{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:38:41Z","timestamp":1791495521010,"version":"4.3.4"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:00:00Z","timestamp":1756080000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","award":["2021\/1141379\u20130"],"award-info":[{"award-number":["2021\/1141379\u20130"]}],"id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Wasting is a key indicator of child survival and well-being. Enhancing practices related to infant and young child feeding (IYCF) is a suggested strategy to mitigate mortality risks and enhance nutritional conditions associated with wasting. Interventions centered on behavioral modifications through IYCF counseling hold promise in increasing the effectiveness of IYCF practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In this review we sought to study the impact of intensive IYCF counseling interventions for preventing wasting and nutritional edema among infants and children up to 5 years of age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>We searched 9 electronic databases for articles published up to July 2021, and conducted an updated search on Ovid MEDLINE and MEDLINE for articles published until April 13, 2023. Randomized controlled trials (RCTs) were included in the review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Extraction<\/jats:title>\n                    <jats:p>Two review authors independently assessed the search results, extracted data, and evaluated the risk of bias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Analysis<\/jats:title>\n                    <jats:p>Our outcomes included prevalence of wasting and underweight, deterioration to severe wasting, anthropometric outcomes (weight-for-height z-score, weight-for-age z-score) and child morbidity and mortality. We summarized the findings of this review for primary outcomes according to the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criteria. A total of 10 studies from 17 records were found to be eligible for inclusion, and all of these studies were meta-analyzed. Evidence suggests that compared to controls, IYCF counseling is likely to have little to no impact on the prevalence of wasting (relative risk [RR], 0.93; 95% CI, 0.83-1.04; 10 studies; GRADE: moderate). Intensive IYCF counseling had little to no impact on WHZ, MUAC, or WAZ and had an uncertain impact on the prevalence of diarrhea, fever, cough, and underweight (RR, 0.83; 95% CI, 0.70-0.97; 8 studies; GRADE: very low).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nutrition education and counseling showed uncertain GRADE evidence on reducing prevalence of underweight but had no association with wasting. The findings of this review warrant further studies to investigate the impact of IYCF counseling on child morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic Review Registration<\/jats:title>\n                    <jats:p>PROSPERO registration No. CRD42021277429<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/nutrit\/nuaf158","type":"journal-article","created":{"date-parts":[[2025,7,5]],"date-time":"2025-07-05T07:50:37Z","timestamp":1751701837000},"page":"2296-2307","source":"Crossref","is-referenced-by-count":2,"title":["Impact of the Intensive Infant and Young Child Feeding Counseling Intervention Program on the Prevention of Wasting and Nutritional Edema in Infants and Children up to 5 Years Old: A Systematic Review and Meta-Analysis"],"prefix":"10.1093","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0790-6644","authenticated-orcid":false,"given":"Komal","family":"Abdul Rahim","sequence":"first","affiliation":[{"name":"Centre of Excellence in Trauma and Emergencies (CETE), Aga Khan University Hospital , Karachi 74800,","place":["Pakistan"]},{"name":"Dean\u2019s Office, Medical College, Aga Khan University Hospital , Karachi 74800,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra A","family":"Padhani","sequence":"additional","affiliation":[{"name":"School of Public Health, Faculty of Health and Medical Sciences, The University of Adelaide , Adelaide, SA 5000,","place":["Australia"]},{"name":"Robinson Research Institute, Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide , Adelaide, SA 5006,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Ali","sequence":"additional","affiliation":[{"name":"Robinson Research Institute, Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide , Adelaide, SA 5006,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2966-7162","authenticated-orcid":false,"given":"Jai K","family":"Das","sequence":"additional","affiliation":[{"name":"Institute for Global Health and Development, Aga Khan University , Karachi 74800,","place":["Pakistan"]},{"name":"Department of Paediatrics and Child Health, Division of Woman and Child Health, Medical College, Aga Khan University , Karachi 74800,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5423-7343","authenticated-orcid":false,"given":"Rehana A","family":"Salam","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW , Sydney, NSW 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