Targeted food supplementation through National Nutrition Program and pregnancy weight gain status in selected upazilas

A record based operational research was conducted to explore the effect of targeted food supplementation of National Nutritional Program on pregnancy weight-gain. Records of chronic energy deficient mothers who delivered their baby between 1st January and 31st December, 2008 in the study areas were reviewed. The study included 439 samples from Kapasia sub-district, a National Nutritional Program intervention area and 126 samples from Savar subdistrict, as control area. In the National Nutritional Program area 211 (48%) of the chronic energy deficient mothers were enrolled for supplementation and only 34 (8%) of them completed the full course. Samples of Kapasia and Savar were significantly different in their socio-demographic status. The early–pregnancy average body mass index of supplemented mothers (16.21±0.77) was significantly different from non supplemented mothers of Kapasia (17.14±.82) and Savar areas (17.03±1.19). Average pregnancy weight gain in mothers of control area (6.50±1.53 kg) were significantly lower than supplemented (7.94±1.99 kg) and non-supplemented mothers (7.82±2.28 kg) in National Nutrition Program intervention area (p<0.001). Multivariate analysis showed supplemented mothers were six times [OR with 95% CI; 6.34 (2.43,16.52) and non-supplemented mothers from same area were eleven times more likely to gain targeted weight than the mothers of control area after adjusting for other variables. Duration of supplementation did not show any influence on pregnancy weight gain. The current study showed significant difference in weight gain between National Nutrition Program area and control area, but no significant difference was noticed between non-supplemented and supplemented mothers within National Nutrition Program area. A large-scale well-designed trial is recommended to explore this effect. DOI: http://dx.doi.org/10.3329/bmrcb.v37i2.8438 BMRCB 2011; 37(2): 71-75

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Impact of targeted food supplementation on pregnancy weight gain and birth weight in rural Bangladesh: an assessment of the Bangladesh Integrated Nutrition Program (BINP)

Public Health Nutrition ◽

10.1017/s1368980008003765 ◽

2009 ◽

Vol 12 (8) ◽

pp. 1205-1212 ◽

Cited By ~ 10

Author(s):

Shamsun Nahar ◽

CG Nicholas Mascie-Taylor ◽

Housne Ara Begum

Keyword(s):

Weight Gain ◽

Birth Weight ◽

Low Birth Weight ◽

Pregnant Women ◽

Food Supplementation ◽

Pregnancy Weight Gain ◽

North West ◽

Low Birth Weight Babies ◽

One Year ◽

Pregnancy Weight

AbstractObjectivesTo assess whether the Bangladesh Integrated Nutrition Programme (BINP) correctly identified which pregnant women should be enrolled in the food supplementation programme, whether supplementation commenced on time and was taken on a regular basis. A second objective was to determine whether food supplementation led to enhanced pregnancy weight gain and reduction in the prevalence of low birth weight.DesignA one-year community-based longitudinal study.SettingA rural union of Bhaluka Upazila, Mymensingh, located 110 km north-west of Dhaka City, the capital of Bangladesh.ParticipantsA total of 1104 normotensive, non-smoking pregnant women who attended Community Nutrition Centres were studied from first presentation at the centre until child delivery.ResultsPregnant women who had a BMI of <18·5 kg/m2 on first presentation should have been selected for supplementary feeding (2512 kJ (600 kcal)/d for six days per week) starting at month 4 (16 weeks) of pregnancy. However, of the 526 women who had BMI < 18·5 kg/m2, only 335 received supplementation; so the failure rate was 36·3 %. In addition, of those receiving supplementation, only 193 women (36·7 % of 526 women) commenced supplementation at the correct time, of whom thirty-two (9·6 % of 335 women) received supplementation for the correct number of days (100 % days). There were no significant differences in mean weight gain between BMI < 18·5 kg/m2 supplemented or non-supplemented groups or between the equivalent groups with BMI ≥ 18·5 kg/m2. Weight gain was inversely related to initial weight, so lighter women gained relatively more weight during their pregnancy than heavier women. The mean birth weight in the supplemented and non-supplemented groups was 2·63 kg and 2·72 kg, respectively. Mothers with BMI < 18·5 kg/m2 who were or were not supplemented had almost equal percentages of low-birth-weight babies (21 % and 22 %, respectively).ConclusionThe study raises doubt about the efficiency of the BINP to correctly target food supplementation to pregnant women. It also shows that food supplementation does not lead to enhanced pregnancy weight gain nor does it provide any evidence of a reduction in prevalence of low birth weight.

