Micronutrient intake of children in Ghana and Benin: Estimated contribution of diet and nutrition programs.
breastfeeding
child nutrition
food and nutrients intakes
low and middle income countries
micronutrients
public health
Journal
Maternal & child nutrition
ISSN: 1740-8709
Titre abrégé: Matern Child Nutr
Pays: England
ID NLM: 101201025
Informations de publication
Date de publication:
04 2023
04 2023
Historique:
revised:
23
09
2022
received:
31
05
2022
accepted:
20
10
2022
pubmed:
18
11
2022
medline:
22
3
2023
entrez:
17
11
2022
Statut:
ppublish
Résumé
We estimated how micronutrient needs of young children, aged 6-24 months were covered by the standard (traditional) diets in Ghana and Benin, and the contributions of partial breastfeeding and national nutrition programs aimed at improving micronutrient status to overall micronutrient intakes. Estimates of micronutrient intake from standard diets were based on previous surveys, using the food composition table of West Africa (INFOOD). Recommended micronutrient intakes were based on World Health Organization recommendations. Children were grouped in three age groups (6-8, 9-12, and 13-24 months) to capture the changing dynamics of the complementary feeding period. As expected, from 6 months of age onwards, breastmilk didn't cover the micronutrient needs. The standard diets contributed only minimal to micronutrient intakes of children ranging from 0% to 37% of recommended intakes for Ca, Fe, Zn, vitamin A, vitamin D and iodine depending on the micronutrient considered. The contribution of mass (bio)-fortification programs to the coverage of micronutrient needs varied widely, depending on the staple food considered and the country, but overall did not allow to fill the gap in micronutrient needs of children except for vitamin A in some contexts. In contrast, consumption of voluntary fortified complementary food, especially formulated for the needs in this age groups, contributed substantially to overall micronutrient intake and could fill the gap for several micronutrients. The development of young child-targeted programs including micronutrient-dense foods, associated with interventions to increase the diet diversity and meal frequency, could significantly improve micronutrients intakes of children in both Ghana and Benin.
Identifiants
pubmed: 36394283
doi: 10.1111/mcn.13453
pmc: PMC10019049
doi:
Substances chimiques
Vitamin A
11103-57-4
Micronutrients
0
Trace Elements
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13453Informations de copyright
© 2022 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.
Références
Aaron, G. J., Friesen, V. M., Jungjohann, S., Garrett, G. S., Neufeld, L. M., & Myatt, M. (2017). Coverage of large-scale food fortification of edible oil, wheat flour, and maize flour varies greatly by vehicle and country but is consistently lower among the most vulnerable: Results from coverage surveys in 8 countries. The Journal of Nutrition, 147(5), 984S-994S. https://doi.org/10.3945/jn.116.245753
Achigan-Dako, E. G., N'Danikou, S., Assogba-Komlan, F., Ambrose-Oji, B., Ahanchede, A., & Pasquini, M. W. (2011). Diversity, geographical, and consumption patterns of traditional vegetables in sociolinguistic communities in Benin: Implications for domestication and Utilization1. Economic Botany, 65(2), 129-145. https://doi.org/10.1007/s12231-011-9153-4
Adu-Afarwuah, S., Lartey, A., Brown, K. H., Zlotkin, S., Briend, A., & Dewey, K. G. (2008). Home fortification of complementary foods with micronutrient supplements is well accepted and has positive effects on infant iron status in Ghana. The American Journal of Clinical Nutrition, 87(4), 929-938. https://doi.org/10.1093/ajcn/87.4.929
ANSES (Agence nationale de sécurité sanitaire de l'alimentation de l'environnement et du travail) (2020). Table de composition des aliments Ciqual 2020.
Bellon, M. R., Ntandou-Bouzitou, G. D., & Caracciolo, F. (2016). On-farm diversity and market participation are positively associated with dietary diversity of rural mothers in Southern Benin, West Africa. PLoS One, 11(9), e0162535. https://doi.org/10.1371/journal.pone.0162535
Castillo-Lancellotti, C., Tur, J. A., & Uauy, R. (2013). Impact of folic acid fortification of flour on neural tube defects: A systematic review. Public Health Nutrition, 16(5), 901-911. https://doi.org/10.1017/S1368980012003576
Conseil National de l'Alimentation et de la Nutrition. (2015). Guide alimentaire du Bénin.
