Evidence map›Paper›PMID 39148137›Full record

ArticleBMC nutrition2024

Functional integration of services during the antenatal period can potentially improve childhood growth parameters beyond infancy: findings from a post-interventional follow-up study in West Bengal, India.

Kayur Mehta, Sreeparna Ghosh Mukherjee, Ipsita Bhattacharjee, Kassandra Fate, Shivani Kachwaha, Tushara Rajeev, Aastha Kant, Meghendra Banerjee, Anita Shet

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Article in BMC nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Kayur MehtaMaternal and Child Health Center India, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Sreeparna Ghosh MukherjeeChild in Need Institute, Pailan, West Bengal, India.
Ipsita BhattacharjeeChild in Need Institute, Pailan, West Bengal, India.
Kassandra FateDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Shivani KachwahaDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Tushara RajeevMaternal and Child Health Center India, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Aastha KantMaternal and Child Health Center India, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Meghendra BanerjeeChild in Need Institute, Pailan, West Bengal, India.
Anita ShetMaternal and Child Health Center India, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. ashet1@jhu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite progress, the prevalence of childhood undernutrition in India remains amongst the highest globally.

objectiveWe aimed to evaluate the impact of a functional integration interventional package during the antenatal period on childhood growth parameters.

methodsThis is a post-interventional follow-up study of a maternal nutrition interventional study conducted between 2018 and 2019 among women in their first trimester of pregnancy from three districts in West Bengal, India. Pregnant women received a package of augmented interventions from study staff which supplemented those provided to them under the state-run programmes, that included body-mass-index measurement at pregnancy registration, monthly weight monitoring, targeted dietary counselling, supervised supplementary nutrition intake and iron-folic acid supplementation during daily anganwadi center visits. In the current follow-up study conducted in 2021, age-matched pregnant women from the same areas who were pregnant during the same period as in the original study and had received standard-of-care under the state-run programmes were recruited into a comparison group. Study staff collected data regarding maternal height and serial weights that were recorded at antenatal visits in 2018-19, and birth and infant characteristics. Child height and weight were measured during the follow-up visit in 2021, which were used to calculate the relative risks of stunting, wasting and underweight using generalized linear models, to understand the sustained impact of the intervention beyond infancy. Eight-hundred-nine mother-child dyads (406 intervention; 403 comparison) were followed.

resultsMedian age of women in the intervention and comparison group was 23 (IQR 20-25) and 25 (IQR 24-27) years respectively. Median gestational-weight-gain was higher amongst intervention group women (9 vs. 8 kg, p = 0.04). Low-birth-weight prevalence was 29.3% (119/406) and 32.0% (129/403) in the intervention and comparison group. At 12-35 months of age, children born to women in the intervention group had significantly reduced risk of stunting (RR = 0.65, 95% CI 0.44-0.94), wasting (RR = 0.57, 95% CI 0.33-0.97) and underweight (RR = 0.61, 95% CI 0.42-0.88).

conclusionsThese results indicate that functional integration and strengthening of routine antenatal care services including targeted nutritional counselling to expectant mothers can have distal beneficial effects on childhood undernutrition beyond the immediate post-natal period.

Indexed as

Antenatal careChild undernutritionFunctional integrationIndiaMaternal nutrition

Identifiers

PMID39148137
PMCPMC11325605

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