Supplementation with fortified lipid-based and blended complementary foods has variable impact on body composition among Rural Bangladeshi children: A cluster-randomized controlled trial
This article was published in the Journal of Nutrition by Oxford Academic [ Copyright C The Author(s) on behalf of the American Society for Nutrition 2020. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/...
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Oxford Academic
2022
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| Accés en línia: | http://hdl.handle.net/10361/16586 https://doi.org/10.1093/jn/nxaa061 |
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10361-165862022-05-10T21:01:29Z Supplementation with fortified lipid-based and blended complementary foods has variable impact on body composition among Rural Bangladeshi children: A cluster-randomized controlled trial Shaikh, Saijuddin Campbell, Rebecca K Mehra, Sucheta Kabir, Alamgir Schulze, Kerry J Wu, Lee Ali, Hasmot Shamim, Abu Ahmed West, Keith P Christian, Parul Brac James P. Grant School of Public Health Childhood Complementary feeding Fat-free mass Fat mass Bangladesh This article was published in the Journal of Nutrition by Oxford Academic [ Copyright C The Author(s) on behalf of the American Society for Nutrition 2020. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/),] and the definite version is available at: https://doi.org/10.1093/jn/nxaa061 The Journal's website is at: https://academic.oup.com/jn/article/150/7/1924/5815134 Background: Complementary food supplementation enhances linear growth and may affect body composition in children. Objective: We aimed to determine the effect of complementary food supplements provided from the age of 6 to 18 mo on fat-free mass (FFM) and fat mass (FM) gain among children in rural Bangladesh. Methods: In an unblinded, cluster-randomized, controlled trial we tested the effects of 4 complementary food supplements for 1 y [chickpea, rice lentil, Plumpy’doz, and wheat-soy-blend++ (WSB++)] compared with no supplements on linear growth. Body composition was estimated using weight-length-based, age- and sex-specific equations at 6, 9, 12, 15, and 18 mo and postintervention aged 24 mo. Generalized estimating equations (GEEs) were applied to estimate the effect of each complementary food on mean FFM and FM from 9 to 18 and 24 mo compared with the control, adjusting for baseline measures. Sex interactions were also explored. Results: In total, 3592 (65.9% of enrolled) children completed all anthropometric assessments. Estimated FFM and FM (mean ± SD) were 5.3 ± 0.6 kg and 1.4 ± 0.4 kg, respectively, at the age of 6 mo. Mean ± SE FFM and FM from 9 to 18 mo were 75.4 ± 14.0 g and 32.9 ± 7.1 g, and 61.0 ± 16.6 g and 30.0 ± 8.4 g, higher with Plumpy’doz and chickpea foods, respectively, than the control (P < 0.001). Estimated FFM was 41.5 ± 16.6 g higher in rice-lentil-fed versus control (P < 0.05) children. WSB++ had no impact on FFM or FM. A group-sex interaction (P < 0.1) was apparent with Plumpy’doz and rice-lentil foods, with girls involved in the intervention having higher estimated FFM and FM than control girls compared with no significant effect in boys. At 24 mo, FFM and FM remained higher only in girls eating Plumpy’doz compared with the controls (P < 0.01). Conclusions: In this randomized trial, supplementation effected small shifts in apparent body composition in rural Bangladeshi children. Where seen, FFM increments were twice that of FM, in proportion to these compartments, and more pronounced in girls. FFM increased in line with reported improvements in length. This trial was registered at clinicaltrials.gov as NCT01562379. J Nutr 2020;150:1924–1932. Published 2022-05-10T06:39:55Z 2022-05-10T06:39:55Z 2020 2020-04-02 Journal Article Shaikh, S., Campbell, R. K., Mehra, S., Kabir, A., Schulze, K. J., Wu, L., . . . Christian, P. (2020). Supplementation with fortified lipid-based and blended complementary foods has variable impact on body composition among rural Bangladeshi children: A cluster-randomized controlled trial. Journal of Nutrition, 150(7), 1924-1932. doi:10.1093/jn/nxaa061 http://hdl.handle.net/10361/16586 https://doi.org/10.1093/jn/nxaa061 en_US https://academic.oup.com/jn/article/150/7/1924/5815134 Journal of Nutrition application/pdf Oxford Academic |
| institution |
Brac University |
| collection |
Institutional Repository |
| language |
en_US |
| topic |
Childhood Complementary feeding Fat-free mass Fat mass Bangladesh |
| spellingShingle |
Childhood Complementary feeding Fat-free mass Fat mass Bangladesh Shaikh, Saijuddin Campbell, Rebecca K Mehra, Sucheta Kabir, Alamgir Schulze, Kerry J Wu, Lee Ali, Hasmot Shamim, Abu Ahmed West, Keith P Christian, Parul Supplementation with fortified lipid-based and blended complementary foods has variable impact on body composition among Rural Bangladeshi children: A cluster-randomized controlled trial |
| description |
This article was published in the Journal of Nutrition by Oxford Academic [ Copyright C The Author(s) on behalf of the American Society for Nutrition 2020. This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/4.0/),] and the definite version is available at: https://doi.org/10.1093/jn/nxaa061 The Journal's website is at: https://academic.oup.com/jn/article/150/7/1924/5815134 |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Shaikh, Saijuddin Campbell, Rebecca K Mehra, Sucheta Kabir, Alamgir Schulze, Kerry J Wu, Lee Ali, Hasmot Shamim, Abu Ahmed West, Keith P Christian, Parul |
| format |
Journal Article |
| author |
Shaikh, Saijuddin Campbell, Rebecca K Mehra, Sucheta Kabir, Alamgir Schulze, Kerry J Wu, Lee Ali, Hasmot Shamim, Abu Ahmed West, Keith P Christian, Parul |
| author_sort |
Shaikh, Saijuddin |
| title |
Supplementation with fortified lipid-based and blended complementary foods has variable impact on body composition among Rural Bangladeshi children: A cluster-randomized controlled trial |
| title_short |
Supplementation with fortified lipid-based and blended complementary foods has variable impact on body composition among Rural Bangladeshi children: A cluster-randomized controlled trial |
| title_full |
Supplementation with fortified lipid-based and blended complementary foods has variable impact on body composition among Rural Bangladeshi children: A cluster-randomized controlled trial |
| title_fullStr |
Supplementation with fortified lipid-based and blended complementary foods has variable impact on body composition among Rural Bangladeshi children: A cluster-randomized controlled trial |
| title_full_unstemmed |
Supplementation with fortified lipid-based and blended complementary foods has variable impact on body composition among Rural Bangladeshi children: A cluster-randomized controlled trial |
| title_sort |
supplementation with fortified lipid-based and blended complementary foods has variable impact on body composition among rural bangladeshi children: a cluster-randomized controlled trial |
| publisher |
Oxford Academic |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16586 https://doi.org/10.1093/jn/nxaa061 |
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