44 results on '"Kraemer, Klaus"'
Search Results
2. Editorial: An Introduction to Traditional and Novel Alternative Proteins for Low- and Middle-Income Countries
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Bedsaul-Fryer, Jacquelyn R., Monroy-Gomez, Jimena, van Zutphen-Küffer, Kesso G., Kraemer, Klaus, Bedsaul-Fryer, Jacquelyn R., Monroy-Gomez, Jimena, van Zutphen-Küffer, Kesso G., and Kraemer, Klaus
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- 2024
3. Precision Nutrition Opportunities to Help Mitigate Nutrition and Health Challenges in Low- and Middle-Income Countries : An Expert Opinion Survey
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Bedsaul-Fryer, Jacquelyn R., van Zutphen-Küffer, Kesso G., Monroy-Gomez, Jimena, Clayton, Diane E., Gavin-Smith, Breda, Worth, Céline, Schwab, Christian Nils, Freymond, Mathilda, Surowska, Anna, Bhering Martins, Laís, Senn-Jakobsen, Christina, Kraemer, Klaus, Bedsaul-Fryer, Jacquelyn R., van Zutphen-Küffer, Kesso G., Monroy-Gomez, Jimena, Clayton, Diane E., Gavin-Smith, Breda, Worth, Céline, Schwab, Christian Nils, Freymond, Mathilda, Surowska, Anna, Bhering Martins, Laís, Senn-Jakobsen, Christina, and Kraemer, Klaus
- Abstract
Precision nutrition involves several data collection methods and tools that aim to better inform nutritional recommendations and improve dietary intake, nutritional status, and health outcomes. While the benefits of collecting precise data and designing well-informed interventions are vast, it is presently unclear whether precision nutrition is a relevant approach for tackling nutrition challenges facing populations in low- and middle-income countries (LMIC), considering infrastructure, affordability, and accessibility of approaches. The Swiss Food & Nutrition Valley (SFNV) Precision Nutrition for LMIC project working group assessed the relevance of precision nutrition for LMIC by first conducting an expert opinion survey and then hosting a workshop with nutrition leaders who live or work in LMIC. The experts were interviewed to discuss four topics: nutritional problems, current solutions, precision nutrition, and collaboration. Furthermore, the SFNV Precision Nutrition for LMIC Virtual Workshop gathered a wider group of nutrition leaders to further discuss precision nutrition relevance and opportunities. Our study revealed that precision public health nutrition, which has a clear focus on the stratification of at-risk groups, may offer relevant support for nutrition and health issues in LMIC. However, funding, affordability, resources, awareness, training, suitable tools, and safety are essential prerequisites for implementation and to equitably address nutrition challenges in low-resource communities.
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- 2023
4. Innovative Research for Nutrition- and Climate-Smart Food Systems in Low- and Middle-Income Countries
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Freymond, Mathilda, van Zutphen-Küffer, Kesso Gabrielle, Kraemer, Klaus, Freymond, Mathilda, van Zutphen-Küffer, Kesso Gabrielle, and Kraemer, Klaus
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- 2023
5. Secondary Cities as Catalysts for Nutritious Diets in Low- and Middle-Income Countries
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van Zutphen, Kesso Gabrielle, Barjolle, Dominique, van den Berg, Sophie, Gavin-Smith, Breda, Kraemer, Klaus, Musard, Capucine, Prytherch, Helen, Six, Johan, Winter, Simon, Woltering, Kris, van Zutphen, Kesso Gabrielle, Barjolle, Dominique, van den Berg, Sophie, Gavin-Smith, Breda, Kraemer, Klaus, Musard, Capucine, Prytherch, Helen, Six, Johan, Winter, Simon, and Woltering, Kris
- Abstract
The world is facing a malnutrition crisis in the midst of rising rates of urbanization; more than half of the world’s population lives in urban areas, a number that is expected to reach two-thirds by 2050, consuming 80% of the world’s food. Instead of the development of existing cities into ‘mega-cities, ' urbanization is creating a patchwork of smaller urban areas. In 2018, close to half of the world’s urban residents lived in settlements or towns with less than 500, 000 inhabitants. These settlements are classified as secondary cities and are, in terms of population, the fastest growing urban areas. Poor diets among city inhabitants are the consequence of a combination of forces. These include changes in types of occupation, particularly for women; food-environment factors; shifts in norms and attitudes regarding food; globalization of food supply chains; lack of infrastructure; post-harvest food loss and waste, etc. Secondary cities offer entry points for food system transformation. Secondary cities are characterized by strong urban-rural linkages and the opportunity for localized food production and consumption. These cities could also play a key role in enhancing resilience to food security shocks. This chapter discusses the challenge of the growing triple burden of malnutrition in urban contexts and argues for the important role of secondary cities in transforming urban food systems. Through three case studies of secondary cities in LMICs, these cities are shown as emerging players in nutrition-centered food system interventions.
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- 2023
6. Multiple micronutrient supplements versus iron-folic acid supplements and maternal anemia outcomes: an iron dose analysis.
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Gomes, Filomena, Gomes, Filomena, Agustina, Rina, Black, Robert E, Christian, Parul, Dewey, Kathryn G, Kraemer, Klaus, Shankar, Anuraj H, Smith, Emily R, Thorne-Lyman, Andrew, Tumilowicz, Alison, Bourassa, Megan W, Gomes, Filomena, Gomes, Filomena, Agustina, Rina, Black, Robert E, Christian, Parul, Dewey, Kathryn G, Kraemer, Klaus, Shankar, Anuraj H, Smith, Emily R, Thorne-Lyman, Andrew, Tumilowicz, Alison, and Bourassa, Megan W
- Abstract
Antenatal multiple micronutrient supplements (MMS) are more effective than iron and folic acid (IFA) supplements in reducing adverse pregnancy outcomes. Questions remain, however, about the ability of MMS to prevent anemia as effectively as IFA, especially at a lower dose of daily iron and in areas of high anemia prevalence. Analyzing data from 11 trials from a recent Cochrane review, we compared MMS to IFA, delivering either 30 or 60 mg of iron, in sustaining hemoglobin and preventing third trimester anemia and iron deficiency anemia (IDA), accounting for daily iron dose, total supplemental iron intake, and baseline prevalence of anemia. There were no differences between MMS and IFA in third trimester hemoglobin concentration or risks of anemia or IDA by iron dose or total supplemental iron consumed. MMS providing 30 mg of iron was comparable to IFA with 60 mg of iron: mean hemoglobin difference of -0.26 g/L (95% CI: -1.41 to 0.89), risk ratios of 0.99 (95% CI: 0.92-1.07) for anemia, and 1.31 (95% CI: 0.66-2.60) for IDA. Baseline prevalence of anemia did not explain heterogeneity in findings. Compared to IFA, MMS results in comparable hemoglobin concentration and protection against anemia during pregnancy, independently of iron dose.
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- 2022
7. Multiple micronutrient supplements versus iron-folic acid supplements and maternal anemia outcomes: an iron dose analysis.
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Gomes, Filomena, Gomes, Filomena, Agustina, Rina, Black, Robert E, Christian, Parul, Dewey, Kathryn G, Kraemer, Klaus, Shankar, Anuraj H, Smith, Emily R, Thorne-Lyman, Andrew, Tumilowicz, Alison, Bourassa, Megan W, Gomes, Filomena, Gomes, Filomena, Agustina, Rina, Black, Robert E, Christian, Parul, Dewey, Kathryn G, Kraemer, Klaus, Shankar, Anuraj H, Smith, Emily R, Thorne-Lyman, Andrew, Tumilowicz, Alison, and Bourassa, Megan W
- Abstract
Antenatal multiple micronutrient supplements (MMS) are more effective than iron and folic acid (IFA) supplements in reducing adverse pregnancy outcomes. Questions remain, however, about the ability of MMS to prevent anemia as effectively as IFA, especially at a lower dose of daily iron and in areas of high anemia prevalence. Analyzing data from 11 trials from a recent Cochrane review, we compared MMS to IFA, delivering either 30 or 60 mg of iron, in sustaining hemoglobin and preventing third trimester anemia and iron deficiency anemia (IDA), accounting for daily iron dose, total supplemental iron intake, and baseline prevalence of anemia. There were no differences between MMS and IFA in third trimester hemoglobin concentration or risks of anemia or IDA by iron dose or total supplemental iron consumed. MMS providing 30 mg of iron was comparable to IFA with 60 mg of iron: mean hemoglobin difference of -0.26 g/L (95% CI: -1.41 to 0.89), risk ratios of 0.99 (95% CI: 0.92-1.07) for anemia, and 1.31 (95% CI: 0.66-2.60) for IDA. Baseline prevalence of anemia did not explain heterogeneity in findings. Compared to IFA, MMS results in comparable hemoglobin concentration and protection against anemia during pregnancy, independently of iron dose.
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- 2022
8. Effect of multiple micronutrient supplements vs iron and folic acid supplements on neonatal mortality: a reanalysis by iron dose.
