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Food and Nutrition Bulletin

Chian Yi Teng, Yit Siew Chin, Mohd Nasir Mohd Taib, Yoke Mun Chan
BACKGROUND: Independence gained during adolescence may be associated with unhealthy eating behaviors. Although malnutrition among adolescents is evident, studies on eating behaviors among adolescents are scarce. OBJECTIVE: To determine the effectiveness of a teacher-led Healthy Lifestyle Program on eating behaviors among adolescents in Malaysia. METHODS: This was a cluster randomized controlled trial (conducted in 2012 to 2014), with 100 schools randomly selected from 721 schools, then assigned to 50 intervention schools and 50 control schools...
November 8, 2018: Food and Nutrition Bulletin
Raisul Akram, Marufa Sultana, Nausad Ali, Nurnabi Sheikh, Abdur Razzaque Sarker
BACKGROUND: Despite improvements in the reduction of child stunting rates over the last decade, poor nutritional status still remains a public health concern in Bangladesh, where young children are the most vulnerable. OBJECTIVE: The objective of this study is to capture the prevalence and determinants of childhood stunting and documenting its urban-rural disparities in the context of Bangladesh. METHODS: The study used data from the Bangladesh Demographic and Health Survey of 2014...
August 29, 2018: Food and Nutrition Bulletin
Merry Fitzpatrick, Shibani Ghosh, Anura Kurpad, Christopher Duggan, Daniel Maxwell
BACKGROUND: Kwashiorkor is a major classification of severe acute malnutrition whose etiology remains elusive. It is estimated to affect hundreds of thousands of children annually, but no accurate global prevalence figures are available. Little is known how prevalence varies within populations, an important undocumented aspect of kwashiorkor obscured by the aggregation of prevalence or incidence of the condition across large populations and geographic areas. OBJECTIVE: To estimate the prevalence of kwashiorkor in select neighboring villages of the eastern Democratic Republic of the Congo (DRC) and assess if prevalence can vary dramatically among neighboring villages...
August 23, 2018: Food and Nutrition Bulletin
Maimouna Halidou Doudou, Ousmane Ouedraogo, Bertine Ouaro, Nicolas Bidault, Kristina Reinhardt
BACKGROUND: The government of Burkina Faso, along with the United Nations Network for Nutrition (UNN), activity REACH (Renewed Efforts Against Child Hunger and undernutrition) partnership, conducted a mapping of nutrition interventions and stakeholders to identify the best approaches for scaling up priority nutrition interventions and to strengthen a multisectoral response to fight malnutrition. OBJECTIVE: The objectives include describing the process used to map a set of country-prioritized nutrition interventions and to describe how the results contributed to the multisectoral nutrition planning process in Burkina Faso...
September 2018: Food and Nutrition Bulletin
Dacia Whitsett-Morrow
The U.S. Dairy Export Council's Dairy for Global Nutrition Initiative hosted a conference titled, "Dairy Nutrition: An Engine for Economic Growth," held on May 10 to 11, 2017, at the Boise Center in Boise, Idaho. Speakers explored the role of dairy products in mitigating malnutrition, stimulating local economies, and promoting better health, globally.
September 2018: Food and Nutrition Bulletin
Nina Schlossman
BACKGROUND: This article synthesizes the results of 3 cluster randomized controlled trials of dairy-containing ready-to-use supplementary foods (RUSFs) to address malnutrition in primary schools, preschools and villages in Guinea-Bissau, one of the world's poorest countries. Together, these studies document widespread malnutrition across infants, young children, adolescents, and pregnant and lactating women and point to intervention options that were not previously presented. OBJECTIVE: To combine the evidence from the United States Department of Agriculture-funded pilot studies in Guinea-Bissau on the effects of dairy protein supplementation to gain a broader perspective on the role of dairy containing RUSFs in various age-groups, the importance of the mother-child dyad and family food dynamics for infant and child growth...
September 2018: Food and Nutrition Bulletin
Gene Moses
This manuscript is an opinion editorial, which summarizes the presentation given at the Dairy Nutrition: An Engine for Economic Growth conference.
September 2018: Food and Nutrition Bulletin
Meghan Callaghan-Gillespie, Melody Mui
The development of a superior treatment option for severe acute malnutrition (SAM) which allowed for home-based therapy put in place constraints that are crucial for ensuring the feasibility and nutritional integrity of the treatment. Soon after the initial success of ready-to-use therapeutic food (RUTF), there were attempts to modify the formulation for cost and other areas of acceptability. While alternative formulations have been taken on in clinical trials, they have been inferior to the standard RUTF recipe...
