Higher Energy and Zinc Intakes from Complementary Feeding Are Associated with Decreased Risk of Undernutrition in Children from South America, Africa, and Asia.
J Nutr
; 151(1): 170-178, 2021 01 04.
Article
en En
| MEDLINE
| ID: mdl-32939530
ABSTRACT
BACKGROUND:
Few studies have focused on quantitatively analyzing nutrients from infant diets, compromising complementary feeding evaluation and health promotion worldwide.OBJECTIVES:
This study aimed to describe dietary intake in infants from 9 to 24 mo of age, determining nutrient intakes associated with the risk of underweight, wasting, and stunting.METHODS:
Usual nutrient intakes from complementary feeding were determined by 24-h recalls collected when infants were 9-24 mo of age in communities from 7 low- and middle-income countries Brazil (n = 169), Peru (n = 199), South Africa (n = 221), Tanzania (n = 210), Bangladesh (n = 208), India (n = 227), and Nepal (n = 229), totaling 1463 children and 22,282 food recalls. Intakes were corrected for within- and between-person variance and energy intake. Multivariable regression models were constructed to determine nutrient intakes associated with the development of underweight, wasting, and stunting at 12, 18, and 24 mo of age.RESULTS:
Children with malnutrition presented significantly lower intakes of energy and zinc at 12, 18, and 24 mo of age, ranging from -16.4% to -25.9% for energy and -2.3% to -48.8% for zinc. Higher energy intakes decreased the risk of underweight at 12 [adjusted odds ratio (AOR) 0.90; 95% CI 0.84, 0.96] and 24 mo (AOR 0.91; 95% CI 0.86, 0.96), and wasting at 18 (AOR 0.91; 95% CI 0.83, 0.99) and 24 mo (AOR 0.83; 95% CI 0.74, 0.92). Higher zinc intakes decreased the risk of underweight (AOR 0.12; 95% CI 0.03, 0.55) and wasting (AOR 0.19; 95% CI 0.04, 0.92) at 12 mo, and wasting (AOR 0.05; 95% CI 0.00, 0.76) at 24 mo.CONCLUSIONS:
Higher intakes of energy and zinc in complementary feeding were associated with decreased risk of undernutrition in the studied children. Data suggest these are characteristics to be improved in children's complementary feeding across countries.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Zinc
/
Ingestión de Energía
/
Trastornos de la Nutrición del Lactante
/
Estado Nutricional
/
Desnutrición
/
Fenómenos Fisiológicos Nutricionales del Lactante
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Infant
/
Male
País/Región como asunto:
Africa
/
America do sul
/
Asia
Idioma:
En
Revista:
J Nutr
Año:
2021
Tipo del documento:
Article
País de afiliación:
Brasil