| Poor dietary quality of complementary foods is associated with multiple micronutrient deficiencies during early childhood in Mongolia. | |
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MedLine Citation:
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PMID: 19860994 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess whether persistent micronutrient deficiencies in Mongolian children identified in our earlier biochemical study are associated with inadequacies in quantity and/or quality in their complementary diets. DESIGN: A cross-sectional study of breast-fed children aged 6-23 months, randomly selected from four districts in Ulaanbaatar and four provincial capitals. SUBJECTS: Weight and length were measured, and sociodemographic status, feeding practices and nutrient adequacy of complementary foods for children aged 6-8 months (n 26), 9-11 months (n 29) and 12-23 months (n 73) were assessed via questionnaire and in-home interactive 24 h recalls. RESULTS: No geographic differences existed so data were combined. Adherence to WHO infant and young child feeding practices was poor: few children were exclusively breast-fed up to 6 months of age or received the recommended number of feedings containing the recommended number of food groups. Nevertheless, energy intakes from complementary diets, primarily from cereals and non-nutritious snacks, were above WHO-estimated needs; <1 % of energy was from meat and eggs or fruits and vegetables. Median intakes and densities of most nutrients (except protein, thiamin and riboflavin) failed to meet WHO recommendations for at least two age groups, assuming average breast milk intake; greatest density deficits were for Fe > vitamin C > vitamin A > Zn > Ca. CONCLUSIONS: Complementary feeding in Mongolia is compromised by deficits in several micronutrients but not energy, in part because of frequent consumption of non-nutritious snacks. The latter may interfere with breast-feeding and should be avoided. Instead, wheat-based complementary foods should be enriched with affordable cellular animal foods and fruits rich in vitamin C to combat existing micronutrient deficits. |
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Authors:
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R Lander; T S Enkhjargal; J Batjargal; N Bolormaa; D Enkhmyagmar; U Tserendolgor; S Tungalag; K Bailey; R S Gibson |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-10-28 |
Journal Detail:
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Title: Public health nutrition Volume: 13 ISSN: 1475-2727 ISO Abbreviation: Public Health Nutr Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-10 Completed Date: 2010-11-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9808463 Medline TA: Public Health Nutr Country: England |
Other Details:
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Languages: eng Pagination: 1304-13 Citation Subset: IM |
Affiliation:
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Department of Human Nutrition, University of Otago, Dunedin, New Zealand. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Breast Feeding Energy Intake / physiology Female Humans Infant Infant Food / analysis*, standards* Infant Nutrition Disorders / epidemiology*, etiology Infant Nutritional Physiological Phenomena / physiology* Male Micronutrients / administration & dosage, deficiency* Mongolia / epidemiology Nutritive Value Questionnaires Weaning World Health Organization |
| Chemical | |
Reg. No./Substance:
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0/Micronutrients |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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