The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries

Detalhes bibliográficos
Autor(a) principal: Escher, Nora A.
Data de Publicação: 2024
Outros Autores: Andrade, Giovanna C., Ghosh-Jerath, Suparna, Millett, Christopher, Seferidi, Paraskevi
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/168567
Resumo: Funding Information: NAE is funded by the President's Scholarship of Imperial College London. SG-J, CM, and PS are supported by the National Institute for Health and Care Research Global Health Research Centre on Non-Communicable Diseases and Environmental Change (NIHR203247) using UK aid from the UK Government to support global health research. We thank the Library Services team of Imperial College London for their support in developing the database search strategy. Funding Information: NAE is funded by the President's Scholarship of Imperial College London. SG-J, CM, and PS are supported by the National Institute for Health and Care Research Global Health Research Centre on Non-Communicable Diseases and Environmental Change (NIHR203247) using UK aid from the UK Government to support global health research. We thank the Library Services team of Imperial College London for their support in developing the database search strategy. Publisher Copyright: © 2024 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
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spelling The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countriesa systematic reviewMedicine(all)SDG 2 - Zero HungerSDG 3 - Good Health and Well-beingSDG 4 - Quality EducationFunding Information: NAE is funded by the President's Scholarship of Imperial College London. SG-J, CM, and PS are supported by the National Institute for Health and Care Research Global Health Research Centre on Non-Communicable Diseases and Environmental Change (NIHR203247) using UK aid from the UK Government to support global health research. We thank the Library Services team of Imperial College London for their support in developing the database search strategy. Funding Information: NAE is funded by the President's Scholarship of Imperial College London. SG-J, CM, and PS are supported by the National Institute for Health and Care Research Global Health Research Centre on Non-Communicable Diseases and Environmental Change (NIHR203247) using UK aid from the UK Government to support global health research. We thank the Library Services team of Imperial College London for their support in developing the database search strategy. Publisher Copyright: © 2024 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Low-income and middle-income countries (LMICs) experiencing nutrition transition face an increasing double burden of malnutrition (DBM). WHO has urged the identification of risks and opportunities in nutrition interventions to mitigate the DBM, but robust evidence is missing. This review summarises the effect of nutrition-specific and nutrition-sensitive interventions on undernutrition and overnutrition in LMICs. Methods: We searched four major databases and grey literature for publications in English, French, Portuguese, and Spanish from Jan 1, 2000, to Aug 14, 2023. Eligible studies evaluated nutrition-specific or nutrition-sensitive interventions on both undernutrition and overnutrition, employing robust study designs (individually randomised, cluster randomised, and non-randomised trials; interrupted time series; controlled before–after; and prospective cohort studies). Studies were synthesised narratively, and classified as DBM-beneficial, potentially DBM-beneficial, DBM-neutral, potentially DBM-harmful, and DBM-harmful, using vote counting. This review is registered with PROSPERO (CRD42022320131). Findings: We identified 26 studies evaluating 20 nutrition-specific (maternal and child health [MCH] and school-based programmes) and six nutrition-sensitive (conditional cash transfers and other social policies) interventions. Seven of eight MCH interventions providing food-based or nutritional supplements indicated possible DBM-harmful effects, associated with increased maternal or child overweight. Most school-based programmes and MCH interventions that target behavioural change were considered potentially DBM-beneficial. Two studies of conditional cash transfers suggested DBM-beneficial effects in children, whereas one indicated potentially harmful effects on maternal overweight. A study on a family planning service and one on an education reform revealed possible long-term harmful effects on obesity. Interpretation: There is considerable scope to repurpose existing nutrition interventions to reduce the growing burden of the DBM in LMICs. In settings undergoing rapid nutrition transition, specific policy attention is required to ensure that food-based or supplement-based MCH programmes do not unintentionally increase maternal or child overweight. Consistent reporting of undernutrition and overnutrition outcomes in all nutrition interventions is essential to expand the evidence base to identify and promote interventions maximising benefits and minimising harms on the DBM. Funding: President's Scholarship (Imperial College London) and National Institute for Health and Care Research. Translations: For the Portuguese, Spanish and French translations of the abstract see Supplementary Materials section.Centro de Investigação em Saúde Pública (CISP/PHRC)Comprehensive Health Research Centre (CHRC) - Pólo ENSPEscola Nacional de Saúde Pública (ENSP)RUNEscher, Nora A.Andrade, Giovanna C.Ghosh-Jerath, SuparnaMillett, ChristopherSeferidi, Paraskevi2024-06-15T00:10:22Z2024-032024-03-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/168567eng2214-109XPURE: 85370583https://doi.org/10.1016/S2214-109X(23)00562-4info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-06-24T01:35:30Zoai:run.unl.pt:10362/168567Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-06-24T01:35:30Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries
a systematic review
title The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries
spellingShingle The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries
Escher, Nora A.
Medicine(all)
SDG 2 - Zero Hunger
SDG 3 - Good Health and Well-being
SDG 4 - Quality Education
title_short The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries
title_full The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries
title_fullStr The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries
title_full_unstemmed The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries
title_sort The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries
author Escher, Nora A.
author_facet Escher, Nora A.
Andrade, Giovanna C.
Ghosh-Jerath, Suparna
Millett, Christopher
Seferidi, Paraskevi
author_role author
author2 Andrade, Giovanna C.
Ghosh-Jerath, Suparna
Millett, Christopher
Seferidi, Paraskevi
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Centro de Investigação em Saúde Pública (CISP/PHRC)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Escher, Nora A.
Andrade, Giovanna C.
Ghosh-Jerath, Suparna
Millett, Christopher
Seferidi, Paraskevi
dc.subject.por.fl_str_mv Medicine(all)
SDG 2 - Zero Hunger
SDG 3 - Good Health and Well-being
SDG 4 - Quality Education
topic Medicine(all)
SDG 2 - Zero Hunger
SDG 3 - Good Health and Well-being
SDG 4 - Quality Education
description Funding Information: NAE is funded by the President's Scholarship of Imperial College London. SG-J, CM, and PS are supported by the National Institute for Health and Care Research Global Health Research Centre on Non-Communicable Diseases and Environmental Change (NIHR203247) using UK aid from the UK Government to support global health research. We thank the Library Services team of Imperial College London for their support in developing the database search strategy. Funding Information: NAE is funded by the President's Scholarship of Imperial College London. SG-J, CM, and PS are supported by the National Institute for Health and Care Research Global Health Research Centre on Non-Communicable Diseases and Environmental Change (NIHR203247) using UK aid from the UK Government to support global health research. We thank the Library Services team of Imperial College London for their support in developing the database search strategy. Publisher Copyright: © 2024 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
publishDate 2024
dc.date.none.fl_str_mv 2024-06-15T00:10:22Z
2024-03
2024-03-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/168567
url http://hdl.handle.net/10362/168567
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2214-109X
PURE: 85370583
https://doi.org/10.1016/S2214-109X(23)00562-4
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