Higher energy and zinc Intakes from complementary feeding are associated with decreased risk of undernutrition in children from South America, Africa, and Asia

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dc.contributor.authorMaciel, Bruna Leal Lima
dc.contributor.authorCosta, Priscila Nunes
dc.contributor.authorSilva Filho, José Quirino da
dc.contributor.authorRibeiro, Samilly A.
dc.contributor.authorRodrigues, Francisco Adelvane de Paulo
dc.contributor.authorSoares, Alberto Melo
dc.contributor.authorSousa Júnior, Francisco
dc.contributor.authorAmbikapathi, Ramya
dc.contributor.authorMcQuade, Elizabeth T. Rogawski
dc.contributor.authorKosek, Margaret
dc.contributor.authorAhmed, Tahmee
dc.contributor.authorBessong, Pascal
dc.contributor.authorKang, Gangadeep
dc.contributor.authorShresthra, Sanjaya
dc.contributor.authorMduma, Estomih
dc.contributor.authorBayo, Eliwaza
dc.contributor.authorGuerrant, Richard L.
dc.contributor.authorCaulfield, Laura E.
dc.contributor.authorLima, Aldo Ângelo Moreira
dc.date.accessioned2024-02-01T14:38:23Z
dc.date.available2024-02-01T14:38:23Z
dc.date.issued2020-09
dc.description.resumoBackground: Few studies have focused on quantitatively analyzing nutrients from infant diets, compromising complementary feeding evaluation and health promotion worldwide. Objectives: This study aimed to describe dietary intake in infants from 9 to 24 mo of age, determining nutrient intakes associated with the risk of underweight, wasting, and stunting. Methods: Usual nutrient intakes from complementary feeding were determined by 24-h recalls collected when infants were 9–24 mo of age in communities from 7 low- and middle-income countries: Brazil (n = 169), Peru (n = 199), South Africa (n = 221), Tanzania (n = 210), Bangladesh (n = 208), India (n = 227), and Nepal (n = 229), totaling 1463 children and 22,282 food recalls. Intakes were corrected for within- and between-person variance and energy intake. Multivariable regression models were constructed to determine nutrient intakes associated with the development of underweight, wasting, and stunting at 12, 18, and 24 mo of age. Results: Children with malnutrition presented significantly lower intakes of energy and zinc at 12, 18, and 24 mo of age, ranging from −16.4% to −25.9% for energy and −2.3% to −48.8% for zinc. Higher energy intakes decreased the risk of underweight at 12 [adjusted odds ratio (AOR): 0.90; 95% CI: 0.84, 0.96] and 24 mo (AOR: 0.91; 95% CI: 0.86, 0.96), and wasting at 18 (AOR: 0.91; 95% CI: 0.83, 0.99) and 24 mo (AOR: 0.83; 95% CI: 0.74, 0.92). Higher zinc intakes decreased the risk of underweight (AOR: 0.12; 95% CI: 0.03, 0.55) and wasting (AOR: 0.19; 95% CI: 0.04, 0.92) at 12 mo, and wasting (AOR: 0.05; 95% CI: 0.00, 0.76) at 24 mo. Conclusions: Higher intakes of energy and zinc in complementary feeding were associated with decreased risk of undernutrition in the studied children. Data suggest these are characteristics to be improved in children’s complementary feeding across countriespt_BR
dc.identifier.citationMACIEL, Bruna Leal Lima; COSTA, Priscila Nunes; SILVA FILHO, José Quirino da; RIBEIRO, Samilly A.; RODRIGUES, Francisco Adelvane de Paulo; SOARES, Alberto Melo; S. JÚNIOR, Francisco; AMBIKAPATHI, Ramya; MCQUADE, Elizabeth T. Rogawski; KOSEK, Margaret; AHMED, Tahmee; BESSONG, Pascal; KANG, Gangadeep; SHRESTHRA, Sanjaya; MDUMA, Estomih; BAYO, Eliwaza; GUERRANT, Richard L.; CAULFIELD, Laura E.; LIMA, Aldo Ângelo Moreira. Higher Energy and zinc Intakes from complementary feeding are associated with decreased risk of undernutrition in children from South America, Africa, and Asia. Journal of Nutrition, [S.l.], v. 151, p. 170-178, 16 set. 2020. DOI: 10.1093/jn/nxaa271. Disponível em: https://www.sciencedirect.com/science/article/pii/S0022316622000050?via%3Dihub. Acesso em: 26 jan. 2024.pt_BR
dc.identifier.doihttp://dx.doi.org/10.1093/jn/nxaa271
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/57465
dc.languageenpt_BR
dc.publisherJournal of Nutritionpt_BR
dc.rightsAttribution 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/br/*
dc.subjectChild nutritionpt_BR
dc.subjectDietary intakept_BR
dc.subjectNutrient intakept_BR
dc.subjectEnergypt_BR
dc.subjectZincpt_BR
dc.titleHigher energy and zinc Intakes from complementary feeding are associated with decreased risk of undernutrition in children from South America, Africa, and Asiapt_BR
dc.typearticlept_BR

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