Poor dietary quality of complementary foods is associated with multiple micronutrient deficiencies during early childhood in Mongolia
Poor dietary quality of complementary foods is associated with multiple micronutrient deficiencies during early childhood in Mongolia
复制标题
DOI：
10.1017/s1368980009991856
复制
发表时间：
2010-09-01
影响因子：
3.2
通讯作者：
Gibson, R. S.
中科院分区：
文献类型：
--
作者：
Lander, R.;Enkhjargal, T. S.;Gibson, R. S.
目的：为了评估在我们早期的生化研究中发现的蒙古儿童中持续的微量营养素缺乏是否与他们补充饮食的数量和/或质量不足有关。设计：一项横断面研究，随机选择乌兰巴托四个区和四个省会城市的6-23个月的母乳喂养儿童。测量了6-8个月儿童的体重和身长，以及社会人口学状况、喂养习惯和补充食物的营养充足性（n 26），9-11个月（n 29）和12-23个月（n 73）进行了评估，通过问卷调查和在家里的互动24 hrecalls.Results：不存在地理差异，所以数据合并。遵守世卫组织婴幼儿喂养做法的情况很差：6个月以下的儿童几乎没有纯母乳喂养，或接受含有建议数量食物组的建议数量喂养。然而，补充饮食，主要是从谷物和无营养的零食，能量摄入量高于世卫组织的估计需求;维生素C >维生素A >锌> Ca.Conclusions：补充喂养在蒙古是由几种微量营养素的赤字，但不是能量，部分原因是经常消费的无营养的零食。后者可能会干扰母乳喂养，应该避免。相反，以小麦为基础的补充食品应该富含负担得起的细胞动物食品和富含维生素C的水果，以应对现有的微量营养素缺乏。
Objective: To assess whether persistent micronutrient deficiencies in Mongolian children identified in our earlier biochemical study are associated with inadequacies in quantity and/or quality in their complementary diets.Design: A cross-sectional study of breast-fed children aged 6-23 months, randomly selected from four districts in Ulaanbaatar and four provincial capitals.Subjects: Weight and length were measured, and sociodemographic status, feeding practices and nutrient adequacy of complementary foods for children aged 6-8 months (n 26), 9-11 months (n 29) and 12-23 months (n 73) were assessed via questionnaire and in-home interactive 24 h recalls.Results: No geographic differences existed so data were combined. Adherence to WHO infant and young child feeding practices was poor: few children were exclusively breast-fed up to 6 months of age or received the recommended number of feedings containing the recommended number of food groups. Nevertheless, energy intakes from complementary diets, primarily from cereals and non-nutritious snacks, were above WHO-estimated needs; vitamin C > vitamin A > Zn > Ca.Conclusions: Complementary feeding in Mongolia is compromised by deficits in several micronutrients but not energy, in part because of frequent consumption of non-nutritious snacks. The latter may interfere with breast-feeding and should be avoided. Instead, wheat-based complementary foods should be enriched with affordable cellular animal foods and fruits rich in vitamin C to combat existing micronutrient deficits.