Effect of an Integrated Child Nutrition Intervention on the Complementary Food Intake of Young Children in Rural North Viet Nam

2002 ◽  
Vol 23 (4_suppl2) ◽  
pp. 59-66 ◽  
Author(s):  
Helena Pachón ◽  
Dirk G. Schroeder ◽  
David R. Marsh ◽  
Kirk A. Dearden ◽  
Tran Thu Ha ◽  
...  

Forty-two percent of Vietnamese children are stunted by two years of age. Since 1990, Save the Children Federation/US (SC) has implemented integrated nutrition programs targeting young children. We evaluated the effect of SC's nutrition program on the complementary food intake of young rural Vietnamese children. Using a longitudinal, prospective, randomized design, we followed 238 children (119 each from intervention and comparison communes) age 5 to 25 months old for six months with a re-survey at 12 months. We gathered 24-hour recall data at baseline and at months 2, 4, 6, and 12. Dietary energy intake was calculated using the 1972 Vietnamese food composition table. Key outcomes were daily frequency of consuming intervention-promoted food and non-breastmilk liquids and food, daily quantity of non-breastmilk liquids and food consumed, daily energy intake, and proportion of children meeting daily median energy requirements. Young rural children exposed to SC's program consumed intervention-promoted and any foods more frequently, ate a greater quantity of any food, consumed more energy, and were more likely to meet their daily energy requirements than comparison children. Some effects were only observed during the intensive intervention period; others persisted into or were evident only at the 12-month follow-up, approximately four months after program completion. Based on the mothers' reports, the intervention did not apparently compromise breastfeeding prevalence or frequency. The intervention improved children's food and energy intake and protected them from declining as rapidly as comparison children in meeting their energy requirements.

2002 ◽  
Vol 23 (4_suppl_1) ◽  
pp. 59-66 ◽  
Author(s):  
Helena Pachón ◽  
Dirk G. Schroeder ◽  
David R. Marsh ◽  
Kirk A. Dearden ◽  
Tran Thu Ha ◽  
...  

2000 ◽  
Vol 83 (1) ◽  
pp. 7-14 ◽  
Author(s):  
A. M. Johnstone ◽  
E. Shannon ◽  
S. Whybrow ◽  
C. A. Reid ◽  
R. J. Stubbs

The objectives of the present study were to examine the effects of (1) ingesting mandatory snacks v. no snacks and (2) the composition of isoenergetically-dense snacks high in protein, fat or carbohydrate, on food intake and energy intake (EI) in eight men with ad libitum access to a diet of fixed composition. Subjects were each studied four times in a 9 d protocol per treatment. On days 1–2, subjects were given a medium-fat maintenance diet estimated at 1·6 × resting metabolic rate (RMR). On days 3–9, subjects consumed three mandatory isoenergetic, isoenergetically dense (380 kJ/100 g) snacks at fixed time intervals (11.30, 15.30 and 19.30 hours). Total snack intake comprised 30 % of the subjects' estimated daily energy requirements. The treatments were high protein (HP), high carbohydrate (HC), high fat (HF) and no snack (NS). The order was randomized across subjects in a counterbalanced, Latin-square design. During the remainder of the day, subjects had ad libitum (meal size and frequency) access to a covertly manipulated medium-fat diet of fixed composition (fat: carbohydrate: protein, 40:47:13 by energy), energy density 550 kJ/100 g. All foods eaten were investigator-weighed before ingestion and left-overs were weighed after ingestion. Subjective hunger and satiety feelings were tracked hourly during waking hours using visual analogue scales. Ad libitum EI amounted to 13·9 MJ/d on the NS treatment compared with 11·7, 11·7 and 12·2 MJ/d on the HP, HC and HF diets respectively (F(3,21) 5·35; P = 0·007, sed 0·66). Total EI values were not significantly different at 14·6, 14·5, 15·0 and 14·2 MJ/d respectively. Snack composition did not differentially affect total daily food intake or EI. Average daily hunger was unaffected by the composition of the snacks. Only at 12.00 hours did subjects feel significantly more hungry during the NS condition, relative to the other dietary treatments (F(3,18) 4·42; P = 0·017). Body weight was unaffected by dietary treatment. In conclusion, snacking per se led to compensatory adjustments in feeding behaviour in lean men. Snack composition (with energy density controlled) did not affect the amount eaten of a diet of fixed composition. Results may differ in real life where subjects can alter both composition and amount of food they eat and energy density is not controlled.


Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 526 ◽  
Author(s):  
Claire Tugault-Lafleur ◽  
Jennifer Black

This study examined differences in food and beverage intake estimated from nationally representative surveys of Canadians in 2004 and 2015 collected through the Canadian Community Health Surveys. Differences in mean daily energy intake and amounts of food consumed were compared between 2004 and 2015 and across age groups for all energy reporters (aged 2 years+) and among only plausible energy reporters. From 2004 to 2015, mean energy intake decreased by 228 kcal/day (all energy reporters) and 74 kcal/day (plausible energy reporters). Canadians reported consuming more daily servings of meat and alternatives but fewer servings of vegetables and fruit and milk and alternatives in 2015 compared to 2004. Analyses of food subgroups revealed that Canadians reported consuming more daily servings of dark green and orange vegetables, dairy products, legumes, nuts and seeds, and eggs but fewer servings of potatoes, other vegetables, fruit juices, fluid milk, and sugar-sweetened beverages in 2015 compared to 2004. While some aspects of the Canadian diet have improved, daily mean intake of other nutritious foods either stagnated or worsened over time. Continued attention is needed to improve population-level intakes of vegetables, fruit, whole grains, and protein foods such as legumes, nuts, seeds, and lower fat dairy products.


2013 ◽  
Vol 17 (5) ◽  
pp. 1107-1113 ◽  
Author(s):  
Rasmia Huew ◽  
Anne Maguire ◽  
Paula Waterhouse ◽  
Paula Moynihan

AbstractObjectiveThere are few data on the dietary intake of children in Libya, and none on free sugars intake. The present study aimed to report the intake of macronutrients and eating habits of relevance to dental health in a group of Libyan schoolchildren and to investigate any gender differences for these variables.DesignDietary information was obtained from a randomly selected sample using an estimated 3 d food diary. Dietary data were coded using food composition tables and entered into a Microsoft® Access database. Intakes of energy, macronutrients, sugars and the amount of acidic items consumed were determined using purpose-written programs.SettingBenghazi, Libya.SubjectsSchoolchildren aged 12 years.ResultsOne hundred and eighty children (ninety-two boys and eighty-eight girls) completed the study. Their mean age was 12·3 (sd 0·29) years. The average daily energy intake was 7·01 (sd 1·54) MJ/d. The percentage contributions to energy intake from protein, fat and carbohydrate were 16 %, 30 % and 54 %, respectively. Total sugars contributed 20·4 % of the daily energy intake, and free sugars 12·6 %. The median daily intake of acidic items was 203 g/d, and of acidic drinks was 146 g/d. There were no statistically significant differences in nutrient intakes between genders. Intake of acidic items was higher in girls (P < 0·001).ConclusionsThe contribution to energy intake from macronutrients was in accordance with global nutrition guidelines. The acidic drinks intake was low compared with other populations, while free sugars intake was above the recommended threshold of 10 % of energy intake.


2011 ◽  
Vol 107 (3) ◽  
pp. 445-449 ◽  
Author(s):  
John E. Blundell ◽  
Phillipa Caudwell ◽  
Catherine Gibbons ◽  
Mark Hopkins ◽  
Erik Näslund ◽  
...  

The idea of body weight regulation implies that a biological mechanism exerts control over energy expenditure and food intake. This is a central tenet of energy homeostasis. However, the source and identity of the controlling mechanism have not been identified, although it is often presumed to be some long-acting signal related to body fat, such as leptin. Using a comprehensive experimental platform, we have investigated the relationship between biological and behavioural variables in two separate studies over a 12-week intervention period in obese adults (totaln92). All variables have been measured objectively and with a similar degree of scientific control and precision, including anthropometric factors, body composition, RMR and accumulative energy consumed at individual meals across the whole day. Results showed that meal size and daily energy intake (EI) were significantly correlated with fat-free mass (FFM,Pvalues < 0·02–0·05) but not with fat mass (FM) or BMI (Pvalues 0·11–0·45) (study 1,n58). In study 2 (n34), FFM (but not FM or BMI) predicted meal size and daily EI under two distinct dietary conditions (high-fat and low-fat). These data appear to indicate that, under these circumstances, some signal associated with lean mass (but not FM) exerts a determining effect over self-selected food consumption. This signal may be postulated to interact with a separate class of signals generated by FM. This finding may have implications for investigations of the molecular control of food intake and body weight and for the management of obesity.


Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1290 ◽  
Author(s):  
Louise J. Fangupo ◽  
Jillian J. Haszard ◽  
Claudia Leong ◽  
Anne-Louise M. Heath ◽  
Elizabeth A. Fleming ◽  
...  

NOVA is a food classification system that categorises food items into one of four categories according to the extent and purpose of their processing: minimally processed food (MPF), processed culinary ingredient (PCI), processed food (PF), or ultra-processed food (UPF). The aim of this study was to determine the relative validity and reproducibility of a food frequency questionnaire (EAT5 FFQ) for measuring daily energy intake (EI kJ) and percentage of daily energy intake (EI%) from each NOVA group in New Zealand children. One hundred parents of five year old children completed the 123 item EAT5 FFQ on two occasions four weeks apart. A 3 day weighed diet record (WDR) was completed on non-consecutive randomly assigned days between FFQ appointments. The FFQ overestimated EI (both as kJ and %) from MPF and UPF, and underestimated intakes from PCI and PF, compared with the WDR. Bland–Altman plots indicated reasonably consistent agreement between FFQ and WDR for MPF and UPF but not PCI or PF. Correlation coefficients between the FFQ and WDR were acceptable for EI (%) for MPF (r = 0.31) and UPF (r = 0.30). The FFQ differentiated between the highest and lowest quartiles for EI (%) from MPF and UPF foods (p-values for the trends were 0.006 and 0.009 respectively), and for EI (kJ) from UPF foods (p-value for trend 0.003). Bland–Altman plots indicated consistent agreement between repeat administrations of FFQ for MPF and UPF only, while intra-class correlations suggested good reproducibility for EI (kJ and %) for all four NOVA categories (range 0.51–0.76). The EAT5 FFQ has acceptable relative validity for ranking EI (%) from MPF and UPF. It has good reproducibility for measuring EI from all four NOVA categories, in young children.


Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 1170
Author(s):  
Giulia Lorenzoni ◽  
Daniele Bottigliengo ◽  
Danila Azzolina ◽  
Dario Gregori

The present study aimed to assess the feasibility and reliability of an a3utomatic food intake measurement device in estimating energy intake from energy-dense foods. Eighteen volunteers aged 20–36 years were recruited from the University of Padova. The device used in the present study was the Bite Counter (Bite Technologies, Pendleton, USA). The rationale of the device is that the wrist movements occurring in the act of bringing food to the mouth present unique patterns that are recognized and recorded by the Bite Counter. Subjects were asked to wear the Bite Counter on the wrist of the dominant hand, to turn the device on before the first bite and to turn it off once he or she finished his or her meal. The accuracy of caloric intake was significantly different among the methods used. In addition, the device’s accuracy in estimating energy intake varied according to the type and amount of macronutrients present, and the difference was independent of the number of bites recorded. Further research is needed to overcome the current limitations of wearable devices in estimating caloric intake, which is not independent of the food being eaten.


2015 ◽  
Vol 100 (8) ◽  
pp. 758-762 ◽  
Author(s):  
Hayley Syrad ◽  
Cornelia H M van Jaarsveld ◽  
Jane Wardle ◽  
Clare H Llewellyn

ObjectiveParental decision-making around extended formula feeding (12 months+) has not been explored previously. This study tested the hypotheses that extended formula milk use (i) is associated with poorer appetite and (ii) supplements lower food intake.MethodsAppetite was assessed with the Child Eating Behaviour Questionnaire (CEBQ) in 3854 twin children aged 16 months. Diet was assessed from 3-day diaries in 2714 children at 21 months. Parents reported their children's weight at 24 months. Associations between formula feeding and (1) appetite, (2) energy intake and (3) weight were examined. 35 mothers were interviewed when the children were 7 years old to explore retrospectively their reasons for extended formula feeding.ResultsFormula consumers (13% of the sample) scored significantly differently than non-formula consumers on five of the six CEBQ subscales, indicating lower appetite avidity: ‘food responsiveness’ (2.02 vs 2.22, respectively),‘enjoyment of food’ (3.99 vs 4.20), ‘satiety responsiveness’ (2.89 vs 2.65), ‘slowness in eating’ (2.63 vs 2.46) and ‘food fussiness’ (2.34 vs 2.14). Formula consumers had a significantly lower percentage of daily energy intake from food (70% vs 74%); however, total daily energy intake did not differ significantly from non-consumers (4315 vs 4373 kJ). At interview, mothers reported supplementing their child's diet with formula because of ‘picky eating’ and concerns about inadequate food intake.ConclusionsHigh formula milk intake is associated with picky-eating behaviours, but seems to act as a substitute for rather than a supplement to solid food. Prospective and intervention studies are needed to determine whether extended formula feeding has an enduring impact on weight trajectories, eating behaviours or health.


1992 ◽  
Vol 14 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Chessa K. Lutter ◽  
Jean-Pierre Habicht ◽  
Juan A. Rivera ◽  
Reynaldo Martorell

The effects of both inadequate energy intake and diarrhoeal disease in the aetiology of childhood malnutrition are well established. Their relative importance is still debated, however, and the resultant uncertainty affects public health policies designed to improve child nutrition. This paper summarizes several earlier publications, and presents the results graphically to show that the same synergistic relationship holds across both urban and rural populations as well as across populations with differing levels of diarrhoea and malnutrition. The results show that the effect of inadequate energy intake on nutrition status depends on the level of diarrhoea, just as the negative effect of diarrhoea on nutrition status depends on the level of energy intake. The public health implications of these findings are threefold. First, an immediate strategy to improve child nutrition should focus on mechanisms to improve energy intake and dietary quality in general, and in and around the diarrhoeal episode in particular. Second, concurrently and as a long-term strategy, environmental conditions that put young children at risk for diarrhoea have to be improved. Finally, inasmuch as diarrhoea does not have a negative effect on growth among infants receiving the major part of their energy from breast milk, breast-feeding has a special and previously unrecognized role in the relationship between energy intake and diarrhoea as they affect nutrition status. Thus, efforts to promote increased energy intake and dietary quality among infants and young children should be coupled with efforts to promote breastfeeding exclusively through at least the first 4 months of life and partially through 24 months, when children are most at risk for diarrhoea.


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