A household-level sweet potato-based infant food to complement vitamin A supplementation initiatives

β-Carotene-rich orange sweet potato (OSP) has been shown to improve vitamin A status of infants and young children in controlled efficacy trials and in a small-scale effectiveness study with intensive exposure to project inputs. However, the potential of this important food crop to reduce the risk of vitamin A deficiency in deficient populations will depend on the ability to distribute OSP vines and promote its household production and consumption on a large scale. In rural Mozambique, we conducted a randomised, controlled effectiveness study of a large-scale intervention to promote household-level OSP production and consumption using integrated agricultural, demand creation/behaviour change and marketing components. The following two intervention models were compared: a low-intensity (1 year) and a high-intensity (nearly 3 years) training model. The primary nutrition outcomes were OSP and vitamin A intakes by children 6–35 months and 3–5·5 years of age, and women. The intervention resulted in significant net increases in OSP intakes (model 1: 46, 48 and 97 g/d) and vitamin A intakes (model 1: 263, 254 and 492 μg retinol activity equivalents/d) among the younger children, older children and women, respectively. OSP accounted for 47–60 % of all sweet potato consumed and, among reference children, provided 80 % of total vitamin A intakes. A similar magnitude of impact was observed for both models, suggesting that group-level trainings in nutrition and agriculture could be limited to the first project year without compromising impact. Introduction of OSP to rural, sweet potato-producing communities in Mozambique is an effective way to improve vitamin A intakes.

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Orange-Fleshed Sweet Potato-Based Infant Food is a Better Source of Dietary Vitamin A than a Maize—Legume Blend as Complementary Food

Food and Nutrition Bulletin ◽

10.1177/156482651403500107 ◽

2014 ◽

Vol 35 (1) ◽

pp. 51-59 ◽

Cited By ~ 12

Author(s):

Francis Kweku Amagloh ◽

Jane Coad

Keyword(s):

Vitamin A ◽

Sweet Potato ◽

Complementary Food ◽

Dietary Vitamin ◽

Infant Food ◽

Orange Fleshed Sweet Potato

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Bioavailability of Selected Micronutrients in Teff-based Complementary Infant Foods

Current Nutrition & Food Science ◽

10.2174/1573401313666170912165424 ◽

2019 ◽

Vol 15 (3) ◽

pp. 257-264

Author(s):

Mesfin W. Tenagashaw ◽

John N. Kinyuru ◽

Glaston M. Kenji ◽

Eneyew T. Melaku ◽

Susanne Huyskens-Keil

Keyword(s):

Vitamin A ◽

Sweet Potato ◽

Complementary Foods ◽

Critical Limit ◽

Household Level ◽

Molar Ratios ◽

Iron And Zinc ◽

Industrial Level ◽

Calcium Iron ◽

Orange Fleshed Sweet Potato

Background: The problem of micronutrient malnutrition is affecting millions of infants in the developing countries. One of the major issues that aggravates the problem is lack of appropriately processed complementary foods in which the bioavailability of the major micronutrients is improved. Methods: Teff, soybean and orange-fleshed sweet potato were separately processed into their respective flours and blended in a ratio of 70:20:10, respectively, to prepare household- and industrial-level complementary foods. The ingredients and developed complementary foods were analysed for their vitamin A, calcium, iron, zinc and phytate contents. Moreover, phytate: mineral molar ratios of calcium, iron and zinc in the complementary foods were calculated to determine their bioavailability. Results: The vitamin A values obtained in the complementary foods were appreciable; they were in the range of 91.89 to 160.97 µgRE/100 g. Phytate content of teff and soybean was significantly (p ≤ 0.05) reduced by the household practices employed for processing them. However, the reduction was not significant (p > 0.05) in the household-level complementary foods because of the small quantity of germinated teff flours used. Calcium, iron and zinc compositions of all complementary foods closely met the recommended levels for 6 to 8 month-old infants. Phytate: mineral molar ratios for calcium and zinc in all complementary foods were below maximum recommended limits indicating their good bioavailability. In case of iron, these ratios were above the critical limit except that of the industriallevel complementary foods. Conclusion: Generally, complementary foods with improved compositions and bioavailability of the micronutrients analysed were developed from the teff-soybean-orange-fleshed sweet potato formulations.

