Identifying Dietary Strategies to Improve Nutrient Adequacy among Ethiopian Infants and Young Children Using Linear Modelling
Nutrient adequacy of young children’s diet and best possible strategies to improve nutrient adequacy were assessed. Data from the Ethiopian National Food Consumption Survey were analysed using Optifood (software for linear programming) to identify nutrient gaps in diets for children (6&...
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doaj-be5537c4b56244bf9d8b9835f242f9522020-11-25T02:28:27ZengMDPI AGNutrients2072-66432019-06-01116141610.3390/nu11061416nu11061416Identifying Dietary Strategies to Improve Nutrient Adequacy among Ethiopian Infants and Young Children Using Linear ModellingAregash Samuel0Saskia J. M. Osendarp1Elaine Ferguson2Karin Borgonjen3Brenda M. Alvarado4Lynnette M. Neufeld5Abdulaziz Adish6Amha Kebede7Inge D. Brouwer8Ethiopian Public Health Institute (EPHI), Gulele Sub City, Addis Ababa, EthiopiaDivision of Human Nutrition and Health, Wageningen University and Research, 6700 AA Wageningen, The NetherlandsLondon School of Hygiene and Tropical Medicine (LSHTM), London WC1E 7HT, UKDivision of Human Nutrition and Health, Wageningen University and Research, 6700 AA Wageningen, The NetherlandsDivision of Human Nutrition and Health, Wageningen University and Research, 6700 AA Wageningen, The NetherlandsGlobal Alliance for Improved Nutrition (GAIN), 1202 Geneva, SwitzerlandNutrition International (NI), Nifas Silk Lafto Sub City, Kebele 04, Addis Ababa, EthiopiaEthiopian Public Health Institute (EPHI), Gulele Sub City, Addis Ababa, EthiopiaDivision of Human Nutrition and Health, Wageningen University and Research, 6700 AA Wageningen, The NetherlandsNutrient adequacy of young children’s diet and best possible strategies to improve nutrient adequacy were assessed. Data from the Ethiopian National Food Consumption Survey were analysed using Optifood (software for linear programming) to identify nutrient gaps in diets for children (6−8, 9−11 and 12−23 months), and to formulate feasible Food-Based Dietary Recommendations (FBDRs) in four regions which differ in culture and food practices. Alternative interventions including a local complementary food, micronutrient powders (MNPs), Small quantity Lipid-based Nutrient Supplement (Sq-LNS) and combinations of these were modelled in combination with the formulated FBDRs to compare their relative contributions. Risk of inadequate and excess nutrient intakes was simulated using the Estimated Average Requirement cut-point method and the full probability approach. Optimized local diets did not provide adequate zinc in all regions and age groups, iron for infants <12 months of age in all regions, and calcium, niacin, thiamine, folate, vitamin B12 and B6 in some regions and age-groups. The set of regional FBDRs, considerably different for four regions, increased nutrient adequacy but some nutrients remained sub-optimal. Combination of regional FBDRs with daily MNP supplementation for 6−12 months of age and every other day for 12−23 months of age, closed the identified nutrient gaps without leading to a substantial increase in the risk of excess intakes.https://www.mdpi.com/2072-6643/11/6/1416complementary foodOptifood analysisnutrient adequacyfood-based dietary recommendationsEthiopia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Aregash Samuel Saskia J. M. Osendarp Elaine Ferguson Karin Borgonjen Brenda M. Alvarado Lynnette M. Neufeld Abdulaziz Adish Amha Kebede Inge D. Brouwer |
spellingShingle |
Aregash Samuel Saskia J. M. Osendarp Elaine Ferguson Karin Borgonjen Brenda M. Alvarado Lynnette M. Neufeld Abdulaziz Adish Amha Kebede Inge D. Brouwer Identifying Dietary Strategies to Improve Nutrient Adequacy among Ethiopian Infants and Young Children Using Linear Modelling Nutrients complementary food Optifood analysis nutrient adequacy food-based dietary recommendations Ethiopia |
author_facet |
Aregash Samuel Saskia J. M. Osendarp Elaine Ferguson Karin Borgonjen Brenda M. Alvarado Lynnette M. Neufeld Abdulaziz Adish Amha Kebede Inge D. Brouwer |
author_sort |
Aregash Samuel |
title |
Identifying Dietary Strategies to Improve Nutrient Adequacy among Ethiopian Infants and Young Children Using Linear Modelling |
title_short |
Identifying Dietary Strategies to Improve Nutrient Adequacy among Ethiopian Infants and Young Children Using Linear Modelling |
title_full |
Identifying Dietary Strategies to Improve Nutrient Adequacy among Ethiopian Infants and Young Children Using Linear Modelling |
title_fullStr |
Identifying Dietary Strategies to Improve Nutrient Adequacy among Ethiopian Infants and Young Children Using Linear Modelling |
title_full_unstemmed |
Identifying Dietary Strategies to Improve Nutrient Adequacy among Ethiopian Infants and Young Children Using Linear Modelling |
title_sort |
identifying dietary strategies to improve nutrient adequacy among ethiopian infants and young children using linear modelling |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2019-06-01 |
description |
Nutrient adequacy of young children’s diet and best possible strategies to improve nutrient adequacy were assessed. Data from the Ethiopian National Food Consumption Survey were analysed using Optifood (software for linear programming) to identify nutrient gaps in diets for children (6−8, 9−11 and 12−23 months), and to formulate feasible Food-Based Dietary Recommendations (FBDRs) in four regions which differ in culture and food practices. Alternative interventions including a local complementary food, micronutrient powders (MNPs), Small quantity Lipid-based Nutrient Supplement (Sq-LNS) and combinations of these were modelled in combination with the formulated FBDRs to compare their relative contributions. Risk of inadequate and excess nutrient intakes was simulated using the Estimated Average Requirement cut-point method and the full probability approach. Optimized local diets did not provide adequate zinc in all regions and age groups, iron for infants <12 months of age in all regions, and calcium, niacin, thiamine, folate, vitamin B12 and B6 in some regions and age-groups. The set of regional FBDRs, considerably different for four regions, increased nutrient adequacy but some nutrients remained sub-optimal. Combination of regional FBDRs with daily MNP supplementation for 6−12 months of age and every other day for 12−23 months of age, closed the identified nutrient gaps without leading to a substantial increase in the risk of excess intakes. |
topic |
complementary food Optifood analysis nutrient adequacy food-based dietary recommendations Ethiopia |
url |
https://www.mdpi.com/2072-6643/11/6/1416 |
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