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Combining food‐based dietary recommendations using Optifood with zinc‐fortified water potentially improves nutrient adequacy among 4‐ to 6‐year‐old children in Kisumu West district, Kenya

Bibliographic Data

ID15536757
AuthorsProsper Kujinga (0000-0003-3824-2788, Wageningen University & Research, corresponding author), Karin J Borgonjen‐van den Berg (0000-0003-0960-4487, Wageningen University & Research), Cecilia Superchi (0000-0002-5375-6018, Wageningen University & Research), Hermine J ten Hove (Wageningen University & Research), Elizabeth Opiyo Onyango (0000-0002-2736-0108, Masinde Muliro University of Science and Technology), Pauline Andang’o (0000-0002-5920-1873, Maseno University), Valeria Galetti (0000-0002-7867-9960, ETH Zurich), Michael Zimmerman (ETH Zurich), Michael B Zimmerman (Laboratory of Human Nutrition, Institute of Food, Nutrition and Health ETH Zurich Zurich Switzerland), Diego Moretti (0000-0002-7366-2182, ETH Zurich), Inge D Brouwer (0000-0002-2554-7227, Wageningen University & Research)
Year2017
Volume14
Issue2
Pagese12515-e12515
Publication date2017-09-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.12515
PMID28925036
OpenAlexW2755213149
LanguageEN
Citations received1
References cited42

Children in developing countries often face multiple micronutrient deficiencies. Introduction of zinc-fortified water can increase zinc intake, but additional recommendations are required to address overall diet nutrient adequacy. We developed and tested food-based recommendations (FBRs) that included zinc-fortified water for children aged between 4 and 6 years from rural Kenya to achieve the best possible nutrient adequacy. Dietary intakes of 60 children aged 4-6 years, from Kisumu West district, Kenya, were assessed using a quantitative multipass 24-hr recall. Linear programming model parameters were derived, including a list of foods consumed, median serving sizes, and distribution of frequency of consumption. By using the Optifood linear programming tool, we developed FBRs for diets including zinc-fortified water. FBRs with nutrient levels achieving ≥70% recommended nutrient intake (RNI) of the World Health Organization/Food and Agriculture Organization of the United Nations RNI for most of the 12 considered nutrients were selected as the final recommendations for the children. With no FBRs and no zinc-fortified water, percent RNI coverage range was between 40% and 76% for zinc, improving to 66-101% after introduction of zinc-fortified water. The final set of FBRs achieved nutrient adequacy for all nutrients except for vitamin A (25% RNI) and folate (68% RNI). Introduction of zinc-fortified water combined with FBRs will likely improve the nutrient adequacy of diets consumed by children in Kenya but needs to be complemented with alternative interventions to ensure dietary adequacy

Biology · Environmental health · Fortified Food · Nutrient · Zinc · Child Nutrition and Water Access · Iron Metabolism and Disorders · Medicine · Trace Elements in Health · Ecology · Food Science · Internal Medicine

  • Combining food‐based dietary recommendations using Optifood with zinc‐fortified water potentially improves nutrient adequacy among 4‐ to 6‐year‐old children in Kisumu West district, Kenya

    Open Access•Prosper Kujinga, Karin J Borgonjen‐van den Berg et al.•Maternal and Child Nutrition•2017

  • Nutritional Epidemiology

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  • The Usda Automated Multiple-Pass Method Accurately Estimates Group Total Energy and Nutrient Intake

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  • Effectiveness of the US Department of Agriculture 5-step multiple-pass method in assessing food intake in obese and nonobese women

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  • Combining food‐based dietary recommendations using Optifood with zinc‐fortified water potentially improves nutrient adequacy among 4‐ to 6‐year‐old children in Kisumu West district, Kenya

    Open Access•Prosper Kujinga, Karin J Borgonjen‐van den Berg et al.•Maternal and Child Nutrition•2017

  • Designing appropriate complementary feeding recommendations

    Open Access•Bernadette Daelmans, Elaine L Ferguson et al.•Maternal and Child Nutrition•2013

  • Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993–2005

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  • Contribution to the development of a food guide in Benin

    Open Access•Sarah Levesque, Hélène Delisle et al.•Public Health Nutrition•2015

Unique citing works1
Citations per year0,11
Citation span2017 - 2017 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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