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Simulation of the effect of maize porridge fortified with grain amaranth or micronutrient powder containing NaFeEDTA on iron intake and status in Kenyan children.
Public Health Nutr. 2013 Sep; 16(9):1605-13.PH

Abstract

OBJECTIVE

Simulating the probable impact of grain amaranth and highly absorbable, low-Fe micronutrient powder (MNP) on Fe status in a potential target population is an essential step in choosing and developing an appropriate actual intervention.

DESIGN

We simulated the potential effect of fortifying maize porridge with grain amaranth or MNP on the prevalence of inadequate Fe intake and Fe deficiency using data from two cross-sectional surveys. In the first survey (2008), dietary intake data were collected by two 24 h recalls (n 197). Biochemical data (n 70) were collected in the second survey (2010). A simulation with daily consumption for 80 d of non-fortified maize porridge (60 g of maize flour), amaranth-enriched porridge (80 g of grain amaranth–maize flour, 70:30 ratio) or maize porridge fortified with MNP (2.5mg Fe as NaFeEDTA) was done.

SETTING

Mwingi District, Kenya.

SUBJECTS

Pre-school children aged 12–23 months.

RESULTS

Prevalence of anaemia, Fe deficiency and Fe-deficiency anaemia was 49 %, 46% and 24 %, respectively. Consumption of non-fortified, amaranth-enriched and MNP-fortified maize porridge was estimated to provide a median daily Fe intake of 8.6 mg, 17.5mg and 11.1 mg, respectively. The prevalence of inadequate Fe intake was reduced to 35% in the amaranth-enriched porridge group and 45% in the MNP-fortified porridge group, while ferritin concentration was increased in both (by 1.82 (95% CI 1.42, 2.34) mg/l and 1.80 (95% CI 1.40, 2.31) μg/l, respectively; P,0.005) compared with the non-fortified maize porridge group, resulting in a decreased prevalence of Fe deficiency (27 %) in the two fortification groups.

CONCLUSIONS

Addition of grain amaranth or low-Fe MNP to maize-based porridge has potential to improve Fe intake and status in pre-school children.

Authors+Show Affiliations

Division of Human Nutrition, Wageningen University, PO Box 8129, 6700 EV Wageningen, The Netherlands. catemutie@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23218415

Citation

Macharia-Mutie, Catherine W., et al. "Simulation of the Effect of Maize Porridge Fortified With Grain Amaranth or Micronutrient Powder Containing NaFeEDTA On Iron Intake and Status in Kenyan Children." Public Health Nutrition, vol. 16, no. 9, 2013, pp. 1605-13.
Macharia-Mutie CW, Omusundi AM, Mwai JM, et al. Simulation of the effect of maize porridge fortified with grain amaranth or micronutrient powder containing NaFeEDTA on iron intake and status in Kenyan children. Public Health Nutr. 2013;16(9):1605-13.
Macharia-Mutie, C. W., Omusundi, A. M., Mwai, J. M., Mwangi, A. M., & Brouwer, I. D. (2013). Simulation of the effect of maize porridge fortified with grain amaranth or micronutrient powder containing NaFeEDTA on iron intake and status in Kenyan children. Public Health Nutrition, 16(9), 1605-13. https://doi.org/10.1017/S1368980012005174
Macharia-Mutie CW, et al. Simulation of the Effect of Maize Porridge Fortified With Grain Amaranth or Micronutrient Powder Containing NaFeEDTA On Iron Intake and Status in Kenyan Children. Public Health Nutr. 2013;16(9):1605-13. PubMed PMID: 23218415.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Simulation of the effect of maize porridge fortified with grain amaranth or micronutrient powder containing NaFeEDTA on iron intake and status in Kenyan children. AU - Macharia-Mutie,Catherine W, AU - Omusundi,Agnes M, AU - Mwai,John M, AU - Mwangi,Alice M, AU - Brouwer,Inge D, Y1 - 2012/12/06/ PY - 2012/12/11/entrez PY - 2012/12/12/pubmed PY - 2014/2/7/medline SP - 1605 EP - 13 JF - Public health nutrition JO - Public Health Nutr VL - 16 IS - 9 N2 - OBJECTIVE: Simulating the probable impact of grain amaranth and highly absorbable, low-Fe micronutrient powder (MNP) on Fe status in a potential target population is an essential step in choosing and developing an appropriate actual intervention. DESIGN: We simulated the potential effect of fortifying maize porridge with grain amaranth or MNP on the prevalence of inadequate Fe intake and Fe deficiency using data from two cross-sectional surveys. In the first survey (2008), dietary intake data were collected by two 24 h recalls (n 197). Biochemical data (n 70) were collected in the second survey (2010). A simulation with daily consumption for 80 d of non-fortified maize porridge (60 g of maize flour), amaranth-enriched porridge (80 g of grain amaranth–maize flour, 70:30 ratio) or maize porridge fortified with MNP (2.5mg Fe as NaFeEDTA) was done. SETTING: Mwingi District, Kenya. SUBJECTS: Pre-school children aged 12–23 months. RESULTS: Prevalence of anaemia, Fe deficiency and Fe-deficiency anaemia was 49 %, 46% and 24 %, respectively. Consumption of non-fortified, amaranth-enriched and MNP-fortified maize porridge was estimated to provide a median daily Fe intake of 8.6 mg, 17.5mg and 11.1 mg, respectively. The prevalence of inadequate Fe intake was reduced to 35% in the amaranth-enriched porridge group and 45% in the MNP-fortified porridge group, while ferritin concentration was increased in both (by 1.82 (95% CI 1.42, 2.34) mg/l and 1.80 (95% CI 1.40, 2.31) μg/l, respectively; P,0.005) compared with the non-fortified maize porridge group, resulting in a decreased prevalence of Fe deficiency (27 %) in the two fortification groups. CONCLUSIONS: Addition of grain amaranth or low-Fe MNP to maize-based porridge has potential to improve Fe intake and status in pre-school children. SN - 1475-2727 UR - https://www.unboundmedicine.com/medline/citation/23218415/Simulation_of_the_effect_of_maize_porridge_fortified_with_grain_amaranth_or_micronutrient_powder_containing_NaFeEDTA_on_iron_intake_and_status_in_Kenyan_children_ L2 - https://www.cambridge.org/core/product/identifier/S1368980012005174/type/journal_article DB - PRIME DP - Unbound Medicine ER -