categorise the available evidence on alternative RUTF formulations developed and tested globally, assess their compliance with international standards and summarise evidence on acceptability, cost, effectiveness, cost-effectiveness and adverse events, highlighting evidence gaps to guide future research. Searches of three databases and extensive grey literature were conducted covering the period from 1999 to June 2023. Fifty-four articles, 42 peer-reviewed articles and 12 grey literature sources were included. Fifty-three RUTF formulations at various development stages for the treatment of severe acute malnutrition (SAM) without medical complications in children 6-59 months were identified. Numerous ingredients have undergone testing to replace primarily peanuts and/or milk, demonstrating consistent acceptance and promising results in terms of effectiveness. Evidence on outcomes beyond anthropometric recovery, such as higher iron status, and effects on cognitive and developmental outcomes or gut microbiome, is also limited. Few studies evaluated the cost implications, revealing potential savings in production costs while no significant differences were found in terms of safety. Additional evidence is required on how reduced or milk-free formulations within the innovation and novel categories can achieve compliance with the required protein digestibility-corrected amino acid score (PDCAAS) recommendations. Further research is also needed with specific focus on outcomes beyond anthropometric recovery such as cost-effectiveness, accessibility, macro and micronutrient deficiencies, sustainability of recovery and longer term health outcomes.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70035"},"PeriodicalIF":2.8,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144251","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}

{"title":"Influence of Maternal Education and Household Wealth on Double Burden of Malnutrition in South and Southeast Asia.","authors":"Ashis Talukder, Matthew Kelly, Darren Gray, Haribondhu Sarma","doi":"10.1111/mcn.70049","DOIUrl":"https://doi.org/10.1111/mcn.70049","url":null,"abstract":"<p><p>The double burden of malnutrition (DBM), defined by the coexistence of undernutrition and overnutrition within households, poses significant public health challenges in South and Southeast Asia. While previous studies have examined the individual effects of maternal education and household wealth on DBM, findings remain inconsistent, and little is known about how these factors interact across different contexts. To address this gap, we used nationally representative Demographic and Health Survey (DHS) data from Bangladesh (2017-2018), Cambodia (2022), Nepal (2022) and Timor-Leste (2016) to analyse the interaction between maternal education and household wealth in shaping DBM risk. These countries were selected due to their ongoing nutritional transition, which has contributed to the increasing prevalence of DBM. For the analysis, we used DHS data, which employs a standardised multistage cluster sampling method and probabilistic methods to ensure representativeness. In this study, we selected mother-child pairs from the DHS survey, focusing on children aged 0-59 months and nonpregnant mothers at the time of the survey. We included those pairs for which both the mother and child had valid weight and height measurements. Maternal education and household wealth were identified as the primary exposures. To examine their interaction and the impact of other covariates on DBM, we employed multivariable logistic regression models. Our study found that DBM prevalence was higher in urban and wealthier households, with the highest rates observed in Timor-Leste and Cambodia. Multivariable logistic regression indicated that lower maternal education increased DBM risk, especially in affluent households (OR 2.07-3.29). Conversely, higher maternal education was associated with lower DBM prevalence. Additionally, breastfeeding and antenatal care visits emerged as protective factors. These findings indicate the necessity for specific interventions aimed at enhancing maternal education and promoting healthy dietary practices, particularly in rich households. Additionally, reinforcing breastfeeding practices and increasing antenatal care visits are essential strategies to mitigate the risks associated with DBM.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70049"},"PeriodicalIF":2.8,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121493","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}

{"title":"Micronutrient Powders Combined With Malaria Chemoprevention to Improve Anaemia and Cognitive Function in Early Childhood in Mali: A Cluster-Randomised Trial.","authors":"Niélé H Diarra, Yahia Dicko, Natalie Roschnik, Modibo Bamadio, Michael Boivin, Yvonne Griffiths, Rebecca Jones, Sham Lal, Helen Moestue, Hamidou Niangaly, Lauren Pisani, Renion Saye, Kalifa Sidibe, Karla Smuts, Nia-An Philippe Thera, Josselin Thuilliez, Hans Verhoef, Moussa Sacko, Siân E Clarke","doi":"10.1111/mcn.70033","DOIUrl":"https://doi.org/10.1111/mcn.70033","url":null,"abstract":"<p><p>A cluster-randomised controlled trial was conducted in 60 communities in southern Mali to evaluate the impact of micronutrient powders (MNP) combined with seasonal malaria chemoprevention (SMC) on anaemia (primary endpoint), Plasmodium infection, stunting and cognitive function in children < 5 years. The 60 communities were randomly allocated to the intervention or control arm, and cross-sectional biomedical and cognitive surveys were conducted after 1 and 3 years in a random sample of 3 and 5 years olds (1052 and 1081 children, respectively). All children aged 3-59 m in intervention and control communities received two rounds of SMC each year during the peak malaria season, and in intervention communities, all children aged 6-59 m additionally received 4 months of daily MNP after the peak malaria season. Despite a high baseline prevalence of anaemia and good fidelity to intervention, this trial found no evidence of impact on study outcomes. The prevalence of anaemia was similar in both arms for both age groups after 1 and 3 years of intervention-after 3 years, the prevalence of anaemia amongst 3-year olds was 57.6% in the intervention arm versus 60.1% in the control group (p = 0.352). For 5-year olds, it was 51.3% and 53.0%, respectively (p = 0.607). No effect was observed on stunting or cognitive function either.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70033"},"PeriodicalIF":2.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112342","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}

