Tharrey, M;
Olaya, GA;
Fewtrell, M;
Ferguson, E;
(2017)
Adaptation of New Colombian Food-based Complementary Feeding Recommendations using Linear Programming.
Journal of Pediatric Gastroenterology and Nutrition
, 65
(6)
pp. 667-672.
10.1097/MPG.0000000000001662.
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Abstract
OBJECTIVE: To use Linear Programming (LP) analyses to adapt New Complementary Feeding Guidelines (NCFg) designed for infants aged 6-12 month (m) living in poor socioeconomic circumstances in Bogota to ensure dietary adequacy for young children aged 12-23 m. DESIGN: A secondary data analysis was performed using dietary and anthropometric data collected from 12 m old infants (n = 72) participating in a randomised controlled trial. LP analyses were performed to identify nutrients whose requirements were difficult to achieve using local foods as consumed; and to test and compare the NCFg and alternative food-based recommendations (FBRs) on the basis of dietary adequacy, for 11 micronutrients, at the population level. RESULTS: Thiamine recommended nutrient intakes for these young children could not be achieved given local foods as consumed. NCFg focusing only on meat, fruits, vegetables and breast milk ensured dietary adequacy at the population level for only 4 micronutrients, increasing to 8/11 modelled micronutrients when the FBRs promoted legumes, dairy, vitamin-A rich vegetables and chicken giblets. None of the FBRs tested ensured population-level dietary adequacy for thiamine, niacin and iron unless a fortified infant food was recommended. CONCLUSION: This study demonstrated the value of using LP to adapt NCFg for a different age group than the one for which they were designed. Our analyses suggest that to ensure dietary adequacy for 12-23 m olds these adaptions should include legumes, dairy products, vitamin A rich vegetables, organ meat and a fortified food.
| Type: | Article |
|---|---|
| Title: | Adaptation of New Colombian Food-based Complementary Feeding Recommendations using Linear Programming |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1097/MPG.0000000000001662 |
| Publisher version: | http://doi.org/10.1097/MPG.0000000000001662 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Nutritional adequacy; dietary practices; micronutrients; food based recommendations; young children |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1565459 |
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