Menu ENN Search

Nutritious supplemental foods for pregnant women from food-insecure settings

View this article as a pdf

Lisez cet article en français ici

This is a summary of the following paper: Mihaela A, Ciulei AM, Nandita P et al (2023) Nutritious supplemental foods for pregnant women from food insecure settings: Types, nutritional composition, and relationships to health outcomes. Current Developments in Nutrition, 7, 6. https://www.sciencedirect.com/science/article/pii/S2475299123247678

 

Pregnancy is characterised by an increased demand for energy and nutrient intake, with poor nutrition during this period being a contributor to adverse maternal and infant health outcomes. There is growing evidence that the provision of nutritious supplemental foods to undernourished pregnant women can improve birth outcomes. However, comparing and synthesising the evidence base is challenging due to differences in intervention design and products and the use of ambiguous terminology. This study aimed to define balanced energy-protein (BEP) supplements and lipid-based nutrient supplements (LNS) and to review the evidence supporting each by a narrative review of systematic reviews and meta-analyses (SRMAs).

BEP supplements differ from LNS because they provide 25% of energy from protein, while LNS provides more than 50% of energy from fat (including essential fatty acids). There are three formations of LNS – small-,1 medium-,2 and large-3quantity LNS. The energy provided by medium- and large-quantity LNS overlaps with some BEP supplements, but the proportion of fat and protein differentiates the two.

This study identified five SRMAs (20 trials) that evaluated the effect of BEP compared with no BEP/control. BEP supplements ranged in calories (118 to 1,017 kilocalories), protein (3 to 50 grams), fat (6 to 57 grams), and micronutrient content. Overall, BEP improved birth weight and reduced the risk of stillbirth and small for gestational age. A total of three SRMAs (five trials) evaluated the effect of LNS compared with iron folic acid (IFA) or multiple micronutrients (MMNs). The LNS interventions comprised small- and large-quantity LNS that ranged in calories (118 to 746 kilocalories), protein (3 to 21 grams), fat (10 to 53 grams), and micronutrient content. When compared with IFA, LNS increased pregnancy duration, birth weight, and birth length and reduced the risk of small for gestational age and infant stunting. However, no beneficial effect of LNS was identified when compared with MMN.

Despite heterogeneity in the nutritional composition of BEP supplements, which complicates interpretation of results, the evidence suggests that these products may improve birth outcomes in nutritionally at-risk populations. Further research is needed to clarify the most appropriate BEP supplement composition required and which pregnant women would benefit most from interventions. The evidence for LNS compared with IFA is promising but limited. There is a need for more homogenous evidence to clarify whether there is a benefit in providing LNS over MMNs.

Read more...

1 Small-quantity LNS provides 20 grams of food per day, including 3 grams (9%) of protein and 10 grams (73%) of fat and is meant to complement food in the diet.

2 Medium-quantity LNS, also known as ready-to-use supplementary food, has traditionally been used to treat moderate wasting and provides between 45 and 90 grams per day of supplementary food, of which 6 grams (10%) is protein and 16 grams (58%) is fat.

3 Large-quantity LNS, which is also referred to as ready-to-use therapeutic food, has been used to treat severe wasting in children and provides between 180 and 280 grams per day of supplementary food, of which 15 grams (16%) is protein and 28 grams (67%) is fat.

More like this

FEX: Suppléments nutritifs pour les femmes enceintes en contexte d’insécurité alimentaire

Read the article in English. Cet article résume l'étude suivante : A. Mihaela, AM. Ciulei, P. Nandita et al. (2023) Nutritious supplemental foods for pregnant...

FEX: Adding proteins to lipid-based nutrient supplements in Uganda: Which was best?

View this article as a pdf This is a summary of the following paper: Mbabazi J, Pesu H, Mutumba R et al. (2023) Effect of milk protein and whey permeate in large quantity...

FEX: Effectiveness of food supplements in increasing fat-free tissue accretion in children with moderate acute malnutrition in Burkina Faso

Summary of research1 Location: Burkina Faso What we know: There is no consensus on the effectiveness of lipid-nutrient supplement (LNS) compared to corn-soy blend (CSB) in...

FEX: WHO/UNICEF/WFP/UNHCR informal consultation on moderate malnutrition management in U5’s

Summary of meetinga The World Health Organisation (WHO) convened a meeting in Geneva (September 30th - October 3rd, 2008) with the overall aim of answering the question, 'What...

