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Effects of a food-based intervention on markers of micronutrient status among Indian women of low socio-economic status.
Br J Nutr. 2015 Mar 14; 113(5):813-21.BJ

Abstract

Intakes of micronutrient-rich foods are low among Indian women of reproductive age. We investigated whether consumption of a food-based micronutrient-rich snack increased markers of blood micronutrient concentrations when compared with a control snack. Non-pregnant women (n 222) aged 14-35 years living in a Mumbai slum were randomised to receive a treatment snack (containing green leafy vegetables, dried fruit and whole milk powder), or a control snack containing foods of low micronutrient content such as wheat flour, potato and tapioca. The snacks were consumed under observation 6 d per week for 12 weeks, compliance was recorded, and blood was collected at 0 and 12 weeks. Food-frequency data were collected at both time points. Compliance (defined as the proportion of women who consumed ≥ 3 snacks/week) was >85 % in both groups. We assessed the effects of group allocation on 12-week nutrient concentrations using ANCOVA models with respective 0-week concentrations, BMI, compliance, standard of living, fruit and green leafy vegetable consumption and use of synthetic nutrients as covariates. The treatment snack significantly increased β-carotene concentrations (treatment effect: 47·1 nmol/l, 95 % CI 6·5, 87·7). There was no effect of group allocation on concentrations of ferritin, retinol, ascorbate, folate or vitamin B12. The present study shows that locally sourced foods can be made into acceptable snacks that may increase serum β-carotene concentrations among women of reproductive age. However, no increase in circulating concentrations of the other nutrients measured was observed.

Authors+Show Affiliations

Medical Research Council Lifecourse Epidemiology Unit, University of Southampton,Southampton,UK.Centre for Study of Social Change,Mumbai,India.Centre for Study of Social Change,Mumbai,India.Diabetes Unit, King Edward Memorial Hospital Research Centre,Pune,India.Department of Clinical Pharmacology, Nair Hospital,Mumbai,India.Department of Clinical Pharmacology, Nair Hospital,Mumbai,India.Medical Research Council Human Nutrition Research, Elsie Widdowson Laboratory,Cambridge,UK.Medical Research Council Lifecourse Epidemiology Unit, University of Southampton,Southampton,UK.Apnalaya,Mumbai,India.Centre for Study of Social Change,Mumbai,India.Public Health Nutrition, University of Southampton,Southampton,UK.Centre for Study of Social Change,Mumbai,India.Medical Research Council Lifecourse Epidemiology Unit, University of Southampton,Southampton,UK.

Pub Type(s)

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

Language

eng

PubMed ID

25677713

Citation

Kehoe, Sarah H., et al. "Effects of a Food-based Intervention On Markers of Micronutrient Status Among Indian Women of Low Socio-economic Status." The British Journal of Nutrition, vol. 113, no. 5, 2015, pp. 813-21.
Kehoe SH, Chopra H, Sahariah SA, et al. Effects of a food-based intervention on markers of micronutrient status among Indian women of low socio-economic status. Br J Nutr. 2015;113(5):813-21.
Kehoe, S. H., Chopra, H., Sahariah, S. A., Bhat, D., Munshi, R. P., Panchal, F., Young, S., Brown, N., Tarwande, D., Gandhi, M., Margetts, B. M., Potdar, R. D., & Fall, C. H. (2015). Effects of a food-based intervention on markers of micronutrient status among Indian women of low socio-economic status. The British Journal of Nutrition, 113(5), 813-21. https://doi.org/10.1017/S000711451400419X
Kehoe SH, et al. Effects of a Food-based Intervention On Markers of Micronutrient Status Among Indian Women of Low Socio-economic Status. Br J Nutr. 2015 Mar 14;113(5):813-21. PubMed PMID: 25677713.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of a food-based intervention on markers of micronutrient status among Indian women of low socio-economic status. AU - Kehoe,Sarah H, AU - Chopra,Harsha, AU - Sahariah,Sirazul A, AU - Bhat,Dattatray, AU - Munshi,Renuka P, AU - Panchal,Falguni, AU - Young,Stephen, AU - Brown,Nick, AU - Tarwande,Dnyaneshwar, AU - Gandhi,Meera, AU - Margetts,Barrie M, AU - Potdar,Ramesh D, AU - Fall,Caroline H D, Y1 - 2015/02/13/ PY - 2015/2/14/entrez PY - 2015/2/14/pubmed PY - 2015/6/3/medline KW - Micronutrient status SP - 813 EP - 21 JF - The British journal of nutrition JO - Br J Nutr VL - 113 IS - 5 N2 - Intakes of micronutrient-rich foods are low among Indian women of reproductive age. We investigated whether consumption of a food-based micronutrient-rich snack increased markers of blood micronutrient concentrations when compared with a control snack. Non-pregnant women (n 222) aged 14-35 years living in a Mumbai slum were randomised to receive a treatment snack (containing green leafy vegetables, dried fruit and whole milk powder), or a control snack containing foods of low micronutrient content such as wheat flour, potato and tapioca. The snacks were consumed under observation 6 d per week for 12 weeks, compliance was recorded, and blood was collected at 0 and 12 weeks. Food-frequency data were collected at both time points. Compliance (defined as the proportion of women who consumed ≥ 3 snacks/week) was >85 % in both groups. We assessed the effects of group allocation on 12-week nutrient concentrations using ANCOVA models with respective 0-week concentrations, BMI, compliance, standard of living, fruit and green leafy vegetable consumption and use of synthetic nutrients as covariates. The treatment snack significantly increased β-carotene concentrations (treatment effect: 47·1 nmol/l, 95 % CI 6·5, 87·7). There was no effect of group allocation on concentrations of ferritin, retinol, ascorbate, folate or vitamin B12. The present study shows that locally sourced foods can be made into acceptable snacks that may increase serum β-carotene concentrations among women of reproductive age. However, no increase in circulating concentrations of the other nutrients measured was observed. SN - 1475-2662 UR - https://www.unboundmedicine.com/medline/citation/25677713/Effects_of_a_food_based_intervention_on_markers_of_micronutrient_status_among_Indian_women_of_low_socio_economic_status_ L2 - http://journals.cambridge.org/abstract_S000711451400419X DB - PRIME DP - Unbound Medicine ER -