Choice of Foods and Ingredients for Moderately Malnourished Children 6 Months to 5 Years of Age

Michaelsen, Kim Fleischer; Hoppe, Camilla; Roos, Nanna; Kæstel, Pernille; Stougaard, Maria; Lauritzen, Lotte; Mølgaard, Christian; Girma, Tsinuel; Friis, Henrik

doi:10.1177/15648265090303s303

Cited by 279 publications

(293 citation statements)

References 268 publications

Supporting

Mentioning

270

Contrasting

Unclassified

Order By: Relevance

“…A high fat content of METU-2 is majorly attributed to ghee. In addition to contributing profoundly to energy density, fat is also needed in the absorption of highly required vitamins, A and E (Michaelsen, 2009). Accordingly, the energy profile of METU-2 was higher than that of Plumpy nut and within the recommended 520-550 Kcal/100g by WHO.…”

Section: Discussionmentioning

confidence: 91%

See 1 more Smart Citation

Nutrient and Anti-nutrient Profile of a Local Formula from Sorghum, Peanut, Honey and Ghee (Metu2) for Treatment of Severe Acute Malnutrition

Andrew¹,

Yiga²,

Kuorwel³

et al. 2018

JFR

View full text Add to dashboard Cite

World over, we are still struggling with persistent acute malnutrition levels; an estimated 17 million preschool children suffer from SAM, roughly the same figures as reported in 2013, a trend depicting insufficient progress towards the 2025 World Health Assembly. One such affected area is Karamoja Region in North Eastern Uganda. Partly, the trend could be attributed to unsustainable interventions like RUTF. Formulas from locally available foods could provide not only an affordable but also a culturally acceptable and effective home based solution. Locally available sorghum, peanut, honey and ghee in North Eastern Uganda, is such a potential local formula. The nutritional and anti-nutritional profile of this local formula(metu2) was compared to plumpy-nut. Standard official analytical methods were used. Proximate composition was comparable and within the WHO recommendations for therapeutic formulas. Local formula(metu2) had a comparatively high energy content, 528kcal/100g to 509kcal in plumpynut. Vitamin A and K contents were below the WHO recommendations in local formula while Na, Mg and essential fatty acids were comparable and within the contents needed for SAM recovery. Zn was comparatively higher in plumpy-nut but levels in both formulas were below the recommendations. Trypsin inhibitors, phytates and condensed tannins were higher in local formula while aflatoxins were within the limits but not for plumpynut. Though lacking in critical K, Zn and Vitamin A, local formula(metu2) was comparable to plumpy-nut and its efficacy to sustain recovery from SAM needs to be studied.

show abstract

Section: Discussionmentioning

confidence: 91%

“…Plumpynut was a fewer calories below this recommendation. Energy facilitates catch up growth in severely malnourished children in rehabilitation phase (Michaelsen, 2009), warranting energy dense dietary formulations.…”

Section: Discussionmentioning

confidence: 99%

Nutrient and Anti-nutrient Profile of a Local Formula from Sorghum, Peanut, Honey and Ghee (Metu2) for Treatment of Severe Acute Malnutrition

Andrew¹,

Yiga²,

Kuorwel³

et al. 2018

JFR

View full text Add to dashboard Cite

show abstract

“…are especially important. Thus, even if eaten in small absolute quantities, animal source foods make a significant contribution to nutrition (52,53).…”

Section: Methodsmentioning

confidence: 99%

Innovations in capture fisheries are an imperative for nutrition security in the developing world

Hall

Hilborn

Andrew

et al. 2013

Proc. Natl. Acad. Sci. U.S.A.

