Cochrane · systematic review · CD011695
Nutritional interventions for preventing stunting in children (birth to 59 months) living in urban slums in low‐ and middle‐income countries (LMIC)
Goudet, SM, Bogin, BA, Madise, NJ, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
Public HealthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
13
current version
GRADE rated
13
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 15.4%Low 8 · 61.5%Moderate 3 · 23.1%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Zinc supplementation in pregnant women versus supplementation without zinc or placebo to reduce stunting in children (low birth weight, length at birth and at 12 months)
Population: pregnant women
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Length (cm) at birth Zinc supplementation in pregnant women vs supplementation without zinc or placebo to reduce stunting | no estimate extracted | 2 studies · 1337 participants | Moderate Downgraded: risk of bias, indirectness |
Length (cm) at 12 months Zinc supplementation in pregnant women vs supplementation without zinc or placebo to reduce stunting | no estimate extracted | 1 study · 237 participants | Low Downgraded: risk of bias, indirectness |
Low birth weight (g) Zinc supplementation in pregnant women vs supplementation without zinc or placebo to reduce stunting | no estimate extracted | 2 studies · 1367 participants | Moderate Downgraded: risk of bias, indirectness |
Micronutrient or macronutrient supplementation interventions in children versus no intervention, or placebo to reduce stunting (height‐for‐age, length velocity, and length at 12 months)
Population: children under 5 years old
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Height‐for‐age (z‐score) Micronutrient or macronutrient supplementation interventions in children vs no intervention, or placebo to reduce stunting (height‐for‐age, length velocity, and length at 12 months) | no estimate extracted | 3 studies · 2601 participants | Low Downgraded: risk of bias, inconsistency |
Height‐for‐age (z‐score) Length gain (6 months) Micronutrient or macronutrient supplementation interventions in children vs no intervention, or placebo to reduce stunting (height‐for‐age, length velocity, and length at 12 months) | no estimate extracted | 1 study · 653 participants | Low Downgraded: risk of bias, indirectness |
Height‐for‐age (%) at 18 months, 21 months Length gain Micronutrient or macronutrient supplementation interventions in children vs no intervention, or placebo to reduce stunting (height‐for‐age, length velocity, and length at 12 months) | no estimate extracted | 1 study · 324 participants | Moderate Downgraded: risk of bias, indirectness |
Length velocity (change in cm since start of supplementation) Micronutrient or macronutrient supplementation interventions in children vs no intervention, or placebo to reduce stunting (height‐for‐age, length velocity, and length at 12 months) | no estimate extracted | 1 study · 315 participants | Low Downgraded: risk of bias, indirectness |
Length velocity (cm/month) Micronutrient or macronutrient supplementation interventions in children vs no intervention, or placebo to reduce stunting (height‐for‐age, length velocity, and length at 12 months) | MD 0.22 [0.02, 0.43] | 1 study · 75 participants | Very low Downgraded: risk of bias, indirectness |
Length (cm) at 12 months Micronutrient or macronutrient supplementation interventions in children vs no intervention, or placebo to reduce stunting (height‐for‐age, length velocity, and length at 12 months) | MD 2.3 | 1 study · 100 participants | Low Downgraded: risk of bias, indirectness |
Nutrition education intervention for pregnant women versus standard care or no intervention, to reduce stunting in children (low birth weight)
Population: pregnant women
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Low birth weight (g) Nutrition education intervention for pregnant women vs standard care or no intervention, to reduce stunting | MD 478.44 [423.55, 533.32] | 2 studies · 415 participants | Low Downgraded: risk of bias, indirectness |
Nutrition systems strengthening interventions targeting children compared with no intervention or standard care to reduce stunting (height‐for‐age, length at 18 months)
Population: children under 5 years old
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Height‐for‐age (z‐score) at 18 months Nutrition systems strengthening interventions targeting children vs no intervention or standard care to reduce stunting (height‐for‐age, length at 18 months) | MD 0.386 [0.209, 0.562] | 1 study · 377 participants | Low Downgraded: risk of bias, indirectness |
Height‐for‐age (z‐score) Nutrition systems strengthening interventions targeting children vs no intervention or standard care to reduce stunting (height‐for‐age, length at 18 months) | no estimate extracted | 1 study · 999 participants | Very low Downgraded: risk of bias, indirectness |
Length (cm) at 18 months Nutrition systems strengthening interventions targeting children vs no intervention or standard care to reduce stunting (height‐for‐age, length at 18 months) | MD 1.068 [0.488, 1.648] | 1 study · 377 participants | Low Downgraded: risk of bias, indirectness |