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Gomes, Filomena, Gomes, Filomena, Agustina, Rina, Black, Robert E, Christian, Parul, Dewey, Kathryn G, Kraemer, Klaus, Shankar, Anuraj H, Smith, Emily, Tumilowicz, Alison, Bourassa, Megan W, Gomes, Filomena, Gomes, Filomena, Agustina, Rina, Black, Robert E, Christian, Parul, Dewey, Kathryn G, Kraemer, Klaus, Shankar, Anuraj H, Smith, Emily, Tumilowicz, Alison, and Bourassa, Megan W
- Abstract
ObjectiveAntenatal multiple micronutrient supplements (MMS) are a cost-effective intervention to reduce adverse pregnancy and birth outcomes. However, the current WHO recommendation on the use of antenatal MMS is conditional, partly due to concerns about the effect on neonatal mortality in a subgroup of studies comparing MMS with iron and folic acid supplements (IFA) containing 60 mg of iron. We aimed to assess the effect of MMS vs IFA on neonatal mortality stratified by iron dose in each supplement.MethodsWe updated the neonatal mortality analysis of the 2020 WHO guidelines using the generic inverse variance method and applied the random effects model to calculate the effect estimates of MMS vs. IFA on neonatal mortality in subgroups of trials (n=13) providing the same or different amounts of iron, i.e. MMS with 60 mg of iron vs IFA with 60 mg of iron; MMS with 30 mg of iron vs IFA with 30 mg of iron; MMS with 30 mg of iron vs IFA with 60 mg of iron; and MMS with 20 mg of iron vs IFA with 60 mg of iron.ResultsThere were no statistically significant differences in neonatal mortality between MMS and IFA within any of the subgroups of trials. Analysis of MMS with 30 mg vs IFA with 60 mg of iron (7 trials, 14,114 participants), yielded a nonsignificant Risk Ratio (RR) of 1.12 (95% CI 0.83 to 1.50).ConclusionNeonatal mortality did not differ between MMS and IFA regardless of iron dose in either supplement.
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- 2022
9. Small and Medium Enterprises’ Perspectives on Food Fortification Amid the Growing Burden of Malnutrition
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Monroy-Gomez, Jimena, Ferraboschi, Chiara, van Zutphen, Kesso Gabrielle, Gavin-Smith, Breda, Amanquah, Daniel, Kraemer, Klaus, Monroy-Gomez, Jimena, Ferraboschi, Chiara, van Zutphen, Kesso Gabrielle, Gavin-Smith, Breda, Amanquah, Daniel, and Kraemer, Klaus
- Abstract
The need for a profound food system transformation has never been greater. The growing burden of malnutrition has become the new normal, with two billion people who are overweight, over 140 million children under five who are stunted and over two billion people affected by hidden hunger. Food fortification has been recognized as a cost-effective strategy to address micronutrient deficiencies. Small and medium enterprises (SMEs) play a strategic role in the food supply chain in low- and middle-income countries, accounting for over 80% of food sales. It is therefore critical to create an enabling environment to facilitate SMEs’ involvement in food fortification practices as a potential solution to tackle all forms of malnutrition. This review highlights SMEs’ relevance as agents of change in the food system through food fortification practices and their indirect yet key role in producing nutritious, tasty and affordable foods. It discusses their challenges (e.g., access to long-term finance, sustainable technical assistance, limited capacity), presents solutions and discusses how different actors can help SMEs to overcome these challenges. Furthermore, it presents a relevant public–private partnership case study to demonstrate how SMEs can address the growing burden of malnutrition through food fortification practices, nutrient profiling schemes and demand generation.
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- 2022
10. Principles for Evidence-Based and Sustainable Food System Innovations for Healthier Diets
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Ferraboschi, Chiara, Monroy-Gomez, Jimena, Gavin-Smith, Breda, Beesabathuni, Kalpana, Tshering, Puja, Lingala, Srujith, Bainsla, Neha, Amanquah, Daniel, Kumari, Priyanka, van Zutphen, Kesso Gabrielle, Kraemer, Klaus, Ferraboschi, Chiara, Monroy-Gomez, Jimena, Gavin-Smith, Breda, Beesabathuni, Kalpana, Tshering, Puja, Lingala, Srujith, Bainsla, Neha, Amanquah, Daniel, Kumari, Priyanka, van Zutphen, Kesso Gabrielle, and Kraemer, Klaus
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Climate change, rapid urbanization, war, and economic recession are key drivers of the current food systems’ disruption, which has been exacerbated by the COVID pandemic. Local, regional, and global food systems are unable to provide consumers with nutritious and affordable diets. Suboptimal diets exacerbate the triple burden of malnutrition, with micronutrient deficiencies affecting more than two billion people, two billion people suffering from overweight, and more than 140 million children who are stunted. The unaffordability of nutritious diets represents an obstacle for many, especially in low-and middle-income countries where healthy diets are five times more expensive than starchy staple diets. Food system transformations are urgently required to provide consumers with more affordable and nutritious diets that are capable of meeting social and environmental challenges. In this review, we underline the critical role of innovation within the food system transformation discourse. We aim to define principles for implementing evidence-based and long-term food system innovations that are economically, socially, and environmentally sustainable and, above all, aimed at improving diets and public health. We begin by defining and describing the role of innovation in the transformation of food systems and uncover the major barriers to implementing these innovations. Lastly, we explore case studies that demonstrate successful innovations for healthier diets.
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- 2022
11. The Triple Burden of Malnutrition Among Adolescents in Indonesia
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Rah, Jee Hyun, Melse-Boonstra, Alida, Agustina, Rina, van Zutphen, Kesso Gabrielle, Kraemer, Klaus, Rah, Jee Hyun, Melse-Boonstra, Alida, Agustina, Rina, van Zutphen, Kesso Gabrielle, and Kraemer, Klaus
- Abstract
Background: Indonesia is a prime example of the triple burden of malnutrition. Indonesian adolescents are among the hardest hit, with approximately one in four adolescent girls suffering from anemia, while nearly one in seven adolescents is overweight or obese. Objectives: The present editorial provides a snapshot of the various research papers included in this Supplement, which calls for increased attention to adolescent nutrition in Indonesia and beyond. Results: Despite major steps to reduce undernutrition and overweight, including a renewed focus on anemia among adolescent girls, major gaps remain in our understanding of various nutrition issues concerning adolescents. These include various drivers and determinants of the triple burden of malnutrition, evidence-based interventions that are supported by large-scale implementation research and evaluation, and effective delivery platforms to reach the most vulnerable groups of adolescents. Conclusion: The time has come to position adolescent nutrition as central to development, and mainstream it into health sector plans, strategies, and policies. It is our hope that this issue will stimulate the urgently needed interventions, implementation research and required programs that will safeguard the nutritional wellbeing of today's forgotten generation.
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- 2021
12. Knowledge Gaps in Understanding the Etiology of Anemia in Indonesian Adolescents
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van Zutphen, Kesso Gabrielle, Kraemer, Klaus, Melse-Boonstra, Alida, van Zutphen, Kesso Gabrielle, Kraemer, Klaus, and Melse-Boonstra, Alida
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Background: Anemia is a public health problem among adolescents in Indonesia. Strategies to prevent or treat anemia should be tailored to local conditions, taking into account its specific etiology and prevalence in a given setting and population group. Objective: This review aims to (1) identify and synthesize the current knowledge on the etiology of anemia among adolescents in Indonesia, (2) reveal knowledge gaps in this area, and (3) suggest directions for future research and programmatic work. Methods: We systematically searched PubMed, Web of Science, Scopus, Medline, and WorldCat databases for peer-reviewed journal articles to identify which etiological factors were related to anemia among Indonesian adolescents. Research papers were reviewed and included in the review according to inclusion criteria. Results: Of 13 studies, 8 showed that anemia was associated with iron deficiency; 4 are suggestive of vitamin A deficiency; and 2 of folic acid deficiency. Five studies underscore different etiological determinants for anemia, such as malaria, protein and energy malnutrition, vitamin B2 deficiency, calcium, and vitamin C deficiency. Based on these findings, we developed a framework on knowledge gaps on the etiology of anemia among adolescents in Indonesia, divided in 3 levels of knowledge: (1) significant knowledge gaps, (2) knowledge gaps, and (3) established knowledge. Conclusions: The knowledge gaps around the etiology of anemia among Indonesian adolescents are significant. Our framework emphasizes the need for further research across all etiological factors, namely inadequate nutritional intake and absorption, genetic hemoglobin disorders, infection and inflammation, and menstrual disorders.
