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

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Table 7.1 (cont<strong>in</strong>ued)<br />

Country/organization<br />

Title (duration)<br />

Reference<br />

Target<br />

population<br />

Goal/ objective<br />

Intervention:<br />

strategy <strong>and</strong> activities<br />

Design:<br />

comparison groups<br />

<strong>and</strong> methods<br />

Level of Inference<br />

Results<br />

304<br />

ASIA AND PACIFIC<br />

Viet Nam/M<strong>in</strong>istry of<br />

Health <strong>in</strong> Viet Nam<br />

VAC Farm<strong>in</strong>g System<br />

Hop (2003)<br />

Women<br />

Children<br />

< 5 years<br />

Provide diversified<br />

agricultural<br />

products to<br />

meet complex<br />

nutritional<br />

dem<strong>and</strong>s of<br />

population<br />

*Ecosystem approach to<br />

protect<strong>in</strong>g livelihoods,<br />

health <strong>and</strong> environment<br />

*L<strong>and</strong> distribution<br />

<strong>and</strong> development by<br />

government<br />

*VACVINA loans for poor<br />

*Environmental<br />

protection<br />

National level data on ASF<br />

production <strong>and</strong> consumption,<br />

<strong>and</strong> nutritional status<br />

reviewed. Ecological<br />

analysis only.<br />

National <strong>Nutrition</strong> Surveys<br />

<strong>in</strong> 1999 <strong>and</strong> 2000 compared,<br />

because VAC was a national<br />

programme<br />

Observational / Formative<br />

*Percentage of prote<strong>in</strong> <strong>and</strong> fat<br />

<strong>in</strong> the diet <strong>in</strong>creased<br />

*Underweight <strong>in</strong> children < 5 yr<br />

decreased from 51.5% <strong>in</strong> 1985<br />

to 31.9% <strong>in</strong> 2001<br />

*Stunt<strong>in</strong>g <strong>in</strong> children < 5 yr<br />

decreased from 59.7% <strong>in</strong> 1985<br />

to 34.8% <strong>in</strong> 2001<br />

*Anaemia prevalence decreased<br />

among children < 5 yr <strong>and</strong><br />

women of reproductive age<br />

School-based milk programmes<br />

AFRICA<br />

Kenya<br />

Study: Meat <strong>and</strong><br />

milk supplementation<br />

<strong>in</strong> schools<br />

(Aug 1998–July 2000)<br />

Neumann et al. (2007)<br />

Grillenberger et al.<br />

(2003)<br />

6–14 yrs<br />

(median<br />

7.4 yr)<br />

Investigate effect<br />

of animal source<br />

food (meat <strong>and</strong><br />

milk) groups<br />

on growth,<br />

cognition, <strong>and</strong><br />

physical activity<br />

*School-based<br />

mid-morn<strong>in</strong>g snack<br />

daily over 2.5 years<br />

(total 23 mo)<br />

*Githeri, a local dish<br />

with maize, beans, <strong>and</strong><br />

greens, provided with<br />

meat, milk, or oil <strong>in</strong> 3<br />

<strong>in</strong>tervention groups<br />

Longitud<strong>in</strong>al study <strong>in</strong> 12<br />

schools <strong>in</strong> Embu District,<br />

stratified by size <strong>and</strong> access<br />

to food delivery<br />

Group 1: githeri + meat<br />

Group 2: githeri + milk<br />

Group 3: githeri + oil<br />

Group 4: control<br />

Total (n=544)<br />

Plausibility<br />

*Among stunted children at<br />

basel<strong>in</strong>e, milk group children<br />

ga<strong>in</strong>ed 1.3 cm more height (15%)<br />

than control (P=0.05)<br />

*Groups 1–3 showed greater<br />

weight ga<strong>in</strong> (~10%) than Group 4<br />

control; effect greater <strong>in</strong> boys,<br />

younger children, <strong>and</strong> lower SES<br />

*Group 1 (meat) followed by<br />

group 2 (milk) showed greatest<br />

<strong>in</strong>crease <strong>in</strong> mid-arm muscle area<br />

compared to other groups<br />

*Group 2 (milk) showed lowest<br />

rate of Raven’s Progressive<br />

Matrice (RPM) compared<br />

to all groups<br />

<strong>Milk</strong> <strong>and</strong> dairy products <strong>in</strong> human nutrition

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