Maternal and Child Nutrition最新文献

{"title":"Association Between Gestational Weight Gain and Low Birth Weight Across the Pre-pregnancy Body Mass Index Strata: The Sri Lanka Maternal and Newborn Growth Study.","authors":"Malshani Lakshika Pathirathna, Megumi Haruna, Satoshi Sasaki, Kaori Yonezawa, Yuriko Usui, Yasuhiro Hagiwara, Mahasen Bandara Dehideniya","doi":"10.1111/mcn.70060","DOIUrl":"https://doi.org/10.1111/mcn.70060","url":null,"abstract":"<p><p>Investigating the association between gestational weight gain (GWG) on low birth weight (LBW, birth weight < 2500 g) across pre-pregnancy body mass index (BMI) categories (underweight: < 18.5, normal: 18.5-24.9 and overweight/obese: ≥ 25 kg/m²) is crucial for clinical practice. While the Institute of Medicine's (IOM) 2009 GWG guidelines are widely used, evidence-based data from diverse populations is scarce, creating a global research gap. We explored how total GWG and adherence to IOM recommendations affected the odds of LBW across BMI categories in the Sri Lankan context. This nationwide prospective study evaluated 1499 maternal and singleton-newborn pairs between August 2022 and April 2024. Unadjusted and adjusted logistic regression analyses were performed. An increase in total GWG z-score was associated with decreased odds of LBW among women with underweight pre-pregnancy BMI (aOR: 0.56, 95% CI: 0.35‒0.89), but no significant association was observed among women with normal or ≥ 25 kg/m² BMI. Women with underweight BMI whose GWG was below the IOM recommended range showed higher odds of LBW than those with GWG within the recommended range (aOR 3.05, 95% CI: 1.08‒8.61). However, among women with normal or higher BMI, GWG below the recommended range was not significantly associated with LBW. These findings suggest that the association between GWG and odds of LBW varies across pre-pregnancy BMI categories. Among Sri Lankan women with underweight pre-pregnancy BMI, gaining pregnancy weight within the IOM GWG recommendations was associated with significantly lower odds of delivering an LBW newborn. This association was not observed among women with normal or higher BMI.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70060"},"PeriodicalIF":2.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509328","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":"'Breastfeeding Is Not the Sole Responsibility of Women': A Qualitative Examination of the Supportive Environment for Breastfeeding in Nigeria Across Levels of the Socioecological Model.","authors":"Elizabeth Costenbader, Mackenzie Green, Kate Litvin, Christina Memmott, Tochukwu Osuji, Izuchukwu Offiaeli, Nemat Hajeebhoy","doi":"10.1111/mcn.70050","DOIUrl":"https://doi.org/10.1111/mcn.70050","url":null,"abstract":"<p><p>Breastfeeding is the optimal method of infant and young child feeding. In Nigeria, breastfeeding rates have struggled to markedly improve over past decades. Prior efforts to understand the determinants of breastfeeding have heavily focused on women themselves, with lesser attention on the complex interplay of cultural, economic and health system factors affecting breastfeeding. Given the struggle to sustain improvements in optimal feeding practices, a deeper, updated understanding of the supportive environment for breastfeeding in Nigeria is needed. This subset analysis stems from a formative study that conducted semi-structured interviews and focus group discussions in urban and rural communities in Nigeria's six geo-political zones. The analysis explored barriers and facilitators to breastfeeding at different levels of a socioecological model (SEM). Discussions with pregnant women and mothers of young children focused on the supportive environment for breastfeeding beyond the individual level, exploring facilitators and barriers in women's nuclear and multi-generational families, their communities, and institutions that provide health and nutrition services. At the household level, participants highlighted the influence of family elders. In their communities, widespread traditional practices and beliefs helped and hindered breastfeeding, along with varying sources of community-level support and influence. At the service level, women elaborated on the effect of healthcare service access, service availability, and the quality of health and nutrition services. This formative analysis deepens understanding of factors crucial for developing multilevel and multicomponent interventions across the SEM in Nigeria that can simultaneously support mothers and improve infant health outcomes nationwide.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70050"},"PeriodicalIF":2.