Micronutrient gaps during the complementary feeding period in seven countries in Southeast Asia

The complementary feeding period is a critical stage of child development when micronutrient needs are high and challenging to meet. Understanding if specific micronutrient gaps exist during this period is critical for effective programming. A Comprehensive Nutrient Gap Assessment (CONGA) was conducted in seven countries in Southeast Asia to estimate gaps in micronutrients commonly lacking in the diets of children aged 6-23 months and to establish the certainty of available evidence for each identified gap. Sixty-eight evidence sources were identified during this analysis, and 310 micronutrient-specific data points were identified across all seven countries. Data points varied in recency, representativeness and evidence type. The CONGA methodology enabled the estimation of a gap burden rating for each micronutrient in each country, as well as a rating of their evidence certainty. Micronutrient gaps were identified in vitamin D, zinc and iron and a potential gap was identified in calcium during the complementary feeding period in the region. Evidence relevant to intake and deficiency of folate, vitamin B 12 , thiamine, niacin, vitamin C and vitamin B 6 was limited across the region. Proven strategies to address these gaps include increasing the availability and consumption of nutrient-dense foods, micronutrient supplementation, large-scale fortification of staple foods and condiments and point-of-use fortification through multiple micronutrient powders and fortified speciality foods. More recent data on micronutrient availability, intake and deficiency is urgently needed in Southeast Asia

Biology · Dietary Reference Intake · Environmental health · Food fortification · Fortification · Malnutrition · Micronutrient · Micronutrient deficiency · Niacin · Nutrient · Vitamin · Child Nutrition and Water Access · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Endocrinology · Food Science

• First foods in a packaged world

  Open Access•Jessica Blankenship, Jessica L Blankenship et al.•Maternal and Child Nutrition•2023

  Incluir item

• Parental Perceptions of Healthy Eating and Actual Nutrient Intake

  Open Access•Svetlana Plyassovskaya, Yelena Pozdnyakova et al.•International Journal of…•2026

  Incluir item

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  Open Access•Jessica M White, Elizabeth Drummond et al.•Maternal and Child Nutrition•2023

  Incluir item

• The State of Food Security and Nutrition in the World 2020

  Food And Agriculture Organization•State of Food Security and…•2020

  Incluir item

• Micronutrient deficiencies among preschool-aged children and women of reproductive age worldwide

  Open Access•G A Stevens, Ty Beal et al.•The Lancet Global Health•2022

  Incluir item

• The Challenge of Meeting Nutrient Needs of Infants and Young Children during the Period of Complementary Feeding

  Open Access•Dewey Kathryn G•The Journal of Nutrition•2013

  Incluir item

• Triple trouble

  Open Access•Jessica Blankenship, Christiane Rudert et al.•Maternal and Child Nutrition•2020

  Incluir item

• Benchmarking the nutrient composition and labelling practices of dry or instant cereals for older infants and young children across seven Southeast Asian countries

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  Incluir item

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  Incluir item

• Improved micronutrient status and health outcomes in low- and middle-income countries following large-scale fortification

  Open Access•Emily C Keats, Lynnette M Neufeld et al.•2019

  Incluir item