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  Effect of a Homestead Food Production and food hygiene intervention on biomarkers of environmental enteric dysfunction in children under 24 months in rural Bangladesh: A cluster-randomized controlled trial

Müller-Hauser, A., Huda, T. M. N., Sobhan, S., Lambrecht, N., Waid, J. L., Wendt, A., Ali, S., Rahman, M., Gabrysch, S. (2023): Effect of a Homestead Food Production and food hygiene intervention on biomarkers of environmental enteric dysfunction in children under 24 months in rural Bangladesh: A cluster-randomized controlled trial. - American Journal of Tropical Medicine and Hygiene, 109, 5, 1166-1176.
https://doi.org/10.4269/ajtmh.23-0153

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Mueller-Hauser2023_AJTMH.pdf (Publisher version), 767KB
 
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 Creators:
Müller-Hauser, Anna1, Author              
Huda, Tarique Md. Nurul2, Author
Sobhan, Shafinaz1, Author              
Lambrecht, Nathalie1, Author              
Waid, Jillian Lee1, Author              
Wendt, Amanda1, Author              
Ali, Shahjahan2, Author
Rahman, Mahbubur2, Author
Gabrysch, Sabine1, Author              
Affiliations:
1Potsdam Institute for Climate Impact Research, ou_persistent13              
2External Organizations, ou_persistent22              

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 Abstract: Poor sanitation and hygiene practices and inadequate diets can contribute to environmental enteric dysfunction (EED). We evaluated the impact of a combined homestead food production and food hygiene intervention on EED biomarkers in young children in rural Bangladesh. The analysis was conducted within the Food and Agricultural Approaches to Reducing Malnutrition (FAARM) cluster-randomized trial in Sylhet, Bangladesh. The FAARM trial enrolled 2,705 married women and their children younger than 3 years of age in 96 settlements (geographic clusters): 48 intervention and 48 control. The 3-year intervention (2015–2018) included training on gardening, poultry rearing, and improved nutrition practices and was supplemented by an 8-month food hygiene behavior change component, implemented from mid-2017. We analyzed data on 574 children age 0 to 24 months with multilevel linear regression. We assessed fecal myeloperoxidase (MPO), neopterin (NEO), and alpha-1-antitrypsin (AAT) as biomarkers of EED, and serum C-reactive protein (CRP) and alpha-1-acid glycoprotein (AGP) as biomarkers of systemic inflammation, using ELISA. There was no intervention effect on NEO, AAT, CRP, and AGP concentrations, but, surprisingly, MPO levels were increased in children of the intervention group (0.11 log ng/mL; 95% CI, 0.001–0.22). This increase was greater with increasing child age and among intervention households with poultry that were not kept in a shed. A combined homestead food production and food hygiene intervention did not decrease EED in children in our study setting. Small-scale poultry rearing promoted by the intervention might be a risk factor for EED.

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Language(s): eng - English
 Dates: 2023-03-092023-08-082023-10-022023-11-01
 Publication Status: Finally published
 Pages: 11
 Publishing info: -
 Table of Contents: -
 Rev. Type: Peer
 Identifiers: Organisational keyword: RD2 - Climate Resilience
PIKDOMAIN: RD2 - Climate Resilience
Working Group: Climate Change and Health
MDB-ID: No data to archive
Research topic keyword: Food & Agriculture
Research topic keyword: Health
Regional keyword: Asia
Model / method: Quantitative Methods
DOI: 10.4269/ajtmh.23-0153
 Degree: -

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Title: American Journal of Tropical Medicine and Hygiene
Source Genre: Journal, SCI, Scopus
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Pages: - Volume / Issue: 109 (5) Sequence Number: - Start / End Page: 1166 - 1176 Identifier: CoNE: https://publications.pik-potsdam.de/cone/journals/resource/1476-1645
Publisher: American Society of Tropical Medicine and Hygiene