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Effect of Supplementation on Weight Gain of Growth Faltered under 2 Children in A Rural Area of Bangladesh

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v25i3.407 ◽

1970 ◽

Vol 25 (3) ◽

pp. 121-125

Author(s):

Saria Tasnim ◽

Syeda Afroza ◽

Fazlur Rahman

Keyword(s):

Weight Gain ◽

Prospective Study ◽

Rural Area ◽

Food Supplementation ◽

Community Based ◽

Nutrition Program ◽

Limited Impact ◽

Optimum Duration ◽

Significant Difference ◽

Effect Of Food

Effect of food supplementation for different duration on weight gain of growth faltered under 2 children was assessed in this study to identify an optimum duration for supplementation. This was a longitudinal prospective study conducted among 510 children aged 6-23 months enrolled for food supplementation from 1st November 98 to 30th May' 99 under community based food supplementation program of Bangladesh Integrated Nutrition Project (BINP). The children were assigned in 3 groups of supplementation for 30, 60 and 90 days. All children were assessed for Graduation (weight gain 500 gm) at assigned duration of supplementation and followed for 90 days with monthly anthropometric monitoring. The proportion of graduation was 21.7 percent (CI 15.8- 28.7), 48.8 percent (CI 41.1-56.6) and 80.5 percent (CI 73.4-86.4) at 30, 60 and 90 days of supplementation respectively. There was no significant difference of mean weight gain between 60 and 90 days of supplementation. There was limited impact on weight gain once graduation was achieved. As continuing supplementation will require more cost and graduated children could maintain weight gain with family diet it is recommended to assess for graduation after 60 days instead of existing practice of 90 days supplementation in the national nutrition program and consider 60 days supplementation as an optimum duration for growth faltered under 2 children. (J Bangladesh Coll Phys Surg 2007; 25 : 121-125)

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Control trial of porcine cysticercosis in Uganda using a combination of the TSOL18 vaccination and oxfendazole

Infectious Diseases of Poverty ◽

10.1186/s40249-021-00823-6 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Zachary Nsadha ◽

Chris Rutebarika ◽

Chrisostom Ayebazibwe ◽

Bukenya Aloys ◽

M. Mwanja ◽

...

Keyword(s):

Taenia Solium ◽

Control Program ◽

Control Area ◽

Sub Saharan Africa ◽

Intermediate Hosts ◽

Porcine Cysticercosis ◽

Intervention Area ◽

Significant Difference ◽

Sub Saharan ◽

Village Communities

Abstract Background Neurocysticercosis caused by Taenia solium when the parasite lodges in the central nervous system, is an important cause of human seizures and mortality in sub-Saharan Africa. The parasite is prevalent in many regions of Uganda. Pigs are intermediate hosts for T. solium, and we evaluated a T. solium control program in pigs, involving vaccination of pigs with the TSOL18 vaccine and treatment with oxfendazole. Methods The study was conducted in two districts of Eastern Uganda involving the rural village communities of Bukedea (intervention area) and Kumi (control area) during 2016–2017. Seven hundred and thirty-four households were enrolled in the study. Pigs in the intervention area received intramuscular immunizations with TSOL18 (Cysvax™) and an oral medication with 30 mg/kg oxfendazole (Paranthic™) at approximately 3-monthly intervals for 18 months. Porcine cysticercosis was evaluated by post-mortem examination. At the beginning of the study, 111 pigs were examined. In an interim evaluation in the intervention area, 55 pigs were evaluated 12 months after starting the project. At the end of the study approximately 3 months after the final intervention, 55 pigs from the intervention area and 56 pigs from the control area were evaluated. Results The prevalence of porcine cysticercosis for the two sites was 16.2% at the beginning of the study (17.2% in the intervention area and 15.1% in the control area) with no statistically significant difference (P = 0.759) between the two study sites. Among the 110 animals assessed from the intervention site (55 at the interim evaluation and 55 at the final evaluation), no pig with viable T. solium cysts was found. There was a statistically significant difference between the prevalence at baseline (17.2%) and at the end of the study (0%) in the intervention area (P = 0.001) and a statistically significant difference between the intervention (0%) and control areas (5.4%) (P = 0.041) at the end of the study. Conclusions Three-monthly concurrent vaccination of pigs with the TSOL18 vaccine and medication with oxfendazole eliminated T. solium transmission by the animals involved in the study. Application of vaccination with medication in pigs has the potential to reduce transmission of T. solium in Uganda and other endemic countries.

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Privacy preserving pregnancy weight gain management

Proceedings of the 17th Conference on Embedded Networked Sensor Systems - SenSys '19 ◽

10.1145/3356250.3361941 ◽

2019 ◽

Author(s):

Chetanya Puri ◽

Koustabh Dolui ◽

Gerben Kooijman ◽

Felipe Masculo ◽

Shannon Van Sambeek ◽

...

