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Master Thesis

Évaluation de l’impact d’une supplémentation par LNS, au troisième trimestre de grossesse et de 6 à 24 mois, sur la croissance staturale dans une zone rurale au Cambodge

Abstract : Background: Stunting is a major health problem in low-income countries. This study was designed to compare Height-for-age Z-score of children from 24 to 35 months of age between two populations: before and after LNS supplementation. Method: The study was promoted by the association PDM in a neighborhood of 6 villages in a rural area in Cambodia. There was two phases: one before any intervention, the second phase consisted of the intervention. First, anthropometric data were collected from the children seen at the local health center (2007-2012). During the second phase (2011-2019), pregnant women in the third trimester and children from 6 to 24 months of age were supplemented with LNS. The follow –up of the children lasted till they were 3 years old. Anthropometric data were collected at each visit. Primary outcome was height-for-age between 24 and 35 months of age. Results: 198 data between 24 and 35 months were collected during the first phase. 347 pregnant women were enrolled in the intervention phase, 333 children were tracked. 188 data between 24 and 35 months were collected in the supplemented-population. The mean HAZ in the supplemented population was higher than in the population before intervention (-1,60 vs -1,14, p<0,001). Conclusion: LNS supplementation increased the HAZ between 24 and 35 months by 0,46DS. However, a few confounding factors might have interfered and make difficult to conclude about the effectiveness of LNS. We remember that fight against malnutrition is complex and need intervention on multiple level.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02963696
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Astrid Molto. Évaluation de l’impact d’une supplémentation par LNS, au troisième trimestre de grossesse et de 6 à 24 mois, sur la croissance staturale dans une zone rurale au Cambodge. Médecine humaine et pathologie. 2020. ⟨dumas-02963696⟩

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