Maternal and Child Nutrition最新文献

{"title":"Anthropometric and sociodemographic variables, but not preconception or prenatal maternal nutrition supplementation, predict neurodevelopment in offspring of the ‘Women First’ trial","authors":"Stephanie Waldrop,&nbsp;Dhuly Chowdhury,&nbsp;Jamie E. Westcott,&nbsp;Fred Biasini,&nbsp;Ana Garcés,&nbsp;Lester Figueroa,&nbsp;Antoinette Tshefu,&nbsp;Adrien Lokangaka,&nbsp;Melissa Bauserman,&nbsp;Sarah Saleem,&nbsp;Sumera A. Ali,&nbsp;Robert L. Goldenberg,&nbsp;Shivaprasad S. Goudar,&nbsp;Sangappa M. Dhaded,&nbsp;Richard J. Derman,&nbsp;Jennifer F. Kemp,&nbsp;Marion Koso-Thomas,&nbsp;Abhik Das,&nbsp;Michael Hambidge,&nbsp;Nancy F. Krebs,&nbsp;The Women First Preconception Nutrition Trial Study Group","doi":"10.1111/mcn.13703","DOIUrl":"10.1111/mcn.13703","url":null,"abstract":"<p>Multiple factors influence infant and child neurodevelopment in low resource settings. In offspring of participants in the preconception maternal nutrition trial, Women First (WF), we examined the impact of providing a preconception (Arm 1) or prenatal (Arm 2) nutrient supplement (compared to controls, Arm 3) on neurodevelopmental outcomes at 24 months; predictors of neurodevelopment scores; and associations of infant anthropometrics with neurodevelopmental scores. Follow-up visits for anthropometry were conducted at 6-, 12-, 18- and 24-month of age. At 24-months, in a randomized subset, the Bayley Scales of Infant Development, 3rd edition (BSID-III), including cognitive, motor and social-emotional subscales, and the Family Care Indicators (FCI) questionnaire, assessing family and home environment, were completed. Multiple covariates (intervention arm, site, maternal sociodemographic characteristics, FCI subscales, birthweight and 6–24 months' change in anthropometry <i>z</i>-scores, (e.g., ΔLAZ_6–2₄) were evaluated by linear regression to predict BSID-III outcomes and to assess associations of anthropometric changes with BSID-III scores. The analysis consisted of 1386 infants (<i>n</i> = 441, 486, 459 for Arms 1, 2 and 3, respectively). None of the domain-specific BSID-III subscale scores differed by maternal intervention arm. Four covariates significantly predicted (<i>p</i> ≤ 0.01) all 3 BSID-III subscales: secondary maternal education, ΔLAZ₆_–₂₄, birthweight &gt;2500 g, and FCI play materials. Linear growth was associated with all domains of neurodevelopment. The results underscore the multi-dimensional aspects of child development represented by the nurturing care framework, including prenatal maternal nutrition, post-natal growth, maternal education for responsive caregiving and opportunities for early learning.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"20 4","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.13703","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A mixed methods evaluation of the breastfeeding memory aide CHINS","authors":"Lynette Shotton,&nbsp;Tracy Collins,&nbsp;Reinie Cordier,&nbsp;Fadzai Chikwava,&nbsp;Mary Steen","doi":"10.1111/mcn.13704","DOIUrl":"10.1111/mcn.13704","url":null,"abstract":"<p>Breastfeeding rates remain persistently low in the United Kingdom (UK) despite wide-scale rollout of UNICEF Baby Friendly Initiative training and accreditation. More must be done to ensure breastfeeding practitioners can provide effective support. The memory aide CHINS (Close, Head free, In-line, Nose to Nipple and Sustainable) could help practitioners remember, recall, and apply breastfeeding theory in practice and this paper presents a UK evaluation of its impact. A concurrent, convergent mixed methods approach was adopted using Normalisation Process Theory (NPT) as an overarching framework. An online survey targeted breastfeeding practitioners and academics from the UK (<i>n</i> = 115). A sub-set (<i>n</i> = 16) of respondents took part in qualitative focus groups. Survey data was subjected to descriptive and inferential statistical analysis, and the focus group data was analysed, using NPT. CHINS is widely used in breastfeeding education and practice largely because of its simplicity and ease of integration in everyday practice, as well as its sustained inclusion in UNICEF Baby Friendly Initiative training. CHINS has introduced a standardised approach to the principles of positioning for effective breastfeeding. Doing so has helped address inconsistencies and poor practice in this area, and CHINS plays a role in assisting practitioners in building confidence in their breastfeeding practice. More needs to be done to ensure the breastfeeding workforce develop and maintain the requisite skills to promote and support breastfeeding, including the role of memory aides such as CHINS in achieving this.