Effect of mass supplementation with ready-to-use supplementary food during an anticipated nutritional emergency.

<h4>Background</h4>Previous studies have shown the benefits of ready-to-use supplementary food (RUSF) distribution in reducing the incidence and prevalence of severe acute malnutrition.<h4>Methods and findings</h4>To compare the incidence of wasting, stunting and mortality be...

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Autores principales:	Emmanuel Grellety, Susan Shepherd, Thomas Roederer, Mahamane L Manzo, Stéphane Doyon, Eric-Alain Ategbo, Rebecca F Grais
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3f05523a5082481ab61f0ac3ef5d2d3b
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spelling	oai:doaj.org-article:3f05523a5082481ab61f0ac3ef5d2d3b2021-11-18T07:05:52ZEffect of mass supplementation with ready-to-use supplementary food during an anticipated nutritional emergency.1932-620310.1371/journal.pone.0044549https://doaj.org/article/3f05523a5082481ab61f0ac3ef5d2d3b2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22984524/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Previous studies have shown the benefits of ready-to-use supplementary food (RUSF) distribution in reducing the incidence and prevalence of severe acute malnutrition.<h4>Methods and findings</h4>To compare the incidence of wasting, stunting and mortality between children aged 6 to 23 mo participating and not participating in distributions of RUSF, we implemented two exhaustive prospective cohorts including all children 60 cm to 80 cm, resident in villages of two districts of Maradi region in Niger (n = 2238). Villages (20) were selected to be representative of the population. All registered children were eligible for the monthly distributions between July and October 2010. Age, sex, height, weight, and Mid-Upper Arm Circumference (MUAC) were measured at baseline and two weeks after each distribution; the amount and type of distribution and the amount shared and remaining were also assessed. We compared the incidence of wasting, stunting, and mortality among children participating in the distribution (intervention) of RUSF versus children not participating in the distribution (comparison).The absolute rate of wasting was 1.59 events per child-year (503 events/315.3 child-year) in the intervention group and 1.78 events per child-year (322 events/180.4 child-year) in the comparison group [corrected].The intervention group had a small but higher weight-for-length Z-score gain (-0.2 z vs. -0.3 z) and less loss of MUAC than the comparison group (-2.8 vs. -4.0 mm). There was no difference in length gain (2.7 vs. 2.8 cm). Mortality was lower for children whose households received the intervention than those who did not (adjusted HR 0.55, 95% CI: 0.32-0.98).<h4>Conclusions</h4>Short-term distribution with RUSF for children 6 to 23 months improve the nutritional status of children at risk for malnutrition. Fewer children who participated in the RUSF distribution died than those who did not.Emmanuel GrelletySusan ShepherdThomas RoedererMahamane L ManzoStéphane DoyonEric-Alain AtegboRebecca F GraisPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 9, p e44549 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Emmanuel Grellety Susan Shepherd Thomas Roederer Mahamane L Manzo Stéphane Doyon Eric-Alain Ategbo Rebecca F Grais Effect of mass supplementation with ready-to-use supplementary food during an anticipated nutritional emergency.
description	<h4>Background</h4>Previous studies have shown the benefits of ready-to-use supplementary food (RUSF) distribution in reducing the incidence and prevalence of severe acute malnutrition.<h4>Methods and findings</h4>To compare the incidence of wasting, stunting and mortality between children aged 6 to 23 mo participating and not participating in distributions of RUSF, we implemented two exhaustive prospective cohorts including all children 60 cm to 80 cm, resident in villages of two districts of Maradi region in Niger (n = 2238). Villages (20) were selected to be representative of the population. All registered children were eligible for the monthly distributions between July and October 2010. Age, sex, height, weight, and Mid-Upper Arm Circumference (MUAC) were measured at baseline and two weeks after each distribution; the amount and type of distribution and the amount shared and remaining were also assessed. We compared the incidence of wasting, stunting, and mortality among children participating in the distribution (intervention) of RUSF versus children not participating in the distribution (comparison).The absolute rate of wasting was 1.59 events per child-year (503 events/315.3 child-year) in the intervention group and 1.78 events per child-year (322 events/180.4 child-year) in the comparison group [corrected].The intervention group had a small but higher weight-for-length Z-score gain (-0.2 z vs. -0.3 z) and less loss of MUAC than the comparison group (-2.8 vs. -4.0 mm). There was no difference in length gain (2.7 vs. 2.8 cm). Mortality was lower for children whose households received the intervention than those who did not (adjusted HR 0.55, 95% CI: 0.32-0.98).<h4>Conclusions</h4>Short-term distribution with RUSF for children 6 to 23 months improve the nutritional status of children at risk for malnutrition. Fewer children who participated in the RUSF distribution died than those who did not.
format	article
author	Emmanuel Grellety Susan Shepherd Thomas Roederer Mahamane L Manzo Stéphane Doyon Eric-Alain Ategbo Rebecca F Grais
author_facet	Emmanuel Grellety Susan Shepherd Thomas Roederer Mahamane L Manzo Stéphane Doyon Eric-Alain Ategbo Rebecca F Grais
author_sort	Emmanuel Grellety
title	Effect of mass supplementation with ready-to-use supplementary food during an anticipated nutritional emergency.
title_short	Effect of mass supplementation with ready-to-use supplementary food during an anticipated nutritional emergency.
title_full	Effect of mass supplementation with ready-to-use supplementary food during an anticipated nutritional emergency.
title_fullStr	Effect of mass supplementation with ready-to-use supplementary food during an anticipated nutritional emergency.
title_full_unstemmed	Effect of mass supplementation with ready-to-use supplementary food during an anticipated nutritional emergency.
title_sort	effect of mass supplementation with ready-to-use supplementary food during an anticipated nutritional emergency.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/3f05523a5082481ab61f0ac3ef5d2d3b
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Effect of mass supplementation with ready-to-use supplementary food during an anticipated nutritional emergency.

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