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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Reducing wasting in young children with preventive supplementation: a cohort study in Niger.
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Reducing wasting in young children with preventive supplementation: a cohort study in Niger.

机译：通过预防性补充减少幼儿浪费：一项在尼日尔进行的队列研究。

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摘要

OBJECTIVE: To compare the incidence of wasting, stunting, and mortality among children aged 6 to 36 months who are receiving preventive supplementation with either ready-to-use supplementary foods (RUSFs) or ready-to-use therapeutic foods (RUTFs). SUBJECTS AND METHODS: Children aged 6 to 36 months in 12 villages of Maradi, Niger, (n = 1645) received a monthly distribution of RUSFs (247 kcal [3 spoons] per day) for 6 months or RUTFs (500-kcal sachet per day) for 4 months. We compared the incidence of wasting, stunting, and mortality among children who received preventive supplementation with RUSFs versus RUTFs. RESULTS: The effectiveness of RUSF supplementation depended on receipt of a previous preventive intervention. In villages in which a preventive supplementation program was previously implemented, the RUSF strategy was associated with a 46% (95% confidence interval [CI]: 6%-69%) and 59% (95% CI: 17%-80%) reduction in wasting and severe wasting, respectively. In contrast, in villages in which the previous intervention was not implemented, we found no difference in the incidence of wasting or severe wasting according to type of supplementation. Compared with the RUTF strategy, the RUSF strategy was associated with a 19% (95% CI: 0%-34%) reduction in stunting overall. CONCLUSION: We found that the relative performance of a 6-month RUSF supplementation strategy versus a 4-month RUTF strategy varied with receipt of a previous nutritional intervention. Contextual factors will continue to be important in determining the dose and duration of supplementation that will be most effective, acceptable, and sustainable for a given setting.
机译：目的：比较接受预防性补充即用型辅助食品（RUSF）或即用型治疗性食品（RUTF）的6至36个月大儿童的消瘦，发育迟缓和死亡率的发生率。受试者和方法：尼日尔马拉迪12个村庄的6至36个月大的儿童（n = 1645）每月分配RUSF（每天247 kcal [3匙]）或RUTF（每袋500 kcal香囊）。天），持续4个月。我们比较了接受预防性补充RUSF和RUTF的儿童中消瘦，发育迟缓和死亡率的发生率。结果：RUSF补充的有效性取决于先前的预防干预措施的接受。在先前实施了预防性补充计划的村庄中，RUSF策略与46％（95％置信区间[CI]：6％-69％）和59％（95％CI：17％-80％）相关。减少浪费和严重浪费。相反，在没有实施先前干预措施的村庄中，我们发现根据补给类型的浪费或严重浪费的发生率没有差异。与RUTF策略相比，RUSF策略使整体发育迟缓减少了19％（95％CI：0％-34％）。结论：我们发现6个月RUSF补充策略与4个月RUTF策略的相对表现随先前的营养干预而变化。在确定给定背景下最有效，可接受和可持续的补充剂量和持续时间时，背景因素将继续发挥重要作用。

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