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. 2019 Oct 30;16(1):e12898. doi: 10.1111/mcn.12898

Table A1.

FULL SUMMARY OF LITERATURE REVIEW RESULTS

Author, year, study design Setting and sample size Admission criteria Intervention treatment Control treatment Length of int Outcomes reported Food better than control? Validity scoreα

Nikièma et al., 2014

Cluster RCT

Burkina Faso

 

N = 1,974

Aged 6–24 months

WHO, 2006 (WHZ > −2 and ≥−3)

  • Locally produced RUSF

  • 2. Supercereal Plus (SC+)

Child‐centred counselling (CCC) 3 m

Recovery: RUSF 74%, SC+ 75%, CCC 58% p < .0001 Default: RUSF 7%, SC+ 4%, CCC 19% p < .003 SAM: RUSF 8%, SC+ 10%, CCC 12% p < .05

When restricted to nondefaulters, recovery = 71%, 78%, and 80% for CCC, SC+, and RUSF.

Yes ++/+
Micronutrients provided to control groups

Hossain, Ahmed, & Brown, 2012, 2014, 2016 (conference abstracts)

Cluster RCT

Bangladesh

 

N = 227

Aged 6–24 months WHZ < −2 to −3

(WHO, 2006)

  • 1
    Cereal‐based supplement (SF)
  • 2
    Cereal supplement and psychosocial stimulation (SF + PS)
  • 3

    1.Health education and micronutrients at hospital (HC)

  • 4

    2.Health education & micronutrients at clinic (CC)

  • 5

    3.Psychosocial stimulation (PS)

3 m Follow‐up attendance and gain in weight and length were greater in groups SF, SF + PS, and PS than CC and HC. Maybe: Not possible to distinguish between benefits of supplement versus psychosocial stimulation −/−

Javan et al., 2017

RCT

Iran

 

N = 70

Aged 9–24 months with WLZ < −2 and ≥−3 and referred for treatment Blended flour supplementary food (chickpea, rice, wheat, barley, and sugar) + multivitamins + nutritional counselling (SF) Multivitamins + nutritional counselling (C) 3 m

Recovery rate: SF 68%, C 32% p = .001

Weight gain (g): SF 0.81, C 0.55, p = .002

WLZ gain: 0.36, C 0.02 p = .003

Yes ++/++
Not recruited based on current MAM definitions

van der Kam et al., 2016

RCT

Nigeria

 

N = 2,213

 

25% of sample had MAM at enrolment

Aged 6 to 59 months and diagnosed with malaria,

diarrhoea, or LRTI

 

MAM= WHZ <−2 and >−3, and MUAC >115 mm

  1. RUTF, one sachet per day
  1. micronutrients, two sachets/d (MNP)

  2. No

  3. Supplement (C)

14 days

Incidence rate of SAM in MAM children: RUTF 0.70, MNP 0.71, C 0.71

 

p > .05 for RUTF versus MNP and RUTF versus C

No: Incidence of SAM was same for RUTF group to MNP group and no supplement group. ++/+

Roy et al., 2005

Cluster randomised trial

Bangladesh

 

N = 282

Aged 6–24 months,

WA 61– 75% of median NCHS

  1. Intensive nutrition education + supplementary feeding (INE + SF)

  1. Standard nutrition education (C)

  2. Intensive nutrition education (INE)

3 m

Recovery rate (WAM): INE + SF 47%, INE 37%, C 18% p < .001

Recovery 6 months after end of intervention (WAM): INE + SF 86%, INE 59%, C 30% p < .0001

Yes ++/+

Fauveau et al., 1992

RCT

Bangladesh

 

N = 134

Aged 6 to 12 months,

MUAC > 110 and <129 mm, living in bamboo structure

Supplementary food (rice, wheat, lentils, and oil; SF) Nutrition education (C) 6 m

Monthly weight gain in first 3 months: SF 205 g, C 159 g p < .05

Monthly weight gain in 6 months: SF 179 g, C 128 g p > .05

 

No significant difference in diarrhoea or other morbidities.

