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Micronutrient status of populations and preventive nutrition interventions in South East Asia.
Matern Child Health J 2019; 23(Suppl 1):29-45MC

Abstract

Objectives Since the 1990s, programs for the control of micronutrient deficiencies became a public health priority for many governments, including the countries partnering the project "Sustainable Micronutrient Interventions to Control Deficiencies and Improve Nutritional Status and General Health in Asia" (SMILING): Cambodia, Indonesia, Laos-PDR, Thailand and Vietnam. The aim of this study was to map which micronutrient deficiencies have been addressed and which interventions were in place in the SMILING countries. Methods The mapping covered the period up to 2012. Updated information from relevant surveys after 2012 is included in this paper after the completion of the SMILING project. The mapping of micronutrient status was limited to either national or at least large-scale surveys. Information on nutrition interventions obtained through a systematic mapping of national programs combined with a snowball collection from various sources. Results Among the five SMILING countries, Thailand differed historically by an early implementation of a nationwide community-based nutrition program, contributing to reductions in undernutrition and micronutrient deficiencies. For Cambodia, Indonesia, Laos PDR, and Vietnam, some national programs addressing micronutrients have been implemented following adjusted international recommendations. National surveys on micronutrient status were scattered and inconsistent across the countries in design and frequency. Conclusion for practice In conclusion, some micronutrient deficiencies were addressed in national interventions but the evidence of effects was generally lacking because of limited nationally representative data collected. Improvement of intervention programs to efficiently reduce or eliminate micronutrient deficiencies requires more systematic monitoring and evaluation of effects of interventions in order to identify best practices.

Authors+Show Affiliations

Department of Nutrition, Exercise and Sports (NEXS), University of Copenhagen, Frederiksberg, Denmark. nro@nexs.ku.dk.Institute of Health Sciences, University of Amsterdam, Amsterdam, The Netherlands.Institute of Health Sciences, University of Amsterdam, Amsterdam, The Netherlands.Department of Nutrition, Exercise and Sports (NEXS), University of Copenhagen, Frederiksberg, Denmark.Institute of Health Sciences, University of Amsterdam, Amsterdam, The Netherlands.The Department of Fisheries Post-Harvest Technologies and Quality Control (DFPTQ), Ministry of Agriculture, Forestry and Fisheries, Phnom Penh, Cambodia.The Department of Fisheries Post-Harvest Technologies and Quality Control (DFPTQ), Ministry of Agriculture, Forestry and Fisheries, Phnom Penh, Cambodia.National Maternal and Child Health Center, Ministry of Health, Phnom Penh, Cambodia.National Maternal and Child Health Center, Ministry of Health, Phnom Penh, Cambodia.National Institute of Public Health, Ministry of Health, Vientiane, Lao People's Democratic Republic.National Institute of Public Health, Ministry of Health, Vientiane, Lao People's Democratic Republic.National Institute of Nutrition, Ministry of Health, Hanoi, Vietnam.National Institute of Nutrition, Ministry of Health, Hanoi, Vietnam.SouthEast Asian Ministers of Education Organization (SEAMEO), Regional Centre for Food and Nutrition, Jakarta, Indonesia.SouthEast Asian Ministers of Education Organization (SEAMEO), Regional Centre for Food and Nutrition, Jakarta, Indonesia.Institute of Nutrition, Mahidol University, Bangkok, Thailand.Institute of Nutrition, Mahidol University, Bangkok, Thailand.WU - Wageningen University, Wageningen, The Netherlands.Nutripass, Institut de Recherche pour le Developpement (IRD), Montpellier, France.Nutripass, Institut de Recherche pour le Developpement (IRD), Montpellier, France.Nutripass, Institut de Recherche pour le Developpement (IRD), Montpellier, France.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30506126

Citation

Roos, N, et al. "Micronutrient Status of Populations and Preventive Nutrition Interventions in South East Asia." Maternal and Child Health Journal, vol. 23, no. Suppl 1, 2019, pp. 29-45.
Roos N, Ponce MC, Doak CM, et al. Micronutrient status of populations and preventive nutrition interventions in South East Asia. Matern Child Health J. 2019;23(Suppl 1):29-45.
Roos, N., Ponce, M. C., Doak, C. M., Dijkhuizen, M., Polman, K., Chamnan, C., ... Berger, J. (2019). Micronutrient status of populations and preventive nutrition interventions in South East Asia. Maternal and Child Health Journal, 23(Suppl 1), pp. 29-45. doi:10.1007/s10995-018-2639-2.
Roos N, et al. Micronutrient Status of Populations and Preventive Nutrition Interventions in South East Asia. Matern Child Health J. 2019;23(Suppl 1):29-45. PubMed PMID: 30506126.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Micronutrient status of populations and preventive nutrition interventions in South East Asia. AU - Roos,N, AU - Ponce,M Campos, AU - Doak,C M, AU - Dijkhuizen,M, AU - Polman,K, AU - Chamnan,C, AU - Khov,K, AU - Chea,M, AU - Prak,S, AU - Kounnavong,S, AU - Akkhavong,K, AU - Mai,L B, AU - Lua,T T, AU - Muslimatun,S, AU - Famida,U, AU - Wasantwisut,E, AU - Winichagoon,P, AU - Doets,E, AU - Greffeuille,V, AU - Wieringa,F T, AU - Berger,J, PY - 2018/12/7/pubmed PY - 2019/4/4/medline PY - 2018/12/4/entrez KW - Children KW - Deficiency KW - Iron KW - Micronutrient KW - Mineral KW - Southeast Asia KW - Vitamin KW - Vitamin A KW - Women of reproductive age KW - Zinc SP - 29 EP - 45 JF - Maternal and child health journal JO - Matern Child Health J VL - 23 IS - Suppl 1 N2 - Objectives Since the 1990s, programs for the control of micronutrient deficiencies became a public health priority for many governments, including the countries partnering the project "Sustainable Micronutrient Interventions to Control Deficiencies and Improve Nutritional Status and General Health in Asia" (SMILING): Cambodia, Indonesia, Laos-PDR, Thailand and Vietnam. The aim of this study was to map which micronutrient deficiencies have been addressed and which interventions were in place in the SMILING countries. Methods The mapping covered the period up to 2012. Updated information from relevant surveys after 2012 is included in this paper after the completion of the SMILING project. The mapping of micronutrient status was limited to either national or at least large-scale surveys. Information on nutrition interventions obtained through a systematic mapping of national programs combined with a snowball collection from various sources. Results Among the five SMILING countries, Thailand differed historically by an early implementation of a nationwide community-based nutrition program, contributing to reductions in undernutrition and micronutrient deficiencies. For Cambodia, Indonesia, Laos PDR, and Vietnam, some national programs addressing micronutrients have been implemented following adjusted international recommendations. National surveys on micronutrient status were scattered and inconsistent across the countries in design and frequency. Conclusion for practice In conclusion, some micronutrient deficiencies were addressed in national interventions but the evidence of effects was generally lacking because of limited nationally representative data collected. Improvement of intervention programs to efficiently reduce or eliminate micronutrient deficiencies requires more systematic monitoring and evaluation of effects of interventions in order to identify best practices. SN - 1573-6628 UR - https://www.unboundmedicine.com/medline/citation/30506126/Micronutrient_status_of_populations_and_preventive_nutrition_interventions_in_South_East_Asia_ L2 - https://doi.org/10.1007/s10995-018-2639-2 DB - PRIME DP - Unbound Medicine ER -