View full text Add to dashboard Cite

This article examines two strands of discourse on wild capture fisheries; one that focuses on resource sustainability and environmental impacts, another related to food and nutrition security and human well-being. Available data and research show that, for countries most dependent on fish to meet the nutritional requirements of their population, wild capture fisheries remain the dominant supplier. Although, contrary to popular narratives, the sustainability of these fisheries is not always and everywhere in crisis, securing their sustainability is essential and requires considerable effort across a broad spectrum of fishery systems. An impediment to achieving this is that the current research and policy discourses on environmental sustainability of fisheries and food security remain only loosely and superficially linked. Overcoming this requires adoption of a broader sustainability science paradigm to help harness synergies and negotiate tradeoffs between food security, resource conservation, and macroeconomic development goals. The way society chooses to govern fisheries is, however, an ethical choice, not just a technical one, and we recommend adding an ethical dimension to sustainability science as applied to fisheries.

show abstract

“…Michaelsen et al have listed important characteristics of diets applicable for children with moderate malnutrition [7]. These include: high content of micronutrients, especially growth (type II) nutrients, high energy density, adequate protein content, high protein quality and availability, adequate fat content, appropriate fat quality, content of some animal source foods, low content of antinutrients, low risk of contamination, acceptable taste and texture, cultural acceptability, easy to prepare, affordable and available [7]. Most of these dietary attributes are addressed in the account which follows.…”

Section: Introductionmentioning

confidence: 99%

“…Golden has pointed out that ordinarily children with moderate malnutrition (stunting or wasting) have been consuming a diet deficient in many nutrients, both types I and II, and that sufficient quantities of all essential nutrients are needed for full health [6]. Recommendations by Golden and by Michaelsen et al in Table 2 and by Golden for the micronutrient levels in Table 3 are for malnourished children [6,7]. These values specify the requirements for normal growth at an accelerated rate [6].…”

Section: Introductionmentioning

confidence: 99%

Quality characteristics and acceptability of low cost weaning blends by Zambian mothers

Hayes¹,

Zulu²,

Mulenga³

et al. 2017

AJFAND

View full text Add to dashboard Cite

Stunting, and to a lesser extent wasting and undernutrition, of children under five years constitutes a serious health problem in Zambia. Although non-nutritional causes such as infection and poverty importantly exacerbate these conditions, improvements in the diets of children is vital for better health. The age interval beginning at about six months is an especially vulnerable time for children, when they are being weaned from breast milk to conventionally used cultural foods. The current study reports assessments by mothers of nine experimental weaning mixtures, formulated by computer to be low cost and nutritionally superior to maize meal alone. An incomplete block design with randomization was used to compare the nine weaning food blends, differentially constituted to address specific conditions. One group of 127 mothers (or guardians) of children 6 to 27 months judged cooked porridges prepared from the blends. The alternate group of 140 mothers of children from 5 to 30 months evaluated characteristics of uncooked porridge ingredients. Statistical analyses of hedonic scale ratings and tabulation of mothers' voluntary comments were performed. With few exceptions, blend macronutrient/energy characteristics generally conformed to proposed standards in Codex Alimentarius and other literature guidelines. Mixture levels of 20 vitamins and minerals were estimated. A rice-containing formula was most expensive and a high maize/moderate soy formulation the least costly in price assessment. Acceptability results showed that in addition to maize meal and nonfat dry milk, the most acceptable mixtures contained bambara nuts or soybeans as chief ingredients. Blends with substantial percentages of millet, sorghum, or kapenta were not ordinarily acceptable. It was observed that all four cooked porridge quality factors were significantly (p ≤ 0.01) related with each other, and that both ingredient set rating categories were likewise significantly (p ≤ 0,01) related. It is emphasized that nutrient contributions of the weaning mixtures are meant for further complementation by concurrent feeding of breast milk, by appropriate use of micronutrient powders or lipidbased micronutrient spreads, and by market or home produced foods. Acceptability results of this study may be influenced by factors such as commodity cost variations, food donations, mother education, and processing cooperatives.

show abstract

Choice of Foods and Ingredients for Moderately Malnourished Children 6 Months to 5 Years of Age

Abstract: Abstract

Cited by 279 publications

References 268 publications

Nutrient and Anti-nutrient Profile of a Local Formula from Sorghum, Peanut, Honey and Ghee (Metu2) for Treatment of Severe Acute Malnutrition

Nutrient and Anti-nutrient Profile of a Local Formula from Sorghum, Peanut, Honey and Ghee (Metu2) for Treatment of Severe Acute Malnutrition

Innovations in capture fisheries are an imperative for nutrition security in the developing world

Quality characteristics and acceptability of low cost weaning blends by Zambian mothers

Contact Info

Product

Resources

About