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318637","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":"Early Long-Chain Polyunsaturated Fatty Acids Supplementation on Long- and Short-Term Neurodevelopmental Outcomes in Preterm or Low Birth Weight Infants: A Meta-Analysis.","authors":"Yakun Liu, Guoqing Zhang, Tingwei Chen, Hanyi Kong, Shungen Huang","doi":"10.1111/mcn.70048","DOIUrl":"https://doi.org/10.1111/mcn.70048","url":null,"abstract":"<p><p>Long-chain polyunsaturated fatty acid (LCPUFA) supplementation on neurodevelopmental outcomes in preterm or low birth weight (LBW) infants is controversial. This study aims to evaluate the effects of early LCPUFA supplementation on short- and long-term neurodevelopmental outcomes in preterm or LBW infants. This study was previously registered (CRD42024503566). We searched MEDLINE, Embase, PsycInfo, ClinicalTrials.gov and Cochrane Database through January 2024. Randomised clinical trials (RCTs) or follow-up studies comparing early LCPUFA supplementation to placebo or no supplementation in preterm or LBW infants were included. Outcomes assessed included long-term (≥ 5 years) and short-term (< 5 years) measures, such as IQ, neurodevelopmental impairment (NDI), mental development index (MDI) and psychomotor development index (PDI). A random-effects model was used to pool outcome data. Thirteen RCTs involving 3360 participants were analysed. Due to imprecision, it was unclear whether LCPUFA supplementation had a beneficial or harmful effect on long-term IQ (SMD, 0.00; 95% CI, -0.32 to 0.33; I2 = 63%; very low certainty) or on the risk of NDI (RR, 0.77; 95% CI, 0.55-1.08; low certainty), as the confidence intervals allow for potentially clinically meaningful effects. LCPUFA supplementation may reduce the risk of intellectual disability (RR, 0.58; 95% CI, 0.36-0.93; moderate certainty). The evidence did not clearly show short-term neurodevelopmental benefits. Evidence quality varied from moderate to very low. LCPUFA supplementation may not improve most neurodevelopmental outcomes, but could reduce the risk of intellectual disability in preterm or LBW infants. Further studies with long-term follow-up are recommended.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70048"},"PeriodicalIF":2.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303507","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":"Caregiver Nutrition and Nurturing Care: A Scoping Review.","authors":"Taryn J Smith, Alice Fortune, Melissa J Gladstone","doi":"10.1111/mcn.70058","DOIUrl":"https://doi.org/10.1111/mcn.70058","url":null,"abstract":"<p><p>Research on early childhood development has focused on child health, nutrition and stimulation. However, less attention has been given to the role of caregiver nutrition in shaping caregiving behaviours. Suboptimal caregiver nutrition may impair the ability to provide responsive and nurturing care. This scoping review aimed to summarise the existing evidence on the link between caregiver nutrition and nurturing care, specifically responsive caregiving and early learning opportunities. Database (Medline) and citation searches yielded 23 articles meeting inclusion criteria (n = 17 observational; n = 6 randomised controlled trials [RCTs]). The majority (n = 15) were conducted in low- and middle-income countries. Observational studies measured caregiver anthropometry (n = 8), dietary intakes/diversity/quality (n = 6), anaemia (n = 6) and vitamin B6 status (n = 1). RCTs supplemented pregnant and/or postpartum women with iron (n = 2), multiple micronutrients (n = 2), fish oil (n = 1) and food-based snacks (n = 1). Most articles (n = 18) measured caregiving through live or videotaped observations of caregiver-child interactions; the remaining used caregiver self-reported measures of stimulation or caregiver-child bonding/relationship. Overall, suboptimal diets, food insecurity, caregiver under- and overnutrition, anaemia and low vitamin B6 status were associated with less responsive caregiving and fewer opportunities for early learning. Providing anaemic or food-insecure caregivers with iron or food-based supplements positively altered caregiver-child interactions. Supplementation trials that did not specifically target undernourished caregivers found no effects on caregiving behaviours. More research specifically targeting undernourished caregivers is needed to understand how nutritional interventions might benefit caregiving. Interventions aimed at enhancing nurturing care should consider both caregiver and child nutrition as potential targets to improve outcomes for both children and their caregivers.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70058"},"PeriodicalIF":2.