Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year old children in Kisumu West District, Kenya

Children in developing countries often face multiple micronutrient deficiencies. Introduction of zinc‐fortified water can increase zinc intake, but additional recommendations are required to address overall diet nutrient adequacy. We developed and tested food‐based recommendations (FBRs) that includ...

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Autores principales: Kujinga, Prosper, Borgonjen-van den Berg, Karin J., Superchi, Cecilia, ten Hove, Hermine J., Onyango, Elizabeth Opiyo
Formato: Journal Article
Lenguaje:Inglés
Publicado: Wiley 2018
Materias:
Acceso en línea:https://hdl.handle.net/10568/171216
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author Kujinga, Prosper
Borgonjen-van den Berg, Karin J.
Superchi, Cecilia
ten Hove, Hermine J.
Onyango, Elizabeth Opiyo
author_browse Borgonjen-van den Berg, Karin J.
Kujinga, Prosper
Onyango, Elizabeth Opiyo
Superchi, Cecilia
ten Hove, Hermine J.
author_facet Kujinga, Prosper
Borgonjen-van den Berg, Karin J.
Superchi, Cecilia
ten Hove, Hermine J.
Onyango, Elizabeth Opiyo
author_sort Kujinga, Prosper
collection Repository of Agricultural Research Outputs (CGSpace)
description Children in developing countries often face multiple micronutrient deficiencies. Introduction of zinc‐fortified water can increase zinc intake, but additional recommendations are required to address overall diet nutrient adequacy. We developed and tested food‐based recommendations (FBRs) that included zinc‐fortified water for children aged between 4 and 6 years from rural Kenya to achieve the best possible nutrient adequacy. Dietary intakes of 60 children aged 4–6 years, from Kisumu West district, Kenya, were assessed using a quantitative multipass 24‐hr recall. Linear programming model parameters were derived, including a list of foods consumed, median serving sizes, and distribution of frequency of consumption. By using the Optifood linear programming tool, we developed FBRs for diets including zinc‐fortified water. FBRs with nutrient levels achieving ≥70% recommended nutrient intake (RNI) of the World Health Organization/Food and Agriculture Organization of the United Nations RNI for most of the 12 considered nutrients were selected as the final recommendations for the children. With no FBRs and no zinc‐fortified water, percent RNI coverage range was between 40% and 76% for zinc, improving to 66–101% after introduction of zinc‐fortified water. The final set of FBRs achieved nutrient adequacy for all nutrients except for vitamin A (25% RNI) and folate (68% RNI). Introduction of zinc‐fortified water combined with FBRs will likely improve the nutrient adequacy of diets consumed by children in Kenya but needs to be complemented with alternative interventions to ensure dietary adequacy.
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spelling CGSpace1712162025-02-19T14:31:36Z Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year old children in Kisumu West District, Kenya Kujinga, Prosper Borgonjen-van den Berg, Karin J. Superchi, Cecilia ten Hove, Hermine J. Onyango, Elizabeth Opiyo zinc water nutrient deficiencies nutritional status children child nutrition developing countries trace element deficiencies quantitative analysis diet Children in developing countries often face multiple micronutrient deficiencies. Introduction of zinc‐fortified water can increase zinc intake, but additional recommendations are required to address overall diet nutrient adequacy. We developed and tested food‐based recommendations (FBRs) that included zinc‐fortified water for children aged between 4 and 6 years from rural Kenya to achieve the best possible nutrient adequacy. Dietary intakes of 60 children aged 4–6 years, from Kisumu West district, Kenya, were assessed using a quantitative multipass 24‐hr recall. Linear programming model parameters were derived, including a list of foods consumed, median serving sizes, and distribution of frequency of consumption. By using the Optifood linear programming tool, we developed FBRs for diets including zinc‐fortified water. FBRs with nutrient levels achieving ≥70% recommended nutrient intake (RNI) of the World Health Organization/Food and Agriculture Organization of the United Nations RNI for most of the 12 considered nutrients were selected as the final recommendations for the children. With no FBRs and no zinc‐fortified water, percent RNI coverage range was between 40% and 76% for zinc, improving to 66–101% after introduction of zinc‐fortified water. The final set of FBRs achieved nutrient adequacy for all nutrients except for vitamin A (25% RNI) and folate (68% RNI). Introduction of zinc‐fortified water combined with FBRs will likely improve the nutrient adequacy of diets consumed by children in Kenya but needs to be complemented with alternative interventions to ensure dietary adequacy. 2018-04 2025-01-29T12:57:52Z 2025-01-29T12:57:52Z Journal Article https://hdl.handle.net/10568/171216 en Limited Access Wiley Kujinga, Prosper; Borgonjen-van der Berg, Karin J.; Superchi, Cecilia; ten Hove, Hermine J.; Onyango, Elizabeth Opiyo; et al. 2018. Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year-old children in Kisumu West district, Kenya. Maternal and Child Nutrition 14(2): e12515. https://doi.org/10.1111/mcn.12515
spellingShingle zinc
water
nutrient deficiencies
nutritional status
children
child nutrition
developing countries
trace element deficiencies
quantitative analysis
diet
Kujinga, Prosper
Borgonjen-van den Berg, Karin J.
Superchi, Cecilia
ten Hove, Hermine J.
Onyango, Elizabeth Opiyo
Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year old children in Kisumu West District, Kenya
title Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year old children in Kisumu West District, Kenya
title_full Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year old children in Kisumu West District, Kenya
title_fullStr Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year old children in Kisumu West District, Kenya
title_full_unstemmed Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year old children in Kisumu West District, Kenya
title_short Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year old children in Kisumu West District, Kenya
title_sort combining food based dietary recommendations using optifood with zinc fortified water potentially improves nutrient adequacy among 4 to 6 year old children in kisumu west district kenya
topic zinc
water
nutrient deficiencies
nutritional status
children
child nutrition
developing countries
trace element deficiencies
quantitative analysis
diet
url https://hdl.handle.net/10568/171216
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