Review of the evidence regarding the use of antenatal multiple micronutrient supplementation in low- and middle-income countries.
LMICs
micronutrient
pregnancy
supplements
Journal
Annals of the New York Academy of Sciences
ISSN: 1749-6632
Titre abrégé: Ann N Y Acad Sci
Pays: United States
ID NLM: 7506858
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
04
03
2019
revised:
26
04
2019
accepted:
26
04
2019
pubmed:
28
5
2019
medline:
3
4
2020
entrez:
29
5
2019
Statut:
ppublish
Résumé
Inadequate micronutrient intakes are relatively common in low- and middle-income countries (LMICs), especially among pregnant women, who have increased micronutrient requirements. This can lead to an increase in adverse pregnancy and birth outcomes. This review presents the conclusions of a task force that set out to assess the prevalence of inadequate micronutrient intakes and adverse birth outcomes in LMICs; the data from trials comparing multiple micronutrient supplements (MMS) that contain iron and folic acid (IFA) with IFA supplements alone; the risks of reaching the upper intake levels with MMS; and the cost-effectiveness of MMS compared with IFA. Recent meta-analyses demonstrate that MMS can reduce the risks of preterm birth, low birth weight, and small for gestational age in comparison with IFA alone. An individual-participant data meta-analysis also revealed even greater benefits for anemic and underweight women and female infants. Importantly, there was no increased risk of harm for the pregnant women or their infants with MMS. These data suggest that countries with inadequate micronutrient intakes should consider supplementing pregnant women with MMS as a cost-effective method to reduce the risk of adverse birth outcomes.
Identifiants
pubmed: 31134643
doi: 10.1111/nyas.14121
pmc: PMC6852202
doi:
Substances chimiques
Micronutrients
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
6-21Subventions
Organisme : Medical Research Council
ID : MC_PC_MR/R019177/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_U123292701
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/P012019/1
Pays : United Kingdom
Informations de copyright
© 2019 The Authors. Annals of the New York Academy of Sciences published by Wiley Periodicals, Inc. on behalf of New York Academy of Sciences.
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