Maybe: Food group have larger weight gain in first 3 months but not whole 6 months ++/+
Not recruited based on current mam definitions and micronutrients provided to control groups

Hossain, Nahar, Hamadani, Ahmed, & Brown, 2011

RCT

Bangladesh

 

N = 507

 

81% of sample had WLZ < −2 at baseline

Aged 6‐24 months and WAZ <−3 and recovered from diarrhoea at the hospital (NCHS)

 

Results stratified by WLZ <−2

  • 1
    Health education and micronutrients at clinic + cereal‐based supplement (C–SF)
  • 2
    Health education and micronutrients at clinic + cereal supplement and psychosocial stimulation (C−SF + PS)
  • 3

    Health education and micronutrients at hospital (HC)

  • 4

    Health education and micronutrients at clinic (CC)

  • 5

    Health education and micronutrients at clinic + psychosocial stimulation (C–PS)

3 m

Whole sample:

Weight gain (kg): HC 0.60, CC 0.79, C–PS 0.83, C–SF 0.92, C–SF+PS 0.90 (SF versus no SF p=0.009)

Severe illness rate: No significant difference

Attendance at 5th visit: 54% with SF, 40% without SF

 

For those with WLZ < −2

WLZ gain: HC 0.65, CC 0.65, C–PS 0.87, C–SF 0.94, C−SF + PS 1.19

LAZ gain: HC −0.41, CC −0.29, C−PS −0.33, C−SF −0.20, C−SF + PS −0.15

Yes ++/+

Heikens, Schofield, Dawson, & Grantham‐McGregor, 1989

RCT

Jamaica

 

N = 82

Aged 3–36 months and <80% WAZ using NCHS High energy supplement for 3 months plus weekly home visits and micronutrient supplements for 6 months (HES) Home visits and micronutrient supplements for 6 months (HV) 3m

WAZ after 3 months: HES −2.6, HV −3.1, p = .007

WHZ and WAZ after 6 months: not significantly different between HES and HV groups

HAZ after 6 months: HES −2.1, HV −2.7, p = .03

Yes, marginally +/+
Preventative trials: majority adequately nourished children

Schlossman et al., 2017

Pilot cluster RCT

Guinea Bissau

 

N = 681

Children aged 6–59 months with WHZ < 2 or WAZ < 1 or HAZ < 2 and their mothers
  1. RUSF with 15% protein
  2. RUSF with 33% protein
No intervention (C) 3 m

Infants 6–23 months:

Change in WHZ: RUSF33 0.28, RUSF15 0.12, C 0.26 p > .05

Change in MUAC: RUSF33 0.62, RUSF15 0.46, C 0.28 p > .05

Haemoglobin: RUSF33 0.71, RUSF15 0.87, C 0.06 p > .05

Retinol‐binding protein: RUSF33‐0.05, RUSF15‐0.09, C 0.05 p > .05

No: Controls improved an equal extent to food group. +/−

Christian et al., 2015

Cluster RCT

Bangladesh

 

N = 5,421

All infants aged 6 months in the catchment area
  1. RUSF–R, rice–lentil based

  2. RUSF–C, chickpea based

  3. RUSF–S (soy based)

  4. Wheat–soy‐blend++ (WSB)

  1. Nutrition counselling (C)

12 m

At 18 months

Prevalence stunting: RUSF–R 44%, RUSF–C 39%*, PD 40%*, WSB 44%, C 44%

Prevalence wasting (WLZ): RUSF–R 16%, RUSF–C 16%, RUSF–S 14%*, WSB 18%, C 16%

Prevalence underweight: RUSF–R 39%, RUSF–C 35%*, RUSF−S 33%*, WSB 40%, C 39%

(*p < .05 when compared with control)

Yes for RUSF−S,

No benefit of WSB++ over counselling

++/++

Grellety et al., 2012

Prospective cohort

Niger

 

N = 2,238

 

18% of sample WLZ < −2

All children 60–80 cm length (approx. age 6−23 months)

 

18% of sample WLZ < −2

  1. RUSF–soy (LSN–MQ)
  1. No supplementation (failed to register; C)

4 m

MUAC gain (mm): LNS–MQ −2.8, C −4.0 p = .002

WLZ gain: LNS–MQ −0.2, C −0.3 p = .006

Rate of wasting per 100 child‐months: LNS–MQ 3.9, C 4.2 p = .05

Rate of stunting per 100 child‐months: LNS–MQ 26.8, C 14.4 p = .87

Mortality rate per 100 child‐months: LNS–MQ 1.6, C 2.4 p = .03

Yes +/−

Note.. Risk of bias score is presented as internal/external score; (−) Poor quality, (+) Adequate quality, (++) good quality. See “WFP Specialized Nutritious Food Sheet” for detailed definitions of common supplements; see individual papers for full details of nutrient content of each supplement.

Abbreviations: LNS–MQ, lipid‐based nutrient supplement medium quantity; LRTI, lower respiratory tract infection; RUSF, ready‐to‐use supplementary food; Supercereal Plus, micronutrient fortified corn–soy‐blended flour, formally called CSB++; RCT, randomized controlled trial; WAM, weight for age median.