Keyword(s):

Weight Gain ◽

Privacy Preserving ◽

Pregnancy Weight Gain ◽

Pregnancy Weight

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Diagnostic accuracy of modified Hadlock formula for fetal macrosomia in women with gestational diabetes and pregnancy weight gain above recommended

Journal of Perinatal Medicine ◽

10.1515/jpm-2021-0013 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Boris Lovrić ◽

Siniša Šijanović ◽

Joško Lešin ◽

Josip Juras

Keyword(s):

Weight Gain ◽

Gestational Diabetes ◽

Diagnostic Accuracy ◽

Area Under The Curve ◽

Fetal Weight ◽

Pregnancy Weight Gain ◽

Singleton Pregnancy ◽

Time Period ◽

Modified Formula ◽

Pregnancy Weight

Abstract Objectives Women with gestational diabetes (GDM) and weight gain during pregnancy above recommended more often give birth to macrosomic children. The goal of this study was to evaluate the diagnostic accuracy of the modified formula for ultrasound assessment of fetal weight created in a pilot study using a similar specimen in comparison to the Hadlock-2 formula. Methods This is a prospective, cohort, applicative, observational, quantitative, and analytical study, which included 213 pregnant women with a singleton pregnancy, GDM, and pregnancy weight gain above recommended. Participants were consecutively followed in the time period between July 1st, 2016, and August 31st, 2020. Ultrasound estimations were made within three days before the delivery. Fetal weights estimated using both formulas were compared to the newborns’ weights. Results A total of 133 fetal weight estimations were made. In comparison to the newborns’ weight modified formula had significantly smaller deviation in weight estimation compared to the Hadlock-2 formula, higher frequency of deviation within 5% of newborns weights (78.2% [95% CI=0.74–0.83] vs. 60.2%), smaller frequency of deviations from 5 to 10% (19.5 vs. 33.8%) and above 10%, which was even more significant among macrosomic children. There were 36/50 (72%) correctly diagnosed cases of macrosomia by modified and 33/50 (66%) by Hadlock-2 formula. Area under the curve (AUC) for the modified formula was 0.854 (95% CI=0.776–0.932), and for the Hadlock-2 formula 0.824 (95% CI=0.740–0.908). The positive predictive value of the modified formula was 81.81%, the negative 97.91%. Conclusions In cases of greater fetal weights, the modified formula showed greater precision.

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Early Pregnancy Weight Gain Exerts the Strongest Effect on Birth Weight, Posing a Critical Time to Prevent Childhood Obesity

Obesity ◽

10.1002/oby.21878 ◽

2017 ◽

Vol 25 (9) ◽

pp. 1569-1576 ◽

Cited By ~ 16

Author(s):

Nicholas T. Broskey ◽

Peng Wang ◽

Nan Li ◽

Junhong Leng ◽

Weiqin Li ◽

...

Keyword(s):

Weight Gain ◽

Birth Weight ◽

Childhood Obesity ◽

Early Pregnancy ◽

Critical Time ◽

Pregnancy Weight Gain ◽

Pregnancy Weight

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Early-pregnancy weight gain and the risk of preeclampsia: A case-cohort study

Pregnancy Hypertension ◽

10.1016/j.preghy.2018.10.005 ◽

2018 ◽

Vol 14 ◽

pp. 205-212 ◽

Cited By ~ 1

Author(s):

Lisa M. Bodnar ◽

Katherine P. Himes ◽

Barbara Abrams ◽

Sara M. Parisi ◽

Jennifer A. Hutcheon

Keyword(s):

Cohort Study ◽

Weight Gain ◽

Early Pregnancy ◽

Pregnancy Weight Gain ◽

Pregnancy Weight ◽

Risk Of Preeclampsia

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Management of postprandial hyperglycaemia and weight gain in women with gestational diabetes mellitus using a novel telemonitoring system

Journal of International Medical Research ◽

10.1177/0300060518809872 ◽

2018 ◽

Vol 47 (2) ◽

pp. 754-764 ◽

Cited By ~ 3

Author(s):

Ebtisam A. Al-ofi ◽

Hala H. Mosli ◽

Kholoud A. Ghamri ◽

Sarah M. Ghazali

Keyword(s):

Diabetes Mellitus ◽

Weight Gain ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Dietary Advice ◽

Control Group ◽

Close Monitoring ◽

Pregnancy Weight Gain ◽

Glucose Levels ◽

Pregnancy Weight

Objectives The purpose of this study was to investigate the effect of remotely delivered telemedicine dietary advice on monitoring of blood glucose levels and weight gain of women with gestational diabetes mellitus (GDM). Methods Women with GDM were recruited and randomly allocated into two groups: a Tele-GDM group that received a telemonitoring device, and a control group that was followed-up traditionally. A telemonitoring service calculated the ratio of reaching or exceeding the pregnancy weight gain target (according to pre-pregnancy weight), following Institute of Medicine guidelines for healthy pregnancy weight gain. Results The sample comprised 27 women in the Tele-GDM group and 30 in the control group. At the end of pregnancy, the Tele-GDM group showed significantly lower 2-hour postprandial glucose levels than the control group. Most women in the Tele-GDM group reached their recommended range of weight gain at the end of pregnancy. Additionally, the Tele-GDM group showed significantly lower weight gain than the control group. Conclusions Telemonitoring can facilitate close monitoring of women with GDM and motivate patients to adopt a healthy lifestyle.

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