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Milk-and-Dairy-Products-in-Human-Nutrition-FAO

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Chapter 4 – <strong>Milk</strong> <strong>and</strong> dairy products as part of the diet 115<br />

Another RCT evaluated the growth of 544 children aged 5–14 years (median age<br />

7.1 years) <strong>in</strong> rural Kenya after 23 months on a diet supplemented with a meat, milk<br />

(200 ml/day) or energy supplement compared with a control group that received no<br />

supplement. Children <strong>in</strong> each of the supplementation groups ga<strong>in</strong>ed significantly more<br />

weight (about 10 percent) than the control group. No statistically significant overall<br />

effects of supplementation were found on height, height-for-age Z score, weight-forheight<br />

Z score or measures of body fat. However, <strong>in</strong> a subgroup of children whose<br />

height-for-age Z score was below median at basel<strong>in</strong>e, milk supplementation led to a<br />

statistically significant <strong>in</strong>crease <strong>in</strong> height ga<strong>in</strong> of 1.3 cm (15 percent) compared with<br />

the control group (P=0.05) <strong>and</strong> 1 cm (11 percent) more height than those <strong>in</strong> the group<br />

receiv<strong>in</strong>g the meat supplement (P=0.09) (Grillenberger et. al., 2003).<br />

An RCT study <strong>in</strong> South Wales, United K<strong>in</strong>gdom, probed the effect on growth<br />

of the provision of free milk supplements to schoolchildren of seven <strong>and</strong> eight years<br />

old (Baker et al., 1980). The children <strong>in</strong>cluded were “those whose socio-economic<br />

circumstances might place them at a disadvantage for growth”. The results showed<br />

that height <strong>and</strong> weight ga<strong>in</strong> associated with the provision of free milk was very small<br />

<strong>in</strong> the study population: the milk group grew only 2.9 mm more than the control<br />

group, although this was significant (P

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