Skip to main content
Top
Published in: Archives of Public Health 1/2017

Open Access 01-12-2017 | Research

Analysis of nutritional adequacy of local foods for meeting dietary requirements of children aged 6-23 months in rural central Tanzania

Authors: Jofrey Raymond, Morris Agaba, Clara Mollay, Jerman W. Rose, Neema Kassim

Published in: Archives of Public Health | Issue 1/2017

Login to get access

Abstract

Background

Under nutrition remains a serious problem among children in Sub-Saharan Africa. Analysing how diets composed of local foods could achieve nutritional goals for infants and young children in low-income settings is essential. The objective of this study was to analyse how local foods can be used rationally and to what extent these foods can be supplemented to achieve nutrient requirements for children aged 6 – 23 months in resource-poor settings.

Methods

A cross-sectional study was carried out to estimate dietary intakes of 400 children aged 6-23 months using a 12-h weighed dietary record, 24-h dietary recalls, and 7-days food records. Anthropometric measurements on each subject were also taken. Analyses were done to establish the level of nutrient intake, and nutritional status of the study population using Microsoft Excel 2013 and ProPAN software version 2.0.

Results

The results showed that the prevalence of stunting, wasting and underweight for children aged 6–23 months was 30–41%, 1.5–3% and 4–9%, respectively. In addition, the results showed that diets that were consumed by the subjects comprised of local foods met vitamin A, vitamin C, protein and energy requirements for children aged 6–23 months. However, the extent of deficit in iron, zinc and calcium in baseline diets was large and difficult to meet under the existing feeding practices.

