Tehran University of Medical Sciences
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Intl. Congress form | International Congress Report | International Congress Report For Faculty | International Symposium On Understanding Moderate Malnutrition in Children for Effective Interventio...

International Symposium On Understanding Moderate Malnutrition in Children for Effective Interventions, IAEA, CN-212,26-29 May 2014
The report of International Symposium On Understanding Moderate Malnutrition in Children for Effective Interventions, IAEA, CN-212,26-29 May 2014 by Dr. Hamed Pouraram
 
Application Code :
306-0214-0063
 
Created Date : Tuesday, July 22, 2014 13:40:26Update Date : Monday, December 08, 2014 13:29:13IP Address :192.168.65.160
Submit Date : Tuesday, July 22, 2014 13:57:49Email : h-pouraram@tums.ac.ir
Personal Information
Name : Hamed
Surname : Pouraram
School/Research center : School of Nutrition Sciences and Dietetics
If you choose other, please name your Research center :  
Possition : Assistant professor
Tel : +98-21-88955975
Information of Congress
Title of the Congress : International Symposium On Understanding Moderate Malnutrition in Children for Effective Interventions, IAEA, CN-212,26-29 May 2014
Title of your Abstract : Successful Decreases of Malnutrition among under five Children in Islamic Republic of Iran in the Past Two Decades
country : Austria
From : Saturday, May 24, 2014
To : Thursday, May 29, 2014
Abstract(Please copy/paste the abstract send to the congress) : During the last twenty years, MOH of I.R.Iran with collaboration of relevant sectors has provided successful remarkable services and interventions for improving the health and nutrition among children. Analyzed data from six national surveys conducted during 1991–2011 showed a remarkable decrease in prevalence of malnutrition among children.
In 1991, national prevalence of underweight was determined using the percentile method in urban and rural areas. Data of this survey showed that 15% of boys and 23% of girls in rural area were under 3rd percentile of weight for age (table-1). In 1995, anthropometric indices (wasting, underweight, and stunting) were calculated nationally for children using the z-score method (table-2, 3, and 4). After this study, multidisciplinary intervention for reducing malnutrition among children was designed. This intervention was performed from 1996 to 1999 in 3 villages of 3 provinces as a model in rural areas and a range of appropriate nutritional and social intervention strategies were designed to combat malnutrition (Promotion of breastfeeding, growth monitoring, and complementary feeding, home gardening, promoting consumption of dairy products and fruits, environmental health, and animal husbandry).
In 1999, using the same method of 1995, these indices were determined and the appropriate results of this intervention made the ground for its national implementation. Using the data also showed us that more than 30 % of malnutrition especially in rural area is due to poverty so, we designed two other programs in rural areas to detect the poor families that have children under five or pregnant mother and give them a regular food basket each month. In these programs, through cooperation of two semi-governmental organizations, under 5 years old children with improper growth status based on NCHS growth charts, and pregnant mothers of the poor families, were recognized for receiving free food baskets. Expansion of the efforts in this field and also cooperation of all of governmental and non-governmental organizations, made a condition that in the national survey of 2004, malnutrition of the under 5 years old children has considerably decreased and caused Iran's top ranking in the region (table 2, 3, and 4). Moreover, since 2004, some comprehensive information like the curve of height for age and head circumference, and also the guideline of complementary feeding were added to the traditional growth chart of the primary health care (PHC). The results of Iran Multiple-Indicator Demographic and Health Survey (IrMIDHS) in 2010 showed the considerable decrease of children's malnutrition (table-5). In addition to the mentioned national programs, some other programs like flour fortification and provincial interventions such as providing a warm meal per day at rural kindergartens are currently being done. Meanwhile, for controlling the prevalence of severe malnutrition in some provinces, the packages of RUTF is being tested for effectiveness.
In 2011, the World Bank has announced that Iran has done the most successful activities in combating the poverty and malnutrition of children and has the best situation in respect of lowering the malnutrition levels of children among the Middle East and North Africa states
Keywords of your Abstract : Children-Malnutrition
Acceptance Letter : http://gsia.tums.ac.ir/images/UserFiles/19949/Forms/306/acceptance_letter_Dr__pouraram.pdf
The presentation : Poster
The Cover of Abstract book :
Published abstract in the abstract book with the related code :
Where has your abstract been indexed? : none
If you choose other, please name :  
The Congress Reporting Form
How many volunteers were present at the Congress? : For four days, health professionals, students, policymakers, and researchers engaged in passionate debate and dialogue as part of the IAEA International Symposium on Understanding Moderate Malnutrition in Children for Effective Interventions. From determining the best breastfeeding habits to crafting national policies, a range of emerging and ongoing subjects were addressed by the symposium’s 350 attendees
Delegates from which countries presented in the congress? : The IAEA provides information on the theoretical background as well as the practical application on the measurement of body composition using stable isotope dilution and dual-energy X ray absorptiometry (DXA) in the related links to the right. The conference, which was held in the IAEA’s Vienna headquarters from 26-29 May, brought together participants from 65 countries to reflect on challenges and solutions in the field of moderate acute malnutrition (MAM).
Were the delegates of any other organizations present in the congress? : Yes
If yes, please write the names of the organizations in the box : (-Micronutrient initiatives (MI)-2-World health organization (WHO)-3-World food program (WFP)
What were the responses to your talking points? Were specific questions or concerns raised? :
: I presented two posters
1- Successful Decreases of Malnutrition among Children in Islamic Republic of Iran in the Past Two Decades(no.64)
2-The Determination of National Growth Charts to Prevent and Manage Malnutrition in Iranian Children: Necessity and Importance (no.85)
The results of my presentation about the intervention we have done to control malnutrition was so interesting to delegates and they were familiar with our capacity and also aware that Iran has done the most successful activities in combating the poverty and malnutrition of children and has the best situation in respect of lowering the malnutrition levels of children among the Middle East and North Africa states.
If you met staff members, please list their full names & positions. : Mr Tarik Becic, Nutritional and Health-Related Environmental Studies Section, Division of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency 
Ms Najat Mokhtar , Nutritional and Health-Related Environmental Studies Section, Division of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency
 