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"20 4","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.13704","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Text messages to improve young child diets: Results from a cluster-randomized controlled trial in Kanchanpur, Nepal.","authors":"Kenda Cunningham, Sidney Cech, Aman Sen Gupta, Pooja Pandey Rana, Debbie Humphries, Edward A Frongillo","doi":"10.1111/mcn.13702","DOIUrl":"https://doi.org/10.1111/mcn.13702","url":null,"abstract":"<p><p>The objective of this study was to test whether adding a text message campaign about the importance of eating eggs and other nutrition-related behaviours to an on-going package of large-scale, diverse social and behaviour change interventions would improve four types of nutrition-related knowledge and behaviour outcomes: child diets (egg consumption as the primary outcome), maternal diets, maternal nutrition knowledge, and maternal participation in additional interventions. The cluster-randomized controlled trial involved a repeat cross-sectional design, recruiting families with children 12-23 months of age at baseline and endline in one plains district of Nepal. Throughout the 1000-day period, 51 text messages were sent to each household at specific time points to reinforce ideal diets and other nutrition-related practices and promote engagement with community health workers and other intervention platforms. The primary outcome was egg consumption and dietary diversity among young children. We found no population-level effect. Some evidence supports that for those who received and opened the SMS intervention, it improved child egg consumption (odds ratio [OR]: 1.41, 95% confidence interval [CI]: 1.03-1.93), child minimum dietary diversity (OR: 1.36, 95% CI: 1.07-1.73), child dietary diversity scores (β: 0.15, 95% CI: 0.01-0.24), as well as maternal IYCF knowledge (β: 0.21, 95% CI: 0.08-0.35), participation in health mothers' group meetings (OR: 3.03, 95% CI: 1.91-4.84) and Bhanchhin Aama listenership (OR: 1.36, 95% CI: 1.07-1.73). This study highlights the importance of more research to understand the effectiveness of emerging digital interventions for behaviour change among specific populations, to facilitate nuanced targeting to those who can best benefit from these investments. Registered at clinicaltrials.gov with identifier NCT03926689.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e13702"},"PeriodicalIF":2.8,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629282","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":"Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting","authors":"Patrick G. Ilboudo,&nbsp;Hermann Pythagore Pierre Donfouet,&nbsp;Calistus Wilunda,&nbsp;Bernardette Cichon,&nbsp;Daniel Tewoldeberhan,&nbsp;James Njiru,&nbsp;Emily Keane,&nbsp;Bonventure Mwangi,&nbsp;Elizabeth Mwaniki,&nbsp;Taddese Alemu Zerfu,&nbsp;Lilly Schofield,&nbsp;Lucy Maina,&nbsp;Edward Kutondo,&nbsp;Olivia Agutu,&nbsp;Peter Okoth,&nbsp;Judith Raburu,&nbsp;Daniel Kavoo,&nbsp;Lydia Karimurio,&nbsp;Charles Matanda,&nbsp;Alex Mutua,&nbsp;Grace Gichohi,&nbsp;Elizabeth Kimani-Murage","doi":"10.1111/mcn.13695","DOIUrl":"10.1111/mcn.13695","url":null,"abstract":"<p>Treatment outcomes for acute malnutrition can be improved by integrating treatment into community case management (iCCM). However, little is known about the cost-effectiveness of this integrated nutrition intervention. The present study investigates the cost-effectiveness of treating moderate acute malnutrition (MAM) through community health volunteer (CHV) and integrating it with routine iCCM. A cost-effectiveness model compared the costs and effects of CHV sites plus health facility-based treatment (intervention) with the routine health facility-based treatment strategy alone (control). The costing assessments combined both provider and patient costs. The cost per DALY averted was the primary metric for the comparison, on which sensitivity analysis was performed. Additionally, the integrated strategy's relative value for money was evaluated using the most recent country-specific gross domestic product threshold metrics. The intervention dominated the health facility-based strategy alone on all computed cost-effectiveness outcomes. MAM treatment by CHVs plus health facilities was estimated to yield a cost per death and DALY averted of US$ 8743 and US$ 397, respectively, as opposed to US$ 13,846 and US$ 637 in the control group. The findings also showed that the intervention group spent less per child treated and recovered than the control group: US$ 214 versus US$ 270 and US$ 306 versus US$ 485, respectively. Compared with facility-based treatment, treating MAM by CHVs and health facilities was a cost-effective intervention. Additional gains could be achieved if more children with MAM are enrolled and treated.