Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year-old children in Kisumu West district, Kenya

Prosper Kujinga*, Karin J. Borgonjen-van den Berg, Cecilia Superchi, Hermine J. ten Hove, Elizabeth Opiyo Onyango, Pauline Andang'o, Valeria Galetti, Michael B. Zimmerman, Diego Moretti, Inge D. Brouwer

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Scopus)

Abstract

Children in developing countries often face multiple micronutrient deficiencies. Introduction of zinc-fortified water can increase zinc intake, but additional recommendations are required to address overall diet nutrient adequacy. We developed and tested food-based recommendations (FBRs) that included zinc-fortified water for children aged between 4 and 6 years from rural Kenya to achieve the best possible nutrient adequacy. Dietary intakes of 60 children aged 4–6 years, from Kisumu West district, Kenya, were assessed using a quantitative multipass 24-hr recall. Linear programming model parameters were derived, including a list of foods consumed, median serving sizes, and distribution of frequency of consumption. By using the Optifood linear programming tool, we developed FBRs for diets including zinc-fortified water. FBRs with nutrient levels achieving ≥70% recommended nutrient intake (RNI) of the World Health Organization/Food and Agriculture Organization of the United Nations RNI for most of the 12 considered nutrients were selected as the final recommendations for the children. With no FBRs and no zinc-fortified water, percent RNI coverage range was between 40% and 76% for zinc, improving to 66–101% after introduction of zinc-fortified water. The final set of FBRs achieved nutrient adequacy for all nutrients except for vitamin A (25% RNI) and folate (68% RNI). Introduction of zinc-fortified water combined with FBRs will likely improve the nutrient adequacy of diets consumed by children in Kenya but needs to be complemented with alternative interventions to ensure dietary adequacy.
Original languageEnglish
Article numbere12515
JournalMaternal and Child Nutrition
Volume14
Issue number2
DOIs
Publication statusPublished - 1 Apr 2018

Fingerprint

Kenya
Zinc
Food
Water
Linear Programming
Diet
Serving Size
United Nations
Micronutrients

Keywords

  • children
  • diets
  • Optifood
  • water
  • zinc

Cite this

Kujinga, Prosper ; Borgonjen-van den Berg, Karin J. ; Superchi, Cecilia ; ten Hove, Hermine J. ; Onyango, Elizabeth Opiyo ; Andang'o, Pauline ; Galetti, Valeria ; Zimmerman, Michael B. ; Moretti, Diego ; Brouwer, Inge D. / Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year-old children in Kisumu West district, Kenya. In: Maternal and Child Nutrition. 2018 ; Vol. 14, No. 2.
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title = "Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year-old children in Kisumu West district, Kenya",
abstract = "Children in developing countries often face multiple micronutrient deficiencies. Introduction of zinc-fortified water can increase zinc intake, but additional recommendations are required to address overall diet nutrient adequacy. We developed and tested food-based recommendations (FBRs) that included zinc-fortified water for children aged between 4 and 6 years from rural Kenya to achieve the best possible nutrient adequacy. Dietary intakes of 60 children aged 4–6 years, from Kisumu West district, Kenya, were assessed using a quantitative multipass 24-hr recall. Linear programming model parameters were derived, including a list of foods consumed, median serving sizes, and distribution of frequency of consumption. By using the Optifood linear programming tool, we developed FBRs for diets including zinc-fortified water. FBRs with nutrient levels achieving ≥70{\%} recommended nutrient intake (RNI) of the World Health Organization/Food and Agriculture Organization of the United Nations RNI for most of the 12 considered nutrients were selected as the final recommendations for the children. With no FBRs and no zinc-fortified water, percent RNI coverage range was between 40{\%} and 76{\%} for zinc, improving to 66–101{\%} after introduction of zinc-fortified water. The final set of FBRs achieved nutrient adequacy for all nutrients except for vitamin A (25{\%} RNI) and folate (68{\%} RNI). Introduction of zinc-fortified water combined with FBRs will likely improve the nutrient adequacy of diets consumed by children in Kenya but needs to be complemented with alternative interventions to ensure dietary adequacy.",
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author = "Prosper Kujinga and {Borgonjen-van den Berg}, {Karin J.} and Cecilia Superchi and {ten Hove}, {Hermine J.} and Onyango, {Elizabeth Opiyo} and Pauline Andang'o and Valeria Galetti and Zimmerman, {Michael B.} and Diego Moretti and Brouwer, {Inge D.}",
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Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year-old children in Kisumu West district, Kenya. / Kujinga, Prosper; Borgonjen-van den Berg, Karin J.; Superchi, Cecilia; ten Hove, Hermine J.; Onyango, Elizabeth Opiyo; Andang'o, Pauline; Galetti, Valeria; Zimmerman, Michael B.; Moretti, Diego; Brouwer, Inge D.

