Locally Produced Cereal/Nut/Legume-Based Biscuits Versus Peanut/Milk-Based Spread for Treatment of Moderately to Mildly Wasted Children in Daily Programmes on Nias Island, Indonesia: An Issue of Acceptance and Compliance?

Veronika Scherbaum ； Ratna Chrismiari Purwestri ； Wolfgang Stuetz ； Dyah Ayu Inayati ； Julia Suryantan ； Maurice Alexander Bloem ； Konrad Biesalski

《Asia Pacific Journal of Clinical Nutrition》 預刊文章 Pp. 1-19

https://doi.org/10.6133/apjcn.2015.24.1.15

並列摘要

Background: Treatment effects of fortified ready-to-use foods for moderately to mildly wasted children are largely unknown. Method: Two nutritionally comparable forms of locally produced ready-to-use foods for daily feeding programmes of moderately to mildly wasted children (weight-for-height Z-score/WHZ ≥-3 to ＜-1.5 SD) were assessed on Nias, Indonesia. The frequencies of reaching target WHZ ≥-1.5 SD, compliance to the ready-to-use food programme, and weight gain until recovery or programme closure among children treated with peanut/milk-based spreads (n=29) were compared among children receiving cereal/nut/legume-based biscuits (n=44) and a second group treated with cereal/nut/legumebased biscuits whose mothers received intensive nutrition education (n=38). Results: Children in the cereal/nut/legume-based biscuits groups were younger (31 and 33 vs 39 months, p=0.004) and more likely to be moderately wasted (45 and 39 vs 21% with WHZ＜-2, p=0.114) at admission, but had a higher rate in recovery (84 and 79 vs 62%, p=0.086) and showed more frequently a high compliance (＞80%) to the ready-to-use (86 and 84 vs 45%, p＜0.001) than those children in the peanut/milk-based spreads programme. Multivariate logistic regression revealed high compliance followed by weight gain and a lower degree of wasting at admission as independent and significant predictors of reaching target WHZ ≥-1.5 SD (all p＜0.01). Weight gain was positively associated with the consumption of the biscuits (cereal/nut/legume-based biscuits with or without intensive education vs peanut/milk-based spreads: r=0.188, p=0.051) and was highest in the cereal/nut/legume-based biscuits plus intensive education compared with the cereal/nut/legume-based biscuits and peanut/milkbased spreads groups. Conclusion: Locally produced ready-to-use foods as biscuits or spreads were similarly effective for rehabilitation of moderately to mildly wasted children.

並列關鍵字

fortified ready-to-use foods (RUFs) ； supplementary feeding ； moderately to mildly wasted children ； weight gain ； programme compliance