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"20 4","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.13695","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inequalities in large-scale breastfeeding programmes in Bangladesh, Burkina Faso and Vietnam","authors":"Tina G. Sanghvi,&nbsp;Deepali Godha,&nbsp;Edward A. Frongillo","doi":"10.1111/mcn.13687","DOIUrl":"10.1111/mcn.13687","url":null,"abstract":"<p>Inequalities in breastfeeding programmes and practices have slowed global progress in providing the life-saving protection of breastfeeding for millions of infants despite well-known life-long impacts. As breastfeeding interventions are scaled up, inequalities in coverage and breastfeeding practices should be tracked, particularly in disadvantaged groups, who are likely to suffer the most serious health and developmental impacts of poor childhood nutrition. The literature provides evidence of inequalities in breastfeeding practices, but research is limited on socioeconomic disparities in the coverage of breastfeeding interventions. This paper (1) compares inequalities in breastfeeding practices in intervention and nonintervention areas and (2) documents inequalities in programme coverage by type of intervention. We disaggregated endline evaluation surveys in Bangladesh, Burkina Faso and Vietnam, where rigorous evaluations had documented significant overall improvements, and analysed whether inequalities in breastfeeding practices and programme coverage differed by treatment areas. We used Erreygers index to quantify inequalities and found that breastfeeding practices were largely pro-poor; intervention coverage was not consistently pro-poor. While counselling coverage often favoured women from the poorest quintile, public education/media coverage consistently favoured better-off women. Inequalities favoured more educated mothers in the coverage of combined interventions. None of the programmes had explicit equality objectives. The results indicate the need for introducing specific actions to reduce inequalities in breastfeeding policies and programmes. This is a priority unfinished agenda for nutrition programming.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"20 4","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.13687","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to the Mediterranean diet during pregnancy and behavioural problems at 4 years of age","authors":"Esther Cendra-Duarte,&nbsp;Josefa Canals,&nbsp;Lucía Iglesias-Vázquez,&nbsp;Cristina Jardí,&nbsp;Francisco Martín-Luján,&nbsp;Victoria Arija","doi":"10.1111/mcn.13700","DOIUrl":"10.1111/mcn.13700","url":null,"abstract":"<p>There is an increasing prevalence of psychological issues in childhood. Lifestyle factors during pregnancy, including maternal nutrition, have been linked to children's behavioural development. This study aims to assess the impact of adherence to the Mediterranean diet during pregnancy on the behavioural problems of children at the age of 4. A total of 231 mother-child pairs were assessed. Maternal adherence to the Mediterranean diet during pregnancy was estimated using a relative Mediterranean Diet Score (rMED). Behavioural outcomes were evaluated through the Child Behaviour Checklist 1½−−5, Teacher's Report Form 1½−5, and Behaviour Rating Inventory of Executive Function—Preschool Version questionnaires. The results indicated that a higher rMED score during pregnancy was associated with a reduced probability of obtaining a clinical score for total problems (OR = 0.42; 95% IC from 0.21 to 0.85), including externalising (OR = 0.29; 95% IC from 0.14 to 0.62), attention problems (OR = 0.32; 95%IC from 0.15 to 0.70), attention-deficit/hyperactivity problems (OR = 0.36; 95% IC from 0.15 to 0.87), oppositional defiant problems (OR = 0.06; 95% IC from 0.06 to 0.75), and depressive problems (OR = 0.38; 95% IC from 0.15 to 0.96). This study highlights the importance of maternal diet, especially Mediterranean diet, during gestation for proper child development.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"20 4","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.13700","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disparities in being able to donate human milk impacts upon maternal wellbeing: Lessons for scaling up milk bank service provision","authors":"Amy Brown,&nbsp;Catrin Griffiths,&nbsp;Sara Jones,&nbsp;Gillian Weaver,&nbsp;Natalie Shenker","doi":"10.1111/mcn.13699","DOIUrl":"10.1111/mcn.13699","url":null,"abstract":"<p>Receiving donor human milk for a baby can have a protective effect upon parental wellbeing. A growing body of research also finds that being able to donate milk to a milk bank, particularly after infant loss, can also boost maternal wellbeing through feelings of altruism and