Global childhood wasting not slowing sufficiently

A child has its arms measured to test for malnutrition.

Too many children around the world are still malnourished and too few countries are on track to address the problem that has a life-long impact on a person.

Public health experts from the University of 糖心vlog官网 have evaluated the impact of food interventions for infants and children in reducing malnutrition in low-to-middle income countries.

鈥淒espite several interventions, global wasting prevalence has declined slowly, with just 19 per cent of countries on track to meet the World Health Assembly 2025 targets of maintaining the prevalence of wasting below 5 per cent,鈥 said lead author Associate Professor Zohra Lassi, School of Public Health and Robinson Research Institute, University of 糖心vlog官网.

Malnutrition contributed to 12.6 per cent of the global mortality in children younger than 5 years, and 16.6 million children were suffering from severe acute malnutrition in 2018.

The World Health Organization, which commissioned this study, defines wasting as low weight-for-height and is associated with a higher risk of death if not treated properly.

鈥淐hildhood wasting is influenced by several factors, including maternal malnutrition, which may contribute to low birth weight and prematurity,鈥 said Associate Professor Lassi.

鈥淥ther factors may include inadequate infant and young child feeding practices, limited healthcare access, famine and food insecurity, and unsanitary environments.

鈥淲asting is also associated with infectious diseases, amplifying mortality risks from conditions like diarrhea and pneumonia.鈥

Associate Professor Lassi, Zahra Ali Padhani and their team reviewed 24 international studies to explore the effect of different food interventions or supplements.

鈥淚nterventions like community-based maternal and child nutritional supplementation, breastfeeding promotion, and infant nutrition education for infants in low-to-middleincome countries show promise in reducing the risk of wasting,鈥 said Associate Professor Lassi.

鈥淲e found infants and children given lipid-based nutrient supplements (such as Plumpy鈥檇oz) had significantly reduced wasting and significant improvements in weight for age, mid-upper arm circumference and underweight prevalence, along with significant reductions in mortality.

鈥淥ur review also found that providing fortified blended food supplementation (such as Corn Soy Blend ++ (CSB++) and Wheat Soy Blend ++ (WSB++)) to children up to 6-18months of age as well as providing supplements to mothers was found to improve growth and to reduce the prevalence of wasting by 49 per cent.鈥

The systematic review was published in .

鈥淭he first 1000days from conception through infancy and early childhood are critical. There is only a small window of opportunity to establish a foundation for lifelong health and development,鈥 said Associate Professor Lassi.

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