@article{fdi:010078187,
  title = {{I}mpact of lunch provision on anthropometry, hemoglobin, and micronutrient status of female {C}ambodian garment workers: exploratory randomized controlled trial},
  author = {{M}akurat, {J}. and {B}ecker, {N}. and {W}ieringa, {F}ranck and {C}hamnan, {C}. and {K}rawinkel, {M}. {B}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {L}unch provision is expected to improve the nutritional status of {C}ambodian garment workers. {T}he objective of this study is to evaluate the effects of a model lunch provision through a canteen on anthropometry, hemoglobin, and micronutrient status in female garment workers in {C}ambodia. {M}ethods: {T}his exploratory randomized controlled trial was implemented at a garment factory in {P}hnom {P}enh, {C}ambodia. {F}emale workers (nulliparous, non-pregnant) were recruited and randomly allocated into an intervention arm (workday's lunch provision) and a control arm. {S}erved lunch sets (similar to 700kcal on average) included diverse local dishes. {A}nthropometry (body mass index, weight, triceps skinfold thickness, and mid-upper arm muscle circumference), as well as hemoglobin, serum ferritin and soluble transferrin receptor, serum retinol binding protein, and serum folate concentrations were assessed at baseline and after 5 months of lunch provision. {A} general linear model with adjustments for baseline values was used to estimate intervention effects for each outcome variable. {R}esults: {T}wo hundred twenty-three women were recruited (n=112 control and n=111 intervention). 172 (n=86 in each arm) completed the study. {B}aseline prevalence of underweight, anemia, depleted iron stores, and marginal iron stores, were 31, 24, 21, and 50%, respectively. {S}ubjects were not affected by frank vitamin {A} or folate deficiency, whereas 30% showed a marginal folate status. {O}verall, mean changes in anthropometric variables, hemoglobin, and retinol binding protein were marginal and not significant among intervention subjects. {M}ean folate concentration increased insignificantly by +1.1ng/m{L} (-0.02, 2.2) (p=0.054). {O}n the other hand, mean ferritin decreased by -6.6 mu g/{L} (-11.9, -1.3) (p=0.015). {S}ubgroup analysis prompts that effects are differently pronounced according to the baseline status of workers. {C}onclusions: {F}indings indicate that model lunch sets provided a beneficial amount of dietary folate, but need to be revisited for iron content and/or iron bioavailability. {I}t is believed that distinct positive effects on anthropometry, hemoglobin, and micronutrient status can solely be expected in malnourished individuals. {T}he authors suggest that similar larger trials, which include sets adapted to the concrete needs of workers affected by underweight, anemia and/or definite micronutrient deficiencies, should be performed.{T}rial registration{T}he trial was registered at the {G}erman {C}linical {T}rials {R}egister (9 {J}anuary 2015, {I}dentifier: {DRKS}00007666).},
  keywords = {{L}unch provision ; {S}taff canteen ; {G}arment factory ; {C}ambodia ; {R}andomized controlled trial ; {M}alnutrition ; {U}nderweight ; {A}nemia ; {M}icronutrient deficiency ; {I}ndustrial worker ; {CAMBODGE}},
  booktitle = {},
  journal = {{BMC} {N}utrition},
  volume = {5},
  numero = {1},
  pages = {art. 36 [15 p.]},
  year = {2019},
  DOI = {10.1186/s40795-019-0297-4},
  URL = {https://www.documentation.ird.fr/hor/fdi:010078187},
}