Micronutrient composition and acceptability of <i>Moringa oleifera</i> leaf‐fortified dishes by children in Ada‐East district, Ghana

Glover-Amengor, Mary; Aryeetey, Richmond; Afari, Edwin; Nyarko, Alexander Kwadwo

doi:10.1002/fsn3.395

Cited by 48 publications

(32 citation statements)

References 13 publications

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“…This is one of few studies done with green leafy vegetables in Ghana [29,30] and the first in the study area that investigated the effect of composite leafy vegetable powder on the anaemia and vitamin A status of school children. The baseline data showed prevalence of anaemia (39.4%) and low vitamin A levels (63.5%) among the children.…”

Section: Discussionmentioning

confidence: 99%

Effect of green leafy vegetables powder on anaemia and vitamin-A status of Ghanaian school children

et al. 2018

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Background: Nutritional anaemia and vitamin-A deficiency are public health issues confronting Ghanaian children. Their adverse effects are likely pronounced during the dry season when green leafy vegetables, rich-sources of iron and provitamin-A are scarce. This study assessed the effect of dried green leafy vegetables on anaemia and vitamin-A status of Ghanaian school children. Method: This was 3 months pretest, posttest nutrition intervention study. Children 4-9 years were randomized to receive or not receive supplement. High Performance Liquid Chromatography and Haemocue hemoglobinometer were used to determine vitamin-A and haemoglobin concentrations respectively. Malaria-parasitaemia and helminthes were examined by Giemsa-staining and Kato-Katz respectively. Nutritional status was assessed by anthropometry. Student's t-test was used to establish significant differences between groups. Results: At baseline, the mean haemoglobin concentrations of control and supplemental were 116.9 ± 9.9 g/l and 117.6 ± 12.7 g/l respectively. At end-line, it was 121.9 ± 13.5 g/l for supplemental and 113.4 ± 8.5 g/l for control, significant at p = 0.001. At baseline prevalence of anaemia was 37.3 and 41.5% in control and supplemental respectively. At end-line it was 33.3% in supplemental against 57.5% in control, significant at p = 0.024. At baseline mean retinol concentrations were 16.79 ± 8.74 μg/dl and 16.97 ± 7.74 μg/dl for control and supplemental respectively. Mean retinol concentrations for control and supplemental were 24.35 ± 5.50 μg/dl and 26.96 ± 6.86 μg/dl respectively at end-line. At end-line 60% of control against 64.0% of supplemental had low vitamin-A status. At end-line, anaemic-control had mean retinol concentration of 23.78 ± 5.23 μg/dl and anaemic-supplemental had 27.46 ± 7.28 μg/dl. Prevalence of low vitamin-A status was 64.3 and 84.2% in anaemic-control and anaemic-supplemental respectively at baseline but it became 23.1 and 21.1% respectively, at end-line. The mean haemoglobin concentrations of anaemic-control and supplemental were 105.7 ± 7.5 g/l and 113.6 ± 13.6 g/l respectively at end-line. The change in prevalence of anaemia between the anaemic groups was 12.2%, significant at p = 0.042. Conclusion: Consumption of green leafy vegetables powder increased mean haemoglobin and retinol concentrations of the study participants. It had the potential to minimize prevalence of anaemia and low vitamin-A status of study participants.

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Section: Discussionmentioning

confidence: 99%

Effect of green leafy vegetables powder on anaemia and vitamin-A status of Ghanaian school children

et al. 2018

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“…Indigenous nutrient-rich plant sources like Moringa oleifera are increasingly discussed as potential sustainable solution to combat malnutrition in children [88], [89], [90], [91], [92], [93], [94], [95], [96], [97], [98], [99], [100], [101], [102]. Descriptive studies (intra-group comparisons) comment positively on MLP application as preventive or treatment approach however bear distinct limitations:…”

Section: Nutrition Intervention Studies Including the Feeding Of Morimentioning

confidence: 99%

“…Hb increases accounted for 0.5g/dl (IG) and 0.4g/dl (CG). Equally a study by Glover-Amengor et al [93] Yet, there is no general agreement on an outstanding nutritional benefit of local plant sources in terms of preventing or treating malnutrition. Due to the inconsistency in the quality of human intervention studies it is difficult to come to a conclusive judgment.…”

Section: Nutrition Intervention Studies Including the Feeding Of Morimentioning

confidence: 99%

Effect of diversified meals only, or either enriched with Amaranthus tricolor and Moringa oleifera leaf powder or commercial micronutrient powder on prevention/treatment of anemia in Adivasi children, West Bengal, India

