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Compliance with and acceptability of two fortified balanced energy protein supplements among pregnant women in rural Nepal

Some evidence suggests that balanced energy protein (BEP) supplements taken during pregnancy and lactation can have positive effects on birth outcomes such as small‐for‐gestational age and birthweight, but more evidence is needed on the long‐term use and acceptability of such supplements. We conduct...

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Autores principales: Lama, Tsering P., Moore, Katie, Isanaka, Sheila, Jones, Leslie, Bedford, Juliet, de Pee, Saskia, Katz, Joanne, Khatry, Subarna K., LeClerq, Steven C., Tielsch, James M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8932730/
https://www.ncbi.nlm.nih.gov/pubmed/34908227
http://dx.doi.org/10.1111/mcn.13306
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author Lama, Tsering P.
Moore, Katie
Isanaka, Sheila
Jones, Leslie
Bedford, Juliet
de Pee, Saskia
Katz, Joanne
Khatry, Subarna K.
LeClerq, Steven C.
Tielsch, James M.
author_facet Lama, Tsering P.
Moore, Katie
Isanaka, Sheila
Jones, Leslie
Bedford, Juliet
de Pee, Saskia
Katz, Joanne
Khatry, Subarna K.
LeClerq, Steven C.
Tielsch, James M.
author_sort Lama, Tsering P.
collection PubMed
description Some evidence suggests that balanced energy protein (BEP) supplements taken during pregnancy and lactation can have positive effects on birth outcomes such as small‐for‐gestational age and birthweight, but more evidence is needed on the long‐term use and acceptability of such supplements. We conducted a mixed‐methods formative research study to assess and compare compliance with and acceptability of two BEP supplements, a lipid‐based peanut paste and a biscuit, to identify BEP supplements for subsequent inclusion in an efficacy trial. We conducted an 8‐week feeding trial of daily supplementation among two groups of 40 pregnant women each in rural Nepal. Compliance data were collected and supplements distributed at the weekly visits. Sensory properties of the supplements were assessed using a 7‐point Likert scale. In addition, in‐depth interviews with women (n = 16), family members (n = 6) and health workers (n = 6) and focus group discussions (FGDs) (n = 4) were conducted to explore themes related to general use and intention of future use of the supplement. Overall self‐reported compliance was high: medians of 91.1% in the lipid‐based peanut paste group and 96.4% in the biscuit group. Both supplements were rated highly on overall likability (median score 6/7) and sensory properties. Qualitative findings showed that sustained use of the supplements was attributed to expected health benefits, favourable sensory attributes, and family support. The FGDs suggested providing the option to choose between more than one type/flavour of supplements to improve compliance. Sharing was mostly evident in the first week with higher sharing reported in the biscuit group.
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spelling pubmed-89327302022-03-24 Compliance with and acceptability of two fortified balanced energy protein supplements among pregnant women in rural Nepal Lama, Tsering P. Moore, Katie Isanaka, Sheila Jones, Leslie Bedford, Juliet de Pee, Saskia Katz, Joanne Khatry, Subarna K. LeClerq, Steven C. Tielsch, James M. Matern Child Nutr Original Articles Some evidence suggests that balanced energy protein (BEP) supplements taken during pregnancy and lactation can have positive effects on birth outcomes such as small‐for‐gestational age and birthweight, but more evidence is needed on the long‐term use and acceptability of such supplements. We conducted a mixed‐methods formative research study to assess and compare compliance with and acceptability of two BEP supplements, a lipid‐based peanut paste and a biscuit, to identify BEP supplements for subsequent inclusion in an efficacy trial. We conducted an 8‐week feeding trial of daily supplementation among two groups of 40 pregnant women each in rural Nepal. Compliance data were collected and supplements distributed at the weekly visits. Sensory properties of the supplements were assessed using a 7‐point Likert scale. In addition, in‐depth interviews with women (n = 16), family members (n = 6) and health workers (n = 6) and focus group discussions (FGDs) (n = 4) were conducted to explore themes related to general use and intention of future use of the supplement. Overall self‐reported compliance was high: medians of 91.1% in the lipid‐based peanut paste group and 96.4% in the biscuit group. Both supplements were rated highly on overall likability (median score 6/7) and sensory properties. Qualitative findings showed that sustained use of the supplements was attributed to expected health benefits, favourable sensory attributes, and family support. The FGDs suggested providing the option to choose between more than one type/flavour of supplements to improve compliance. Sharing was mostly evident in the first week with higher sharing reported in the biscuit group. John Wiley and Sons Inc. 2021-12-15 /pmc/articles/PMC8932730/ /pubmed/34908227 http://dx.doi.org/10.1111/mcn.13306 Text en © 2021 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Lama, Tsering P.
Moore, Katie
Isanaka, Sheila
Jones, Leslie
Bedford, Juliet
de Pee, Saskia
Katz, Joanne
Khatry, Subarna K.
LeClerq, Steven C.
Tielsch, James M.
Compliance with and acceptability of two fortified balanced energy protein supplements among pregnant women in rural Nepal
title Compliance with and acceptability of two fortified balanced energy protein supplements among pregnant women in rural Nepal
title_full Compliance with and acceptability of two fortified balanced energy protein supplements among pregnant women in rural Nepal
title_fullStr Compliance with and acceptability of two fortified balanced energy protein supplements among pregnant women in rural Nepal
title_full_unstemmed Compliance with and acceptability of two fortified balanced energy protein supplements among pregnant women in rural Nepal
title_short Compliance with and acceptability of two fortified balanced energy protein supplements among pregnant women in rural Nepal
title_sort compliance with and acceptability of two fortified balanced energy protein supplements among pregnant women in rural nepal
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8932730/
https://www.ncbi.nlm.nih.gov/pubmed/34908227
http://dx.doi.org/10.1111/mcn.13306
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