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Poor dietary diversity and low nutrient density of the complementary diet for 6‐ to 24‐month‐old children in urban and rural K wa Z ulu‐ N atal, S outh A frica

Bibliographic Data

ID15536664
AuthorsMieke Faber (0000-0002-8878-254X, Medical Research Council, corresponding author), Ria Laubscher (0000-0002-6669-9040, South African Medical Research Council), Cristiana Berti (0000-0002-4591-0791, North-West University)
Year2014
Volume12
Issue3
Pages528-545
Publication date2014-08-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.12146
PMID25138429
OpenAlexW1746228119
LanguageEN
Citations received14
References cited47

Infants and toddlers have high nutritional requirements relative to body size but consume small amounts of food and therefore need nutrient-dense complementary foods. A cross-sectional study included children aged 6-24 months, stratified in three age categories (6-11 months, 12-17 months and 18-24 months) and randomly selected from an urban (n = 158) and a rural (n = 158) area, both of low socio-economic status, in the KwaZulu-Natal Province of South Africa. Dietary diversity and nutrient density of the complementary diet (excluding breast milk and formula milk) based on a repeated 24-h dietary recall was assessed. For breastfeeding children, nutrient density of the complementary diet was adequate for protein, vitamin A and vitamin C; and inadequate for 100% of children for zinc, for >80% of children for calcium, iron and niacin; and between 60% and 80% of children for vitamin B6 and riboflavin. Urban/rural differences in density for animal and plant protein, cholesterol and fibre occurred in 18-24-month-old children. Fewer than 25% of children consumed ≥4 food groups, with no urban/rural differences. Higher dietary diversity was associated with higher nutrient density for protein and several of the micronutrients including calcium, iron and zinc. The poor nutrient density for key micronutrients can probably be ascribed to lack of dietary variety, and little impact of mandatory fortification of maize meal/wheat flour on infants/toddlers' diet. Targeted strategies are needed to enable mothers to feed their children a more varied diet

Agriculture · Animal science · Biology · Dietary diversity · Environmental health · Food group · Food security · Micronutrient · Niacin · Nutrient · Nutrient density · Riboflavin · Vitamin · Breastfeeding Practices and Influences · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Medicine · Ecology · Endocrinology · Food Science

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Unique citing works14
Citations per year1,4
Citation span2016 - 2025 (10)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 14
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