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- 2021
13. European Journal of Sociology / Money Knowledge or Money Myths? Results of a population survey on money and the monetary order
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Kraemer, Klaus, Jakelja, Luka, Brugger, Florian, Nessel, Sebastian, Kraemer, Klaus, Jakelja, Luka, Brugger, Florian, and Nessel, Sebastian
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Tagein, tagaus verwenden Menschen Geld mit der größten Selbstverständlichkeit und in ubiquitärer Weise. Und je nach Situation und sozialem Kontext verwenden sie es vieldeutig und für unterschiedlichste soziale Zwecke. Doch was wissen Menschen über Geld, Geldschöpfung, Gelddeckung und die institutionellen Grundlagen der modernen monetären Ordnung? Zwar liegen inzwischen umfangreiche empirische Studien zur finanziellen Bildung und zum mathematischen Wissen der Bevölkerung vor. Gleichwohl ist das Wissen der Leute über Geld und die Geldordnung empirisch bislang unerforscht geblieben. Wir haben in Österreich eine standardisierte Bevölkerungsbefragung (n = 2000) zum Geldwissen durchgeführt. In diesem Beitrag geben wir zunächst einen kurzen Überblick zur geldsoziologischen Debatte und sichten den empirischen Forschungstand zur finanziellen Bildung. Auf dieser Grundlage präsentieren wir unsere Untersuchungsergebnisse. Der zentrale empirische Befund lautet, dass unabhängig von Alter, Geschlecht, Bildungsbeteiligung und sozioökonomischer Lage das Wissen in der Bevölkerung über Geld und die institutionelle Geldordnung allenfalls rudimentär ausgeprägt ist. Stattdessen glauben die Leute an verbreitete Geldmythen. So geben die Befragten an, dass Geld gedruckt werde oder durch Gold gedeckt sei. Die empirischen Befunde diskutieren wir abschließend vor dem Hintergrund des gegenwärtigen Forschungsstandes der Geldsoziologie., People use money in everyday life in ubiquitous ways. In addition, they know that money has quite different and multiple meanings in different social contexts, depending on the situation in which it is used. That said, what do people actually know about money, money creation, money backing and the institutional foundations of the monetary order? While contributions in the rapidly extending field of financial literacy have empirically studied people’s knowledge about mathematical and financial issues, people’s knowledge about the functioning of the money system and monetary institutions remained mostly unexplored. To improve our understanding of people’s knowledge of the money system and the most important money institutions, we questioned 2,000 individuals in Austria using a standardized population survey. In this paper, after a short critical review of the sociology of money and the literature on financial literacy, we present and critically discuss the results of the survey. We found that, independently of age, gender, education and income, people know very little about the money system or money institutions and mostly believe in money myths, such as the notion that money is still backed by gold. Finally, we discuss our empirical findings against the backdrop of the state of research on the sociology of money., Version of record
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- 2020
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14. Antenatal multiple micronutrient supplementation: call to action for change in recommendation
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Bourassa, Megan W., Osendarp, Saskia J.M., Adu-Afarwuah, Seth, Ahmed, Saima, Ajello, Clayton, Bergeron, Gilles, Black, Robert, Christian, Parul, Cousens, Simon, de Pee, Saskia, Dewey, Kathryn G., Arifeen, Shams El, Engle-Stone, Reina, Fleet, Alison, Gernand, Alison D., Hoddinott, John, Klemm, Rolf, Kraemer, Klaus, Kupka, Roland, McLean, Erin, Moore, Sophie E., Neufeld, Lynnette M., Persson, L., Rasmussen, Kathleen M., Shankar, Anuraj H., Smith, Emily, Sudfeld, Christopher R., Udomkesmalee, Emorn, Vosti, Stephen A., Bourassa, Megan W., Osendarp, Saskia J.M., Adu-Afarwuah, Seth, Ahmed, Saima, Ajello, Clayton, Bergeron, Gilles, Black, Robert, Christian, Parul, Cousens, Simon, de Pee, Saskia, Dewey, Kathryn G., Arifeen, Shams El, Engle-Stone, Reina, Fleet, Alison, Gernand, Alison D., Hoddinott, John, Klemm, Rolf, Kraemer, Klaus, Kupka, Roland, McLean, Erin, Moore, Sophie E., Neufeld, Lynnette M., Persson, L., Rasmussen, Kathleen M., Shankar, Anuraj H., Smith, Emily, Sudfeld, Christopher R., Udomkesmalee, Emorn, and Vosti, Stephen A.
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- 2020
15. Review of the evidence regarding the use of antenatal multiple micronutrient supplementation in low- and middle-income countries.
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Bourassa, Megan W, Bourassa, Megan W, Osendarp, Saskia JM, Adu-Afarwuah, Seth, Ahmed, Saima, Ajello, Clayton, Bergeron, Gilles, Black, Robert, Christian, Parul, Cousens, Simon, de Pee, Saskia, Dewey, Kathryn G, Arifeen, Shams El, Engle-Stone, Reina, Fleet, Alison, Gernand, Alison D, Hoddinott, John, Klemm, Rolf, Kraemer, Klaus, Kupka, Roland, McLean, Erin, Moore, Sophie E, Neufeld, Lynnette M, Persson, Lars-Åke, Rasmussen, Kathleen M, Shankar, Anuraj H, Smith, Emily, Sudfeld, Christopher R, Udomkesmalee, Emorn, Vosti, Stephen A, Bourassa, Megan W, Bourassa, Megan W, Osendarp, Saskia JM, Adu-Afarwuah, Seth, Ahmed, Saima, Ajello, Clayton, Bergeron, Gilles, Black, Robert, Christian, Parul, Cousens, Simon, de Pee, Saskia, Dewey, Kathryn G, Arifeen, Shams El, Engle-Stone, Reina, Fleet, Alison, Gernand, Alison D, Hoddinott, John, Klemm, Rolf, Kraemer, Klaus, Kupka, Roland, McLean, Erin, Moore, Sophie E, Neufeld, Lynnette M, Persson, Lars-Åke, Rasmussen, Kathleen M, Shankar, Anuraj H, Smith, Emily, Sudfeld, Christopher R, Udomkesmalee, Emorn, and Vosti, Stephen A
- Abstract
Inadequate micronutrient intakes are relatively common in low- and middle-income countries (LMICs), especially among pregnant women, who have increased micronutrient requirements. This can lead to an increase in adverse pregnancy and birth outcomes. This review presents the conclusions of a task force that set out to assess the prevalence of inadequate micronutrient intakes and adverse birth outcomes in LMICs; the data from trials comparing multiple micronutrient supplements (MMS) that contain iron and folic acid (IFA) with IFA supplements alone; the risks of reaching the upper intake levels with MMS; and the cost-effectiveness of MMS compared with IFA. Recent meta-analyses demonstrate that MMS can reduce the risks of preterm birth, low birth weight, and small for gestational age in comparison with IFA alone. An individual-participant data meta-analysis also revealed even greater benefits for anemic and underweight women and female infants. Importantly, there was no increased risk of harm for the pregnant women or their infants with MMS. These data suggest that countries with inadequate micronutrient intakes should consider supplementing pregnant women with MMS as a cost-effective method to reduce the risk of adverse birth outcomes.
- Published
- 2019
16. Propheten der Finanzmärkte: die Kompensation von Ungewissheiten durch charismatische Zuschreibungen
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Kraemer, Klaus and Kraemer, Klaus
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Finanzmärkte sind durch erhebliche Ungewissheiten gekennzeichnet. Gleichwohl sind Finanzmarktakteure unablässig gezwungen, Entscheidungen zu treffen. In diesem Beitrag wird der Frage nachgegangen, wie sie dieses Entscheidungsproblem bewältigen. In kritischer Auseinandersetzung mit dem Konzept der "Erwartungs-Erwartungen" wird vorgeschlagen, Max Webers Charismakonzeption fruchtbar zu machen, um den Einfluss von "Börsenpropheten" auf Investment-Entscheidungen besser verstehen und in seiner sozialen Prozesshaftigkeit erklären zu können., Financial markets are marked by considerable uncertainty. Actors in financial markets are nevertheless constantly forced to make decisions. This article pursues the question of how they cope with this problem of decision-making. Based on a critical discussion of the concept of "expectations of expectations", I suggest turning to Max Weber's concept of charisma, which can be fruitfully applied to better understand the influence of "stock market prophets" on investment decisions and explain such influence as a social process.
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- 2019
17. Review of the evidence regarding the use of antenatal multiple micronutrient supplementation in low- and middle-income countries.
