Anemia Clinical Trial
Official title:
Effectiveness of Multiple Micro-nutrient Fortified Fudge on Nutritional Status of 3-5 Years of Age Children: A Randomize Control Trial
Multiple micro-nutrient deficiencies in Pakistan is wide spread, there is dire need to address these by using smart solutions, among them multiple fortified product (fudge) is an alternate possible way to address this issue. Fortified products have the potential to reduce micronutrient deficiencies in children, therefore in current study children from 3-5 years will receive fortified product along with enhance nutrition promotional information to bring change in their dietary practices and nutritional indices.
As per the National Nutrition Survey, 2011 anaemia (iron deficiency) affected the children
severely as one in three children under the age of 5 anemic, whereas prevalence of vitamin A
deficiency among children under 5 years is more than 50%, similarly Zinc deficiency children
and vitamin D deficiency prevalence in children is more than 40%.
The numerous indicators of nutrition deficiencies are related to inadequately nutritious and
safe food, illiteracy, malpractices along with lack of nutritional knowledge and other social
and behavioral issues. A healthy and supportive nutritional status, direct toward better
intellect and earning of individual, which boost the social impact and macro level change.
Childhood stunting and deficiencies in iron and iodine hamper cognitive development, school
achievement and adult productivity by 2.5-19.8 percent subsequently adult anemia reduces work
performance in manual labor in the agriculture area and overall resultant US$ 7.6 billion
annually loss for Pakistan, which corresponds to nearly 3 percent of GDP all due to poor
nutritional indicators, which are preventable. Therefore, in developing countries like
Pakistan, robust need is required, to do evidence base and translational research which could
be easily converted into action that improves nutritional status.
Food fortification with micro-nutrients is effective, cost-efficient and medium-term approach
to improve micro-nutrient status of vulnerable groups and is sustainable once established to
prevent these at cheaper cost. There is need to investigate the positive effects of multiple
micronutrient administration on child development along with there is dire need for more
research to investigate it comprehensively at community level.
Fortified food products such as (milk, wheat, rice, oil, and other) are already in existing
strategies worldwide to prevent micro-nutrient deficiencies in society which is well
established and currently there are several extensive activities are implemented to prevent
these hidden hunger but required results are not achieved.
On the other hand, other smart solutions are emerging to prevent these deficiencies at wider
level in best possible means, among them fortified candy with multiple micronutrients is one
vehicle. Confectionery products have the potential to carry the micronutrient for better
delivery and doesn't significantly affect the flavour, taste and texture of the product.
The objective of the study is to determine the nutritional status, factor causing
micronutrient deficiencies in pre-school children in semi-urban area of Karachi and how
fortified product and enhance nutritional knowledge can bring change in nutritional
indicators and understanding of nutrition in community.
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