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303506","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":"Exploring Risk Factors Associated With Early Mother's Own Milk Feeding Cessation in Very Low Birth Weight Infants.","authors":"Kaan Karacan, Nadine Scholten, Isabella Schwab, Tim Ohnhäuser, Till Dresbach","doi":"10.1111/mcn.70057","DOIUrl":"https://doi.org/10.1111/mcn.70057","url":null,"abstract":"<p><p>Infants born with a very low birth weight (VLBW, < = 1.500 g) have an increased risk for medical complications and long-term impairments. Feeding these infants with their mother's own milk (MOM) reduces the risk for adverse outcomes, but many VLBW infants are not fed with MOM for the recommended duration of at least 6 months postpartum. This study examines factors associated with early cessation during the VLBW infants' neonatal intensive care unit (NICU) stay and after discharge. Data were collected from an anonymous, nationwide survey as part of the Neo-MILK study. Logistic regressions and Cox proportional hazard models were used to identify factors associated with early cessation of MOM feeding. Among the 304 mothers analysed, 19.4% of all mothers ceased MOM feeding during the infants' NICU stay. The total cessation rate before 6 months was 53.9%. An early milk volume of over 500 mL/day compared to less or equal to 500 mL/day was negatively associated with MOM feeding cessation during the infants' NICU stay (Adjusted OR: 0.14). Exclusive pumping was associated with a higher cessation rate after discharge (Adjusted HR: 2.01). Early sufficient milk volume and mixed feeding (pumping and breastfeeding) inform longer MOM feeding duration. Interventions targeting early lactation practices and promoting direct breastfeeding while helping with the transition from pumping to breastfeeding are essential for improving MOM feeding outcomes in VLBW infants. Trial Registration: German Register of Clinical Trials, ID: DRKS00024799, https://drks.de/search/en/trial/DRKS00024799.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70057"},"PeriodicalIF":2.8,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303537","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":"Potential Impact of Large-Scale Food Fortification in Ethiopia: Coverage and Knowledge of Fortifiable Foods.","authors":"Aregash Samuel, Ramadhani Noor, Nahom Tefera, Alemayehu Hussien, Genet Gebremedhin, Mduduzi Mbuya, Endale Amare, Meseret Woldeyohannes, Getinet Fikresilassie, Meron Girma, Alemnesh Petros, Anbissa Muleta, Bedasa Tessema, Feyissa Chala, Kaleab Baye, Arnaud Laillou, Tesfaye Chuko, Getachew Tollera, Mesay Hailu, Stanley Chitekwe, Masresha Tessema","doi":"10.1111/mcn.70055","DOIUrl":"https://doi.org/10.1111/mcn.70055","url":null,"abstract":"<p><p>Large-scale food fortification (LSFF) is an effective public health measure because it may reach a large number of populations at risk using current food delivery systems. The objective of the study was to assess coverage and consumption of fortifiable foods at the household level and to assess the potential impact of LSFF on child outcomes (stunting and survival) in Ethiopia. Cross-sectional survey data on sociodemographic characteristics, dietary intake, and fortifiable food consumption were collected at the household level among 15,812 randomly selected households participating in the 2021-2024 National Food and Nutrition Strategy Baseline Survey at national and subnational levels. We modeled the impact of LSFF on child survival and stunting using the LiST approach. The overall national coverage of fortifiable edible oil, wheat flour, and salt was 89%, 29%, and 98%, respectively. Wealth was a significant predictor of the use of all fortifiable products (p < 0.001). Edible oil consumption varied significantly by education (p < 0.001), while wheat consumption varied by residence and wealth. Knowledge of fortification varied across residence, wealth, and education, highlighting a limitation in promoting current programs for fortified products. The LiST model estimates that in 2023, fortifying wheat flour with folate and zinc could save 161 and 1499 child lives, and prevent 302 and 406 cases of stunting, respectively. Increasing coverage by 10% annually from 2024 to 2029 could double these benefits. Zinc is effective at reducing both childhood deaths and stunting by improving child health in Ethiopia. Whereas folic acid is more effective at averting stunting. Still, fortification of wheat flour will have limited influence due to its low consumption, and its impact is likely to be limited to urban and peri-urban settings. Alternative food vehicles or interventions that can reach rural areas may be needed.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70055"},"PeriodicalIF":2.8,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259347","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":"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}