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Bourassa, Megan W, Bourassa, Megan W, Osendarp, Saskia JM, Adu-Afarwuah, Seth, Ahmed, Saima, Ajello, Clayton, Bergeron, Gilles, Black, Robert, Christian, Parul, Cousens, Simon, de Pee, Saskia, Dewey, Kathryn G, Arifeen, Shams El, Engle-Stone, Reina, Fleet, Alison, Gernand, Alison D, Hoddinott, John, Klemm, Rolf, Kraemer, Klaus, Kupka, Roland, McLean, Erin, Moore, Sophie E, Neufeld, Lynnette M, Persson, Lars-Åke, Rasmussen, Kathleen M, Shankar, Anuraj H, Smith, Emily, Sudfeld, Christopher R, Udomkesmalee, Emorn, Vosti, Stephen A, Bourassa, Megan W, Bourassa, Megan W, Osendarp, Saskia JM, Adu-Afarwuah, Seth, Ahmed, Saima, Ajello, Clayton, Bergeron, Gilles, Black, Robert, Christian, Parul, Cousens, Simon, de Pee, Saskia, Dewey, Kathryn G, Arifeen, Shams El, Engle-Stone, Reina, Fleet, Alison, Gernand, Alison D, Hoddinott, John, Klemm, Rolf, Kraemer, Klaus, Kupka, Roland, McLean, Erin, Moore, Sophie E, Neufeld, Lynnette M, Persson, Lars-Åke, Rasmussen, Kathleen M, Shankar, Anuraj H, Smith, Emily, Sudfeld, Christopher R, Udomkesmalee, Emorn, and Vosti, Stephen A
- Abstract
Inadequate micronutrient intakes are relatively common in low- and middle-income countries (LMICs), especially among pregnant women, who have increased micronutrient requirements. This can lead to an increase in adverse pregnancy and birth outcomes. This review presents the conclusions of a task force that set out to assess the prevalence of inadequate micronutrient intakes and adverse birth outcomes in LMICs; the data from trials comparing multiple micronutrient supplements (MMS) that contain iron and folic acid (IFA) with IFA supplements alone; the risks of reaching the upper intake levels with MMS; and the cost-effectiveness of MMS compared with IFA. Recent meta-analyses demonstrate that MMS can reduce the risks of preterm birth, low birth weight, and small for gestational age in comparison with IFA alone. An individual-participant data meta-analysis also revealed even greater benefits for anemic and underweight women and female infants. Importantly, there was no increased risk of harm for the pregnant women or their infants with MMS. These data suggest that countries with inadequate micronutrient intakes should consider supplementing pregnant women with MMS as a cost-effective method to reduce the risk of adverse birth outcomes.
- Published
- 2019
18. Review of the evidence regarding the use of antenatal multiple micronutrient supplementation in low- and middle-income countries
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Bourassa, Megan W., Osendarp, Saskia J.M., Adu-Afarwuah, Seth, Ahmed, Saima, Ajello, Clayton, Bergeron, Gilles, Black, Robert, Christian, Parul, Cousens, Simon, de Pee, Saskia, Dewey, Kathryn G., Arifeen, Shams El, Engle-Stone, Reina, Fleet, Alison, Gernand, Alison D., Hoddinott, John, Klemm, Rolf, Kraemer, Klaus, Kupka, Roland, McLean, Erin, Moore, Sophie E., Neufeld, Lynnette M., Persson, Lars Åke, Rasmussen, Kathleen M., Shankar, Anuraj H., Smith, Emily, Sudfeld, Christopher R., Udomkesmalee, Emorn, Vosti, Stephen A., Bourassa, Megan W., Osendarp, Saskia J.M., Adu-Afarwuah, Seth, Ahmed, Saima, Ajello, Clayton, Bergeron, Gilles, Black, Robert, Christian, Parul, Cousens, Simon, de Pee, Saskia, Dewey, Kathryn G., Arifeen, Shams El, Engle-Stone, Reina, Fleet, Alison, Gernand, Alison D., Hoddinott, John, Klemm, Rolf, Kraemer, Klaus, Kupka, Roland, McLean, Erin, Moore, Sophie E., Neufeld, Lynnette M., Persson, Lars Åke, Rasmussen, Kathleen M., Shankar, Anuraj H., Smith, Emily, Sudfeld, Christopher R., Udomkesmalee, Emorn, and Vosti, Stephen A.
- Abstract
Inadequate micronutrient intakes are relatively common in low- and middle-income countries (LMICs), especially among pregnant women, who have increased micronutrient requirements. This can lead to an increase in adverse pregnancy and birth outcomes. This review presents the conclusions of a task force that set out to assess the prevalence of inadequate micronutrient intakes and adverse birth outcomes in LMICs; the data from trials comparing multiple micronutrient supplements (MMS) that contain iron and folic acid (IFA) with IFA supplements alone; the risks of reaching the upper intake levels with MMS; and the cost-effectiveness of MMS compared with IFA. Recent meta-analyses demonstrate that MMS can reduce the risks of preterm birth, low birth weight, and small for gestational age in comparison with IFA alone. An individual-participant data meta-analysis also revealed even greater benefits for anemic and underweight women and female infants. Importantly, there was no increased risk of harm for the pregnant women or their infants with MMS. These data suggest that countries with inadequate micronutrient intakes should consider supplementing pregnant women with MMS as a cost-effective method to reduce the risk of adverse birth outcomes.
- Published
- 2019
19. Translational and Implementation Research to Bridge Evidence and Implementation
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Kraemer, Klaus, Van Zutphen, Kesso Gabrielle, Kraemer, Klaus, and Van Zutphen, Kesso Gabrielle
- Abstract
Background: The role of science in guiding interventions and programs and contributing to progress in achieving global targets is undeniable. In public health nutrition, biological research in the past century focused largely on single nutrients and provided the basis for addressing nutritional deficiencies. This focus has now expanded to consider evidence including, but not limited, to knowledge about food, diet, behavior, context, and culture. The complex double burden of malnutrition will need to be addressed through a wider lens that appreciates the multiple and interrelated facets that underpin it. Summary: Despite the acknowledged importance of translational research in improving nutritional outcomes, significant gaps remain in the process leading from science to practice. This article sheds light on 2 examples that demonstrate this, namely, anemia and stunting. Further, much work is still required to translate the current evidence base into effective actions that result in impact at scale, pointing toward the need for more implementation research in nutrition. Key Messages: While discoveries may take time to surface and implementers are impatient to address the challenge at hand, it is essential to identify and deploy the best available evidence while continuously advancing the evidence base, and to seek the right balance between action and inaction.
- Published
- 2019
20. Implementation science in nutrition: Concepts and frameworks for an emerging field of science and practice
- Author
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Tumilowicz, Allison; Ruel, Marie T.; Pelto, Gretchen; Pelletier, David; Monterrosa, Eva C.; Lapping, Karin; Kraemer, Klaus; De Regil, Luz Maria; Bergeron, Gilles; Arabi, Mandana; Neufeld, Lynnette; Sturke, Rachel, http://orcid.org/0000-0002-9506-348X Ruel, Marie, Tumilowicz, Allison; Ruel, Marie T.; Pelto, Gretchen; Pelletier, David; Monterrosa, Eva C.; Lapping, Karin; Kraemer, Klaus; De Regil, Luz Maria; Bergeron, Gilles; Arabi, Mandana; Neufeld, Lynnette; Sturke, Rachel, and http://orcid.org/0000-0002-9506-348X Ruel, Marie
- Abstract
PR, IFPRI3; CRP4; 1 Fostering Climate-Resilient and Sustainable Food Supply; 2 Promoting Healthy Diets and Nutrition for all, PHND; A4NH, CGIAR Research Program on Agriculture for Nutrition and Health (A4NH), Malnutrition in all its forms has risen on global and national agendas in recent years because of the recognition of its magnitude and its consequences for a wide range of human, social, and economic outcomes. Although the WHO, national governments, and other organizations have endorsed targets and identified appropriate policies, programs, and interventions, a major challenge lies in implementing these with the scale and quality needed to achieve population impact. This paper presents an approach to implementation science in nutrition (ISN) that builds upon concepts developed in other policy domains and addresses critical gaps in linking knowledge to effective action. ISN is defined here as an interdisciplinary body of theory, knowledge, frameworks, tools, and approaches whose purpose is to strengthen implementation quality and impact. It includes a wide range of methods and approaches to identify and address implementation bottlenecks; means to identify, evaluate, and scale up implementation innovations; and strategies to enhance the utilization of existing knowledge, tools, and frameworks based on the evolving science of implementation. The ISN framework recognizes that quality implementation requires alignment across 5 domains: the intervention, policy, or innovation being implemented; the implementing organization(s); the enabling environment of policies and stakeholders; the individuals, households, and communities of interest; and the strategies and decision processes used at various stages of the implementation process. The success of aligning these domains through implementation research requires a culture of inquiry, evaluation, learning, and response among program implementers; an action-oriented mission among the research partners; continuity of funding for implementation research; and resolving inherent tensions between program implementation and research. The Society for Implementation Science in Nutrition is a recently established membership society t
- Published
- 2019
21. Acute malnutrition
- Author
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Karakochuk, Crystal D, Whitfield, Kyly C, Green, Tim J, Kraemer, Klaus, Briend, André, Karakochuk, Crystal D, Whitfield, Kyly C, Green, Tim J, Kraemer, Klaus, and Briend, André
- Abstract
Children can be underweight because they have a low weight in relation to their height and/or because they are short in relation to their age. Waterlow introduced the term wasted for children with a low weight-for-height (WFH), and stunted for those who have a low height-for-age [1]. Children suffering from acute food shortage become wasted as they lose weight, but their height remains constant, and wasting is often considered as reflecting an episode of acute malnutrition (AM). In contrast, stunting is regarded as a more chronic form of malnutrition. Although wasting can also be chronic, and linear growth stops in the case of AM, AM is often defined by wasting, more specifically by a WFH <-2 z-score of the World Health Organization (WHO) growth standard [2]. Moderate acute malnutrition (MAM) is defined by a z-score between -2 and -3, and severe acute malnutrition (SAM) is defined by a WFH <-3 z-score or a mid-upper arm circumference (MUAC) <115 mm (in children aged 6 to 60 months) or the presence of nutritional edema [3]. The MUAC-based definition of SAM was introduced to include children with a low MUAC, because these children are at high risk of death [4]. In programs that aim to prevent malnutrition-associated mortality, MAM is also often defined by a MUAC between 115 and 125 mm [5]. The cutoffs for MAM and SAM are convenient for establishing programs, but there is no abrupt change of the pathophysiology or of the associated risk around these cutoffs, and there is a continuum between SAM and MAM.
