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Adaptation of New Colombian Food-based Complementary Feeding Recommendations Using Linear Programming.
Tharrey, Marion; Olaya, Gilma A; Fewtrell, Mary; Ferguson, Elaine.
Afiliação
  • Tharrey M; Department of Population Health, London School of Hygiene and Tropical Medicine.
  • Olaya GA; Childhood Nutrition Research Centre, University College London Institute of Child Health, London, United Kingdom.
  • Fewtrell M; Nutrition and Biochemistry Department, Faculty of Sciences, Pontificia Universidad Javeriana, Bogota, Colombia.
  • Ferguson E; Childhood Nutrition Research Centre, University College London Institute of Child Health, London, United Kingdom.
J Pediatr Gastroenterol Nutr ; 65(6): 667-672, 2017 12.
Article em En | MEDLINE | ID: mdl-28644370
OBJECTIVE: The aim of the study was to use linear programming (LP) analyses to adapt New Complementary Feeding Guidelines (NCFg) designed for infants aged 6 to 12 months living in poor socioeconomic circumstances in Bogota to ensure dietary adequacy for young children aged 12 to 23 months. DESIGN: A secondary data analysis was performed using dietary and anthropometric data collected from 12-month-old infants (n = 72) participating in a randomized controlled trial. LP analyses were performed to identify nutrients whose requirements were difficult to achieve using local foods as consumed; and to test and compare the NCFg and alternative food-based recommendations (FBRs) on the basis of dietary adequacy, for 11 micronutrients, at the population level. RESULTS: Thiamine recommended nutrient intakes for these young children could not be achieved given local foods as consumed. NCFg focusing only on meat, fruits, vegetables, and breast milk ensured dietary adequacy at the population level for only 4 micronutrients, increasing to 8 of 11 modelled micronutrients when the FBRs promoted legumes, dairy, vitamin A-rich vegetables, and chicken giblets. None of the FBRs tested ensured population-level dietary adequacy for thiamine, niacin, and iron unless a fortified infant food was recommended. CONCLUSIONS: The present study demonstrated the value of using LP to adapt NCFg for a different age group than the one for which they were designed. Our analyses suggest that to ensure dietary adequacy for 12- to 23-month olds these adaptations should include legumes, dairy products, vitamin A-rich vegetables, organ meat, and a fortified food.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Alimentos Fortificados / Micronutrientes / Recomendações Nutricionais / Fenômenos Fisiológicos da Nutrição do Lactente Tipo de estudo: Clinical_trials / Observational_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Female / Humans / Infant / Male País/Região como assunto: America do sul / Colombia Idioma: En Revista: J Pediatr Gastroenterol Nutr Ano de publicação: 2017 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
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XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Alimentos Fortificados / Micronutrientes / Recomendações Nutricionais / Fenômenos Fisiológicos da Nutrição do Lactente Tipo de estudo: Clinical_trials / Observational_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Female / Humans / Infant / Male País/Região como assunto: America do sul / Colombia Idioma: En Revista: J Pediatr Gastroenterol Nutr Ano de publicação: 2017 Tipo de documento: Article País de publicação: Estados Unidos