Dass, M., Nyako, J., Tortoe, C., Fanou-Fogny, N., Nago, E., Hounhouigan, J., Berger, J., Wieringa, F., & Greffeuille, V. (2021). Comparison of micronutrient intervention strategies in Ghana and Benin to cover micronutrient needs: Simulation of bene-fits and risks in women of reproductive age. Nutrients, 13(7), 2286. https://www.mdpi.com/2072-6643/13/7/2286
Dewey, K. G., & Adu-Afarwuah, S. (2008). Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Maternal & Child Nutrition, 4(s1), 24-85. https://doi.org/10.1111/j.1740-8709.2007.00124.x
Dimaria, S., Schwartz, H., Icard-Vernière, C., Picq, C., Zagre, N., & Mouquet-Rivier, C. (2018). Adequacy of some locally produced complementary foods marketed in Benin, Burkina Faso, Ghana, and Senegal. Nutrients, 10(6), 785. https://doi.org/10.3390/nu10060785
Domellöf, M., Braegger, C., Campoy, C., Colomb, V., Decsi, T., Fewtrell, M., Hojsak, I., Mihatsch, W., Molgaard, C., Shamir, R., Turck, D., & van Goudoever, J. (2014). Iron requirements of infants and toddlers. Journal of Pediatric Gastroenterology & Nutrition, 58(1), 119-129. https://doi.org/10.1097/mpg.0000000000000206
Donkor, W. E. S., Adu-Afarwuah, S., Wegmüller, R., Bentil, H., Petry, N., Rohner, F., & Wirth, J. P. (2021). Complementary feeding indicators in relation to micronutrient status of Ghanaian children aged 6-23 months: Results from a national survey. Life, 11(9), 969. https://doi.org/10.3390/life11090969
Dorea, J. G. (2002). Iodine nutrition and breast feeding. Journal of Trace Elements in Medicine and Biology, 16(4), 207-220. https://doi.org/10.1016/s0946-672x(02)80047-5
Dror, D. K., & Allen, L. H. (2018a). Iodine in human milk: A systematic review. Advances in Nutrition, 9(suppl_1), 347S-357S. https://doi.org/10.1093/advances/nmy020
Dror, D. K., & Allen, L. H. (2018b). Overview of nutrients in human milk. Advances in Nutrition, 9(suppl_1), 278S-294S. https://doi.org/10.1093/advances/nmy022
Engle-Stone, R., Nankap, M., Ndjebayi, A. O., Allen, L. H., Shahab-Ferdows, S., Hampel, D., Killilea, D. W., Gimou, M. M., Houghton, L. A., Friedman, A., Tarini, A., Stamm, R. A., & Brown, K. H. (2017). Iron, zinc, folate, and vitamin B-12 status increased among women and children in Yaoundé and douala, Cameroon, 1 year after introducing fortified wheat flour. The Journal of Nutrition, 147(7), 1426-1436. https://doi.org/10.3945/jn.116.245076
Fahmida, U., Kolopaking, R., Santika, O., Sriani, S., Umar, J., Htet, M. K., & Ferguson, E. (2014). Effectiveness in improving knowledge, practices, and intakes of “key problem nutrients” of a complementary feeding intervention developed by using linear programming: experience in Lombok, Indonesia. The American Journal of Clinical Nutrition, 101(3), 455-461. https://doi.org/10.3945/ajcn.114.087775