September 2018: Food and Nutrition Bulletin
Heather Stobaugh
BACKGROUND: Much debate exists about the utility of dairy ingredients in the supplementary foods used to treat childhood moderate acute malnutrition (MAM). OBJECTIVE: To review the evidence regarding the effectiveness of dairy-containing supplements, particularly specially formulated foods containing whey permeate and whey protein concentrate, in treating children with MAM. METHODS: A summary of a conference presentation regarding an overview of current evidence behind the use of whey in supplementary foods, including results of a randomized double-blinded clinical effectiveness trial involving 2259 Malawian children treated for MAM using either a soy ready-to-use supplementary food (RUSF) or a novel whey RUSF treatment...
September 2018: Food and Nutrition Bulletin
Bharati Kulkarni
The double burden of childhood undernutrition and adult-onset adiposity-related chronic diseases is a key concern in many developing countries that are currently undergoing epidemiological and nutrition transition. Impaired linear growth with suboptimal lean body mass development seems to be the link between these 2 seemingly contrasting forms of malnutrition. Studies assessing the role of early nutrition in the later lean body mass development have shown consistent positive association. In addition, the nutrition during life course, especially the dietary intake of protein, zinc, calcium, and vitamin D status, impacts the lean body mass...
September 2018: Food and Nutrition Bulletin
David C Clark
BACKGROUND: One in 4 children globally is stunted. Stunting is associated with reduced cognitive development, reduced productivity, and chronic disease in later life. OBJECTIVE: To explore the association between maternal diet during pregnancy and low birth weight, which increases the risk of stunting. METHODS: Current literature pertaining to maternal diet and low birth weight was reviewed. RESULTS: Low birth weight and small for gestational age are risk factors for stunting...
September 2018: Food and Nutrition Bulletin
Cara Safon, Gabriela Buccini, Isabel Ferré, Teresita González de Cosío, Rafael Pérez-Escamilla
BACKGROUND: The Becoming Breastfeeding Friendly (BBF) initiative includes a guide that helps countries worldwide assess their readiness to scale up national breastfeeding programs. Country committees of breastfeeding experts across government, academia, and civil society engage with BBF by applying the BBF toolbox that includes (1) the BBF Index (BBFI) to measure and score a country's breastfeeding environment, (2) case studies that illustrate how countries have created enabling environments for breastfeeding, and (3) a 5-meeting process, during which country committees develop policy recommendations intended to improve breastfeeding outcomes based on the BBFI scores...
September 2018: Food and Nutrition Bulletin
Stuart Gillespie, John Hoddinott, Nicholas Nisbett, Shams Arifeen, Mara van den Bold
BACKGROUND: The Transform Nutrition ( Transform) research consortium (2012-2017), led by the International Food Policy Research Institute, sought to generate evidence to inform and inspire action to address undernutrition in 4 high-burden countries (India, Bangladesh, Kenya, and Ethiopia) and globally. OBJECTIVE: Within the context of the literature, this synthesis article brings together core findings of Transform, highlighting priorities for future research. METHODS: This article uses a narrative approach to synthesize diverse study findings that collectively address Transform's three primary research questions: (1) How can nutrition-specific interventions be appropriately designed, implemented, scaled, and sustained in different settings?; (2) How can the nutritional impact of social protection and agriculture be improved?; and (3) How can enabling environments be promoted so as to use existing political and economic resources more effectively? RESULTS: Highlights of Transform include (1) improved understanding of the relative effectiveness of different combinations of nutrition-specific interventions and the ways in which they can be scaled for maximal impact; (2) evidence that shows that social protection and agriculture need to be explicitly linked to nutrition in order to contribute to stunting reduction; (3) identification of key components of "enabling environments" for nutrition and how they can be cultivated/sustained; (4) research that examines ways in which leaders emerge and operate to change the political and policy landscape in different settings; and (5) "stories of change" that provide in-depth contextual knowledge of how transformative change has been driven in countries that have made inroads in reducing malnutrition...
