| Screening for nutrition interventions: the risk or the differential-benefit approach? | |
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MedLine Citation:
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PMID: 8615348 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The risk approach has been promoted to improve screening for nutrition interventions on the premise that indicators of risk also predict greater response to interventions. This study tested whether the determinants of the risk of poor growth (eg, low length-for-age) at 36 mo of age were the same as the determinants of differential benefit from food supplementation. The sample included 460 Guatemalan children who were exposed to either a high-energy, high-protein drink (atole) or a low-energy, no-protein drink (fresco) during their first 36 mo of life [INCAP (Institute of Nutrition of Central America and Panama) supplementation trial]. Low maternal stature, poor socioeconomic status, inadequate home diet, high diarrhea rates, and low anthropometry scores at 3 or 6 mo were all determinants of the risk of poor growth. Only indicators of child's thinness at 3 or 6 mo of age (low weight-for-age, weight-for-length, or midupper arm circumference) were determinants of differential benefit from supplementation. Thus, the development of screening indicators should be based on analyses of the predictors of differential benefit, not on conventional risk-factor analysis. |
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Authors:
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M T Ruel; J P Habicht; K M Rasmussen; R Martorell |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The American journal of clinical nutrition Volume: 63 ISSN: 0002-9165 ISO Abbreviation: Am. J. Clin. Nutr. Publication Date: 1996 May |
Date Detail:
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Created Date: 1996-06-06 Completed Date: 1996-06-06 Revised Date: 2009-11-19 |
Medline Journal Info:
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Nlm Unique ID: 0376027 Medline TA: Am J Clin Nutr Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 671-7 Citation Subset: AIM; IM |
Affiliation:
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Institute of Nutrition of Central American, Guatemala. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anthropometry Body Weight / physiology Child Nutritional Physiological Phenomena* Child, Preschool Cost-Benefit Analysis Diarrhea / epidemiology, physiopathology, prevention & control Diet / standards* Dietary Proteins / administration & dosage* Female Food, Fortified / economics Humans Infant Infant, Newborn Intervention Studies Longitudinal Studies Male Mass Screening / economics* Maternal Welfare Risk Factors Socioeconomic Factors |
| Grant Support | |
ID/Acronym/Agency:
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HD22440/HD/NICHD NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Dietary Proteins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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