In: Maternal and Child Nutrition, Vol. 14, No. 2, e12515, 01.04.2018.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Combining food-based dietary recommendations using Optifood with zinc-fortified water potentially improves nutrient adequacy among 4- to 6-year-old children in Kisumu West district, Kenya

AU - Kujinga, Prosper

AU - Borgonjen-van den Berg, Karin J.

AU - Superchi, Cecilia

AU - ten Hove, Hermine J.

AU - Onyango, Elizabeth Opiyo

AU - Andang'o, Pauline

AU - Galetti, Valeria

AU - Zimmerman, Michael B.

AU - Moretti, Diego

AU - Brouwer, Inge D.

PY - 2018/4/1

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N2 - Children in developing countries often face multiple micronutrient deficiencies. Introduction of zinc-fortified water can increase zinc intake, but additional recommendations are required to address overall diet nutrient adequacy. We developed and tested food-based recommendations (FBRs) that included zinc-fortified water for children aged between 4 and 6 years from rural Kenya to achieve the best possible nutrient adequacy. Dietary intakes of 60 children aged 4–6 years, from Kisumu West district, Kenya, were assessed using a quantitative multipass 24-hr recall. Linear programming model parameters were derived, including a list of foods consumed, median serving sizes, and distribution of frequency of consumption. By using the Optifood linear programming tool, we developed FBRs for diets including zinc-fortified water. FBRs with nutrient levels achieving ≥70% recommended nutrient intake (RNI) of the World Health Organization/Food and Agriculture Organization of the United Nations RNI for most of the 12 considered nutrients were selected as the final recommendations for the children. With no FBRs and no zinc-fortified water, percent RNI coverage range was between 40% and 76% for zinc, improving to 66–101% after introduction of zinc-fortified water. The final set of FBRs achieved nutrient adequacy for all nutrients except for vitamin A (25% RNI) and folate (68% RNI). Introduction of zinc-fortified water combined with FBRs will likely improve the nutrient adequacy of diets consumed by children in Kenya but needs to be complemented with alternative interventions to ensure dietary adequacy.

AB - Children in developing countries often face multiple micronutrient deficiencies. Introduction of zinc-fortified water can increase zinc intake, but additional recommendations are required to address overall diet nutrient adequacy. We developed and tested food-based recommendations (FBRs) that included zinc-fortified water for children aged between 4 and 6 years from rural Kenya to achieve the best possible nutrient adequacy. Dietary intakes of 60 children aged 4–6 years, from Kisumu West district, Kenya, were assessed using a quantitative multipass 24-hr recall. Linear programming model parameters were derived, including a list of foods consumed, median serving sizes, and distribution of frequency of consumption. By using the Optifood linear programming tool, we developed FBRs for diets including zinc-fortified water. FBRs with nutrient levels achieving ≥70% recommended nutrient intake (RNI) of the World Health Organization/Food and Agriculture Organization of the United Nations RNI for most of the 12 considered nutrients were selected as the final recommendations for the children. With no FBRs and no zinc-fortified water, percent RNI coverage range was between 40% and 76% for zinc, improving to 66–101% after introduction of zinc-fortified water. The final set of FBRs achieved nutrient adequacy for all nutrients except for vitamin A (25% RNI) and folate (68% RNI). Introduction of zinc-fortified water combined with FBRs will likely improve the nutrient adequacy of diets consumed by children in Kenya but needs to be complemented with alternative interventions to ensure dietary adequacy.

KW - children

KW - diets

KW - Optifood

KW - water

KW - zinc

U2 - 10.1111/mcn.12515

DO - 10.1111/mcn.12515

M3 - Article

VL - 14

JO - Maternal and Child Nutrition

JF - Maternal and Child Nutrition

SN - 1740-8695

IS - 2

M1 - e12515

ER -