- Published
- 2018
22. Selected nutrients and their implications for health and disease across the lifespan: a roadmap
- Author
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Péter, Szabolcs, Eggersdorfer, Manfred, van Asselt, Dieneke, Buskens, Erik, Detzel, Patrick, Freijer, Karen, Koletzko, Berthold, Kraemer, Klaus, Kuipers, Folkert, Neufeld, Lynnette, Obeid, Rima, Wieser, Simon, Zittermann, Armin, Weber, Peter, Péter, Szabolcs, Eggersdorfer, Manfred, van Asselt, Dieneke, Buskens, Erik, Detzel, Patrick, Freijer, Karen, Koletzko, Berthold, Kraemer, Klaus, Kuipers, Folkert, Neufeld, Lynnette, Obeid, Rima, Wieser, Simon, Zittermann, Armin, and Weber, Peter
- Abstract
Worldwide approximately two billion people have a diet insufficient in micronutrients. Even in the developed world, an increasing number of people consume nutrient-poor food on a regular basis. Recent surveys in Western countries consistently indicate inadequate intake of nutrients such as vitamins and minerals, compared to recommendations. The International Osteoporosis Foundation's (IOF) latest figures show that globally about 88% of the population does not have an optimal vitamin D status. The Lancet's "Global Burden of Disease Study 2010" demonstrates a continued growth in life expectancy for populations around the world; however, the last decade of life is often disabled by the burden of partly preventable health issues. Compelling evidence suggests that improving nutrition protects health, prevents disability, boosts economic productivity and saves lives. Investments to improve nutrition make a positive contribution to long-term national and global health, economic productivity and stability, and societal resilience.
- Published
- 2018
23. Acute malnutrition
- Author
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Karakochuk, Crystal D, Whitfield, Kyly C, Green, Tim J, Kraemer, Klaus, Briend, André, Karakochuk, Crystal D, Whitfield, Kyly C, Green, Tim J, Kraemer, Klaus, and Briend, André
- Abstract
Children can be underweight because they have a low weight in relation to their height and/or because they are short in relation to their age. Waterlow introduced the term wasted for children with a low weight-for-height (WFH), and stunted for those who have a low height-for-age [1]. Children suffering from acute food shortage become wasted as they lose weight, but their height remains constant, and wasting is often considered as reflecting an episode of acute malnutrition (AM). In contrast, stunting is regarded as a more chronic form of malnutrition. Although wasting can also be chronic, and linear growth stops in the case of AM, AM is often defined by wasting, more specifically by a WFH <-2 z-score of the World Health Organization (WHO) growth standard [2]. Moderate acute malnutrition (MAM) is defined by a z-score between -2 and -3, and severe acute malnutrition (SAM) is defined by a WFH <-3 z-score or a mid-upper arm circumference (MUAC) <115 mm (in children aged 6 to 60 months) or the presence of nutritional edema [3]. The MUAC-based definition of SAM was introduced to include children with a low MUAC, because these children are at high risk of death [4]. In programs that aim to prevent malnutrition-associated mortality, MAM is also often defined by a MUAC between 115 and 125 mm [5]. The cutoffs for MAM and SAM are convenient for establishing programs, but there is no abrupt change of the pathophysiology or of the associated risk around these cutoffs, and there is a continuum between SAM and MAM.
- Published
- 2018
24. Selected nutrients and their implications for health and disease across the lifespan: a roadmap
- Author
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Péter, Szabolcs, Eggersdorfer, Manfred, van Asselt, Dieneke, Buskens, Erik, Detzel, Patrick, Freijer, Karen, Koletzko, Berthold, Kraemer, Klaus, Kuipers, Folkert, Neufeld, Lynnette, Obeid, Rima, Wieser, Simon, Zittermann, Armin, Weber, Peter, Péter, Szabolcs, Eggersdorfer, Manfred, van Asselt, Dieneke, Buskens, Erik, Detzel, Patrick, Freijer, Karen, Koletzko, Berthold, Kraemer, Klaus, Kuipers, Folkert, Neufeld, Lynnette, Obeid, Rima, Wieser, Simon, Zittermann, Armin, and Weber, Peter
- Abstract
Worldwide approximately two billion people have a diet insufficient in micronutrients. Even in the developed world, an increasing number of people consume nutrient-poor food on a regular basis. Recent surveys in Western countries consistently indicate inadequate intake of nutrients such as vitamins and minerals, compared to recommendations. The International Osteoporosis Foundation's (IOF) latest figures show that globally about 88% of the population does not have an optimal vitamin D status. The Lancet's "Global Burden of Disease Study 2010" demonstrates a continued growth in life expectancy for populations around the world; however, the last decade of life is often disabled by the burden of partly preventable health issues. Compelling evidence suggests that improving nutrition protects health, prevents disability, boosts economic productivity and saves lives. Investments to improve nutrition make a positive contribution to long-term national and global health, economic productivity and stability, and societal resilience.
- Published
- 2018
25. Die Wahrnehmung von Umweltgefährdungen: Österreich im internationalen Vergleich
- Author
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Hadler, Markus, Kraemer, Klaus, Hadler, Markus, and Kraemer, Klaus
- Abstract
"Dieser Beitrag untersucht die Wahrnehmung verschiedener Umweltgefährdungen in Österreich und im internationalen Vergleich. Die zentrale Fragestellung ist, wie sich die Risikowahrnehmung über die Länder hinweg und innerhalb der Länder unterscheidet. Die Analyse basiert auf repräsentativen Bevölkerungsumfragen, die im Rahmen des International Social Survey Programme ISSP zwischen 2010 und 2013 in 34 Ländern erhoben wurden. Die empirische Analyse zeigt eine Differenzierung entlang Problemen, die mit naturräumlichen Gegebenheiten wie Wasserknappheit in Zusammenhang stehen, sowie sozial induzierten Alltagsproblemen wie Müllentsorgung und sozial bedingten weitreichenden Problemen wie Klimawandel und Atommüll. Naturräumliche Probleme werden vor allem in Ländern wie Mexiko und Südafrika genannt und können daher mit klimatischen Bedingungen erklärt werden, während die beiden sozial induzierten Problemfelder keinen spezifischen Ländergruppen zugeordnet werden können. Österreich selbst liegt im Mittelfeld, weder naturräumliche noch sozial induzierte Probleme werden hier überproportional häufig wahrgenommen." (Autorenreferat), "This article explores the perception of environmental problems in Austria within the context of a comparative international approach. The analysis centers on the question of differences in risk perception across countries and within countries. It utilizes representative national public opinion data, which were collected by the International Social Survey Programme ISSP in 34 countries between 2010 and 2013. The results indicate a differentiation along nature and climate oriented problems such as water shortage, socially induced everyday issues (for example waste disposal), and socially induced severe problems, i.e. climate change and nuclear waste. Whereas the first set of problems can be found in countries such as Mexico and South Africa and thus be explained by climate conditions, socially induced problems are not linked to specific sets of countries or regions. Finally, the Austrian perception of the different risks is moderate, thus neither natural problems nor socially induced problems are named disproportionately often when compared with other countries." (author's abstract)
- Published
- 2017
26. Are low tolerable upper intake levels for vitamin a undermining effective food fortification efforts?
- Author
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Kraemer, Klaus, Waelti, Monika, de Pee, Saskia, Moench-Pfanner, Regina, Hathcock, John N., Bloem, Martin W., Semba, Richard D., Kraemer, Klaus, Waelti, Monika, de Pee, Saskia, Moench-Pfanner, Regina, Hathcock, John N., Bloem, Martin W., and Semba, Richard D.
- Abstract
Vitamin A deficiency (VAD) is a major health problem, particularly in low-resource countries, putting an estimated 125-130 million preschool-aged children at increased risk of morbidity and mortality from infectious diseases. Vitamin A supplementation reduces VAD and increases child survival; it is complemented by fortifying foods with vitamin A. Concern over increased risk of bone fracture associated with vitamin A intakes below the tolerable upper intake level (UL) among populations in affluent countries conflicts with the need to increase intakes in less developed countries, where populations are at greater risk of VAD and intakes are unlikely to reach the UL as diets include fewer foods containing retinol while vitamin A from carotenoids poses no risk of overdose. With the implementation of recently developed risk management tools, vitamin A can be used safely in food fortification, including point-of-use fortification in the context of supplementation among specific target groups in low-resource countries
- Published
- 2017
27. Relationship of homestead food production with night blindness among children below 5 years of age in Bangladesh
- Author
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Campbell, Ashley A., Akhter, Nasima, Sun, Kai, de Pee, Saskia, Kraemer, Klaus, Moench-Pfanner, Regina, Rah, Jee H., Badham, Jane, Bloem, Martin W., Semba, Richard D., Campbell, Ashley A., Akhter, Nasima, Sun, Kai, de Pee, Saskia, Kraemer, Klaus, Moench-Pfanner, Regina, Rah, Jee H., Badham, Jane, Bloem, Martin W., and Semba, Richard D.