Conclusions

The study shows that local foods in the study area have a potential to achieve recommended dietary intakes of some essential nutrients, and that interventions are needed to meet the required amount of iron, zinc and calcium for children aged 6–23 months. The interventions we propose here may encourage changes in traditional feeding habits and practices of the target population. Possible intervention options are (1) supplementation of local foods with nutrient-dense foods that are not normally consumed in the locality (2) providing new avenues for increasing the production and wide consumption of local nutrient-dense foods, or optimizing the way local diets are constituted so as to achieve nutrient recommendations for infants and young children.
Literature
1.
go back to reference FAO. The Challenges of Local Foods for Overcoming Rural Poverty and Malnutrition in Western Africa. Rome, Italy: Food and Agriculture Organization of the United Nations (FAO); 2010. FAO. The Challenges of Local Foods for Overcoming Rural Poverty and Malnutrition in Western Africa. Rome, Italy: Food and Agriculture Organization of the United Nations (FAO); 2010.
2.
go back to reference FAO/WHO. New Business Models to Help Eliminate Food and Nutrition Insecurity: Roadmap for Exploration. Rome: Food and Agriculture Organization of the United Nations (FAO); 2013. FAO/WHO. New Business Models to Help Eliminate Food and Nutrition Insecurity: Roadmap for Exploration. Rome: Food and Agriculture Organization of the United Nations (FAO); 2013.
3.
go back to reference BMGF. Bill & Melinda Gates Foundation (BMGF) 2015-2020 Nutrition Strategy. Seattle: Bill and Melinda Gates Foundation; 2015. BMGF. Bill & Melinda Gates Foundation (BMGF) 2015-2020 Nutrition Strategy. Seattle: Bill and Melinda Gates Foundation; 2015.
4.
go back to reference Dewey KG, Vitta BS. Strategies for ensuring adequate nutrient intake for infants and young children during the period of complementary feeding: A&T Technical Brief. Washington, DC: 2013. Dewey KG, Vitta BS. Strategies for ensuring adequate nutrient intake for infants and young children during the period of complementary feeding: A&T Technical Brief. Washington, DC: 2013.
5.
go back to reference Victora CG, de Onis M, Hallal PC, Blössner M, Shrimpton R. Worldwide timing of growth faltering: revisiting implications for interventions. Pediatrics. 2010;125(3):e473–80.CrossRefPubMed Victora CG, de Onis M, Hallal PC, Blössner M, Shrimpton R. Worldwide timing of growth faltering: revisiting implications for interventions. Pediatrics. 2010;125(3):e473–80.CrossRefPubMed
6.
go back to reference Moran VH, Dewey K. Maternal & child nutrition:consequences of malnutrition in early life and strategies to improve maternal and chid diets through targeted fortified products. Matern Child Nutr. 2011;7(3):1–4. Moran VH, Dewey K. Maternal & child nutrition:consequences of malnutrition in early life and strategies to improve maternal and chid diets through targeted fortified products. Matern Child Nutr. 2011;7(3):1–4.
7.
go back to reference Martorell R. The nature of child malnutrition and its long-term implications. Food Nutr Bull. 1999;20(3):288–92.CrossRef Martorell R. The nature of child malnutrition and its long-term implications. Food Nutr Bull. 1999;20(3):288–92.CrossRef
8.
go back to reference FANTA. Validation of Food-Based Recommendations Developed using Optifood for Groups at Nutritional Risk in the Western Highlands of Guatemala. Washington, DC: FHI 360/FANTA; 2015. p. 1–4 FANTA. Validation of Food-Based Recommendations Developed using Optifood for Groups at Nutritional Risk in the Western Highlands of Guatemala. Washington, DC: FHI 360/FANTA; 2015. p. 1–4
9.
go back to reference Glewwe P, Miguel EA. The Impact of Child Health and Nutrition on Education in Less Developed Countries. Handb Dev Econ. 2007;4(7):3561–606.CrossRef Glewwe P, Miguel EA. The Impact of Child Health and Nutrition on Education in Less Developed Countries. Handb Dev Econ. 2007;4(7):3561–606.CrossRef
10.
go back to reference FAO. Improving diets and nutrition: food-based approaches. Thompson B, Amoroso L, editors. Rome: Food and Agriculture Organization of the United Nations and CAB International; 2014. p. 246-67. FAO. Improving diets and nutrition: food-based approaches. Thompson B, Amoroso L, editors. Rome: Food and Agriculture Organization of the United Nations and CAB International; 2014. p. 246-67.
11.
go back to reference WHO. Infant and young child nutrition. 55th World Heal Assem WHA5525. 2002;(May):1–3. WHO. Infant and young child nutrition. 55th World Heal Assem WHA5525. 2002;(May):1–3.
12.
go back to reference FANTA. Development of Evidence-Based Dietary Recommendations for Children, Pregnant Women, and Lactating Women Living in the Western Highlands of Guatemala. Washington, DC: FHI 360/ FANTA; 2014. FANTA. Development of Evidence-Based Dietary Recommendations for Children, Pregnant Women, and Lactating Women Living in the Western Highlands of Guatemala. Washington, DC: FHI 360/ FANTA; 2014.
13.
go back to reference Skau JKH, Bunthang T, Chamnan C, Wieringa FT, Dijkhuizen MA, Roos N, et al. 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. Am J Clin Nutr. 2013;99(1):130–8.CrossRefPubMed Skau JKH, Bunthang T, Chamnan C, Wieringa FT, Dijkhuizen MA, Roos N, et al. 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. Am J Clin Nutr. 2013;99(1):130–8.CrossRefPubMed
14.
go back to reference Fahmida U, Kolopaking R, Santika O, Sriani S, Umar J, Htet MK, et al. 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. Am J Clin Nutr. 2015;101(3):455–61.CrossRefPubMed Fahmida U, Kolopaking R, Santika O, Sriani S, Umar J, Htet MK, et al. 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. Am J Clin Nutr. 2015;101(3):455–61.CrossRefPubMed
15.
go back to reference Hlaing LM, Fahmida U, Htet MK, Utomo B, Firmansyah A, Ferguson EL. 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. Br J Nutr. 2015:1–11. Hlaing LM, Fahmida U, Htet MK, Utomo B, Firmansyah A, Ferguson EL. 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. Br J Nutr. 2015:1–11.
16.
go back to reference Pan American Health Organisation (PAHO). ProPAN Process for the Promotion of Child Feeding Field Manual. 2nd ed. Washington, DC: PAHO; 2013. Pan American Health Organisation (PAHO). ProPAN Process for the Promotion of Child Feeding Field Manual. 2nd ed. Washington, DC: PAHO; 2013.
