How the Smart Food Concept Can Lead to the Transformation of Food Systems and Combat Malnutrition: Different Approaches in Africa, Globally, and a Case Study from Myanmar with Lessons Learnt for Creating Behavior Change in Diets.

Some of the biggest global issues are poor diets, environmental concerns, and poverty. To tackle malnutrition, fast-growing lifestyle diseases such as diabetes, environmental concerns like climate change, land and water scarcity, and poverty, we need to incorporate dietary and on-farm diversity. These issues should be treated in unison, but also with more holistic solutions. Mainstreaming "traditional" Smart Foods back as staples across Africa and Asia is part of the "Smart Food" approach. Smart Foods are food items that fulfill the criteria of being good for you, the planet, and the farmer. Sorghum and millet were selected as the first Smart Foods and a participatory fun-filled approach was adopted to create awareness, to develop culturally acceptable products, and to bring about behavior change to improve adoption, dietary diversity, and nutritional status. Smart Food piloted these activities in Myanmar to understand its potential on the consumer market. Smart Food was promoted in different countries through social media competitions in Mali, cooking shows in Kenya and India, recipe development by popular chefs in Paris and London, as well as school feeding programs in Tanzania and India, and an international millet festival in Niger. As a case study in Myanmar, we compared two approaches to introduce Smart Food - one which directly introduces new products and one which takes a culturally sensitive participatory and inclusive approach. The later approach resulted in the development of 27 recipes, in contrast with the former approach, which accepted only 3 of the 13 products tested. The 27 products developed locally exhibited superior nutrient values compared to usual rice porridge. The Smart Food initiative is demonstrating the potential to make a difference in society and for the environment, thus contributing to a major impact on leading global issues such as dietary diversity, improved nutritional status, and adapting to climate change.

Potential for smart food products in rural Myanmar: use of millets and pigeonpea to fill the nutrition gap.

BACKGROUND: The present study examined the potential for 'Smart Food' with respect to contributing to the Sustainable Development Goal 2 of ending malnutrition by 2030, using a small-scale capacity building case study in Oe Be Village, Myingyan district, Mandalay region, Myanmar. Within the study site, refined white rice is the major staple, followed by vegetables and animal source food in inadequate quantities. The protein intake in this particular dry zone community meets only 50% of the daily requirement and even less for those children aged less than 23 months. Therefore, to determine the acceptance and opportunity for legumes and millets which are produced locally, nutritious formulations were introduced for various age groups. In addition, a sensory evaluation of the recipes was conducted to test the acceptance of the nutritious products. RESULTS: Two weeks of the inclusion of millets and pigeonpea in the diets of children aged 6-23 months had a positive impact on wasting, stunting and underweight (P = 0.002, 0.014 and 0.023, respectively). Moreover, the acceptability of these new food products by the children was found to be high. These results indicate an unexplored opportunity for specific millets rich in iron, zinc and calcium, as well as for pigeonpea rich in protein, if prepared in a culturally acceptable way. CONCLUSION: The impact and acceptability of this small scale and short-term intervention indicate the potential for Smart Food products in filling the nutrition gap arising from the traditional food consumption habits in the dry zones of Myanmar. © 2019 Society of Chemical Industry.

Acceptance and Impact of Millet-Based Mid-Day Meal on the Nutritional Status of Adolescent School Going Children in a Peri Urban Region of Karnataka State in India.

The study assessed the potential for use of millets in mid-day school meal programs for better nutritional outcomes of children in a peri-urban region of Karnataka, India, where children conventionally consumed a fortified rice-based mid-day meal. For a three-month period, millet-based mid-day meals were fed to 1500 adolescent children at two schools, of which 136 were studied as the intervention group and were compared with 107 other children in two other schools that did not receive the intervention. The intervention design was equivalent to the parallel group, two-arm, superiority trial with a 1:1 allocation ratio. The end line allocation ratio was 1.27:1 due to attrition. It was found that there was statistically significant improvement in stunting (p = 0.000) and the body mass index (p = 0.003) in the intervention group and not in the control group (p = 0.351 and p = 0.511, respectively). The sensory evaluation revealed that all the millet-based menu items had high acceptability, with the highest scores for the following three items: finger millet idli, a steam cooked fermented savory cake; little and pearl millet bisi belle bath, a millet-lentil hot meal; and upma, a pearl and little millet-vegetable meal. These results suggest significant potential for millets to replace or supplement rice in school feeding programs for improved nutritional outcomes of children.