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1、SystematicreviewoftheefficacyandeffectivenessofComplementaryfeedingisakeywindowforinterventionAgerangeofcomplementaryfeeding(6-24mo)isthetimeofpeakincidenceofGrowthfalteringMicronutrientdeficienciesMorbidity,e.g.diarrhealdiseaseAfter2years,difficulttoreverseeffectsofmalnutritionStuntingEffectso
2、nbrainfunctionduetomicronutrientdeficiency?Afood-based,comprehensiveapproachmaybemoreeffectiveandsustainablethanprogramstargetingindividualnutrientdeficienciesGuidingprinciplesforcomplementaryfeedingofthebreastfedchild(PAHO/WHO2003)AgeofintroductionofcomplementaryfoodsMaintenanceofbreastfeeding
3、ResponsivefeedingSafepreparation&storageofcomplementaryfoodsAmountofcomplementaryfoodsneededFoodconsistencyMealfrequencyandenergydensityNutrientcontentofcomplementaryfoodsUseofvitamin/mineralsupplementsorfortifiedproductsFeedingduringandafterillnessEffectsize(ES)=Differencebetw.intervention&con
4、trolgroupsPooledSDImpactongrowthoutcomesviaeducationalapproaches:efficacytrialsAuthor,dateSiteNES,weightES,lengthBhandari,2001India1880.140.08Bhandari,2004India8290.020.05Penny,2005Peru3380.34*0.49*Roy,2005Bangladesh1830.58*0.09Santos,2001Brazil4040.090.04Vitolo,2005Brazil397-NSImpactongrowtho
5、utcomesviaeducationalapproaches:effectiveness/programstudiesAuthor,dateSiteNES,weightES,lengthGulden,2000China4950.96*0.64*Guyon,2005MadagascarNA-0.060.14Kilaru,2005India2420.16-Maluccio,2004NicaraguaNA-0.12ImpactongrowthoutcomesviaprovisionofcomplementaryfoodAuthor,dateSiteNES,weightES,length
6、Adu-Afarwuah,2006Ghana1940.31*0.26*Beckett,2000Indonesia780.030.02Kuusipalo,2006Malawi1120.51*0.67*Lartey,1999Ghana1900.57*0.69*Obatolu,2003Nigeria602.99*1.81*Oelofse,2003SouthAfrica30-0.02-0.04Owino,inpressZambia1060.300.37*Santos,2005Brazil1910.10-0.02Impactongrowthoutcomesviacomp.food+educat
7、ion:efficacytrialsAuthor,dateSiteNES,weightES,lengthBhandari,2001India1780.32*0.25Roy,2005Bangladesh1890.66*0.32^^significantinchildren<15moandlowinWAZorLAZatbaselineImpactongrowthoutcomesviacomp.food+education:effectiveness/pro