The impact of maternal supplementation during pregnancy and the first 6 months postpartum on the growth status of the next child born after the intervention period: Follow-up results from Bangladesh and Ghana

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dc.contributor.authorAdu-Afarwuah, S.
dc.contributor.authorAdams, K.P.
dc.contributor.authorMridha, M.K.
dc.contributor.authorOaks, B.M.
dc.contributor.authorMatias, S.L.
dc.contributor.authorArnold, C.D.
dc.contributor.authorKumordzie, S.M.
dc.contributor.authorOkronipa, H.
dc.contributor.authorOcansey, M.E.
dc.contributor.authorDewey, K.G.
dc.date.accessioned2020-03-12T09:39:20Z
dc.date.available2020-03-12T09:39:20Z
dc.date.issued2020-02-05
dc.descriptionResearch Articleen_US
dc.description.abstractPregnancy and breastfeeding make demands on maternal nutrient stores. The extent of depletion and the degree to which nutrient stores are replenished between pregnancies has implications for a mother's nutritional status at conception of the subsequent child and therefore that child's birth outcomes and growth. Using follow-up data collected several years after a randomized effectiveness trial conducted in rural Bangladesh and a randomized efficacy trial conducted in semiurban Ghana, we evaluated the impact of maternal supplementation with small-quantity lipid-based nutrient supplements (LNS) or multiple micronutrients (MMN) through pregnancy (the index pregnancy) and 6 months postpartum on the growth status of the next living younger sibling conceived and born after the index pregnancy. In both Bangladesh (n = 472 younger siblings) and Ghana (n = 327 younger siblings), there were no overall differences in the growth status or the prevalence of undernutrition among younger siblings whose mothers had received LNS (or MMN, Ghana only) during and after the index pregnancy compared with the younger siblings of mothers who had received iron plus folic acid (IFA) during the index pregnancy (Ghana) or during and for 3 months after the index pregnancy (Bangladesh). These findings do not indicate that preconception nutrition interventions do not improve child growth. Rather, they suggest that any benefits of maternal LNS or MMN supplementation during one pregnancy and for 6 months postpartum are unlikely to extend to the growth of her next child beyond any effects due to IFA aloneen_US
dc.description.sponsorshipBill & Melinda Gates Foundation, Grant/Award Number: OPP49817; Office of Health, Infectious Diseases, and Nutrition, Bureau for Global Health, US Agency for International Development (USAID) under the terms of cooperative agreement AID-OAA-A-12- 00005, through the Food and Nutrition Technical Assistance III Project (FANTA), managed by FHI 360, Grant/Award Number: AID-OAA-A-12-00005en_US
dc.identifier.otherhttps://doi.org/10.1111/mcn.12927
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/35253
dc.language.isoenen_US
dc.publisherMaternal & Child Nutritionen_US
dc.relation.ispartofseries;2020
dc.subjectBangladeshen_US
dc.subjectchild growthen_US
dc.subjectGhanaen_US
dc.subjectpreconception nutritionen_US
dc.subjectnutrient supplementsen_US
dc.titleThe impact of maternal supplementation during pregnancy and the first 6 months postpartum on the growth status of the next child born after the intervention period: Follow-up results from Bangladesh and Ghanaen_US
dc.typeArticleen_US

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