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Commercially produced complementary foods in Bandung City, Indonesia, are often reported to be iron fortified but with less than recommended amounts or suboptimal forms of iron

Bibliographic Data

ID15535600
AuthorsMichele L Dreyfuss (0000-0003-0930-2323, Helen Keller International, corresponding author), Mackenzie Green (0000-0002-5322-1558, Helen Keller International), Agustino Agustino (0000-0002-3669-1064, Helen Keller International), Dian N Hadihardjono (Helen Keller International), Doddy Izwardy (Ministry of Health), Sandra L Huffman (Helen Keller International)
Year2019
Volume15
IssueS4
Pagese12789-e12789
Publication date2019-06-01
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.12789
PMID31225710
OpenAlexW2950807449
LanguageEN
Citations received5
References cited17

Commercially produced complementary foods (CPCF) that are iron fortified can help improve iron status of young children. We conducted a review of 217 CPCF sold in 42 stores in Bandung, Indonesia, in 2017. There were 95 (44%) infant cereals, 71 (33%) snacks or finger foods (biscuits or cookies, puffs, and noodles or crackers), 35 (16%) purees, and 16 (7%) other foods for which we obtained label information. Nearly 70% of CPCF reported iron content on their labels, but only 58% of products were reported to be fortified with iron according to ingredient lists. Among iron-fortified products, only one fifth indicated a specific type of iron used as the fortificant, but all of these were recommended by the World Health Organization for fortifying complementary foods. Infant cereal was more likely to contain added iron (81%) compared with snacks or finger food (58%) and purees (14%) and had higher iron content per median serving size (cereal = 3.8 mg, snacks or finger food = 1.3 mg, mixed meals = 2.7 mg, and purees = 0.9 mg). Infant cereal was most likely to meet the recommended daily intakes for iron (41% for infants 6-12 months of age and 66% for children 12-36 months) compared with snacks or finger food (infants = 14%, children = 22%), mixed meals (infants = 28%, children = 46%), or purees (infants = 9%, children = 15%). Regulations on fortification of complementary foods need to specify minimum levels and forms of iron and require reporting in relation to requirements by child age and serving size. Monitoring and enforcement of regulations will be essential to ensure compliance

Anemia · Environmental health · Fortified Food · Iron deficiency · Iron status · Traditional medicine · Child Nutrition and Water Access · Iron Metabolism and Disorders · Medicine · Nutritional Studies and Diet · Food Science · Internal Medicine

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    Open Access•Dian N Hadihardjono, Mackenzie Green et al.•Maternal and Child Nutrition•2019

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

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

  • Accuracy of declared nutrient content on labels of commercial complementary food products in Cambodia, Indonesia and Senegal

    Open Access•Mary Champeny, Katelyn Yuen‐Esco et al.•Maternal and Child Nutrition•2023

  • Commercially produced complementary foods in Bandung City, Indonesia, are often reported to be iron fortified but with less than recommended amounts or suboptimal forms of iron

    Open Access•Michele L Dreyfuss, Mackenzie Green et al.•Maternal and Child Nutrition•2019

  • Effect of using commercial pre-packaged baby foods on the Fe intake of 7–8 months old infants

    Open Access•Celeste Tsz Hei Cheung, Anna M Rangan et al.•Public Health Nutrition•2021

  • Update on Technical issues concerning Complementary Feeding of Young Children in Developing Countries and Implications for Intervention Programs

    Open Access•Kathryn G Dewey, Kendall H Brown et al.•Food and Nutrition Bulletin•2003

  • The Proportion of Anemia Associated with Iron Deficiency in Low, Medium, and High Human Development Index Countries

    Open Access•Nicolai Petry, Ibironke Olofin et al.•Nutrients•2016

  • A review of child stunting determinants in Indonesia

    Open Access•Ty Beal, Alison Tumilowicz et al.•Maternal and Child Nutrition•2018

  • Promotions of breastmilk substitutes, commercial complementary foods and commercial snack products commonly fed to young children are frequently found in points‐of‐sale in Bandung City, Indonesia

    Open Access•Dian N Hadihardjono, Mackenzie Green et al.•Maternal and Child Nutrition•2019

  • Fortifying complementary foods with NaFeEdta – considerations for developing countries

    Open Access•Zhenyu Yang, Jonathan Siekmann et al.•Maternal and Child Nutrition•2011

  • High proportions of children under 3 years of age consume commercially produced snack foods and sugar‐sweetened beverages in Bandung City, Indonesia

    Open Access•Mackenzie Green, Dian N Hadihardjono et al.•Maternal and Child Nutrition•2019

  • Nutrient composition of premixed and packaged complementary foods for sale in low‐ and middle‐income countries

    Open Access•William A Masters, Marc Néné et al.•Maternal and Child Nutrition•2016

  • Commercially produced complementary foods in Bandung City, Indonesia, are often reported to be iron fortified but with less than recommended amounts or suboptimal forms of iron

    Open Access•Michele L Dreyfuss, Mackenzie Green et al.•Maternal and Child Nutrition•2019

  • Assessment of corporate compliance with guidance and regulations on labels of commercially produced complementary foods sold in Cambodia, Nepal, Senegal and Tanzania

    Open Access•Lara Sweet, Catherine Pereira‐Kotze et al.•Maternal and Child Nutrition•2016

Citations per year0.71
Citation span2019 - 2023 (5)
Highly citedNo

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