添加牛奶对也门的微量营养素强化高能饼干学校养计划的影响:一个集群随机控制试验
Lilia Bliznashka1, Monica George Michail2, Dalia Elsabbagh2
1International Food Policy Research Institute, Washington, DC 20001, USA; Global Academy of Agriculture and Food Systems, University of Edinburgh, UK.
The Journal of nutrition
|July 3, 2025
概括
在也门,将牛奶添加到学校养计划中,改善了儿童的认知能力,减少了行为问题. 护理人员经历的焦虑和粮食不安全感较小,证明了该计划的广泛家庭利益.
科学领域:
- 全球健康 全球健康
- 营养科学 营养科学
- 发展心理学 发展心理学
背景情况:
- 20亿儿童生活在冲突地区,需要强大的支持系统.
- 学校养计划 (SFP) 是危机影响地区儿童的关键安全网.
- 在SFP中评估补充营养对于优化儿童福利至关重要.
研究的目的:
- 评估添加牛奶对也门高能饼干 (HEB) SFP的影响.
- 确定对儿童饮食多样性,认知,学习,出席,营养状况,健康和心理健康的影响.
- 评估护理人员的心理健康和家庭的粮食安全.
主要方法:
- 一个双臂集群随机受控试验,涉及也门42所学校.
- 6-18岁的儿童每天接受单独的HEB或HEB加120毫升超高温牛奶,持续5个月.
- 使用线性混合效应模型进行的治疗意图分析考虑了聚类.
主要成果:
- 牛奶补充剂增加了牛奶消费,但没有影响饮食多样性.
- 在儿童的认知,识字和算术成绩中观察到显著的改善.
- 儿童咳症状和行为问题有所减少,护理人员焦虑和家庭粮食不安全感有所减少.
结论:
- 在也门,将日常牛奶纳入基于HEB的SFP中,为儿童和家庭带来了巨大的好处.
- 混合SFP模型提高餐饮质量是可行的和有效的.
- 建议进行进一步的研究,以了解此类干预措施的长期影响.
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