Background: Inadequate energy and nutrient intakes are a major nutritional problem in developing countries. A recent study in Beninese school-aged children in different seasons revealed a high prevalence of stunting and poor iron status that might be related to the food pattern. Objective: To analyse the food pattern and resulting energy and nutrient intakes of rural Beninese school-aged children in relation to season and school attendance. Subjects and methods: The study was performed in northern Benin in eighty randomly selected children aged 6-8 years. Dietary intake was assessed using observed weighed records. Food, energy and nutrient intakes were measured in post-and pre-harvest seasons. Complete food consumption data sets were available for seventy-five children. Results: Food pattern showed seasonal variations. Cereals, roots and tubers were the main staple foods. Contributions of animal products to the diet were very small. The food pattern was not different for either boys v. girls or for children attending v. not attending school. Median daily energy intakes were 5?0 and 5?3 MJ in the post-and pre-harvest season, respectively. Only fat and vitamin C showed seasonal differences (P , 0?05). Energy and nutrient intakes were different for boys and girls but, unexpectedly, not for children attending v. not attending school. Conclusions: Seasonal variations in food pattern did not result in seasonality in energy and nutrient intakes. Because the children's diet was low in animal products, protein, fat and vitamin C and high in fibre, the absorption of fat, fatsoluble vitamins, carotenoids, Fe and Zn might be low. Fe and Zn bioavailability from such a diet needs further investigation.
About 2 billion people, mainly women and young children, suffer from iron deficiency. The supply of iron (Fe) falls short when consumed foods have a low Fe content or when absorption of Fe is inhibited by the presence of phytic acid and polyphenols in the diet. Current interventions are dietary diversification, supplementation, fortification and biofortification. In West Africa these interventions have only moderate chances of success due to low purchasing power of households, lack of elementary logistics, lack of central processing of food and the high heterogeneity in production and consumption conditions. A staple food chain approach, integrating parts of current interventions was proposed as an alternative. The research was carried out in several villages in Benin and Burkina Faso to take ecological, cultural and socio-economic diversity into account. The interdisciplinary approach aimed at elaborating interventions in soil fertility management, improvement and choice of sorghum varieties and food processing, to increase Fe and decrease the phytic acid-Fe molar ratio in sorghum-based foods. The phytic acid-Fe molar ratio was used as a proxy for Fe bioavailability in food. Synergy and trade-offs resulting from the integrated approach showed its added value. P fertilization and soil organic amendments applied to increase yield were found to also increase phytic acid content of the grain and thus to decrease its nutritional value. Amounts of Fe and phytic acid and their ratio in the grain differed among sorghum varieties, illustrating the presence of genetic variation for Fe bioavailability. The current local food preparation method for one of the main sorghum-based foods (dibou) in northern Benin did not include processing steps that remove or de-activate anti-nutritional factors reducing Fe bioavailability. The preliminary results suggest that a feasible chain solution consists of breeding for high Fe and moderate phytic acid contents and using soil organic amendments and P fertilization to increase yields but that this needs to be followed by improved food processing to remove phytic acid. Further research on timing of application of phosphate, Fe fertilizer and soil organic amendments is needed to improve phytic acid-Fe molar ratios in the grain. Research
Malnutrition and micronutrient deficiencies are major public health problems in developing countries. Most affected groups are children, adolescents, women of reproductive age and pregnant women. School-age children also represent an important vulnerable age category because they are still in the middle of their growth process which implies that their diets should supply appropriate macro-and micronutrients for an adequate growth and development. A better nutrition in schoolage children is associated with increased school performances and a better school achievement. School-age children are dependent on their parents for access to adequate foods and nutrition but, in areas characterised by a unimodal climate with only one rainy season and one dry season, seasonal variation in food availability may also influence their nutritional status. The present study was undertaken to analyse the growth performance and iron status of school-age children in rural Benin, not only in relation to season but also to school attendance. The study was carried out in three villages in the Atacora province in northern Benin. Eighty children aged 6 to 8 years were randomly selected. Anthropometric parameters, haemoglobin level, serum ferritin and C-reactive protein were measured in the same children in the post-harvest season and the next pre-harvest season. Complete anthropometric data sets were available for 74 children while for blood analysis 69 children completed the study. In the post-harvest season, mean Z-scores for height-for-age and for weight-for-height were -1.72 ± 0.89 and -0.89 ± 0.62, respectively. The Z-score for height-for-age of children attending school (-1.55 ± 0.87) was significantly different from that of children not attending school (-2.14 ± 0.80) (P<0.05). In the post-harvest season, haemoglobin level was 119 ± 13 g/l and median serum ferritin level was 36µg/l. The haemoglobin level of children attending school (121 ± 13 g/l) was significantly different from that of children not attending school (114 ± 12 g/l) (P<0.05). The school-age children have poor growth performance and poor iron status that did not differ between seasons. The reasons behind the difference in nutritional status in relation to school attendance need further investigation.
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