Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-27T12:24:28.556Z Has data issue: false hasContentIssue false

Complementary foods consumed by 6 – 12-month-old rural infants in South Africa are inadequate in micronutrients

Published online by Cambridge University Press:  02 January 2007

Mieke Faber*
Affiliation:
Nutritional Intervention Research Unit, Medical Research Council, PO Box 19070, Tygerberg 7505, South Africa
*
*Corresponding author: Email mieke.faber@mrc.ac.za
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective

To determine the nutrient composition of complementary foods consumed by 6–12-month-old South African infants.

Design

Nutrient intake was determined for infants who were recruited to participate in a randomised controlled trial using a single 24-hour dietary recall.

Setting/subjects

Infants aged 6–12 months (n = 475) residing in The Valley of a Thousand Hills, a rural area in KwaZulu-Natal, South Africa.

Results

Energy and protein intakes from complementary foods were adequate. Infants who consumed infant products (commercially available fortified infant cereals/ready-to-eat canned baby foods/formula milk powder) had significantly higher intakes of calcium, iron, zinc, vitamin A, thiamine, riboflavin, niacin, vitamin B6, vitamin B12 and vitamin C than infants who did not consume any infant products. For infants who consumed infant cereals (n = 142), these cereals provided 51% of total iron intake. Infant cereals provided more than 25% of total intake for magnesium, thiamine, niacin and vitamin B12. For infants consuming ready-to-eat canned baby foods (n = 77), these products contributed less than 15% of total intake for all the micronutrients. The nutrient density of the complementary diet was less than half the desired density for calcium, iron and zinc. Animal products were consumed by 17% of infants, 26% consumed dairy products and 18% consumed vitamin-A-rich fruit and vegetables during the 24-hour recall period.

Conclusion

The nutrient composition of complementary foods among rural South African infants was inadequate, especially for iron, zinc and calcium. Strategies should be developed to improve the nutritional quality of their diets.