Please inform us if there are any follow up actions we need to talk with the members of the congress : The International Atomic Energy Agency (IAEA) has been a leader in developing and promoting the use of standardized protocols for body composition assessment using stable isotope techniques. Such techniques provide sensitive means of assessing the impact of interventions on the quality of growth, i.e., lean vs. fat body mass accumulation. This key information can complement and contribute to global efforts in improving infant and child nutrition.
I took part nearly in all sessions and these issues were very useful for me:
Study design in trials among children with MAM 
Pre-service and in-service capacity building
Practical usage of RUTF
New formulation of ready to use foods.
I hope this kind of useful congresses take place again
 
Your experiences about the travel processes(Providing ticket, accommodation,...) :
IAEA is not in a position to assist participants with hotel bookings, nor can the IAEA assume responsibility for paying cancellation fees or for re-bookings and no shows, So I made my own travel and accommodation arrangements. I reserved a hotel apartment (pension gaber) one month before my trip and also booked a suitable flight to Vienna in Iran air airline.
Please give a briefing of your own observations and outcomes of the congress: : Under nutrition, already one of the world’s most serious health problems, is at risk of worsening as the global economy deteriorates. In poor countries, under nutrition is the largest single contributor of more than one third of all deaths of children under five years of age, many of which are preventable through effective nutrition interventions. Thus, reducing under nutrition is vital for children's survival, particularly in poor countries, and consequently for socio-economic development. Moderate malnutrition is associated with more nutrition-related deaths than severe malnutrition because moderate malnutrition affects a greater number of children. According to the World Health Organization (WHO), moderate malnutrition includes all children with moderate wasting, defined as a weight-for-height between -3 and -2 z-scores with reference to the WHO Child Growth Standards, and those will moderate stunting, defined as a height-for-age between -3 and -2 z-scores with reference to the WHO Child Growth Standards. Most of these children will be moderately underweight (weight-for-age between -3 and -2 z-scores). This symposium will focus on the management (prevention and treatment) of moderate wasting or moderate acute malnutrition (MAM). The importance of MAM should not be neglected. Although moderate wasting is not a condition of medical urgency, it can easily deteriorate. If some of these undernourished children with moderate wasting do not receive adequate support, they may progress towards severe acute malnutrition (SAM) — defined by the presence of severe wasting and/or bilateral pitting edema — which is a life threatening condition. The provision of complementary food to prevent and treat moderate malnutrition among children under two years of age is also less costly (US $40-80 per child) than the treatment of SAM (US $200 per episode and per child). Therefore, the management of MAM should be a public health priority. Preventing MAM could go hand-in-hand with preventing stunting, especially when the focus is on ensuring consumption of nutrition complementary food in addition to breastfeeding between the ages of 6 and 23 months. More evidence on effective programmatic approaches to manage moderate wasting is needed. In the evaluation of interventions, functional and structural outcomes such as body composition should be included in addition to the traditional methods used to assess healthy physical, cognitive and psychomotor development. Accurate assessment of body composition to determine the nature of the weight gained (lean body mass and fat body mass) over time can provide key information for evaluating the efficacy and effectiveness of interventions, as well as for gauging the risk of chronic diseases