Impact of fortified biscuits on micronutrient deficiencies among primary school children in Bangladesh
This article was published in the Plos One [© 2017 Plos One] and the definite version is available at : https://doi.org/10.1371/journal.pone.0174673 . The Journal's website is at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0174673
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10361-89172019-09-30T03:18:21Z Impact of fortified biscuits on micronutrient deficiencies among primary school children in Bangladesh Adams, Alayne M. Ahmed, Rushdia Latif, A. H. M. Mahbub Rasheed, Sabrina Das, Sumon K. Hasib, Enamul Farzana, Fahmida Dil Ferdous, Farzana Ahmed, Shahnawaz Faruque, ASG Primary school Fortified biscuits Bangladesh This article was published in the Plos One [© 2017 Plos One] and the definite version is available at : https://doi.org/10.1371/journal.pone.0174673 . The Journal's website is at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0174673 Background Micronutrient deficiencies can compromise the development potential of school-aged children, and their later health and productivity as adults. School feeding and school-based fortification approaches have been utilized globally to redress nutritional deficiencies in this age group. Objective We explored the acceptability and micronutrient impact of a Bangladesh Government supported school-based micronutrient fortification program for children attending rural primary schools in 10 disadvantaged sub-districts. Methods We applied a mixed methods approach. The quantitative component assessed the impact of micronutrient fortification on 351 children aged 6–11 years using a cohort pre-post research design with a control group. The qualitative component explored the acceptability of the intervention using focus group discussions, body mapping and semi-structured interviews with teachers, school-going children and school authorities. Results Daily consumption of fortified biscuits by primary school children had a significant positive impact on mean levels of iron, folic acid, vitamin B12, retinol and vitamin D controlling for sex, baseline deficiency status, CRP, and H. pylori. Levels of anemia and vitamin D deficiency were also significantly reduced. Qualitative findings indicated the widespread acceptability of the daily biscuit. Teachers perceived students to be more attentive in class, less tired, and some attributed better school performance to biscuit consumption. Children reported similar improvements in concentration and energy levels. Conclusions This study is among the first in Bangladesh to comprehensively assess a school-based fortification program in terms of its acceptability and impact on micronutrient status of children aged 6–11 years of age. While results strongly support this modality of school feeding, research on the cognitive impacts of micronutrient fortified biscuits will help clarify the case for scaled-up investments in school- based feeding program in Bangladesh and other low and middle income countries. Published 2018-01-04T09:21:33Z 2018-01-04T09:21:33Z 2017-04-05 Article Adams AM, Ahmed R, Latif AHMM, Rasheed S, Das SK, Hasib E, et al. (2017) Impact of fortified biscuits on micronutrient deficiencies among primary school children in Bangladesh. PLoS ONE 12(4): e0174673. https://doi.org/10.1371/journal.pone.0174673 19326203 http://hdl.handle.net/10361/8917 https://doi.org/10.1371/journal.pone.0174673 en http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0174673 application/pdf © 2017 Plos One |
| institution |
Brac University |
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Institutional Repository |
| language |
English |
| topic |
Primary school Fortified biscuits Bangladesh |
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Primary school Fortified biscuits Bangladesh Adams, Alayne M. Ahmed, Rushdia Latif, A. H. M. Mahbub Rasheed, Sabrina Das, Sumon K. Hasib, Enamul Farzana, Fahmida Dil Ferdous, Farzana Ahmed, Shahnawaz Faruque, ASG Impact of fortified biscuits on micronutrient deficiencies among primary school children in Bangladesh |
| description |
This article was published in the Plos One [© 2017 Plos One] and the definite version is available at : https://doi.org/10.1371/journal.pone.0174673 . The Journal's website is at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0174673 |
| format |
Article |
| author |
Adams, Alayne M. Ahmed, Rushdia Latif, A. H. M. Mahbub Rasheed, Sabrina Das, Sumon K. Hasib, Enamul Farzana, Fahmida Dil Ferdous, Farzana Ahmed, Shahnawaz Faruque, ASG |
| author_facet |
Adams, Alayne M. Ahmed, Rushdia Latif, A. H. M. Mahbub Rasheed, Sabrina Das, Sumon K. Hasib, Enamul Farzana, Fahmida Dil Ferdous, Farzana Ahmed, Shahnawaz Faruque, ASG |
| author_sort |
Adams, Alayne M. |
| title |
Impact of fortified biscuits on micronutrient deficiencies among primary school children in Bangladesh |
| title_short |
Impact of fortified biscuits on micronutrient deficiencies among primary school children in Bangladesh |
| title_full |
Impact of fortified biscuits on micronutrient deficiencies among primary school children in Bangladesh |
| title_fullStr |
Impact of fortified biscuits on micronutrient deficiencies among primary school children in Bangladesh |
| title_full_unstemmed |
Impact of fortified biscuits on micronutrient deficiencies among primary school children in Bangladesh |
| title_sort |
impact of fortified biscuits on micronutrient deficiencies among primary school children in bangladesh |
| publisher |
© 2017 Plos One |
| publishDate |
2018 |
| url |
http://hdl.handle.net/10361/8917 https://doi.org/10.1371/journal.pone.0174673 |
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