purpose. However, most studies are qualitative, with small sample sizes outside the United Kingdom, and often do not include the experiences of those who have been unable to donate. Our aim was therefore to examine the impact of being able to donate milk, as well as the impact of not being able to do so, using a survey containing open and closed questions in a large UK sample. Overall, 1149 women completed the survey, 417 (36.3%) who donated their milk and 732 (63.7%) who did not. Most women who donated found it had a positive impact upon their wellbeing, feeling proud, useful and that they had achieved something important. Conversely, those unable to donate often felt rejected, frustrated, and excluded, especially if they received no response or felt that restrictions were unfair. Thematic analysis found that being able to donate could help women heal from experiences such as birth trauma, difficult breastfeeding experiences, neonatal unit stays, and infant loss; however, being unable to donate could exacerbate negative emotions arising from similar experiences. A minority of women who donated experienced raised anxiety over following guidelines. These findings further extend the impacts of milk banking services beyond infant health and development and support expanded service delivery.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"20 4","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.13699","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing malnutrition in Ethiopia: A call for a systems approach to match the scope and complexity of the problem","authors":"Stanley Chitekwe,&nbsp;Kaleab Baye,&nbsp;Ramadhani Noor,&nbsp;Christiane Rudert","doi":"10.1111/mcn.13701","DOIUrl":"10.1111/mcn.13701","url":null,"abstract":"&lt;p&gt;Over the past couple of decades, Ethiopia has made tremendous progress in reducing child morbidity and mortality. Child mortality decreased from 140.7 deaths/1000 live births in 2000 to 48.7 deaths/1000 live births in 2020 (United Nations Inter-agency Group for Child Mortality Estimation, &lt;span&gt;2021&lt;/span&gt;). Stunting has significantly declined, from 57.7% in 2000 to 36.8% in 2019; similarly, the prevalence of wasting decreased from 12.2% to 7.0% during the same period (Central Statistical Authority, &lt;span&gt;2001&lt;/span&gt;; Ethiopian Public Health Institute, &lt;span&gt;2019&lt;/span&gt;). These reductions in malnutrition were primarily attributed to the expansion of access to health care services through the health extension programme, increased income, and reduction in open defecation (Headey et al., &lt;span&gt;2017&lt;/span&gt;). While these improvements are encouraging, much remains to be done as the rates of malnutrition remain high. To sustain but also accelerate progress in preventing malnutrition, there is an urgent call for more effective interventions that match the scope, complexity, and systemic nature of the problem. This supplement entitled ‘Aligning food, health, education, and WASH systems to reduce malnutrition in Ethiopia’ aimed to respond to this call.&lt;/p&gt;&lt;p&gt;Understanding the magnitude and distribution of the problem and identifying the drivers that led to observed changes is the first step toward the design of much-needed interventions. The 15 articles in this supplement provide a unique diagnosis of the problem of malnutrition in Ethiopia. The supplement highlights the trends, magnitude, and distribution of various forms of malnutrition, highlighting prevailing inequalities, and identifies several drivers. The supplement also presents promising approaches and interventions that could be considered for scale-up.&lt;/p&gt;&lt;p&gt;Using a longitudinal study, Hirvonen et al. (&lt;span&gt;2021a&lt;/span&gt;) evaluated the dynamics of child linear and ponderal growth faltering. This is indeed a very important contribution for a country like Ethiopia, where both stunting and wasting remain serious public health concerns. The analyses revealed that the prevalence of child wasting peaks in the first 6 months of life, whereas that of stunting starts only to increase significantly after 6 months of age. This is in line with earlier findings that linked the timing of growth faltering with the complementary feeding period (Victora et al., &lt;span&gt;2010&lt;/span&gt;), but also signifies the beginning of the manifestations of sustained nutritional deprivation and recurrent infections faced in the first months of the child (Benjamin-Chung et al., &lt;span&gt;2023&lt;/span&gt;). Worth noting is also the high (15%–20%) prevalence of stunting reported to be present at birth; a finding that suggests that poor maternal nutritional status, particularly during pregnancy, is contributing to the high burden of malnutrition. Indeed, the study by Hailu et