Fewtrell, M. S., Morgan, J. B., Duggan, C., Gunnlaugsson, G., Hibberd, P. L., Lucas, A., & Kleinman, R. E. (2007). Optimal duration of exclusive breastfeeding: What is the evidence to support current recommendations? The American Journal of Clinical Nutrition, 85(2), 635S-638S. https://doi.org/10.1093/ajcn/85.2.635S
Friel, J., Qasem, W., & Cai, C. (2018). Iron and the breastfed infant. Antioxidants, 7(4), 54. https://doi.org/10.3390/antiox7040054
Friesen, V. M., Mbuya, M. N. N., Aaron, G. J., Pachón, H., Adegoke, O., Noor, R. A., Swart, R., Kaaya, A., Wieringa, F. T., & Neufeld, L. M. (2020). Fortified foods are major contributors to apparent intakes of vitamin A and iodine, but not iron, in diets of women of reproductive age in 4 African countries. The Journal of Nutrition, 150(8), 2183-2190. https://doi.org/10.1093/jn/nxaa167
Galbete, C., Nicolaou, M., Meeks, K. A., de-Graft Aikins, A., Addo, J., Amoah, S. K, Smeeth, L., Owusu-Dabo, E., Klipstein-Grobusch, K., Bahendeka, S., Agyemang, C., Mockenhaupt, F. P., Beune, E. J., Stronks, K., Schulze, M. B., & Danquah, I. (2017). Food consumption, nutrient intake, and dietary patterns in Ghanaian migrants in Europe and their compatriots in Ghana. Food & Nutrition Research, 61(0):1341809. https://foodandnutritionresearch.net/index.php/fnr/article/view/1239
Gamor, G., Akoto-Danso, E. K., Karg, H., & Chagomoka, T. (2015). Traditional recipes from the northern region of Ghana. Tainan, Taiwan AVRDC-The World Vegetable Center, Publication, No 15-794, 2015.
Ghana Statistical Service, Services, G. H., & International, I. (2015). Ghana Demographic and Health survey 2014. Retrieved from Rockville, Maryland, USA: GSS, GHS and ICF international.
Grande, F., Compaoré, E., Amponsah Annor, G., Addy, P. A., Aburime, L. C., Ahmed, D., & Charrondière, U. R. (2020). FAO/INFOODS Food Composition Table for Western Africa (2019).
Greffeuille, V., & Mouquet, C. (2010). Traditional recipes of millet, sorghum, and maize-based dishes and related sauces frequently consumed by young children in Burkina Faso and Benin. Wageningen.
Harvest Plus (2014). Biofortification Progress Briefs.
Harvest Plus. (2019). Biofortified crops map.
Hlaing, L. M., Fahmida, U., Htet, M. K., Utomo, B., Firmansyah, A., & Ferguson, E. L. (2016). Local food-based complementary feeding recommendations developed by the linear programming approach to improve the intake of problem nutrients among 12-23-month-old Myanmar children. British Journal of Nutrition, 116(S1), S16-S26. https://doi.org/10.1017/S000711451500481X
Imdad, A., Yakoob, M. Y., Sudfeld, C., Haider, B. A., Black, R. E., & Bhutta, Z. A. (2011). Impact of vitamin A supplementation on infant and childhood mortality. BMC Public Health, 11(3), S20. https://doi.org/10.1186/1471-2458-11-S3-S20
INSAE, & ICF. (2019). Enquête Démographique et de santé au Bénin 2017-2018: Indicateurs clefs. Retrieved from Cotonou Bénin et Rockville Maryland USA.