- Abstract
Objective To examine the relationship between homestead food production and night blindness among pre-school children in rural Bangladesh in the presence of a national vitamin A supplementation programme. Design A cross-sectional study. Setting A population-based sample of six rural divisions of Bangladesh assessed in the Bangladesh Nutrition Surveillance Project 2001-2005. Subjects A total of 158 898 children aged 12-59 months. Results The prevalence rates of night blindness in children among those who did and did not receive vitamin A capsules in the last 6 months were 0·07 % and 0·13 %, respectively. Given the known effect of vitamin A supplementation on night blindness, the analysis was stratified by children's receipt of vitamin A capsules in the last 6 months. Among children who did not receive vitamin A capsules in the last 6 months, the lack of a home garden was associated with increased odds of night blindness (OR = 3·16, 95 % CI 1·76, 5·68; P = 0·0001). Among children who received vitamin A capsules in the last 6 months, the lack of a home garden was not associated with night blindness (OR = 1·28, 95 % CI 0·71, 2·31; P = 0·4). Conclusions Homestead food production confers a protective effect against night blindness among pre-school children who missed vitamin A supplementation in rural Bangladesh
- Published
- 2017
28. Maximizing the benefits and minimizing the risks of intervention programs to address micronutrient malnutrition: symposium report.
- Author
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Bruins, Maaike J, Bruins, Maaike J, Kupka, Roland, Zimmermann, Michael B, Lietz, Georg, Engle-Stone, Reina, Kraemer, Klaus, Bruins, Maaike J, Bruins, Maaike J, Kupka, Roland, Zimmermann, Michael B, Lietz, Georg, Engle-Stone, Reina, and Kraemer, Klaus
- Abstract
Interventions to address micronutrient deficiencies have large potential to reduce the related disease and economic burden. However, the potential risks of excessive micronutrient intakes are often not well determined. During the Global Summit on Food Fortification, 9-11 September 2015, in Arusha, a symposium was organized on micronutrient risk-benefit assessments. Using case studies on folic acid, iodine and vitamin A, the presenters discussed how to maximize the benefits and minimize the risks of intervention programs to address micronutrient malnutrition. Pre-implementation assessment of dietary intake, and/or biomarkers of micronutrient exposure, status and morbidity/mortality is critical in identifying the population segments at risk of inadequate and excessive intake. Dietary intake models allow to predict the effect of micronutrient interventions and their combinations, e.g. fortified food and supplements, on the proportion of the population with intakes below adequate and above safe thresholds. Continuous monitoring of micronutrient intake and biomarkers is critical to identify whether the target population is actually reached, whether subgroups receive excessive amounts, and inform program adjustments. However, the relation between regular high intake and adverse health consequences is neither well understood for many micronutrients, nor do biomarkers exist that can detect them. More accurate and reliable biomarkers predictive of micronutrient exposure, status and function are needed to ensure effective and safe intake ranges for vulnerable population groups such as young children and pregnant women. Modelling tools that integrate information on program coverage, dietary intake distribution and biomarkers will further enable program makers to design effective, efficient and safe programs.
- Published
- 2016
29. Maximizing the benefits and minimizing the risks of intervention programs to address micronutrient malnutrition: symposium report.
- Author
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Bruins, Maaike J, Bruins, Maaike J, Kupka, Roland, Zimmermann, Michael B, Lietz, Georg, Engle-Stone, Reina, Kraemer, Klaus, Bruins, Maaike J, Bruins, Maaike J, Kupka, Roland, Zimmermann, Michael B, Lietz, Georg, Engle-Stone, Reina, and Kraemer, Klaus
- Abstract
Interventions to address micronutrient deficiencies have large potential to reduce the related disease and economic burden. However, the potential risks of excessive micronutrient intakes are often not well determined. During the Global Summit on Food Fortification, 9-11 September 2015, in Arusha, a symposium was organized on micronutrient risk-benefit assessments. Using case studies on folic acid, iodine and vitamin A, the presenters discussed how to maximize the benefits and minimize the risks of intervention programs to address micronutrient malnutrition. Pre-implementation assessment of dietary intake, and/or biomarkers of micronutrient exposure, status and morbidity/mortality is critical in identifying the population segments at risk of inadequate and excessive intake. Dietary intake models allow to predict the effect of micronutrient interventions and their combinations, e.g. fortified food and supplements, on the proportion of the population with intakes below adequate and above safe thresholds. Continuous monitoring of micronutrient intake and biomarkers is critical to identify whether the target population is actually reached, whether subgroups receive excessive amounts, and inform program adjustments. However, the relation between regular high intake and adverse health consequences is neither well understood for many micronutrients, nor do biomarkers exist that can detect them. More accurate and reliable biomarkers predictive of micronutrient exposure, status and function are needed to ensure effective and safe intake ranges for vulnerable population groups such as young children and pregnant women. Modelling tools that integrate information on program coverage, dietary intake distribution and biomarkers will further enable program makers to design effective, efficient and safe programs.
- Published
- 2016
30. Many Religions Offer Salvation
- Author
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Kraemer, Klaus, Vellguth, Klaus, Yarra Theological Union, Kavunkal, Jacob, Kraemer, Klaus, Vellguth, Klaus, Yarra Theological Union, and Kavunkal, Jacob
- Abstract
The chapter makes a study of Christian witness in a multi-religious world from an Asian point of view. It begins by establishing that there is only one God, regardless of by whatever name that God is addressed, that God reaches to humans only through one mystery, which Christian tradition identifies as the Person of Jesus Christ. The chapter argues for the recognition of the salvific role of non-Christian religions and for the proclamation of the Gospel in a spirit of harmony and complementarity. It talks of fresh approach with regard to other religions in the Christian thinking, seeing, feeling, talking and living, that is formulated in the light of the bible, and participating in God's feeling, seeing from the contemporary perspectives.
- Published
- 2016
31. Maximizing the benefits and minimizing the risks of intervention programs to address micronutrient malnutrition: symposium report.
- Author
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Bruins, Maaike J, Bruins, Maaike J, Kupka, Roland, Zimmermann, Michael B, Lietz, Georg, Engle-Stone, Reina, Kraemer, Klaus, Bruins, Maaike J, Bruins, Maaike J, Kupka, Roland, Zimmermann, Michael B, Lietz, Georg, Engle-Stone, Reina, and Kraemer, Klaus
- Abstract
Interventions to address micronutrient deficiencies have large potential to reduce the related disease and economic burden. However, the potential risks of excessive micronutrient intakes are often not well determined. During the Global Summit on Food Fortification, 9-11 September 2015, in Arusha, a symposium was organized on micronutrient risk-benefit assessments. Using case studies on folic acid, iodine and vitamin A, the presenters discussed how to maximize the benefits and minimize the risks of intervention programs to address micronutrient malnutrition. Pre-implementation assessment of dietary intake, and/or biomarkers of micronutrient exposure, status and morbidity/mortality is critical in identifying the population segments at risk of inadequate and excessive intake. Dietary intake models allow to predict the effect of micronutrient interventions and their combinations, e.g. fortified food and supplements, on the proportion of the population with intakes below adequate and above safe thresholds. Continuous monitoring of micronutrient intake and biomarkers is critical to identify whether the target population is actually reached, whether subgroups receive excessive amounts, and inform program adjustments. However, the relation between regular high intake and adverse health consequences is neither well understood for many micronutrients, nor do biomarkers exist that can detect them. More accurate and reliable biomarkers predictive of micronutrient exposure, status and function are needed to ensure effective and safe intake ranges for vulnerable population groups such as young children and pregnant women. Modelling tools that integrate information on program coverage, dietary intake distribution and biomarkers will further enable program makers to design effective, efficient and safe programs.
- Published
- 2016
32. Das Heil findet sich in vielen Religionen
- Author
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Kraemer, Klaus, Vellguth, Klaus, Yarra Theological Union, Kavunkal, Jacob, Kraemer, Klaus, Vellguth, Klaus, Yarra Theological Union, and Kavunkal, Jacob
- Abstract
The chapter is part of the book, the Joy of Evangelization. In this chapter the author argues how Evangelization is not primarily to save others as salvation is God's work and God makes it available to all those who live according to God's will. Evangelization is for the purpose of ringing in God's reign which in the context of Religious Pluralism is to be done through Inter Religious Dialogue. The chapter speaks about the understanding of salvation in the bible as well as how religions can be understood from the biblical perspective. The central role of the Word Incarnate, through whom everything is created and enlightened is to reveal the nature of God as love, mercy. Christian life must be a sign of this mercy and in the context of religious pluralism this done through Inter Religious Dialogue.
