Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia.
Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia.
Nutrients. 2023 May 23;15(11):2430. doi: 10.3390/nu15112430.
Food-based interventions to improve linear growth are most often applied in low- and middle-income countries. However, not all food interventions have been proven to be effective in promoting linear growth. This study aimed to assess the impact and effectiveness of food interventions for improving linear growth in children under five years old. This study was conducted by following the PRISMA guidelines and the data were extracted and presented following the PRISMA recommendations. Studies were identified through a literature search of the SCOPUS, Web of Science, PubMed, ScienceDirect, and ProQuest databases from 2000 to 2022. Only randomized control studies were included in this review based on the inclusion and exclusion criteria. Out of 1125 studies identified, a total of 15 studies were included in this systematic review and meta-analysis. The review result indicated that food-based intervention can help to improve linear growth (MD: 0.20, 95% CI: 0.04 to 0.35, = 0.01) among children under five. However, there was no significant difference in changes in underweight status (MD: 0.25; CI: -0.15 to 0.64; = 0.22) and wasting status (MD: 0.09; CI: -0.02 to 0.20; = 0.12) between the intervention and control groups. Overall, food-based interventions were found to be helpful for improving children's linear growth.
基于食物的干预措施通常用于改善低中等收入国家儿童的线性生长。然而，并非所有的食物干预措施都被证明对促进线性生长有效。本研究旨在评估食物干预措施对改善五岁以下儿童线性生长的影响和效果。本研究遵循 PRISMA 指南进行，数据按照 PRISMA 建议进行提取和呈现。通过对 SCOPUS、Web of Science、PubMed、ScienceDirect 和 ProQuest 数据库进行文献检索，确定了 2000 年至 2022 年期间的研究。本综述仅纳入了基于纳入和排除标准的随机对照研究。在确定的 1125 项研究中，共有 15 项研究纳入本系统评价和荟萃分析。综述结果表明，食物干预可以帮助改善五岁以下儿童的线性生长（MD：0.20，95%CI：0.04 至 0.35， = 0.01）。然而，干预组和对照组之间在体重不足状态（MD：0.25；CI：-0.15 至 0.64； = 0.22）和消瘦状态（MD：0.09；CI：-0.02 至 0.20； = 0.12）的变化方面没有显著差异。总体而言，食物干预措施被发现有助于改善儿童的线性生长。
