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

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cg.authorship.typesCGIAR and developing country institute
cg.contributor.crpAgriculture for Nutrition and Health
cg.contributor.donorNetherlands Organisation for International Cooperation in Higher Education
cg.contributor.donorVestergaard Frandsen S.A.
cg.contributor.donorCGIAR Trust Fund
cg.coverage.countryKenya
cg.coverage.iso3166-alpha2KE
cg.coverage.regionEastern Africa
cg.coverage.regionSub-Saharan Africa
cg.coverage.regionAfrica
cg.identifier.doihttps://doi.org/10.1111/mcn.12515
cg.isijournalISI Journal
cg.issn1740-8695
cg.issue2
cg.journalMaternal and Child Nutrition
cg.numbere12515
cg.reviewStatusPeer Review
cg.volume14
dc.contributor.authorKujinga, Prosper
dc.contributor.authorBorgonjen-van den Berg, Karin J.
dc.contributor.authorSuperchi, Cecilia
dc.contributor.authorten Hove, Hermine J.
dc.contributor.authorOnyango, Elizabeth Opiyo
dc.date.accessioned2025-01-29T12:57:52Zen
dc.date.available2025-01-29T12:57:52Zen
dc.identifier.urihttps://hdl.handle.net/10568/171216
dc.titleCombining 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, Kenyaen
dcterms.abstractChildren 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.en
dcterms.accessRightsLimited Access
dcterms.available2017-09-19
dcterms.bibliographicCitationKujinga, Prosper; Borgonjen-van der Berg, Karin J.; Superchi, Cecilia; ten Hove, Hermine J.; Onyango, Elizabeth Opiyo; et al. 2018. 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. Maternal and Child Nutrition 14(2): e12515. https://doi.org/10.1111/mcn.12515en
dcterms.issued2018-04
dcterms.languageen
dcterms.licenseCopyrighted; all rights reserved
dcterms.publisherWiley
dcterms.subjectzincen
dcterms.subjectwateren
dcterms.subjectnutrient deficienciesen
dcterms.subjectnutritional statusen
dcterms.subjectchildrenen
dcterms.subjectchild nutritionen
dcterms.subjectdeveloping countriesen
dcterms.subjecttrace element deficienciesen
dcterms.subjectquantitative analysisen
dcterms.subjectdieten
dcterms.typeJournal Article

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