Evaluation of the impact of a nutritional program for undernourished children in Brazil

Detalhes bibliográficos
Autor(a) principal: Santos,Iná S.
Data de Publicação: 2005
Outros Autores: Gigante,Denise P., Coitinho,Denise C., Haisma,Hinke, Valle,Neiva C. J., Valente,Gicele
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2005000300011
Resumo: To assess the effectiveness on child growth and body composition of a supplementary feeding program (Milk Supplement Program), a prospective, controlled study was conducted in Northeast Brazil. When entering the Program, children from 10 municipalities with the highest coverage rates in the Program (intervention group) were compared to non-beneficiary children from 10 municipalities with the lowest coverage rates (control group). A total of 219 children aged 6-18 months were enrolled. At entry, both groups were comparable in terms of age, sex, and nutritional status. There were frequent gaps in delivery of the supplement, no extra milk was provided to siblings less than 5 years of age, intra-household redistribution of milk was high, and maternal compliance with recommendations was low. Adjusted analyses by multilevel modelling showed average changes in weight, length, weight-age and length-age Z-scores, and % body water (deuterium method), at 6 months, of 1.53kg, 6.34cm, 0.33, 0.05, and 1.11% respectively among supplemented children as compared to 1.54kg, 6.5cm, 0.26, 0.07, and 4.10% among controls, with no statistically significant difference between groups. Thus, the Program failed to compensate for nutritional deficiencies in undernourished children in Northeast Brazil.
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spelling Evaluation of the impact of a nutritional program for undernourished children in BrazilNutrition ProgrammesInfant NutritionBody CompositionTo assess the effectiveness on child growth and body composition of a supplementary feeding program (Milk Supplement Program), a prospective, controlled study was conducted in Northeast Brazil. When entering the Program, children from 10 municipalities with the highest coverage rates in the Program (intervention group) were compared to non-beneficiary children from 10 municipalities with the lowest coverage rates (control group). A total of 219 children aged 6-18 months were enrolled. At entry, both groups were comparable in terms of age, sex, and nutritional status. There were frequent gaps in delivery of the supplement, no extra milk was provided to siblings less than 5 years of age, intra-household redistribution of milk was high, and maternal compliance with recommendations was low. Adjusted analyses by multilevel modelling showed average changes in weight, length, weight-age and length-age Z-scores, and % body water (deuterium method), at 6 months, of 1.53kg, 6.34cm, 0.33, 0.05, and 1.11% respectively among supplemented children as compared to 1.54kg, 6.5cm, 0.26, 0.07, and 4.10% among controls, with no statistically significant difference between groups. Thus, the Program failed to compensate for nutritional deficiencies in undernourished children in Northeast Brazil.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2005-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2005000300011Cadernos de Saúde Pública v.21 n.3 2005reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/S0102-311X2005000300011info:eu-repo/semantics/openAccessSantos,Iná S.Gigante,Denise P.Coitinho,Denise C.Haisma,HinkeValle,Neiva C. J.Valente,Giceleeng2005-04-27T00:00:00Zoai:scielo:S0102-311X2005000300011Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2005-04-27T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Evaluation of the impact of a nutritional program for undernourished children in Brazil
title Evaluation of the impact of a nutritional program for undernourished children in Brazil
spellingShingle Evaluation of the impact of a nutritional program for undernourished children in Brazil
Santos,Iná S.
Nutrition Programmes
Infant Nutrition
Body Composition
title_short Evaluation of the impact of a nutritional program for undernourished children in Brazil
title_full Evaluation of the impact of a nutritional program for undernourished children in Brazil
title_fullStr Evaluation of the impact of a nutritional program for undernourished children in Brazil
title_full_unstemmed Evaluation of the impact of a nutritional program for undernourished children in Brazil
title_sort Evaluation of the impact of a nutritional program for undernourished children in Brazil
author Santos,Iná S.
author_facet Santos,Iná S.
Gigante,Denise P.
Coitinho,Denise C.
Haisma,Hinke
Valle,Neiva C. J.
Valente,Gicele
author_role author
author2 Gigante,Denise P.
Coitinho,Denise C.
Haisma,Hinke
Valle,Neiva C. J.
Valente,Gicele
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Santos,Iná S.
Gigante,Denise P.
Coitinho,Denise C.
Haisma,Hinke
Valle,Neiva C. J.
Valente,Gicele
dc.subject.por.fl_str_mv Nutrition Programmes
Infant Nutrition
Body Composition
topic Nutrition Programmes
Infant Nutrition
Body Composition
description To assess the effectiveness on child growth and body composition of a supplementary feeding program (Milk Supplement Program), a prospective, controlled study was conducted in Northeast Brazil. When entering the Program, children from 10 municipalities with the highest coverage rates in the Program (intervention group) were compared to non-beneficiary children from 10 municipalities with the lowest coverage rates (control group). A total of 219 children aged 6-18 months were enrolled. At entry, both groups were comparable in terms of age, sex, and nutritional status. There were frequent gaps in delivery of the supplement, no extra milk was provided to siblings less than 5 years of age, intra-household redistribution of milk was high, and maternal compliance with recommendations was low. Adjusted analyses by multilevel modelling showed average changes in weight, length, weight-age and length-age Z-scores, and % body water (deuterium method), at 6 months, of 1.53kg, 6.34cm, 0.33, 0.05, and 1.11% respectively among supplemented children as compared to 1.54kg, 6.5cm, 0.26, 0.07, and 4.10% among controls, with no statistically significant difference between groups. Thus, the Program failed to compensate for nutritional deficiencies in undernourished children in Northeast Brazil.
publishDate 2005
dc.date.none.fl_str_mv 2005-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2005000300011
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2005000300011
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0102-311X2005000300011
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Cadernos de Saúde Pública v.21 n.3 2005
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
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