财政救济干预对预防5岁以下有消瘦和营养性水肿风险的儿童消瘦的有效性:一项系统综述和荟萃分析。

IF 4.9 2区 医学 Q1 NUTRITION & DIETETICS
Rehana A Salam, Komal A Rahim, Zahra A Padhani, Anna Ali, Jai K Das, Zulfiqar A Bhutta, Zohra S Lassi
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引用次数: 0

摘要

背景:尽管现有的以证据为基础的预防性和治疗性干预措施,全球儿童营养不良仍以惊人的速度持续存在。对诸如现金转移和粮食券等各种财政救济战略在改善获得改善儿童营养状况的有效干预措施的机会和质量方面的有效性进行了评价。目的:在本综述中,我们旨在评估以社区为基础的经济救济干预措施对预防5岁以下有消瘦和营养性水肿风险的儿童消瘦的影响。数据来源:我们检索了从数据库构思到2023年4月13日的9个数据库,并纳入了5项研究(10篇文章),评估了以社区为基础的经济救济干预措施对防止5岁以下儿童消瘦的影响。数据提取:两位综述作者独立提取数据,差异通过讨论直至达成一致,或在需要时咨询第三方审稿人来解决。数据分析:三项研究评估了有条件现金转移的影响;2项研究评估了无条件现金转移,1项研究评估了食品券的影响。我们发现,有条件现金转移对消瘦率、身高体重z得分(WHZ)、年龄体重z得分和体重不足的影响是不确定的;然而,这些现金转移可能会降低严重消瘦的患病率(优势比[OR], 0.97; 95% CI, 0.94-1.0; 1项研究;评估、发展和评价建议分级[GRADE]:中等确定性证据)。无条件的标准现金供给对浪费和严重浪费发生率的影响是不确定的;然而,无条件的双现金补贴可能会减少浪费,但对严重浪费、腰宽和上臂中围几乎没有影响。就食品券而言,有证据表明,对浪费和严重浪费的流行程度的影响是不确定的。结论:基于社区的财政救济干预措施在防止儿童消瘦方面的有效性证据很少。有条件现金转移和无条件双倍现金提供对浪费现象的普遍程度产生了一些积极影响;然而,相对有效性、成本效益和可持续性需要进一步探索。系统评审注册:普洛斯彼罗注册号:CRD42021277429。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of Financial Relief Interventions for the Prevention of Wasting in Children Up to 5 Years at Risk of Wasting and Nutritional Oedema: A Systematic Review and Meta-Analysis.

Context: Childhood malnutrition persists at alarming rates globally despite the existing preventative and therapeutic evidence-based interventions. Various financial relief strategies such as cash transfers and food vouchers have been evaluated for their effectiveness in improving access to and quality of effective interventions for improving the nutritional status of children.

Objective: In this review, we aimed to assess the impact of community-based financial relief interventions to prevent wasting among children up to 5 years at risk of wasting and nutritional oedema.

Data sources: We searched 9 databases from database conception until April 13, 2023, and included 5 studies (10 articles) evaluating the impact of community-based financial relief interventions for preventing wasting among children up to 5 years.

Data extraction: Two review authors independently extracted data, and discrepancies were resolved through discussion until consensus or by consulting a third reviewer if required.

Data analysis: Three studies assessed the impact of conditional cash transfers; 2 studies evaluated unconditional cash transfers, and 1 study assessed the impact of food vouchers. We found that the impact of conditional cash transfers on the prevalence of wasting, weight-for-height z score (WHZ), weight-for-age z score, and underweight is uncertain; however these cash transfers probably reduce the prevalence of severe wasting (odds ratio [OR], 0.97; 95% CI, 0.94-1.0; 1 study; Grading of Recommendations Assessment, Development, and Evaluation [GRADE]: moderate certainty evidence). The impacts of unconditional standard cash provision on the prevalence of wasting and severe wasting are uncertain; however, unconditional double-cash provisions may reduce wasting with little or no impact on severe wasting, WHZ, and mid-upper arm circumference. For food vouchers, the evidence suggests an uncertain impact on the prevalence of wasting and severe wasting.

Conclusions: Evidence on the effectiveness of community-based financial relief interventions in preventing wasting among children is scarce. Some positive impact of conditional cash transfers and unconditional double cash provision on the prevalence of wasting has been demonstrated; however, relative effectiveness, cost-effectiveness, and sustainability need further exploration.

Systematic review registration: PROSPERO registration No. CRD42021277429.

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来源期刊
Nutrition reviews
Nutrition reviews 医学-营养学
CiteScore
12.20
自引率
1.60%
发文量
121
审稿时长
6-12 weeks
期刊介绍: Nutrition Reviews is a highly cited, monthly, international, peer-reviewed journal that specializes in the publication of authoritative and critical literature reviews on current and emerging topics in nutrition science, food science, clinical nutrition, and nutrition policy. Readers of Nutrition Reviews include nutrition scientists, biomedical researchers, clinical and dietetic practitioners, and advanced students of nutrition.
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