Title
Higher Energy and Zinc Intakes from Complementary Feeding Are Associated with Decreased Risk of Undernutrition in Children from South America, Africa, and Asia
Date Issued
01 January 2021
Access level
open access
Resource Type
journal article
Author(s)
MacIel B.L.L.
Costa P.N.
Filho J.Q.
Ribeiro S.A.
Rodrigues F.A.P.
Soares A.M.
Júnior F.S.
Ambikapathi R.
McQuade E.T.R.
Ahmed T.
Bessong P.
Kang G.
Shresthra S.
Mduma E.
Bayo E.
Guerrant R.L.
Caulfield L.E.
Lima A.A.M.
Publisher(s)
Oxford University Press
Abstract
Background: Few studies have focused on quantitatively analyzing nutrients from infant diets, compromising complementary feeding evaluation and health promotion worldwide. Objectives: This study aimed to describe dietary intake in infants from 9 to 24 mo of age, determining nutrient intakes associated with the risk of underweight, wasting, and stunting. Methods: Usual nutrient intakes from complementary feeding were determined by 24-h recalls collected when infants were 9-24 mo of age in communities from 7 low- and middle-income countries: Brazil (n = 169), Peru (n = 199), South Africa (n = 221), Tanzania (n = 210), Bangladesh (n = 208), India (n = 227), and Nepal (n = 229), totaling 1463 children and 22,282 food recalls. Intakes were corrected for within- and between-person variance and energy intake. Multivariable regression models were constructed to determine nutrient intakes associated with the development of underweight, wasting, and stunting at 12, 18, and 24 mo of age. Results: Children with malnutrition presented significantly lower intakes of energy and zinc at 12, 18, and 24 mo of age, ranging from -16.4% to -25.9% for energy and -2.3% to -48.8% for zinc. Higher energy intakes decreased the risk of underweight at 12 [adjusted odds ratio (AOR): 0.90; 95% CI: 0.84, 0.96] and 24 mo (AOR: 0.91; 95% CI: 0.86, 0.96), and wasting at 18 (AOR: 0.91; 95% CI: 0.83, 0.99) and 24 mo (AOR: 0.83; 95% CI: 0.74, 0.92). Higher zinc intakes decreased the risk of underweight (AOR: 0.12; 95% CI: 0.03, 0.55) and wasting (AOR: 0.19; 95% CI: 0.04, 0.92) at 12 mo, and wasting (AOR: 0.05; 95% CI: 0.00, 0.76) at 24 mo. Conclusions: Higher intakes of energy and zinc in complementary feeding were associated with decreased risk of undernutrition in the studied children. Data suggest these are characteristics to be improved in children's complementary feeding across countries.
Start page
170
End page
178
Volume
151
Issue
1
Language
English
OCDE Knowledge area
Nutrición, Dietética
Subjects
Scopus EID
2-s2.0-85099326238
PubMed ID
Source
Journal of Nutrition
ISSN of the container
00223166
Sponsor(s)
MAL-ED (The Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development Project) was a collaborative project supported by the Bill & Melinda Gates Foundation, the Foundation for the NIH, and NIH/Fogarty International Center grant OPP47075.
Sources of information:
Directorio de Producción Científica
Scopus