September 2018: Food and Nutrition Bulletin
Ruth DeFries, Ashwini Chhatre, Kyle Frankel Davis, Arnab Dutta, Jessica Fanzo, Suparna Ghosh-Jerath, Samuel Myers, Narasimha D Rao, Matthew R Smith
BACKGROUND: Production of rice and wheat increased dramatically in India over the past decades, with reduced proportion of coarse cereals in the food supply. OBJECTIVE: We assess impacts of changes in cereal consumption in India on intake of iron and other micronutrients and whether increased consumption of coarse cereals could help alleviate anemia prevalence. METHODS: With consumption data from over 800 000 households, we calculate intake of iron and other micronutrients from 84 food items from 1983 to 2011...
September 2018: Food and Nutrition Bulletin
Benedikte Grenov, Kim F Michaelsen
BACKGROUND: Cow's milk is a core ingredient in foods for prevention and treatment of undernutrition in children. It promotes growth, but there is limited knowledge of which components in milk have growth-stimulating effects. OBJECTIVE: To discuss the growth-stimulating effects of milk in undernourished children with emphasis on protein, lactose, and minerals. METHODS: We reviewed literature on dairy and growth in undernourished children. RESULTS: Cow's milk has a specific stimulating effect on linear growth, even in well-nourished children, and it may stimulate weight gain and muscle accretion in wasted children...
September 2018: Food and Nutrition Bulletin
Damayanti D Soekarjo, Airin Roshita, Anne-Marie Thow, Mu Li, Jee Hyun Rah
BACKGROUND: There is a growing recognition of the importance of adolescent health and well-being. Yet, little attention has been paid to adolescent nutrition, and few policies and programs are targeting to improve adolescent nutrition in Indonesia. OBJECTIVE: This analysis aimed to identify (1) the extent to which adolescents are considered in nutrition policy in Indonesia and (2) opportunities to improve nutrition policy content to effectively target adolescents...
August 13, 2018: Food and Nutrition Bulletin
Sanne Sigh, Nanna Roos, Daream Sok, Bindi Borg, Chhoun Chamnan, Arnaud Laillou, Marjoleine A Dijkhuizen, Frank T Wieringa
BACKGROUND: Cambodia has a high prevalence of moderate acute malnutrition and severe acute malnutrition (SAM). The SAM treatment requires ready-to-use therapeutic foods (RUTFs), whereas ready-to-use supplementary foods (RUSFs) are used for prevention of acute malnutrition. Three locally produced fish-based products were developed: an RUTF paste (NumTrey-Paste) for treatment and 2 wafer versions, one for prevention (NumTrey-RUSF) and one for treatment (NumTrey-RUTF). OBJECTIVE: To assess the acceptability of NumTrey-Paste and NumTrey-RUSF in comparison to a standard biscuit product (BP-100) used for the treatment of SAM...
August 9, 2018: Food and Nutrition Bulletin
Saskia J M Osendarp, Homero Martinez, Greg S Garrett, Lynnette M Neufeld, Luz Maria De-Regil, Marieke Vossenaar, Ian Darnton-Hill
BACKGROUND: Food fortification and biofortification are well-established strategies to address micronutrient deficiencies in vulnerable populations. However, the effectiveness of fortification programs is not only determined by the biological efficacy of the fortified foods but also by effective and sustainable implementation, which requires continual monitoring, quality assurance and control, and corrective measures to ensure high compliance. OBJECTIVE: To provide an overview of efficacy, effectiveness, economics of food fortification and biofortification, and status of and challenges faced by large-scale food fortification programs in low- and middle-income countries (LMIC)...
June 2018: Food and Nutrition Bulletin
Rafael Pérez-Escamilla
Public-private partnerships (PPPs) have been recognized as central for addressing the childhood obesity epidemic. However, very few real-world examples have been published documenting the workings of effective PPPs. The objective of this article is to identify the factors that enabled the successful implementation of school-based PPPs focusing mainly on nutrition and physical activity in 7 countries located in Asia (China and India), Africa (South Africa), Europe (Germany, United Kingdom), and Latin America (Brazil and Mexico)...
June 2018: Food and Nutrition Bulletin
(no author information available yet)
While some of our countries are still facing nutrition deficiencies (stunting/short stature and micronutrient deficiencies), overweight and obesity are increasing in an alarming way. In addition, a very limited research network and lack of funding make it extremely challenging to foster collaborative efforts to address the complex nutritional problems that Latin America is facing. Therefore, as the future leaders in nutrition, we reinforce our commitment to improve our research capacity to identify opportunities for action to end malnutrition in all its forms in our region to address health disparities and to strengthen the Latin American Society of Nutrition...
June 2018: Food and Nutrition Bulletin
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