1. Impact of nutritional and multiple micronutrients supplementation to lactating mothers 6 months postpartum on the maternal and infant micronutrient status: a randomised controlled trial in Delhi, India.
- Author
-
Manapurath R, Chowdhury R, Upadhyay RP, Bose B, Devi S, Dwarkanath P, Kurpad AV, Bhandari N, and Taneja S
- Subjects
- Humans, Female, Infant, India, Adult, Maternal Nutritional Physiological Phenomena, Vitamin A blood, Vitamin A administration & dosage, Male, Young Adult, Mothers, Infant Nutritional Physiological Phenomena, Micronutrients administration & dosage, Micronutrients blood, Dietary Supplements, Lactation, Nutritional Status, Postpartum Period blood, Ferritins blood
- Abstract
Objectives: To assess the impact of nutritional and multiple-micronutrient supplementation to lactating mothers on the micronutrient status of mother-infant dyad at 6 months of age postnatally., Design: This study was a trial that aimed to investigate the impact of maternal nutritional supplementation on infant growth. A secondary objective was to assess the effect on the micronutrient status of mother-infant pairs. The intervention group mothers received snacks with 600 kcal energy, 20 g protein and daily micronutrient tablets., Setting: Blood samples were collected from both mothers and infants at 6 months., Participants: The participants in this study were mother-infant pairs. The micronutrient status of these pairs was assessed through blood samples, focusing on vitamins A, D, B
12 , ferritin, Zn and folate., Results: Micronutrient analysis of serum samples from 600 mother-infant pairs showed that mothers in the intervention group had higher levels of serum ferritin (mean difference (MD) 14·7 ng/ml), retinol (MD 0·6 μmol/l), folate (MD 3·3 ng/ml) and vitamin D (1·03 ng/ml) at 6 months postpartum. Additionally, the supplementation was associated with a higher mean ± sd of serum ferritin (MD 8·9 ng/ml) and vitamin A (MD 0·2 μmol/l) levels in infants at 6 months., Conclusions: The study found that supplementing maternal nutrition with additional dietary and micronutrient intakes during lactation improved maternal micronutrient status and slightly increased ferritin and vitamin A levels in infants at 6 months. The findings highlight the importance of nutritional interventions for improving the micronutrient health of mother-infant pairs, with significant public health implications.Trial registered at www.clinicaltrials.gov (CTRI/2018/04/013095).- Published
- 2024
- Full Text
- View/download PDF