Type
Research Article
Copyright
Copyright © The Author 2005

References

1World Health Organization (WHO). Infant and Young Child Nutrition. Technical Consultation on Infant and Young Child Feeding, A53/INF.DOC/2. Geneva: WHO, 2000.Google Scholar
2Black, RE, Morris, SS, Bryce, J. Where and why are 10 million children dying every year?. Lancet 2003; 361: 2226–34.CrossRefGoogle ScholarPubMed
3World Health Organization (WHO). Nutrition for Health and Development. A Global Agenda for Combating Malnutrition. WHO/NHD/00.6. Geneva: WHO, 2000.Google Scholar
4World Health Organization (WHO)/United Nations Children's Fund. Global Strategy for Infant and Young Child Feeding. Geneva: WHO, 2003.Google Scholar
5South African Vitamin A Consultative Group (SAVACG). Anthropometric, vitamin A, iron and immunisation coverage status in children aged 6–71 months in South Africa, 1994. South African Medical Journal 1996; 86: 354–7.Google Scholar
6Gibson, RS, Ferguson, EL, Lehrfeld, J. Complementary foods for infant feeding in developing countries: their nutrient adequacy and improvement. European Journal of Clinical Nutrition 1998; 52: 764–70.Google ScholarPubMed
7Lartey, A, Manu, A, Brown, KH, Peerson, JM, Dewey, KG. A randomized, community-based trial of the effects of improved, centrally processed complementary foods on growth and micronutrient status of Ghanaian infants from 6 to 12 mo of age. American Journal of Clinical Nutrition 1999; 70: 391404.CrossRefGoogle ScholarPubMed
8Bentley, ME, Dickin, KL, Mebrahtu, S, Kayode, B, Oni, GA, Verzosa, CC, et al. . Development of a nutritionally adequate and culturally appropriate weaning food in Kwara State, Nigeria: an interdisciplinary approach. Social Science & Medicine 1991; 33: 1103–11.CrossRefGoogle ScholarPubMed
9Huffman, SL, Oniang'o, R, Quinn, V. Improving young child feeding with processed complementary cereals and behavioural change in urban Kenya. Food and Nutrition Bulletin 2000; 21: 7581.Google Scholar
10Faber, M, Oelofse, A, Kriek, JA, Benadé, AJS. Breastfeeding and complementary feeding practices in a low socio-economic urban and a low socio-economic rural area. South African Journal of Food Science and Nutrition 1997; 9: 4351.Google Scholar
11Skinner, JD, Carruth, BR, Houck, KS, Coletta, F, Cotter, R, Ott, D, et al. Longitudinal study of nutrient and food intakes of infants aged 2 to 24 months. Journal of the American Dietetic Association 1997; 97: 496504.CrossRefGoogle ScholarPubMed
12Devaney, B, Ziegler, P, Pac, S, Karwe, V, Barr, SI. Nutrient intakes of infants and toddlers. Journal of the American Dietetic Association 2004; 104(Suppl. 1): S14S21.CrossRefGoogle ScholarPubMed
13Fox, MK, Pac, S, Devaney, B, Jankowski, L. Feeding Infants and Toddlers Study: what foods are infants and toddlers eating?. Journal of the American Dietetic Association 2004; 104(Suppl.1): S22–30.CrossRefGoogle ScholarPubMed
14Oelofse, A, van Raaij, JMA, Benadé, AJS, Dhansay, MA, Tolboom, JJM, Hautvast, JGAL. Disadvantaged black and coloured infants in two urban communities in the Western Cape, South Africa differ in micronutrient status. Public Health Nutrition 2002; 5: 289–94.CrossRefGoogle ScholarPubMed
15Faber, M, Benadé, AJS. Perceptions of infant cereals and dietary intakes of children aged 4–24 months in a rural South African community. International Journal of Food Science and Nutrition 2001; 52: 359–65.Google Scholar
16Smuts, CM, Faber, M, Dhansay, MA, Benadé, AJS. International Research of Infant Supplementation (IRIS). Multi-centre Study of the Efficacy of Multi-micronutrient Supplementation in Small Children. Tygerberg: Medical Research Council, 2002.Google Scholar
17Faber, M, Kvalsvig, JD, Lombard, CJ, Benadé, AJS. The Effect of a Low-cost Micronutrient Fortified Cereal on the Nutritional Status of Infants. Tygerberg: Medical Research Council, 2004.Google Scholar
18Langenhoven, ML, Conradie, PJ, Wolmarans, P, Faber, M. MRC Food Quantities Manual, 1991, 2nd ed. Parow: Medical Research Council, 1991.Google Scholar
19World Health Organization (WHO). Complementary Feeding of Young Children in Developing Countries. A Review of Current Scientific Knowledge. WHO/NUT/98.1. Geneva: WHO, 1998.Google Scholar
20Langenhoven, ML, Kruger, M, Gouws, E, Faber, M. MRC Food Composition Tables, 1991, 3rd ed Parow: Medical Research Council, 1991.Google Scholar
21National Academy of Sciences. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients), 2003. Available at http://books.nap.edu/catalog/10490.htmlGoogle Scholar
22National Academy of Sciences. Dietary Reference Intakes for Calcium, Phosphorous, Magnesium, Vitamin D, and Fluoride, 2003. Available at http://books.nap.edu/catalog/5776.htmlGoogle Scholar
23National Academy of Sciences. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Panthothenic Acid, Biotin, and Choline, 2003. Available at http://books.nap.edu/catalog/6015.htmlGoogle Scholar
24National Academy of Sciences. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc, 2003. Available at http://books.nap.edu/catalog/10026.htmlGoogle Scholar
25National Academy of Sciences. Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids, 2003. Available at http://books.nap.edu/catalog/9810.htmlGoogle Scholar
26National Academy of Sciences. Dietary Reference Intakes: Applications for Dietary Assessment, 2003. Available at http://books.nap.edu/catalog/9956.htmlGoogle Scholar
27Lanigan, JA, Wells, JC, Lawson, MS, Cole, TJ, Lucas, A. Number of days needed to access energy and nutrient intake in infants and young children between 6 and 12 months of age. European Journal of Clinical Nutrition 2004; 58: 745–50.CrossRefGoogle Scholar
28Dewey, KG, Brown, KH. Update on technical issues concerning complementary feeding of young children in developing countries and implications for intervention programs. Food and Nutrition Bulletin 2003; 24: 528.CrossRefGoogle ScholarPubMed
29Lutter, CK, Rivera, JA. Nutritional status of infants and young children and characteristics of their diets. Journal of Nutrition 2003; 133: 2941S–9S.CrossRefGoogle ScholarPubMed
30Lozoff, B, Jimenez, E, Wolf, AW. Long-term developmental outcome of infants with iron deficiency. New England Journal of Medicine 1991; 325: 687–94.CrossRefGoogle ScholarPubMed
31World Health Organization (WHO). Iron Deficiency Anaemia: Assessment, Prevention and Control. A Guide for Programme Managers. WHO/NHD/01.3. Geneva: WHO, 2001.Google Scholar
32Lutter, CK, Dewey, KG. Proposed nutrient composition for fortified complementary foods. Journal of Nutrition 2003; 133: 3011S–20S.Google ScholarPubMed
33Pan American Health Organization (PAHO)/World Health Organization. Guiding Principles for Complementary Feeding of the Breastfed Child. Washington, DC: PAHO, 2003.Google Scholar
34Lutter, C. Meeting the challenge to improve complementary feeding. SCN News 2003; 27: 49.Google Scholar
35Brown, KH, Peerson, JM, Kimmons, JE, Hotz, C. Options for achieving adequate intake from home-prepared complementary foods in low income countries. In: Black, RE, Fleisher Michaelsen, K, eds. Public Health Issues in Infant and Child Nutrition. Philadelphia, PA: Nestec Ltd/Lippincott Williams and Wilkins, 2002.Google Scholar