FEX: Use of LNS to improve food rations in emergencies

WFP/Alejandro Chicheri, Nicaragua, 2007 Summary of review1 A recent review focuses on the potential role of lipid-based nutrient supplements (LNS)' in meeting the nutritional...

FEX: Concerns that The Lancet double-burden series may undermine moderate wasting treatment

View this article as a pdf By Mark Manary, Donna Wegner, D Taylor Hendrixson, Rebecca Roediger, Meghan Callaghan Mark Manary is one of the world's foremost experts in...

Resource: Women's nutrition: A summary of evidence, policy and practice including adolescent and maternal life stages

Please scroll down for links to download the Executive Summary (also available in French) and full report Lisez cet document d'information technique en français ici...

FEX: Effect of adding RUSF to ageneral food distribution on child nutritional status and morbidity: a cluster randomised controlled trial

Summary of research1 Child during appetite test at a health facility offering treatment in Monrovia, Liberia The authors of a recent study hypothesized that including a daily...

FEX: Development and use of alternative nutrient-dense foods for management of acute malnutrition in India

View this article as a pdf Lisez cet article en français ici By Praveen Kumar, Raja Sriswan Mamidi, N Arlappa, Khyati Tiwari, Shivani Rohatgi, G Sarika, Dripta Roy...

FEX: Improving maternal nutrition in South Asia: Implications for child wasting prevention efforts

View this article as a pdf Lisez cet article en français ici By Zivai Murira and Harriet Torlesse Zivai Murira is Nutrition Specialist at United Nations Children's...

FEX: Fortified balanced energy protein supplementation for pregnant women in Burkina Faso

View this article as a pdf This is a summary of the following paper: Hanley-Cook G, Toe LC, Tesfamariam K et al (2022) Fortified balanced energy-protein supplementation,...

Combining a mid-day meal, health service package and peer support in Karnataka State, India

Combining a mid-day meal, health service package and peer support in Karnataka State, India View this article as a pdf Uma Mahadevan is Principal Secretary in the Department...

FEX: Ghana: Sustained growth effects of early lipid-based nutrient supplements

This is a summary of the following paper: Bentil H, Adu-Afarwuah S, Prado E et al. (2023) Sustained effects of small-quantity lipid-based nutrient supplements provided during...

FEX: TreatFOOD study in Burkina Faso

Summary of presentation1 of published research2 View this article as a pdf By Susan Shepherd Dr Susan Shepherd is Director of Clinical and Operational Research for...

FEX: Fortified blended flour supplements displace plain cereals in feeding of young children

View this article as a pdf Research snapshot1 Growth faltering often occurs during the period of complementary feeding, from six to 20 months of age, when the child is...

en-net: Can Plumpy Sup be used for blanket supplementary feeding program (BSFP) in the scarcity of Plumpy Doz?

Due to insecurity, it is not possible to access the conflict affected population regularly and so, we are planning to integrate blanket distribution of Plumpy sup for Children...

FEX: Summary of the revised joint WFP/UNHCR Guidelines for Estimating Food and Nutritional Needs in Emergencies

Effective from the 1st of January 1998 a new ration planning figure will be used for all new emergency operations by WFP and UNHCR and for ongoing programmes where ration...

FEX: Food aid for nutrition: A landscape review of current research and implications for future studies

View this article as a pdf Lisez cet article en français ici By Maria Wrabel, Kristine Caiafa, Beatrice Lorge Rogers and Patrick Webb All authors are affiliated with...

FEX: MAM and SAM cases reduced through a stunting prevention programme in Malawi and the associated costs averted

View this article as a pdf Lisez cet article en français ici By Jackson Mason-Mackay, Arghanoon Farhikhtah, Mica Jenkins, Trust Takudzwa Mlambo, Emma Lefu and Nancy...

FEX: Improving maternal nutrition in South Asia: Implications for child wasting prevention efforts

This is a summary of a Field Exchange 'views' article that was included in issue 63 - a special edition on child wasting in South Asia. The original article was authored by...

Close

Reference this page

Nutritious supplemental foods for pregnant women from food-insecure settings. Field Exchange 71, December 2023. p27. www.ennonline.net/fex/71/nutritious-supplemental-foods-for-pregnant-women-from-food-insecure-settings

(ENN_7769)

Close

Download to a citation manager

The below files can be imported into your preferred reference management tool, most tools will allow you to manually import the RIS file. Endnote may required a specific filter file to be used.