Evidence map›Paper›PMID 30269204›Full record

ArticleMaternal and child health journal2019

Realistic Food-Based Approaches Alone May Not Ensure Dietary Adequacy for Women and Young Children in South-East Asia.

Elaine L Ferguson, Louise Watson, Jacques Berger, Mary Chea, Uraiporn Chittchang, Umi Fahmida, Kuong Khov, Sengchanh Kounnavong, Bach Mai Le, Nipa Rojroongwasinkul and 9 more

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Article in Maternal and child health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

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  4. Dried fish provide widespread access to critical nutrients across Africa.Proceedings of the National Academy of Sciences of the United States of America · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Elaine L FergusonDepartment of Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. elaine.ferguson@lshtm.ac.uk.
Louise WatsonDepartment of Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Jacques BergerInstitute of Research for Development, UMR, Nutripass, Montpellier, France.
Mary CheaMinistry of Health, Phnom Penh, Cambodia.
Uraiporn ChittchangInstitute of Nutrition, Mahidol University, Nakhon Pathom, Thailand.
Umi FahmidaSoutheast Asian Ministries of Education (SEAMEO) Regional Centre for Nutrition and Nutrition (RECFON), University of Indonesia, 10430, Jakarta, Indonesia.
Kuong KhovMinistry of Agriculture, Phnom Penh, Cambodia.
Sengchanh KounnavongMinistry of Health of Laos, National Institute of Public Health, Vientiane, Lao People's Democratic Republic.
Bach Mai LeMinistry of Health of Vietnam, National Institute of Nutrition, Hanoi, Vietnam.
Nipa RojroongwasinkulInstitute of Nutrition, Mahidol University, Nakhon Pathom, Thailand.
Otte SantikaSoutheast Asian Ministries of Education (SEAMEO) Regional Centre for Nutrition and Nutrition (RECFON), University of Indonesia, 10430, Jakarta, Indonesia.
Seyha SokMinistry of Agriculture, Phnom Penh, Cambodia.
Daream SokMinistry of Agriculture, Phnom Penh, Cambodia.
Tran Thanh DoMinistry of Health of Vietnam, National Institute of Nutrition, Hanoi, Vietnam.
Lua Tran ThiMinistry of Health of Vietnam, National Institute of Nutrition, Hanoi, Vietnam.
Manithong VonglokhamMinistry of Health of Laos, National Institute of Public Health, Vientiane, Lao People's Democratic Republic.
Frank WieringaInstitute of Research for Development, UMR, Nutripass, Montpellier, France.
Emorn WasantwisutInstitute of Nutrition, Mahidol University, Nakhon Pathom, Thailand.
Pattanee WinichagoonInstitute of Nutrition, Mahidol University, Nakhon Pathom, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives Micronutrient deficiencies, in southeast Asia (SE Asia), remain a public health challenge. We evaluated whether promoting the consumption of locally available nutritious foods, which is a low-risk micronutrient intervention, alone can ensure dietary adequacy, for women of reproductive age and 6-23 m old children. Methods Representative dietary data from Cambodia, Indonesia, Lao PDR, Thailand and Vietnam were analysed using linear programming analysis to identify nutrients that are likely low in personal food environments (problem nutrients), and to formulate food-based recommendations (FBRs) for three to six target populations per country. Results The number of problem nutrients ranged from zero for 12-23 m olds in Indonesia, Thailand and Vietnam to six for pregnant women in Cambodia. The FBRs selected for each target population, if adopted, would ensure a low percentage of the population was at risk of inadequate intakes for five to ten micronutrients, depending on the country and target population. Of the 11 micronutrients modelled, requirements for iron, calcium and folate were most difficult to meet (≥ 10 of the 24 target populations), using FBRs alone. The number of individual FBRs selected per set, for each target population, ranged from three to eight; and often included meat, fish or eggs, liver/organ meats, vegetables and fruits. Conclusions for practice Intervention strategies need to increase access to nutritious foods, including products fortified with micronutrients, in SE Asia, when aiming to ensure dietary adequacy for most individuals in the population.

Indexed as

DietEnergy IntakeFood, FortifiedNutritional StatusAdultAsia, SoutheasternChildFemaleHumansInfantMicronutrientsYoung AdultMicronutrientsChildrenFood-based recommendationsLinear programming analysesSE AsiaWomen

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.