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Vitamin A coverage among under five children: A critical appraisal of Vitamin A supplementation program in India

PsycEXTRA Dataset ◽

10.1037/e583132013-026 ◽

2012 ◽

Author(s):

Dechenla Tshering Bhutia ◽

Saskia de Pee ◽

Prisca A. C. Zwanikken

Keyword(s):

Vitamin A ◽

Critical Appraisal ◽

Vitamin A Supplementation ◽

Under Five ◽

Under Five Children

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Pengaruh Pemberian Rebusan Daun Ubi Jalar Terhadap Kecukupan ASI Pada Ibu Menyusui Di Wilayah Kerja Puskesmas Campurejo Kota Kediri

Jurnal Ilmu Kesehatan MAKIA ◽

10.37413/jmakia.v4i1.29 ◽

2017 ◽

Vol 4 (1) ◽

Author(s):

Weni Tri Purnani

Keyword(s):

Breast Milk ◽

Vitamin A ◽

Sweet Potato ◽

Random Sampling ◽

Simple Random Sampling ◽

P Value ◽

Work Area ◽

Wilcoxon Sign Rank ◽

Potato Extract ◽

Sweet Potato Leaves

ABSTRAKASI merupakan sumber makanan yang mengandung nutrisi yang lengkap untuk bayi. Rendahnya cakupan ASI di Indonesia menyumbang akibat yang tidak baik bagi kesehatan bayi. Berdasarkan hasil survey pendahuluan, dari 10 ibu menyusui 6 (60%) diantaranya mengatakan bahwa pengeluaran ASI mereka tidak lancar. Salah satu solusi yang tepat untuk meningkatkan suplai ASI adalah dengan mengonsumsi daun ubi jalar yang dipercaya mengandung berbagai macam zat dan vitamin terutama vitamin A. Tujuan penelitian ini adalah mengetahui pengaruh pemberian rebusan daun ubi jalar terhadap kecukupan ASI pada ibu menyusui di Wilayah Kerja Puskesmas Campurejo Tahun 2016. Desain penelitian ini adalah pre eksperimental menggunakan rancangan pretest posttest design. Dalam penelitian ini diperoleh sampel 20 orang menggunakan teknik simple random sampling. Pengumpulan data dilakukan dengan menggunakan lembar kuesioner dan penilaian. uji hipotesis yang digunakan adalah uji peringkat bertanda dari wilcoxon dengan nilai signifikasi α = 0,05. Hasil uji statistik dari Wilcoxon Sign Rank diperoleh nilai p value = 0,000 dengan taraf kesalahan (α =0,05) dapat dikatakan p ≤ α maka dapat disimpulakan bahwa H0 ditolak dan H1 diterima. Hal ini berarti ada pengaruh pemberian rebusan daun ubi jalar terhadap kecukupan ASI pada ibu menyusui diwilayah kerja puskesmas campurejo kota Kediri tahun 2016. Berdasarkan hasil penelitian diharapkan bagi tenaga kesehatan dapat dijadikan sebagai masukan untuk menggunakan daun ubi jalar untuk meningkatkan kecukupan ASI dalam pengembangan pengobatan tradisional. Kata Kunci : Kecukupan ASI, Daun Ubi jalar, Menyusui ABSTRACTBreast milk is a food source that contains a complete nutritions for infants. Coverage of breast milk in Indonesia is still very low. Based on the preliminary results of the survey, from 10 breastfeeding mothers, there are 6 (60%) breastfeeding mom of them say that their breast milk isn’t enough for the babies. There’s a rightest solution to increase the breast milk supply, such as; the breastfeeding mom should eat or consume the sweet potato leaves that believed contains various nutritions and vitamins, especially vitamin A. The purpose of this study was to know the effect of giving sweet potato extract to breast milk adequacy on breastfeeding mothers in work area clinic of Campurejo Kediri City in 2016. The research design of this study was pre-experimental that using pre-test and post-test design. In this study obtained 20 samples of people that using simple random sampling technique. The collecting of data is done by using a questionnaires and assessment. The test hypothesis is marked on the Wilcoxon rank test with significance value α = 0.05. The result of statistical test Wilcoxon Sign Rank obtained p value = 0.000 with a standard error (α = 0.05) can be said p ≤ α then it means that H0 is rejected and H1 is accepted. This means that there is an effect of giving sweet potato extract to breast milk adequacy on breastfeeding mothers in work area clinic of Campurejo Kediri City in 2016. Based on the results is the researcher expecting for health workers can be used as input to use sweet potato leaves to improve the adequacy of breast milk in the development of traditional medicine. Keywords: Adequacy of Breast Milk, Sweet Potato Leaves, Breastfeeding.