- Published
- 2015
33. Das Heil findet sich in vielen Religionen
- Author
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Kraemer, Klaus, Vellguth, Klaus, Yarra Theological Union, Kavunkal, Jacob, Kraemer, Klaus, Vellguth, Klaus, Yarra Theological Union, and Kavunkal, Jacob
- Abstract
The chapter is part of the book, the Joy of Evangelization. In this chapter the author argues how Evangelization is not primarily to save others as salvation is God's work and God makes it available to all those who live according to God's will. Evangelization is for the purpose of ringing in God's reign which in the context of Religious Pluralism is to be done through Inter Religious Dialogue. The chapter speaks about the understanding of salvation in the bible as well as how religions can be understood from the biblical perspective. The central role of the Word Incarnate, through whom everything is created and enlightened is to reveal the nature of God as love, mercy. Christian life must be a sign of this mercy and in the context of religious pluralism this done through Inter Religious Dialogue.
- Published
- 2015
34. Educating and training a workforce for nutrition in a post-2015 world
- Author
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Fanzo, Jessica C., Graziose, Matthew M., Kraemer, Klaus, Gillespie, Stuart, Johnston, Jessica L., de Pee, Saskia, Monterrosa, Eva, Badham, Jane, Bloem, Martin W., Dangour, Alan D., Deckelbaum, Richard, Dobermann, Achim, Fracassi, Patrizia, Hossain, S.M.M., Ingram, John, Jerling, Johann C., Jones, C.J., Jap, Stefanus Indrayana, Kiess, Lynnda, Marshall, Quinn, Martin, Keith, Narayan, Anuradha, Amuyunzu-Nayamongo, Mary, Pepping, Fré, West, Keith P., Fanzo, Jessica C., Graziose, Matthew M., Kraemer, Klaus, Gillespie, Stuart, Johnston, Jessica L., de Pee, Saskia, Monterrosa, Eva, Badham, Jane, Bloem, Martin W., Dangour, Alan D., Deckelbaum, Richard, Dobermann, Achim, Fracassi, Patrizia, Hossain, S.M.M., Ingram, John, Jerling, Johann C., Jones, C.J., Jap, Stefanus Indrayana, Kiess, Lynnda, Marshall, Quinn, Martin, Keith, Narayan, Anuradha, Amuyunzu-Nayamongo, Mary, Pepping, Fré, and West, Keith P.
- Abstract
Nearly all countries in the world today are burdened with malnutrition, manifesting as undernutrition, micronutrient deficiencies, and/or overweight and obesity. Despite some progress, efforts to alleviate malnutrition are hampered by a shortage in number, skills, and geographic coverage, of a workforce for nutrition. Here, we report the findings of the Castel Gandolfo workshop, a convening of experts from diverse fields in March 2014 to consider how to develop the capacity of a global cadre of nutrition professionals for the post-2015 development era. Workshop participants identified several requirements for developing a workforce for nutrition, including an ability to work as part of a multisectoral team; communication, advocacy, and leadership skills to engage decision makers; and a set of technical skills to address future challenges for nutrition. Other opportunities were highlighted that could immediately contribute to capacity development, including the creation of a consortium to link global North and South universities, online training modules for middle managers, and practical, hands-on experiences for frontline nutrition workers. Institutional and organizational support is needed to enable workshop recommendations on education and training to be effectively implemented and sustained. The findings from the Castel Gandolfo workshop can contribute to the delivery of successful nutrition-relevant actions in the face of mounting external pressures and informing and attaining the forthcoming Sustainable Development Goals.
- Published
- 2015
35. Educating and training a workforce for nutrition in a post–2015 world
- Author
-
10075410 - Jerling, Johann Carl, Fanzo, Jessica C., Graziose, Matthew M., Kraemer, Klaus, Gillespie, Stuart, Jerling, Johann C., 10075410 - Jerling, Johann Carl, Fanzo, Jessica C., Graziose, Matthew M., Kraemer, Klaus, Gillespie, Stuart, and Jerling, Johann C.
- Abstract
Nearly all countries in the world today are burdened with malnutrition, manifesting as undernutrition, micronutrient deficiencies, and/or overweight and obesity. Despite some progress, efforts to alleviate malnutrition are hampered by a shortage in number, skills, and geographic coverage, of a workforce for nutrition. Here, we report the findings of the Castel Gandolfo workshop, a convening of experts from diverse fields in March 2014 to consider how to develop the capacity of a global cadre of nutrition professionals for the post-2015 development era. Workshop participants identified several requirements for developing a workforce for nutrition, including an ability to work as part of a multisectoral team; communication, advocacy, and leadership skills to engage decision makers; and a set of technical skills to address future challenges for nutrition. Other opportunities were highlighted that could immediately contribute to capacity development, including the creation of a consortium to link global North and South universities, online training modules for middle managers, and practical, hands-on experiences for frontline nutrition workers. Institutional and organizational support is needed to enable workshop recommendations on education and training to be effectively implemented and sustained. The findings from the Castel Gandolfo workshop can contribute to the delivery of successful nutrition-relevant actions in the face of mounting external pressures and informing and attaining the forthcoming Sustainable Development Goals. AdvNutr 2015;6:639-47. 47
- Published
- 2015
36. Educating and training a workforce for nutrition in a post–2015 world
- Author
-
10075410 - Jerling, Johann Carl, Fanzo, Jessica C., Graziose, Matthew M., Kraemer, Klaus, Gillespie, Stuart, Jerling, Johann C., 10075410 - Jerling, Johann Carl, Fanzo, Jessica C., Graziose, Matthew M., Kraemer, Klaus, Gillespie, Stuart, and Jerling, Johann C.
- Abstract
Nearly all countries in the world today are burdened with malnutrition, manifesting as undernutrition, micronutrient deficiencies, and/or overweight and obesity. Despite some progress, efforts to alleviate malnutrition are hampered by a shortage in number, skills, and geographic coverage, of a workforce for nutrition. Here, we report the findings of the Castel Gandolfo workshop, a convening of experts from diverse fields in March 2014 to consider how to develop the capacity of a global cadre of nutrition professionals for the post-2015 development era. Workshop participants identified several requirements for developing a workforce for nutrition, including an ability to work as part of a multisectoral team; communication, advocacy, and leadership skills to engage decision makers; and a set of technical skills to address future challenges for nutrition. Other opportunities were highlighted that could immediately contribute to capacity development, including the creation of a consortium to link global North and South universities, online training modules for middle managers, and practical, hands-on experiences for frontline nutrition workers. Institutional and organizational support is needed to enable workshop recommendations on education and training to be effectively implemented and sustained. The findings from the Castel Gandolfo workshop can contribute to the delivery of successful nutrition-relevant actions in the face of mounting external pressures and informing and attaining the forthcoming Sustainable Development Goals. AdvNutr 2015;6:639-47. 47
- Published
- 2015
37. Educating and training a workforce for nutrition in a post-2015 world
- Author
-
Fanzo, Jessica; Graziose, Matthew M.; Kraemer, Klaus; Gillespie, Stuart; Johnston, Jessica L.; de Pee, Saskia; Monterrosa, Eva; Badham, Jane; Bloem, Martin W.; Dangour, Alan D.; Deckelbaum, Richard; Dobermann, Achim; Fracassi, Patrizia; Hossain, SM Moazzem; Ingram, John; Jerling, Johann C.; Jones, CJ; Jap, Stefanus Indrayana; Kiess, Lynnda; Marshall, Quinn; Martin, Keith; Narayan, Anuradha; Amuyunzu-Nayamongo, Mary; Pepping, Fre; West, Kieth P., http://orcid.org/0000-0002-8501-5943 Gillespie, Stuart, Fanzo, Jessica; Graziose, Matthew M.; Kraemer, Klaus; Gillespie, Stuart; Johnston, Jessica L.; de Pee, Saskia; Monterrosa, Eva; Badham, Jane; Bloem, Martin W.; Dangour, Alan D.; Deckelbaum, Richard; Dobermann, Achim; Fracassi, Patrizia; Hossain, SM Moazzem; Ingram, John; Jerling, Johann C.; Jones, CJ; Jap, Stefanus Indrayana; Kiess, Lynnda; Marshall, Quinn; Martin, Keith; Narayan, Anuradha; Amuyunzu-Nayamongo, Mary; Pepping, Fre; West, Kieth P., and http://orcid.org/0000-0002-8501-5943 Gillespie, Stuart
- Abstract
PR, IFPRI3; ISI; CRP4; Capacity Strengthening, PHND; A4NH, CGIAR Research Program on Agriculture for Nutrition and Health (A4NH)
- Published
- 2015
38. Klimafreundlich leben in der Stadt : Potenziale für CO2-arme Lebensstile
- Author
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Schuldt-Baumgart, Nicola, Lenzen, Elmer, Institut für Sozial-Ökologische Forschung, Stieß, Immanuel, Dehmel, Christian, Sunderer, Georg, Rubik, Frieder, Kreß, Michael, Kraemer, Klaus, Brugger, Florian, Kim, Se Jun, Waskow, Frank, Pannenbecker, Sonja, Schuldt-Baumgart, Nicola, Lenzen, Elmer, Institut für Sozial-Ökologische Forschung, Stieß, Immanuel, Dehmel, Christian, Sunderer, Georg, Rubik, Frieder, Kreß, Michael, Kraemer, Klaus, Brugger, Florian, Kim, Se Jun, Waskow, Frank, and Pannenbecker, Sonja
