Dietary Strategies to Combat Deficiencies of Iron, Zinc, and Vitamin A in Developing Countries: Development, Implementation, Monitoring, and Evaluation

Gibson, Rosalind S.; Hotz, Christine; Temple, L.; Yeudall, Fiona; Mtitimuni, Beatrice M.; Ferguson, Elaine

doi:10.1177/156482650002100218

Cited by 63 publications

(55 citation statements)

References 39 publications

(40 reference statements)

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“…In the Kenyan Nutrition Collaborative Research Support Program (NCRSP) study, toddlers and school-aged children had an even greater risk of inadequate intakes for calcium, zinc, vitamin B 12 and iron 2,60 than the levels reported here, even for our control group. Such a high prevalence of inadequate intakes for the Kenyan children was attributed mainly to their low intakes of energy per se and its small contribution from animal products (i.e.…”

Section: Predicted Prevalence Of Inadequate Nutrient Intakescontrasting

confidence: 40%

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Efficacy of a community-based dietary intervention to enhance micronutrient adequacy of high-phytate maize-based diets of rural Malawian children

Yeudall

Gibson

Cullinan

et al. 2005

Public Health Nutr.

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Objective: To evaluate the efficacy of a community-based dietary intervention to reduce risk of micronutrient inadequacies in high-phytate maize-based Malawian diets. Design: Quasi-experimental post-test design with a non-equivalent control group. Setting: Four villages in Mangochi District, Southern Malawi. Participants: Households with children aged 3-7 years in two intervention (n ¼ 200) and two control (n ¼ 81) villages participated in a 6-month intervention employing dietary diversification, changes in food selection patterns, and modifications to food processing to reduce the phytate content of maize-based diets. Baseline comparability between the groups was confirmed via assessment of sociodemographic characteristics, anthropometry, knowledge and practices, morbidity, haemoglobin and hair zinc. After 12 months, knowledge and practices and dietary intakes were assessed by interactive 24-hour recalls, one during the food plenty and a second during the food shortage season. Nutrient adequacy for the two groups was compared via dietary quality indicators and predicted prevalence of inadequate intakes using the probability approach. Results: Intervention children had diets that were significantly more diverse and of a higher quality than those of controls. Median daily intakes of protein, calcium, zinc (total and available), haem iron, vitamin B 12 and animal foods (grams; % of total energy) were higher (P , 0.05) whereas phytate intakes, phytate/zinc and phytate/iron molar ratios were lower (P , 0.01) in the intervention group; some spread of knowledge and practices to controls occurred. Conclusions: Our community-based dietary strategies reduced the predicted prevalence of inadequate intakes of protein, calcium, zinc and vitamin B 12 , but not iron, in children from Malawian households with very limited resources.

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Section: Predicted Prevalence Of Inadequate Nutrient Intakescontrasting

confidence: 40%

“…Such an approach can be adapted to local conditions so that it is affordable and requires no external support. It has the added advantage of being community-based, so that it can be used to enhance the awareness of micronutrient malnutrition as well as to empower the community to become more self-reliant 12 .…”

mentioning

confidence: 99%

Efficacy of a community-based dietary intervention to enhance micronutrient adequacy of high-phytate maize-based diets of rural Malawian children

Yeudall

Gibson

Cullinan

et al. 2005

Public Health Nutr.

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“…Dietary diversity is defined as the number of either food items or food groups consumed by an individual or household in a given period and is proposed as an aspect of a healthy diet (Ruel 2003). Theoretically, greater dietary diversity increases the likelihood of consuming adequate amounts of all food components essential to health (Gibson et al 2000;Wahlqvist 2005;Johns and Sthapit 2004). Evidence linking dietary diversity to energy and micronutrient adequacy, and to child growth is now well established (Ruel 2003;Arimond and Ruel 2004;Arimond et al 2010;Kennedy et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Improving diets with wild and cultivated biodiversity from across the landscape

Thilsted²,

et al. 2015

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This paper examines the literature on how biodiversity contributes to improved and diversified diets in developing countries. We assess the current state of evidence on how wild and cultivated biodiversity in all forms is related to healthy diets and nutrition, and examine how economic factors, knowledge and social norms interact with availability of biodiversity to influence both production and consumption choices. The paper identifies areas where evidence is lacking and ways to build synergies between nutrition-sensitive approaches and efforts to ensure sustainability of food systems and the natural environment.

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“…Os derivados do leite, como queijo e manteiga, além dos ovos, são considerados fontes moderadas de vitamina A. 1,7 A melhor fonte de vitamina A na natureza é o fígado de alguns peixes, como o linguado, o bacalhau e o arenque. As concentrações mais altas encontram-se nos animais que estão no final da cadeia alimentar, na qual situam-se por ordem de concentração os carotenóides e, depois, a vitamina A.…”

Section: Fontes De Vitamina Aunclassified

“…O objetivo principal é a melhoria na disponibilidade, no acesso e na utilização de alimentos com alto conteúdo e biodisponibilidade de micronutrientes durante todo o ano. 7 Ações que visem ao aumento da disponibilidade e do consumo de alimentos fontes de vitamina A devem ser promovidas, devendo, entretanto, ser considerados os fatores intervenientes, tanto de ordem econômica e social, quanto educacional e cultural. O consumo rotineiro de alimentos fontes de vitamina A pré-formada por parte da população de risco é mais limitado, sendo os alimentos fontes de beta-caroteno mais acessíveis às populações de baixa renda, devendo ter seu consumo incentivado.…”

Section: Indicadores Bioquímicosunclassified

Prevalência de anemia em escolares de escolas públicas de Maringá-PR, 2008

Nishida¹,

Uchimura

Szarfarc

et al. 2010

Rev. Eletr. Enf.

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A anemia é um problema de saúde pública que afeta tanto países desenvolvidos quanto os em desenvolvimento. O objetivo deste estudo foi de estimar a prevalência de anemia em crianças que ingressaram no primeiro ano do Ensino Fundamental das escolas públicas do município de Maringá-PR, no ano de 2008 e os fatores associados à sua ocorrência. Estudo transversal realizado nas 57 escolas públicas de Maringá-PR, com população amostral probabilística constituída de 371 escolares. A dosagem de hemoglobina (Hb) foi feita pelo HemoCue, e a anemia classificada pelo critério estabelecido pela Organização Mundial da Saúde, Hb <11,5g/dL. Foram realizadas análises univariada e multivariada com regressão logística para as variáveis relacionadas ao evento. A prevalência da anemia foi de 39,3%. Foi verificada associação significativa entre anemia e número de filhos, verificando-se que em famílias com mais de 3 filhos a criança tem 8,6 vezes mais chance de ter a doença quando comparada à outras famílias. A prevalência da anemia nos escolares ingressantes foi elevada no município, evidenciando a necessidade de implementação e adoção de ações efetivas para sua prevenção e controle. Descritores: Anemia Ferropriva; Saúde Escolar; Epidemiologia; Enfermagem.

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Dietary Strategies to Combat Deficiencies of Iron, Zinc, and Vitamin A in Developing Countries: Development, Implementation, Monitoring, and Evaluation

Abstract: Abstract

Cited by 63 publications

References 39 publications

Efficacy of a community-based dietary intervention to enhance micronutrient adequacy of high-phytate maize-based diets of rural Malawian children

Efficacy of a community-based dietary intervention to enhance micronutrient adequacy of high-phytate maize-based diets of rural Malawian children

Improving diets with wild and cultivated biodiversity from across the landscape

Prevalência de anemia em escolares de escolas públicas de Maringá-PR, 2008

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