{"title":"Reaching Priority Populations When Scaling Up: A Qualitative Study of Practitioners' Experiences of Implementing Early Childhood Health Interventions in Victoria, Australia.","authors":"Sarah Marshall, Penelope Love, Konsita Kuswara, Karen Lee, Hannah Downes, Rachel Laws","doi":"10.1111/mcn.70046","DOIUrl":"https://doi.org/10.1111/mcn.70046","url":null,"abstract":"<p><p>Implementing evidence-based health promotion programmes at scale is important for achieving population-level health outcomes. However, achieving equitable reach can be challenging. An evidence-based early-life nutrition and movement intervention (INFANT) is currently being implemented at scale in Australia. This study explored practitioners' perceptions about reaching priority population groups through INFANT or similar universal preventive health programmes and services implemented at scale. Fifteen semi-structured online interviews were conducted with purposively selected experienced practitioners. Interviews were transcribed and analysed using reflexive thematic analysis. Two main themes were developed, representing the complexities of reaching priority population groups through universal health programmes and services in early childhood. Theme 1: \"We're not hitting the mark\"-Underlying issues influence universal healthcare access, highlighted (a) the perception that parents felt out of place through a sense of not belonging or being unfamiliar with universal services and (b) that practical constraints and pressing priorities impacted access. Theme 2: \"There are no easy answers\"-Varied approaches can enhance engagement, but the path is not straightforward, encompassed (a) the importance of trust and familiarity with providers, (b) the suitability of programmes and services for target communities, and (c) factors such as practitioner uncertainty regarding approaches that could address the needs of families from priority populations and resourcing that can limit targeted efforts. Our findings highlight the complexities of achieving equitable reach during scale-up and the varied decision-making and resourcing for addressing inequity in a local context. While our findings identify local-level strategies to address equitable reach during scale-up, we emphasise that striving to achieve health equity should be embedded and prioritised in scale-up efforts.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70046"},"PeriodicalIF":2.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095596","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}

{"title":"Impacts of a Homestead Food Production Intervention on Anaemia and Micronutrient Deficiencies Among Women and Children in Rural Bangladesh: A Cluster-Randomized Controlled Trial.","authors":"Amanda S Wendt, Jillian L Waid, Anna A Müller-Hauser, Nathalie J Lambrecht, Tarique Md Nurul Huda, Nicholas N A Kyei, Sabine Gabrysch","doi":"10.1111/mcn.70043","DOIUrl":"https://doi.org/10.1111/mcn.70043","url":null,"abstract":"<p><p>Micronutrient deficiencies affect over half of young children and two-thirds of reproductive-aged women worldwide. Nutrition-sensitive agriculture interventions have the potential to increase nutrient-dense food intake and thus improve micronutrient status. We evaluated the impact of a homestead food production (HFP) programme on micronutrient status and anaemia of women and their children (registered secondary outcomes) in the Food and Agricultural Approaches to Reducing Malnutrition (FAARM) trial, additionally assessing its impact on inflammation. We conducted a 1:1 parallel two-arm cluster-randomized controlled trial in Sylhet, Bangladesh, with 96 clusters. The 3-year HFP intervention included gardening, poultry, nutrition, and hygiene components. In 2015, we enrolled 2705 women and their children up to 3 years of age, and in 2019, we evaluated impacts on anaemia, iron, vitamin A, zinc and inflammation status through blood measures of women (aged 19-44 years) and their 6- to 37-month-old children, using multilevel regression. Anaemia was common (nonpregnant women: 20%, pregnant women: 35%, children: 16%), while iron deficiency was rare among nonpregnant women (3%), 12% among pregnant women and 20% among children. Vitamin A deficiency ranged from 1% to 5%, and zinc deficiency was very common (nonpregnant women: 43%, pregnant women: 69%, children: 25%). We found no evidence of an intervention impact on micronutrient status, anaemia or inflammation among the 2483 women and 930 children measured. The moderate improvements in dietary intake achieved by the intervention were thus not sufficient, and more substantial hygiene improvements and targeted dietary changes may be needed to improve micronutrient status. This trial was registered at Clinicaltrials.gov (NCT02505711).</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70043"},"PeriodicalIF":2.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095661","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}