Stiller

Golembiewski

Stuetz

et al. 2020

Preprint

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Background and objectives: Malnutrition associated with anemia remains a leading cause of morbidity and mortality among Adivasi children in India. The present trial aimed to test three possible ways of designing improved supplementary meals and to define their role in decreasing rates of anemia, thus increasing hemoglobin (Hb) concentrations as primary health objective: diversified meals only (intervention group 1 (IG 1)), with the addition of locally producible Amaranthus tricolor/Moringa oleifera leaf powders (ALP/MLP) in the ratio 2:1 (IG2) or with an adjusted amount of commercially produced micronutrient powder TopNutri (IG3). Methods: Cluster-randomization of 21 villages resulted in the inclusion of n=293 children aged 6-39 months after baseline assessment. The trial duration was 18 months, beginning in February 2015 (baseline assessment), with application of study meals three times a week at community level. Anthropometric, Hb (HemoCue201+) and morbidity data were collected in a total of four assessment points. At baseline a socio-economic questionnaire was performed. Results: Adjusted for age and Hb concentrations at baseline, time between assessment points, and gender; IG1 showed significant higher Hb concentrations as compared to the control group (CG) throughout the intervention period. The Hb of the remaining intervention groups IG2 or IG3, remained comparable to the CG at all assessment points. The effect on growth indices was less consistent, however most positive tendencies related to nutrition status (stunting, underweight, wasting) and morbidity reduction were attributable to IG3, indicating the beneficial role of a holistic nutrient composition in addressing undernutrition and infectious diseases. Conclusion: This low-dose intervention trial proofed the feeding of diversified diets alone (IG1) to be sufficient to significantly increase Hb concentrations of study children. On the way of achieving diversified diets for Santal children the promotion of kitchen garden programs combined with interactive awareness trainings may be a key measure. Trial registration: the trial was retrospectively registered at the German Clinical Trials Register on the 1 st July 2019 (DRKS00017388). URL: https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00017388

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“…Moringa oleifera , a tree found in abundance in the dry tropics, is reported to be a rich source of proteins and micronutrients. The leaves of Moringa oleifera could be harvested and cheaply dried with solar dryers and milled to form a powder that could be stored for use in rural households (Glover‐Amengor, Aryeetey, Afari, & Nyarko, ). Among the recent efforts to combat malnutrition by improving the quality of complementary foods in the developing world is the use of Moringa oleifera leaf powder (MLP) as a food fortificant (Oyeyinka & Oyeyinka, ).…”

Section: Introductionmentioning

confidence: 99%

Effect of complementary foods fortified with Moringa oleifera leaf powder on hemoglobin concentration and growth of infants in the Eastern Region of Ghana

Boateng

Quarpong

Ohemeng

et al. 2018

Food Science & Nutrition

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Complementary foods that are deficient in both macronutrients and micronutrients coupled with a high burden of infections during the complementary feeding period are major underlying causes of child malnutrition in developing countries. Among the recent efforts to combat malnutrition by improving the quality of complementary foods in the developing world is the use of Moringa oleifera leaf powder (MLP) as a food fortificant. We conducted a randomized controlled trial to test the effect of feeding MLP‐fortified complementary food on hemoglobin concentration and growth of infants and young children after 4 months of feeding. Infants aged 8–12 months were randomly assigned to receive one of three study foods; Weanimix a cereal‐legume blend formulated with Moringa (MCL‐35g), MLP sprinkled on infants’ usual complementary foods (MS‐5g) and the control food Weanimix without Moringa (CF‐35g). Blood samples for hemoglobin determination as well as dietary intake and anthropometric data were collected at baseline and endline for 237 infants who completed the study. Data analysis was performed with SPSS (version 20) and comparisons were done by analysis of covariance (ANCOVA). There were no significant differences in hemoglobin concentration or growth indicators at endline between the three study groups. Findings of this study indicated that feeding infants a 5 g daily dose of MLP, either as part of a cereal‐legume blend or as a supplement which was sprinkled on infants’ usual complementary foods for 4 months, did not significantly improve infants’ hemoglobin concentration or growth indicators.

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Micronutrient composition and acceptability of Moringa oleifera leaf‐fortified dishes by children in Ada‐East district, Ghana

Cited by 48 publications

References 13 publications

Effect of green leafy vegetables powder on anaemia and vitamin-A status of Ghanaian school children

Effect of green leafy vegetables powder on anaemia and vitamin-A status of Ghanaian school children

Effect of diversified meals only, or either enriched with Amaranthus tricolor and Moringa oleifera leaf powder or commercial micronutrient powder on prevention/treatment of anemia in Adivasi children, West Bengal, India

Effect of complementary foods fortified with Moringa oleifera leaf powder on hemoglobin concentration and growth of infants in the Eastern Region of Ghana

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