- Published
- 2014
39. The increasing precariousness of the employment society: driving force for a new right wing populism?
- Author
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Dörre, Klaus, Kraemer, Klaus, Speidel, Frederic, Dörre, Klaus, Kraemer, Klaus, and Speidel, Frederic
- Abstract
"The text deals with the relations between the precariousness of employment relations and right-wing populist orientations. On the basis of qualitative empirical material it sketches a right-wing populist system of axioms that - if it is consolidated - can also structure labour experiences. The article explains that these orientations can exist in all zones of the 'employment society'. In connection with this, it discusses the explanatory potential of different theoretical approaches." (author's abstract)
- Published
- 2013
40. The road to good nutrition
- Author
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Eggersdorfer, Manfred, ed.; Kraemer, Klaus, ed.; Ruel, Marie T., ed.; Van Ameringen, Marc, ed.; Biesalski, Hans Konrad, ed.; Bloem, Martin, ed.; Chen, Junshi, ed.; Lateef, Asma, ed.; Mannar, Venkatesh, ed., http://orcid.org/0000-0002-9506-348X Ruel, Marie, Eggersdorfer, Manfred, ed.; Kraemer, Klaus, ed.; Ruel, Marie T., ed.; Van Ameringen, Marc, ed.; Biesalski, Hans Konrad, ed.; Bloem, Martin, ed.; Chen, Junshi, ed.; Lateef, Asma, ed.; Mannar, Venkatesh, ed., and http://orcid.org/0000-0002-9506-348X Ruel, Marie
- Abstract
Non-PR, IFPRI5; B Promoting healthy food systems, PHND
- Published
- 2013
41. Prekäre Erwerbsarbeit - Ursache gesellschaftlicher Desintegration?
- Author
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Rehberg, Karl-Siegbert, Deutsche Gesellschaft für Soziologie (DGS), Kraemer, Klaus, Rehberg, Karl-Siegbert, Deutsche Gesellschaft für Soziologie (DGS), and Kraemer, Klaus
- Abstract
"In der Studie 'Les métamorphoses de la question sociale' hat Robert Castel (1995, deutsch 2000) die These einer doppelten Spaltung der Arbeitsgesellschaft formuliert. Ausgangspunkt dieser Überlegungen ist die Annahme, dass Beschäftigungsverhältnisse an Bedeutung verlieren, die nicht unmittelbar den kurzzyklischen Marktrisiken von Erwerbsunternehmen ausgesetzt sind, sondern dauerhafte soziale Statussicherung ermöglichen. Dieser relativ geschützten, aber schrumpfenden 'Zone der Normalität' steht eine größer werdende 'Zone der Entkoppelung' gegenüber, in der sich die 'Entbehrlichen' und 'Überflüssigen' der Arbeitsgesellschaft befinden, die nicht nur vorübergehend, sondern dauerhaft von legaler Erwerbsarbeit ausgeschlossen sind (vgl. Kronauer 2002; Franzpötter 2003). Zwischen diesen beiden Polen der Arbeitsgesellschaft hat sich Castel zufolge eine 'Zone der Prekarität' herausgebildet, die vor allem Zeit- und Leiharbeit, geringfügige Beschäftigung und marginale Selbstständigkeit sowie befristete Projektarbeit und Vollerwerbsarbeit im Niedriglohnsektor umfasst (vgl. hierzu Letourneux 1998; Pietrzyk 2003; Vogel 2004). Die kontinuierliche Ausbreitung der 'Zone der Prekarität' interpretiert Castel als schleichende Rekommodifizierung der Arbeitskraft, da die für die fordistische Arbeitsgesellschaft noch charakteristische enge Kopplung von Berufsarbeit und sozialen Sicherheitsgarantieren aufgehoben wird. Für Castel ist Beschäftigung in der 'Zone der Prekarität' in besonderer Weise 'verwundbar' geworden, da kollektive Regelungssysteme geschwächt und soziale Sicherungen abgebaut werden. Diese Überlegungen verdichten sich in der These, dass mit der Ausbreitung ungeschützter Erwerbsarbeitsformen ein zentrales 'Fundament der gesellschaftlichen Integration' (2001: 88) zur Disposition gestellt wird. In Anlehnung an Castels arbeitsgesellschaftliches Zonenmodell soll in diesem Beitrag die These diskutiert werden, inwieweit mit der Ausbreitung prekärer Beschäftigung das Integrationspot
- Published
- 2010
42. Are low tolerable upper intake levels for vitamin A undermining effective food fortification efforts?
- Author
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Kraemer, Klaus, Waelti, Monika, De Pee, Saskia, Moench-Pfanner, Regina, Hathcock, John N, Bloem, Martin W, Semba, Richard D, Kraemer, Klaus, Waelti, Monika, De Pee, Saskia, Moench-Pfanner, Regina, Hathcock, John N, Bloem, Martin W, and Semba, Richard D
- Abstract
Vitamin A deficiency (VAD) is a major health problem, particularly in low-resource countries, putting an estimated 125-130 million preschool-aged children at increased risk of morbidity and mortality from infectious diseases. Vitamin A supplementation reduces VAD and increases child survival; it is complemented by fortifying foods with vitamin A. Concern over increased risk of bone fracture associated with vitamin A intakes below the tolerable upper intake level (UL) among populations in affluent countries conflicts with the need to increase intakes in less developed countries, where populations are at greater risk of VAD and intakes are unlikely to reach the UL as diets include fewer foods containing retinol while vitamin A from carotenoids poses no risk of overdose. With the implementation of recently developed risk management tools, vitamin A can be used safely in food fortification, including point-of-use fortification in the context of supplementation among specific target groups in low-resource countries
- Published
- 2008
43. Are low tolerable upper intake levels for vitamin a undermining effective food fortification efforts?
- Author
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Kraemer, Klaus, Waelti, Monika, de Pee, Saskia, Moench-Pfanner, Regina, Hathcock, John N., Bloem, Martin W., Semba, Richard D., Kraemer, Klaus, Waelti, Monika, de Pee, Saskia, Moench-Pfanner, Regina, Hathcock, John N., Bloem, Martin W., and Semba, Richard D.
- Abstract
Vitamin A deficiency (VAD) is a major health problem, particularly in low-resource countries, putting an estimated 125-130 million preschool-aged children at increased risk of morbidity and mortality from infectious diseases. Vitamin A supplementation reduces VAD and increases child survival; it is complemented by fortifying foods with vitamin A. Concern over increased risk of bone fracture associated with vitamin A intakes below the tolerable upper intake level (UL) among populations in affluent countries conflicts with the need to increase intakes in less developed countries, where populations are at greater risk of VAD and intakes are unlikely to reach the UL as diets include fewer foods containing retinol while vitamin A from carotenoids poses no risk of overdose. With the implementation of recently developed risk management tools, vitamin A can be used safely in food fortification, including point-of-use fortification in the context of supplementation among specific target groups in low-resource countries
44. Relationship of homestead food production with night blindness among children below 5 years of age in Bangladesh
- Author
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Campbell, Ashley A., Akhter, Nasima, Sun, Kai, de Pee, Saskia, Kraemer, Klaus, Moench-Pfanner, Regina, Rah, Jee H., Badham, Jane, Bloem, Martin W., Semba, Richard D., Campbell, Ashley A., Akhter, Nasima, Sun, Kai, de Pee, Saskia, Kraemer, Klaus, Moench-Pfanner, Regina, Rah, Jee H., Badham, Jane, Bloem, Martin W., and Semba, Richard D.
- Abstract
Objective To examine the relationship between homestead food production and night blindness among pre-school children in rural Bangladesh in the presence of a national vitamin A supplementation programme. Design A cross-sectional study. Setting A population-based sample of six rural divisions of Bangladesh assessed in the Bangladesh Nutrition Surveillance Project 2001-2005. Subjects A total of 158 898 children aged 12-59 months. Results The prevalence rates of night blindness in children among those who did and did not receive vitamin A capsules in the last 6 months were 0·07 % and 0·13 %, respectively. Given the known effect of vitamin A supplementation on night blindness, the analysis was stratified by children's receipt of vitamin A capsules in the last 6 months. Among children who did not receive vitamin A capsules in the last 6 months, the lack of a home garden was associated with increased odds of night blindness (OR = 3·16, 95 % CI 1·76, 5·68; P = 0·0001). Among children who received vitamin A capsules in the last 6 months, the lack of a home garden was not associated with night blindness (OR = 1·28, 95 % CI 0·71, 2·31; P = 0·4). Conclusions Homestead food production confers a protective effect against night blindness among pre-school children who missed vitamin A supplementation in rural Bangladesh
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