Micronutrient intake and the probability of nutrient adequacy among children 9–24 months of age

Results from the MAL-ED birth cohort study

Bibliographic Data

ID15097609
AuthorsDA Antiporta (0000-0002-5143-3776, Johns Hopkins University), Ramya Ambikapathi (0000-0002-2013-2516, National Institutes of Health), A Bose (0000-0002-1836-2945), Bruna LL Maciel (0000-0002-0724-1961, Universidade Federal do Rio Grande do Norte), TC Mahopo (0000-0003-0186-1438, University of Venda), Crystal L Patil (0000-0003-4536-4599, University of Illinois Urbana-Champaign), Ali Turab (0000-0002-5445-9728, Aga Khan University), MP Olortegui (Prisma), M Islam, M Munirul Islam (0000-0002-8780-8760, International Centre for Diarrhoeal Disease Research), Aubrey Bauck (0000-0002-8354-4665, Johns Hopkins University), Benjamin JJ McCormick (0000-0002-8060-0502, National Institutes of Health), BJJ McCormick, Laura E Caulfield (0000-0001-7152-1004), LE Caulfield (Johns Hopkins University, corresponding author)
Year2021
Volume24
Issue9
Pages2592-2602
Publication date2021-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980020000877
PMID32611463
OpenAlexW3038511745
LanguageEN
Citations received2
References cited11

Objective: To estimate the total energy and micronutrient intakes of children 9–24 months of age and evaluate the probability of adequacy (PA) of the diet in seven MAL-ED sites. Design: Cohort study. Food intake was registered monthly using 24-h recalls beginning at 9 months. We estimated PA for thirteen nutrients and overall mean PA (MPA) by site and 3-month periods considering estimated breast milk intake. Setting: Seven sites in Asia, Africa and Latin America. Participants: 1669 children followed from birth to 24 months of age. Results: Median estimated %energy from breast milk ranged from 4 to 70 % at 9–12 months, and declined to 0–39 % at 21–24 months. Iron bioavailability was low for all sites, but many diets were of moderate bioavailability for zinc. PA was optimal for most nutrients in Brazil and South Africa, except for iron and vitamin E (both), calcium and zinc (South Africa). PA for zinc increased only for children consuming a diet with moderate bioavailability. MPA increased 12–24 months as the quantity of complementary foods increased; however, PA for vitamin A remained low in Bangladesh and Tanzania. PA for vitamins D and E and iron was low for most sites and age groups. Conclusions: MPA increased from 12 to 24 months as children consumed higher quantities of food, while nutrient density remained constant for most nutrients. Ways to increase the consumption of foods containing vitamins D, E and A, and calcium are needed, as are ways to increase the bioavailability of iron and zinc

Animal science · Bioavailability · Biology · Cohort · Environmental health · Micronutrient · Nutrient · Vitamin · Vitamin C · Vitamin D and neurology · Zinc · Chemistry · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Medicine · Obesity, Physical Activity, Diet · Internal Medicine · Physiology