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The nutrition CRSP: what is marginal malnutrition, and does it affect human function?

This review of the Nutrition Collaborative Research Support Program (Nutrition CRSP) describes the results of a longitudinal study of the effects of marginal malnutrition on human function in Egypt, Kenya, and Mexico. Growth-stunting occurred soon after birth and was associated with cognitive and behavioral deficits in infancy and childhood. Maternal nutritional status was implicated in this phenomenon. All three population groups had poor dietary quality and multiple micronutrient deficiencies, which were associated with poor function. Energy deficiency was a problem only in Kenya.

Adult↗

[Assessment of the impact of nutritional rehabilitation programs on preschool children: test of a methodology].

Two different approaches to the evaluation of the impact of food supplementation given to malnourished children are assessed on the basis of the experience of a program undertaken in the county of Diadema, in the metropolitan area of S. Paulo, Brazil. The first approach--a traditional one--is based on the proportion of children that at the end of one year's participation in the program present no weight deficit (weight for age more than 90% of the expected value). The second approach--proposed in the article--takes into account only the rate of growth and accepts weight increments superior to those expected among well-nourished children as favorable. The advantages of this second approach are fully demonstrated.

Body Weight↗

Multiple program participation: comparison of nutrition and food assistance program benefits with food costs in Boston, Massachusetts.

The values of government cash and food assistance benefits are compared to estimated food costs in Boston for households whose sole source of income is Aid to Families with Dependent Children (AFDC) and who have housing in the private sector. Methods developed by the General Accounting Office (GAO) in 1978 are replicated. GAO found that the value of combined benefits can exceed the cost of the United States Department of Agriculture's Thrifty Food Plan. Key assumptions underlying GAO's methodology are challenged, and an alternate method is applied. The new results contradict GAO's conclusions and suggest that Boston food costs exceed the combined value of benefits that AFDC households may receive, although participation in multiple food assistance programs is more beneficial than receipt of benefits from single programs. The authors conclude that food stamps and AFDC benefits indexed to actual costs of living are needed to meet the food needs of low-income families in Boston.

Adolescent↗