Kompetenzzentrum Humanitäre Hilfe
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- 2015 (3) (remove)
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- Asylsuchende (1)
- Bevoelkerungsschutz (1)
- Ernaehrung (1)
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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.
Generell ist eine kurzfristig unzureichende Nahrungsmittelzufuhr für den durchschnittlichen Bundesbuerger nicht unmittelbar mit gesundheitlichen Einschraenkungen verbunden. Vulnerable Bevoelkerungsgruppen sollten in derartigen Situationen jedoch eine besondere Beruecksichtigung erfahren. Zu diesen koennen die im Rahmen dieser Arbeit betrachteten Gruppen zaehlen. Aber auch chronisch kranke Menschen oder Personen mit Lebensmittelallergien weisen besondere Anforderungen an eine Lebensmittelversorgung im Krisenfall auf.