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首页> 外文期刊>Public Health Nutrition >Impact of targeted food supplementation on pregnancy weight gain and birth weight in rural Bangladesh: an assessment of the Bangladesh Integrated Nutrition Program (BINP).
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Impact of targeted food supplementation on pregnancy weight gain and birth weight in rural Bangladesh: an assessment of the Bangladesh Integrated Nutrition Program (BINP).

机译：有针对性的食物补充对孟加拉国农村地区孕妇体重增加和出生体重的影响：对孟加拉国综合营养计划的评估。

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This study sought to determine whether the Bangladesh Integrated Nutrition Programme (BINP) correctly identified which pregnant women should be enrolled in the food supplementation programme, and whether supplementation commenced on time and was taken on a regular basis. A second objective was to determine whether food supplementation led to enhanced pregnancy weight gain and reduction in the prevalence of low birth weight. A 1-year community-based longitudinal study was conducted in the rural union of Bhaluka Upazila, Mymensingh, located 110 km north-west of Dhaka City, the capital of Bangladesh. Participants included a total of 1104 normotensive, non-smoking pregnant women who attended Community Nutrition Centres from first presentation at the centre until child delivery. Pregnant women who had a BMI of <18.5 kg/m2 on first presentation should have been selected for supplementary feeding (2512 kJ (600 kcal)/day for 6 days per week) starting at month 4 (16 weeks) of pregnancy. However, of the 526 women who had BMI <18.5 kg/m2, only 335 received supplementation; so the failure rate was 36.3%. In addition, of those receiving supplementation, only 193 women (36.7% of 526 women) commenced supplementation at the correct time, of whom 32 (9.6% of 335 women) received supplementation for the correct number of days (100% days). There were no significant differences in mean weight gain between BMI <18.5 kg/m2 supplemented or non-supplemented groups or between the equivalent groups with BMI >=18.5 kg/m2. Weight gain was inversely related to initial weight, so lighter women gained relatively more weight during their pregnancy than heavier women. The mean birth weight in the supplemented and non-supplemented groups was 2.63 and 2.72 kg, respectively. Mothers with BMI <18.5 kg/m2 who were or were not supplemented had almost equal percentages of low-birth-weight babies (21 and 22%, respectively). In conclusion, the study raises doubts about the efficiency of the BINP to correctly target food supplementation to pregnant women. It also shows that food supplementation does not lead to enhanced pregnancy weight gain nor does it provide any evidence of a reduction in prevalence of low birth weight.
机译：这项研究试图确定孟加拉国综合营养计划（BINP）是否正确确定了哪些孕妇应加入食品补充计划，以及补充营养是否按时开始并定期进行。第二个目标是确定补充食物是否导致增加的孕妇体重增加和低出生体重的患病率降低。在孟加拉国首都达卡市西北110公里处的Mymensingh的Bhaluka Upazila农村联盟中进行了为期1年的基于社区的纵向研究。参加者包括总共1104名血压正常，不吸烟的孕妇，从首次在该中心就诊到分娩，他们都参加了社区营养中心。初次就诊时BMI <18.5 kg / m2的孕妇应选择从妊娠的第4个月（16周）开始进行补充喂养（2512 kJ（600 kcal）/天，每周6天）。但是，在526名BMI <18.5 kg / m2的妇女中，只有335名得到了补充。因此失败率为36.3％。此外，在接受补充的人中，只有193名妇女（526名妇女中的36.7％）在正确的时间开始补充，其中32名（335名妇女中的9.6％）在正确的天数（100％天）内接受了补充。 BMI <18.5 kg / m2补充组或未补充组之间或BMI> = 18.5 kg / m2的等效组之间的平均体重增加无显着差异。体重增加与初始体重成反比，因此，较轻的女性在怀孕期间的体重比较重的女性更多。补充组和非补充组的平均出生体重分别为2.63和2.72 kg。 BMI <18.5 kg / m2的母亲，无论是否补充，其低出生体重婴儿的比例几乎相等（分别为21％和22％）。总之，该研究对BINP正确针对孕妇补充食品的有效性提出了质疑。它还表明，补充食物不会导致孕妇体重增加增加，也不能提供任何证据表明低出生体重的患病率降低。

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