Acceptability of 11 fortified balanced energy-protein supplements for pregnant women in Nepal.
Acceptability of 11 fortified balanced energy-protein supplements for pregnant women in Nepal.
复制标题
尼泊尔孕妇对11种强化平衡能量-蛋白质补充剂的可接受性。
DOI：
10.1111/mcn.13336
复制
发表时间：
2022-07
影响因子：
3.4
通讯作者：
Tielsch, James M.
中科院分区：
文献类型：
--
作者：
Lama, Tsering P.;Khatry, Subarna K.;Isanaka, Sheila;Moore, Katie;Jones, Leslie;Bedford, Juliet;Katz, Joanne;de Pee, Saskia;LeClerq, Steven C.;Tielsch, James M.
有证据表明，在怀孕期间补充多种微量营养素和平衡能量蛋白（BEP）可以降低死胎和小于胎龄儿的风险，并增加出生体重。我们进行了一项混合方法的形成性研究，以确定在尼泊尔农村地区用于妊娠和哺乳的11种候选强化BEP补充剂中最可接受的。40名15-40岁的孕妇参加了11种不同甜味和咸味候选BEP补充剂的测试餐品尝。每位参与者使用7分快乐量表（1 =非常不喜欢，7 =非常喜欢）对产品的感官特性进行评级，将她最喜欢的补充剂排名为“前3名”，随后在焦点小组讨论（FGD）中与同行讨论每个产品。五种补充剂（甜脂质基营养补充剂（LNS），咸味LNS，甜香草饼干，香草速溶饮料和调味枕头）达到了最高的整体中位享乐得分7，其中甜LNS和调味枕头排名前2位。这与FGD中的评估一致。女性在FGD表示不喜欢的气味和味道的可可饮料，美味的马萨拉酒吧，甜芒果酒吧和美味的咖喱饼干，这是一致的享乐量表得分。这项研究为我们了解尼泊尔农村妇女在怀孕期间接受不同的BEP补充剂提供了有价值的见解，并帮助确定了两种最受欢迎的BEP补充剂，用于为期两个月的家庭试验，以评估这种情况下的利用率和依从性。了解孕妇对平衡能量蛋白质补充剂的可接受性沿着潜在的促进因素和使用障碍对于确保定期消费和遵守规定至关重要。尼泊尔农村的孕妇喜欢甜的和咸的产品，并建议可以从多种产品中选择，这将有助于整个怀孕期间的日常消费。对补充剂成本的担忧、对某些补充剂的气味/味道的强烈厌恶以及无法私下食用补充剂是可能无法每天食用补充剂的一些阻碍因素
Evidence suggests that multiple micronutrient and balanced energy protein (BEP) supplementation during pregnancy can decrease the risk of stillbirth and small‐for‐gestational‐age births and increase birth weight. We conducted a mixed‐methods formative research study to identify the most acceptable among a range of 11 candidates fortified BEP supplements for use in pregnancy and lactation in a rural district in Nepal. Forty pregnant women aged 15–40 years participated in a test meal tasting of 11 different sweet and savoury candidate BEP supplements. Each participant rated the products on organoleptic properties using a 7‐point hedonic scale (1 = Dislike it very much to 7 = Like it very much), ranked her ‘top 3’ most liked supplements, and subsequently discussed each product with peers in focus group discussions (FGDs). Five supplements (sweet lipid‐based nutrient supplement (LNS), savoury LNS, sweet vanilla biscuits, vanilla instant drinks and seasoned pillows) achieved the maximum overall median hedonic score of 7, with sweet LNS and seasoned pillows ranking as the top 2. This was consistent with the assessments in FGDs. Women in the FGDs expressed dislike of the smell and taste of the cocoa drink, savoury masala bar, sweet mango bar and savoury curry biscuit, which was consistent with the hedonic scale scores. This study provides valuable insights into our understanding of women's acceptance of different BEP supplements during pregnancy in rural Nepal and has helped identify the two most accepted BEP supplements to be used in a two‐month home trial to assess utilisation and compliance in this setting. Understanding the acceptability of balanced energy protein supplements by pregnant women along with the potential facilitators and barriers to their use is vital to ensure regular consumption and compliance. Pregnant women in rural Nepal liked both the sweet and savoury products and suggested having the option to choose from more than one type of product would facilitate its daily consumption throughout pregnancy. Concerns regarding the cost of the supplements, strong aversion to smell/taste of certain supplements, and the inability to eat the supplement in private were some of the deterrents for possibly not being able to eat the supplement daily
登录
查看更多内容
影响因子：
3.4
作者：
Adu-Afarwuah, Seth;Lartey, Anna;Dewey, Kathryn G.
通讯作者：
Dewey, Kathryn G.
影响因子：
5.4
作者：
Furst, T;Connors, M;Falk, LW
通讯作者：
Falk, LW
影响因子：
4.2
作者：
Jiang, TN;Christian, P;West, KP
通讯作者：
West, KP
影响因子：
3.4
作者：
Lama TP;Moore K;Isanaka S;Jones L;Bedford J;de Pee S;Katz J;Khatry SK;LeClerq SC;Tielsch JM
通讯作者：
Tielsch JM
影响因子：
3.1
作者：
Klevor, Moses K.;Adu-Afarwuah, Seth;Ashorn, Ulla
通讯作者：
Ashorn, Ulla