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Benefits of postpartum vitamin A supplementation

Jornal de Pediatria ◽

10.2223/jped.2188 ◽

2012 ◽

Vol 88 (2) ◽

Author(s):

Saskia de Pee

Keyword(s):

Vitamin A ◽

Vitamin A Supplementation

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Impact of Maternal Daily Oral Low-Dose Vitamin A Supplementation on the Mother–Infant Pair: A Randomised Placebo-Controlled Trial in China

Nutrients ◽

10.3390/nu13072370 ◽

2021 ◽

Vol 13 (7) ◽

pp. 2370

Author(s):

Ye Ding ◽

Ping Hu ◽

Yue Yang ◽

Fangping Xu ◽

Fang Li ◽

...

Keyword(s):

Health Status ◽

Breast Milk ◽

Vitamin A ◽

Low Dose ◽

Maternal Serum ◽

Control Group ◽

Vitamin A Supplementation ◽

Maternal Vitamin ◽

Vitamin A Status ◽

Lactating Mothers

Background: The nutritional status of vitamin A in lactating mothers and infants is still not optimistic. Due to the dietary habits and dietary restrictions of postpartum customs in China, vitamin A supplementation has been advocated as a potential strategy to improve vitamin A status of lactating mothers with inadequate dietary vitamin A intake. Existing clinical trials are limited to single or double high-dose maternal administrations. However, in China, vitamin A supplements are readily available in the form of daily oral low-dose supplements, and the effect of these is unknown. This study aimed to evaluate the effects of daily oral low-dose vitamin A supplementation on the retinol levels in the serum and breast milk of lactating mothers and the health status of infants in China. Methods: Lactating mothers who met the inclusion criteria and planned to continue exclusive breastfeeding were randomly assigned to receive either daily oral vitamin A and D drops (one soft capsule of 1800 IU vitamin A and 600 IU vitamin D2), or a matching placebo for 2 months. Before and after the intervention, dietary intake was investigated by instant photography, and the retinol concentration in maternal serum and breast milk was determined by ultra-high performance liquid chromatography-tandem mass spectrometry. During the trial, the health status of infants was diagnosed by a paediatrician or reported by lactating mothers. A total of 245 participants completed the study, with 117 in the supplementation group and 128 in the control group. Results: After the 2-month intervention, maternal serum retinol concentrations increased in the supplementation group with no change in the control group. Although breast milk retinol concentrations decreased significantly in both groups, the decrease in the supplementation group was significantly lower than that in the control group. However, maternal vitamin A supplementation was not associated with a lower risk of infant febrile illness, respiratory tract infection, diarrhoea, and eczema. Conclusions: Daily oral low-dose vitamin A supplementation is helpful in improving maternal vitamin A status, despite having no effect on infant health status through breast milk.

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