17.
go back to reference Gibson RS. Principles of Nutritional Assessment. Editor Rosalind S Gibson. Oxford University Press Inc. 2nd. 2005. Gibson RS. Principles of Nutritional Assessment. Editor Rosalind S Gibson. Oxford University Press Inc. 2nd. 2005.
18.
go back to reference WHO. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr Suppl. 2006;450:76–85. WHO. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr Suppl. 2006;450:76–85.
19.
go back to reference Santika O, Fahmida U, Ferguson EL. Development of food-based complementary feeding recommendations for 9- to 11-month-old peri-urban Indonesian infants using linear programming. J Nutr. 2009;139(1):135–41.CrossRefPubMed Santika O, Fahmida U, Ferguson EL. Development of food-based complementary feeding recommendations for 9- to 11-month-old peri-urban Indonesian infants using linear programming. J Nutr. 2009;139(1):135–41.CrossRefPubMed
20.
go back to reference Institute of Medicine (IOM). In: Otten JJ, LDM JPH, editors. Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. Washington, DC: National Academies Press; 2006. Institute of Medicine (IOM). In: Otten JJ, LDM JPH, editors. Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. Washington, DC: National Academies Press; 2006.
21.
go back to reference Lukmanji Z, Hertzmark E, Mlingi N, Assey V. Tanzania food composition tables. In: Muhimbili University of Health and Allied Science (MUHAS),Tanzania Food and Nutrition Centre (TFNC) and Havard School of Public Health (HSPH). 1st ed. Dar es Salaam: MUHAS- TFNC, HSPH; 2008. Lukmanji Z, Hertzmark E, Mlingi N, Assey V. Tanzania food composition tables. In: Muhimbili University of Health and Allied Science (MUHAS),Tanzania Food and Nutrition Centre (TFNC) and Havard School of Public Health (HSPH). 1st ed. Dar es Salaam: MUHAS- TFNC, HSPH; 2008.
22.
go back to reference USDA. USDA National Nutrient Database for Standard Reference Release 28. National Nutrient Database for Standard Reference. 2016. p. 13328, 13972, 17002, 17199, 19296. USDA. USDA National Nutrient Database for Standard Reference Release 28. National Nutrient Database for Standard Reference. 2016. p. 13328, 13972, 17002, 17199, 19296.
24.
go back to reference FAO/WHO/UNU. Human energy requirements. Rome; 2004. FAO/WHO/UNU. Human energy requirements. Rome; 2004.
25.
go back to reference FAO/WHO. Vitamin and mineral requirements in human nutrition Second edition. 2nd ed. World Health Organization, editor. Rome: WHO; 2004. FAO/WHO. Vitamin and mineral requirements in human nutrition Second edition. 2nd ed. World Health Organization, editor. Rome: WHO; 2004.
26.
go back to reference FAO/WHO/UNU. Protein and amino acid requirements in human nutrition. World Health Organ Tech Rep Ser. 2007;(935):1–265. FAO/WHO/UNU. Protein and amino acid requirements in human nutrition. World Health Organ Tech Rep Ser. 2007;(935):1–265.
27.
go back to reference Dewey KG, Kenneth HB. Update on technical issues concerning complementary feeding of young children in developing countries and implications for intervention programs. Food Nutr Bull. 2003;24(1):5.CrossRefPubMed Dewey KG, Kenneth HB. Update on technical issues concerning complementary feeding of young children in developing countries and implications for intervention programs. Food Nutr Bull. 2003;24(1):5.CrossRefPubMed
28.
go back to reference WHO. Complementary Feeding of Young Children in Developing Countries: a review of current scientific knowledge. Geneva: World Health Organization (WHO); 1998. WHO. Complementary Feeding of Young Children in Developing Countries: a review of current scientific knowledge. Geneva: World Health Organization (WHO); 1998.
29.
go back to reference WHO. Indicators for assessing infant and young child feeding practices: Part I definitions. Geneva: World Health Organization (WHO); 2008. WHO. Indicators for assessing infant and young child feeding practices: Part I definitions. Geneva: World Health Organization (WHO); 2008.
30.
go back to reference WHO. Nutrition Landscape Information System (NLIS) Country Profile Indicators. Interpretation Guide. Nutr Landacape Inf Syst. 2010:1–51. WHO. Nutrition Landscape Information System (NLIS) Country Profile Indicators. Interpretation Guide. Nutr Landacape Inf Syst. 2010:1–51.
31.
go back to reference FAO. Human nutrition in the developing world, FAO Food and Nutrition Series. Rome: Food and Agriculture Organization of the United Nations; 1997. FAO. Human nutrition in the developing world, FAO Food and Nutrition Series. Rome: Food and Agriculture Organization of the United Nations; 1997.
32.
go back to reference Ghosh S. Protein Quality in the First Thousand Days of Life. Food Nutr Bull. 2016;37(1 Suppl):S14–21.CrossRefPubMed Ghosh S. Protein Quality in the First Thousand Days of Life. Food Nutr Bull. 2016;37(1 Suppl):S14–21.CrossRefPubMed
33.
go back to reference Stunting C. Perspective. The Potential Role of Essential Amino Acids and the Mechanistic Target of Rapamycin Complex 1 ( mTORC1 ) Pathway in the Pathogenesis. 2016;1(9):853–65. Stunting C. Perspective. The Potential Role of Essential Amino Acids and the Mechanistic Target of Rapamycin Complex 1 ( mTORC1 ) Pathway in the Pathogenesis. 2016;1(9):853–65.
37.
go back to reference West KP, LeClerq SC, Shrestha SR, Wu LS, Pradhan EK, Khatry SK, et al. Effects of vitamin A on growth of vitamin A-deficient children: field studies in Nepal. J Nutr. 1997;127(10):1957–65.PubMed West KP, LeClerq SC, Shrestha SR, Wu LS, Pradhan EK, Khatry SK, et al. Effects of vitamin A on growth of vitamin A-deficient children: field studies in Nepal. J Nutr. 1997;127(10):1957–65.PubMed
38.
go back to reference Souganidis E. The Relevance of Micronutrients to the Prevention of Stunting. Sight Life. 2012;26(2)2012:10–18. Souganidis E. The Relevance of Micronutrients to the Prevention of Stunting. Sight Life. 2012;26(2)2012:10–18.
Metadata
Title
Analysis of nutritional adequacy of local foods for meeting dietary requirements of children aged 6-23 months in rural central Tanzania
Authors
Jofrey Raymond
Morris Agaba
Clara Mollay
Jerman W. Rose
Neema Kassim
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Archives of Public Health / Issue 1/2017
Electronic ISSN: 2049-3258
DOI
https://doi.org/10.1186/s13690-017-0226-4

Other articles of this Issue 1/2017

Archives of Public Health 1/2017 Go to the issue