Issaka, A. I., Agho, K. E., Burns, P., Page, A., & Dibley, M. J. (2015). Determinants of inadequate complementary feeding practices among children aged 6-3 months in Ghana. Public Health Nutrition, 18(4), 669-678. https://doi.org/10.1017/s1368980014000834
de Jager, I., Giller, K. E., & Brouwer, I. D. (2018). Food and nutrient gaps in rural Northern Ghana: Does production of smallholder farming households support adoption of food-based dietary guidelines? PLoS One, 13(9), e0204014. https://doi.org/10.1371/journal.pone.0204014
Keats, E. C., Neufeld, L. M., Garrett, G. S., Mbuya, M. N. N., & Bhutta, Z. A. (2019). Improved micronutrient status and health outcomes in low- and middle-income countries following large-scale fortification: Evidence from a systematic review and meta-analysis. The American Journal of Clinical Nutrition, 109(6), 1696-1708. https://doi.org/10.1093/ajcn/nqz023
Lartey, A., Manu, A., Brown, K. H., Peerson, J. M., & Dewey, K. G. (1999). A randomized, community-based trial of the effects of improved, centrally processed complementary foods on growth and micronutrient status of Ghanaian infants from 6 to 12 mo of age. The American Journal of Clinical Nutrition, 70(3), 391-404. https://doi.org/10.1093/ajcn/70.3.391
Levesque, S., Delisle, H., & Agueh, V. (2015). Contribution to the development of a food guide in Benin: linear programming for the optimization of local diets. Public Health Nutrition, 18(4), 622-631. https://doi.org/10.1017/S1368980014000706
Mitchodigni, I. M., Amoussa Hounkpatin, W., Ntandou-Bouzitou, G., Avohou, H., Termote, C., Kennedy, G., & Hounhouigan, D. J. (2017). Complementary feeding practices: determinants of dietary diversity and meal frequency among children aged 6-23 months in Southern Benin. Food Security, 9(5), 1117-1130. https://doi.org/10.1007/s12571-017-0722-y
Na M, S. R. K., & LE, M. -K. (2020). Regional Landscape Analysis of Trends and Factors of Young Children's Diet in UNICEF's West and Central Africa Region (WCAR UNICEF).
Nordhagen, S., Pries, A. M., & Dissieka, R. (2019). Commercial snack food and beverage consumption prevalence among children 6-59 months in West Africa. Nutrients, 11(11), 2715. https://www.mdpi.com/2072-6643/11/11/2715
Osendarp, S. J. M., Martinez, H., Garrett, G. S., Neufeld, L. M., De-Regil, L. M., Vossenaar, M., & Darnton-Hill, I. (2018). Large-scale food fortification and biofortification in low- and middle-income countries: A review of programs, trends, challenges, and evidence gaps. Food and Nutrition Bulletin, 39(2), 315-331. https://doi.org/10.1177/0379572118774229
Pérez-Escamilla, R., Buccini, G. S., Segura-Pérez, S., & Piwoz, E. (2019). Perspective: Should exclusive breastfeeding still be recommended for 6 months. Advances in Nutrition, 10(6), 931-943. https://doi.org/10.1093/advances/nmz039
Shi, L., Zhang, J., Wang, Y., Caulfield, L. E., & Guyer, B. (2010). Effectiveness of an educational intervention on complementary feeding practices and growth in rural China: A cluster randomised controlled trial. Public Health Nutrition, 13(4), 556-565. https://doi.org/10.1017/s1368980009991364
Skau, J. K., Bunthang, T., Chamnan, C., Wieringa, F. T., Dijkhuizen, M. A., Roos, N., & Ferguson, E. L. (2013). The use of linear programming to determine whether a formulated complementary food product can ensure adequate nutrients for 6- to 11-month-old Cambodian infants. The American Journal of Clinical Nutrition, 99(1), 130-138. https://doi.org/10.3945/ajcn.113.073700
Tchum, S. K., Tanumihardjo, S. A., Newton, S., de Benoist, B., Owusu-Agyei, S., Arthur, F. K., & Tetteh, A. (2006). Evaluation of vitamin A supplementation regimens in Ghanaian postpartum mothers with the use of the modified-relative-dose-response test. The American Journal of Clinical Nutrition, 84, 1344-1349. https://doi.org/10.1093/ajcn/84.6.1344
Tong, H., & Walker, N. (2021). Current levels of coverage of iron and folic acid fortification are insufficient to meet the recommended intake for women of reproductive age in low- and middle-income countries. Journal of Global Health, 11, 18002. https://doi.org/10.7189/jogh.11.18002
University of Ghana, GroundWork, University of Wisconsin-Madison, KEMRI-Wellcome Trust, & UNICEF. (2017). Ghana Micronutrient Survey 2017. Accra, Ghana.
Villamor, E., & Fawzi, W. W. (2005). Effects of vitamin a supplementation on immune responses and correlation with clinical outcomes. Clinical Microbiology Reviews, 18(3), 446-464. https://doi.org/10.1128/cmr.18.3.446-464.2005
WHO. (2002). The optimal duration of exclusive breastfeeding: A systematic review.