The Health Effects of Antenatal Multiple Micronutrient Supplementation in Nepalese Children.

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dc.contributor.authorDevakumar, Delan
dc.contributor.authorWells, Jonathan
dc.contributor.authorChaube, Shiva
dc.contributor.authorSaville, Naomi
dc.contributor.authorManandhar, Dharma
dc.contributor.authorCostello, Anthony
dc.contributor.authorAyres, Jonathan
dc.contributor.authorStocks, Janet
dc.contributor.authorOsrin, David
dc.date.accessioned2016-12-17T06:48:19Z
dc.date.available2016-12-17T06:48:19Z
dc.date.issued2015
dc.description.abstractObjectives: In low- and middle-income countries, prenatal multiple micronutrient supplementation has been shown in meta-analyses to increase birthweight and reduce the proportion of babies born small-for-gestational-age, but the longer term effects are unclear. We examined phenotypic and health differences between children born to mothers in a randomized controlled trial of prenatal multiple micronutrient (UNIMAPP) supplementation compared to iron and folate. Methods: The study was conducted in Dhanusha district, Nepal. We measured anthropometry, body composition using bioelectrical impedance (with population-specific isotope calibration), blood pressure, kidney dimensions by ultrasound, and spirometry. Health outcomes were recorded in questionnaires. Personal estimates of air pollution exposure (particles of less than 4 micrometers in size) were produced by microenvironment sampling. Results: We saw 841 children (80% of total), at a mean age of 8.5 years. The unadjusted mean (95%CI) difference (intervention minus control) in weight-for-age was 0.05 z-scores (-0.09,0.19), in height-for-age 0.02 z-scores (-0.10,0.15) and in BMI-for-age 0.04 z-scores (-0.09,0.18). Similar results were obtained from multi-variable regression analysis. No difference was found in body composition, kidney size, blood pressure or lung function. In addition there were no differences in health outcomes between allocation groups. Conclusions: Differences that were previously seen in phenotype and blood pressure at birth and at two years in children born to mothers who received antenatal UNIMMAP supplements were not apparent at 8.5 years of age. While not ruling out physiological differences and health benefits in adulthood, our findings do not suggest sustained effects of antenatal micronutrient supplementation.en_US
dc.identifier.citationDevakumar Delan, Wells Jonathan, Chaube Shiva, Saville Naomi, Manandhar Dharma, Costello Anthony, Ayres Jonathan, Stocks Janet, Osrin David. The Health Effects of Antenatal Multiple Micronutrient Supplementation in Nepalese Children. European Journal of Nutrition & Food Safety. 2015 Special issue; 5(5): 2029-2030.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/179968
dc.language.isoenen_US
dc.source.urihttps://www.sciencedomain.org/metrics/11145en_US
dc.titleThe Health Effects of Antenatal Multiple Micronutrient Supplementation in Nepalese Children.en_US
dc.typeArticleen_US
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