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Micronutrient intake and the probability of nutrient adequacy among children 9-24 months of age: results from the MAL-ED birth cohort study.
Public Health Nutr. 2020 Jul 02 [Online ahead of print]PH

Abstract

OBJECTIVE

To estimate the total energy and micronutrient intakes of children 9-24 months of age and evaluate the probability of adequacy (PA) of the diet in seven MAL-ED sites.

DESIGN

Cohort study. Food intake was registered monthly using 24-h recalls beginning at 9 months. We estimated PA for thirteen nutrients and overall mean PA (MPA) by site and 3-month periods considering estimated breast milk intake.

SETTING

Seven sites in Asia, Africa and Latin America.

PARTICIPANTS

1669 children followed from birth to 24 months of age.

RESULTS

Median estimated %energy from breast milk ranged from 4 to 70 % at 9-12 months, and declined to 0-39 % at 21-24 months. Iron bioavailability was low for all sites, but many diets were of moderate bioavailability for zinc. PA was optimal for most nutrients in Brazil and South Africa, except for iron and vitamin E (both), calcium and zinc (South Africa). PA for zinc increased only for children consuming a diet with moderate bioavailability. MPA increased 12-24 months as the quantity of complementary foods increased; however, PA for vitamin A remained low in Bangladesh and Tanzania. PA for vitamins D and E and iron was low for most sites and age groups.

CONCLUSIONS

MPA increased from 12 to 24 months as children consumed higher quantities of food, while nutrient density remained constant for most nutrients. Ways to increase the consumption of foods containing vitamins D, E and A, and calcium are needed, as are ways to increase the bioavailability of iron and zinc.

Authors+Show Affiliations

Department of Epidemiology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.Fogarty International Center, National Institutes of Health, Bethesda, MD, USA.Department of Community Health, Christian Medical College, Vellore, Tamil Nadu, India.Department of Nutrition, Universidade Federal do Rio Grande do Norte, Natal, Rio Negro, Brazil.Department of Nutrition, University of Venda, Thohoyandou, South Africa.Department of Women, Children and Family Health Sciences, University of Illinois-Chicago, Chicago, IL, USA.Centre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.AB PRISMA, Iquitos, Loreto, Peru.icddr,b, Dhaka, Bangladesh.Department of Epidemiology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.Fogarty International Center, National Institutes of Health, Bethesda, MD, USA.Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD21205, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32611463

Citation

Antiporta, D A., et al. "Micronutrient Intake and the Probability of Nutrient Adequacy Among Children 9-24 Months of Age: Results From the MAL-ED Birth Cohort Study." Public Health Nutrition, 2020, pp. 1-11.
Antiporta DA, Ambikapathi R, Bose A, et al. Micronutrient intake and the probability of nutrient adequacy among children 9-24 months of age: results from the MAL-ED birth cohort study. Public Health Nutr. 2020.
Antiporta, D. A., Ambikapathi, R., Bose, A., Maciel, B., Mahopo, T. C., Patil, C., Turab, A., Olortegui, M. P., Islam, M., Bauck, A., McCormick, B., & Caulfield, L. E. (2020). Micronutrient intake and the probability of nutrient adequacy among children 9-24 months of age: results from the MAL-ED birth cohort study. Public Health Nutrition, 1-11. https://doi.org/10.1017/S1368980020000877
Antiporta DA, et al. Micronutrient Intake and the Probability of Nutrient Adequacy Among Children 9-24 Months of Age: Results From the MAL-ED Birth Cohort Study. Public Health Nutr. 2020 Jul 2;1-11. PubMed PMID: 32611463.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Micronutrient intake and the probability of nutrient adequacy among children 9-24 months of age: results from the MAL-ED birth cohort study. AU - Antiporta,D A, AU - Ambikapathi,R, AU - Bose,A, AU - Maciel,B, AU - Mahopo,T C, AU - Patil,C, AU - Turab,A, AU - Olortegui,M P, AU - Islam,M, AU - Bauck,A, AU - McCormick,Bjj, AU - Caulfield,L E, AU - ,, Y1 - 2020/07/02/ PY - 2020/7/3/entrez KW - Child nutrition KW - Cohort studies KW - Diet KW - Micronutrients SP - 1 EP - 11 JF - Public health nutrition JO - Public Health Nutr N2 - OBJECTIVE: To estimate the total energy and micronutrient intakes of children 9-24 months of age and evaluate the probability of adequacy (PA) of the diet in seven MAL-ED sites. DESIGN: Cohort study. Food intake was registered monthly using 24-h recalls beginning at 9 months. We estimated PA for thirteen nutrients and overall mean PA (MPA) by site and 3-month periods considering estimated breast milk intake. SETTING: Seven sites in Asia, Africa and Latin America. PARTICIPANTS: 1669 children followed from birth to 24 months of age. RESULTS: Median estimated %energy from breast milk ranged from 4 to 70 % at 9-12 months, and declined to 0-39 % at 21-24 months. Iron bioavailability was low for all sites, but many diets were of moderate bioavailability for zinc. PA was optimal for most nutrients in Brazil and South Africa, except for iron and vitamin E (both), calcium and zinc (South Africa). PA for zinc increased only for children consuming a diet with moderate bioavailability. MPA increased 12-24 months as the quantity of complementary foods increased; however, PA for vitamin A remained low in Bangladesh and Tanzania. PA for vitamins D and E and iron was low for most sites and age groups. CONCLUSIONS: MPA increased from 12 to 24 months as children consumed higher quantities of food, while nutrient density remained constant for most nutrients. Ways to increase the consumption of foods containing vitamins D, E and A, and calcium are needed, as are ways to increase the bioavailability of iron and zinc. SN - 1475-2727 UR - https://www.unboundmedicine.com/medline/citation/32611463/Micronutrient_intake_and_the_probability_of_nutrient_adequacy_among_children_9-24_months_of_age:_results_from_the_MAL-ED_birth_cohort_study L2 - https://www.cambridge.org/core/product/identifier/S1368980020000877/type/journal_article DB - PRIME DP - Unbound Medicine ER -
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