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Effects of animal source food and micronutrient fortification in complementary food products on body composition, iron status, and linear growth: a randomized trial in Cambodia

  • BACKGROUND Poor nutritional quality of complementary foods often limits growth. Animal source foods, such as milk or meat, are often unaffordable. Local affordable alternatives are needed. OBJECTIVE We evaluate the efficacy of 2 newly developed, rice-based complementary food products: WinFood (WF) with small fish and edible spiders and WinFood-Lite (WF-L) fortified with small fish, against 2 existing fortified corn-soy blend products, CSB+ (purely plant based) and CSB++ (8% dried skimmed milk). DESIGN In total, 419 infants aged 6 mo were enrolled in this randomized, single-blinded study for 9 mo, designed primarily to assess increments in fat-free mass by a deuterium dilution technique and change in plasma ferritin and soluble transferrin receptor. Secondary endpoints were changes in anthropometric variables, including knee-heel length. Data were analyzed by the intention-to-treat approach. RESULTS There was no difference in fat-free mass increment in WF or WF-L compared with CSB+ [WF: +0.04 kg (95% CI: -0.20, 0.28 kg); WF-L: +0.14 kg (95% CI: -0.10, 0.38 kg)] or CSB++ [WF: -0.03 kg (95% CI: -0.27, 0.21 kg); WF-L: +0.07 kg (95% CI: -0.18, 0.31 kg)] and no effect on iron status. The 1.7-mm (95% CI: -0.1, 3.5 mm) greater increase in knee-heel length in WF-L than in CSB+ was not significant. CONCLUSIONS No difference was found between the locally produced products (WF and WF-L) and the CSBs. Micronutrient fortification may be necessary, and small fish may be an affordable alternative to milk to improve complementary foods. The dietary role of edible spiders needs to be further explored. This trial was registered at controlled-trials.com as ISRCTN19918531.
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Author:Jutta K. H. Skau, Bunthang Touch, Chamnan Chhoun, Mary Chea, Uma S. Unni, Jan MakuratORCiD, Suzanne Filteau, Frank T. Wieringa, Marjoleine A. Dijkhuizen, Christian Ritz, Jonathan C. Wells, Jacques Berger, Henrik Friis, Kim F. Michaelsen, Nanna Roos
Parent Title (English):The American journal of clinical nutrition
Document Type:Article
Year of Completion:2015
Year of first Publication:2015
Release Date:2021/05/17
First Page:742
Last Page:751
Faculties:Oecotrophologie · Facility Management (OEF)
Kompetenzzentrum Humanitäre Hilfe
Publication list:Makurat, Jan
Licence (German):License LogoBibliographische Daten