al. (&lt;span&gt;2021&lt;/span&gt;) showed that more than one in five women of","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"20 S5","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.13701","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complex intertwined association between breastfeeding practices and household food insecurity: Systematic review and meta-analysis","authors":"Gabriela Buccini,&nbsp;Cali Larrison,&nbsp;Smriti Neupane,&nbsp;Maria Palapa,&nbsp;Raquel Machado Schincaglia,&nbsp;Sara Brown,&nbsp;Muriel B. Gubert","doi":"10.1111/mcn.13696","DOIUrl":"10.1111/mcn.13696","url":null,"abstract":"<p>Breastfeeding offers ideal food and nutrition for infants; however, structural barriers may amplify breastfeeding inequities. We aimed to identify whether household food insecurity (HFI) is associated with exclusive and continued breastfeeding (EBF and CBF) as recommended by the World Health Organization/United Nations Children's Fund (UNICEF) Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis, literature searches using ‘breastfeeding’, ‘food insecurity’ and ‘infant’ terms were conducted in PubMed/MEDLINE, Embase, CINAHL, Global Health and LILACS from inception through November 2023, without language restrictions, yielding 1382 publications (PROSPERO:CRD42022329836). Predetermined eligibility criteria yielded the 12 included studies (nine cross-sectional and three cohorts). The risk of bias was assessed through the Effective Public Health Practice Project. Meta-analysis was performed for studies assessing EBF (<i>n</i> = 10), and metaregression was used to explore heterogeneity across studies. Prevalence of EBF ranged from 1.6% to 85.3%, with a lower prevalence among HFI. The pooled effect of the association between HFI and EBF presented an odds ratio (OR) of 0.61 (95% CI = 0.49–0.76) with consistent results across marginal (OR = 0.72, 95% CI = 0.55–0.94), moderate (OR = 0.59, 95% CI = 0.41–0.84) and severe HFI (OR = 0.49, 95% CI = 0.32–0.76). High heterogeneity was found only when HFI was dichotomized. The prevalence of CBF ranged from 35.4% to 78.0%, with inconsistent prevalence among HFI; a meta-analysis was not performed due to the low number of studies (<i>n</i> = 3). We concluded that HFI levels are associated with lower odds of EBF. Integrating service and policy-level strategies, such as screening, referrals, skilled breastfeeding counseling and access to comprehensive nutrition and social programs, could reduce structural inequities and promote adherence to the World Health Organization/UNICEF breastfeeding recommendations among food-insecure families.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"20 4","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.13696","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability of anthropometric measurements of a digi-board in comparison to an analog height board in Namibian children under 5 years","authors":"Johanna Namene,&nbsp;Christian J. Hunter,&nbsp;Shirley Hodgson,&nbsp;Humphrey Hodgson,&nbsp;Jane Misihairabgwi,&nbsp;Shan Huang,&nbsp;Joel Conkle","doi":"10.1111/mcn.13677","DOIUrl":"10.1111/mcn.13677","url":null,"abstract":"<p>Poor measurement quality has set back the utility of anthropometry in defining childhood malnutrition, prompting calls for alternative measurement techniques. This study aimed to assess the reliability of anthropometric measurements using a digital height board in comparison to an analog height board in Namibian children under 5 years of age. A cross-sectional, descriptive study was conducted (<i>n</i> = 425) between the age of 6 and 59 months, using anthropometric measurements of weight, height and mid-upper arm circumference. Two trained enumerators each collected four height measurements of each child: two using an analog height board and two using a digi-board. The repeated height measurements between and within the enumerators were used to determine intra- and interobserver reliability. Reliability of the digi-board was assessed using the technical error of measurement (TEM), relative TEM (%TEM), intraclass correlation and a Bland–Altman analysis to assess the agreement between the two methods. In all these assessments, the analog height board was considered as the gold standard and used for comparison. The digi-board showed superiority to the analog height board in terms of reliability (analog TEM = 0.22, digi-board TEM = 0.16). Although the digi-board has potential to improve child anthropometry, further clinical and large survey studies are needed to validate the used of this tool in routine population-based surveys.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"20 4","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.13677","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}