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Evaluation of the Impact of a Food Program on the Micronutrient Nutritional Status of Argentinean Lactating Mothers
Authors:Ana Varea  Agustina Malpeli  Liliana Disalvo  María Apezteguía  Mariana Falivene  Guillermina Ferrari  Silvia Pereyras  Estéban Carmuega  Graciela Etchegoyen  María Vojkovic  Horacio F González
Institution:1. Instituto de Desarrollo e Investigaciones Pedi??tricas ??Prof. D. Fernando E. Viteri?? (IDIP), Hospital de Ni?os de La Plata, (MS/CIC-PBA), 63 No. 1069, 1900, La Plata, Argentina
3. Comisi??n de Investigaciones Cient??ficas de la Provincia de Buenos Aires (CICPBA), La Plata, Argentina
2. Centro Interdisciplinario Universitario para la Salud (CINUS), C??tedra de Epidemiolog??a, Facultad de Cs. M??dicas UNLP, La Plata, Argentina
Abstract:This study was conducted to evaluate the impact of a food aid program (Plan Más Vida, PMV) on the micronutrient nutritional condition of lactating mothers 1?year after its implementation. The food program provided supplementary diets (wheat- and maize-fortified flour, rice or sugar, and fortified soup) to low-income families from the province of Buenos Aires, Argentina. A prospective, non-experimental study was carried out to evaluate the micronutrient nutritional status of lactating mothers (n?=?178 at baseline and n?=?151 after 1?year). Biochemical tests (hemoglobin, ferritin, zinc, vitamin A, and folic acid), anthropometric assessments (weight and height) and dietary surveys (24-h recall) were performed. We found no significant changes in anthropometric values 1?year after the intervention. The risk for vitamin A (retinol 20?C30???g/dl) and folate deficiency significantly decreased 1?year after PMV implementation (56.3 vs. 29.9 and 50.3 vs. 3.4?%, respectively; p?<?0.001). Anemia was seen in 25.8?% of lactating mothers at baseline, without statistically significant differences 1?year after (p?=?0.439). The nutritional data obtained after assessing the early impact of PMV actions may be useful to provincial health authorities to perform periodic evaluations in the future.
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