Outline. Complementary Feeding: Cultural practices vs Scientific evidence. Definition
|
|
- Julian Gilbert
- 5 years ago
- Views:
Transcription
1 TM Complementary Feeding: Cultural practices vs Scientific evidence Pattanee Winichagoon, PhD Institute of Nutrition, Mahidol University (INMU) Thailand ILSI SEA Seminar n Maternal Infant and Young Child Nutrition, Updates for Cambodia, Laos PDR and Myanmar Phnom Penh, Cambodia, August 11, 2016 Outline 1. Definition 2. Complementary Feeding (CF): Cultural practices in SEA 3. Scientific evidence: 1. Global recommendations/guidelines 2. CF and short- & Long-term consequences on growth, development and health Definition 1. WHO: Any food or liquid other than breast milk added to meet nutritional requirements 2. Reason for CF: BM no longer adequate to meet nutritional and needs Child developmental ability to chew & interest in other foods
2 Growth faltering by HAZ by WHO region Growth faltering by WHZ by WHO region Victora, et al, Pediatrics, 2010 Victora, et al, Pediatrics, 2010 Key issues in Complementary Feeding 1. Timely introduction of CF: a) Practice of giving solid, semi-solid foods in SEA b) WHO indicators 2. Quality and quantity of CF: a) Nutrient adequacy based on DRI/EAR b) WHO indicators: Minimum meal frequency (MMF), Minimum dietary diversity (MDD), Minimum adequacy (MAD) 3. Impact on growth, development and obesity/ NCDs IYCF Cultural practices in outskirt of Vientiane, Laos PDR Interviewed mothers of <6 mo babies Maternal practices postpartum: Exposure to hot beds of embers, traditional herb tea, restricted diets ( phit kam ), 83% returned by 3 rd mo High % of mothers had insufficient intakes of energy, iron, Ca, vit A, B1, vit C Infants: 54% received chewed glutinous rice early (ave 34.6 d), rice soup (5%) Barennes, et al, EJCN 2009
3 IYCF Cultural practices in Vietnam Early introduction of semi-solid, soft foods 30% at 0-1 mo, 51% at 2-3 mo, 68% at 4-5 mo (2002 DHS); 38.7% at 0-1 mo (2004 NIN) Boiled rice water with sugar or condensed milk at < 2 mo Rice-based, a little meat, but no fish and oil Baby fed at scheduled family meal time (less frequency) Reasons: BM contains only water, baby gets hungry after urinating, so needs to have solid food/rice powder to satisfy the baby s need Concerns that BM is inadequate Lack of knowledge on CF Phoung, et al APJCN 2011 Mothers return to work (Ho Chimin city) Fish and oil cause diarrhea; Meat is expensive IYCF Cultural practices in northern Thailand Prospective study, birth till 2 y Rice, banana: given early (13% by first 7 d, 81% by aged 6 wks); mean age 4 wks, most common foods till 3 mo old Glutinous rice pounding or masticated, alternate with rice+ meat porridge; ~30% received rice meat at 3 mo Upto 3 mo, CF contributed 7-14% daily energy (11, 18, 21% at 2 wks, 6 wks, 3 mo) By 6 mo, CF contributed 33% energy (median) Snacks (e.g., rice w/ coconut milk, cake, biscuit, soy milk) given at 9-12 mo Early introduction of solid foods: rural residents, large HH, maternal employment; girls & LBW infants given CF earlier than boys Jackson, et al, Brit J Nutr 1992 Longitudinal study: pregnancy to child 0-3 y, 4 geographical areas, Thailland 1. Banana, rice, egg yolk were introduced by 3 mo. 2. More than 1/3 children already given fish, meat, whole egg by 6 mo 3. Two peaks of age introduction of meat, eggs: NE was late, while central was early. Mosuwan, et al, pers com IYCF Cultural practices in other SEA countries 1. Different parts of Malaysia: Paste of corn flour + water given in first few days of life Sarawak: Salt + premasticated rice in the first 4 d, first mo: condensed milk + water, then sago, wheat or rice flour gruel N. Sabah: premasticated rice before 3 rd wk 2. Myanmar: chewed rice given 1-2 wk after birth 3. Indonesia: immediately after birth: prelactal foods, rice flour porridge, palm sugar, meat of young coconut Dixon, APJCN 1992
4 IYCF in selected countries in Asia: national data (DHS, MICS) EBF for 6 mo was high in Cambodia (60%); low in others (Laos [22%], Myanmar [11%], Vietnam [15%]; Indonesia & Philippines 30 + % Predominant BF (BM+ water): high in Myanmar (66%), Laos (58%) Timely introduction of CF by WHO definition: Low in Laos (10.3%) and Myanmar (5.5%) Summary: Cultural practices on CF in SEA 1. Early or late introduction of solid foods 2. Reasons for CF Influenced by social cultural factors Adequacy of breast milk Child s satisfactory (sleep well and long) 3. Quality of CF Rice-based: gruel, mashed, pre-masticated Little or no other ingredients (meat, vegetables) 4. Quantity of CF Portion (bulkiness) and feeding frequency Dibley, et al, PHN, 2010 Timely introduction of foods other than BM 1. Meaning? 1. No any solid foods prior to 6 mo 2. Ensure 6-8 mo child receive CF (WHO) 2. Infant feeding guidelines: 1. Different recommendations: e.g., WHO (>6 mo), ESPGHAN (EBF 6 mo desirable, CF given not before 17 wks or later than 26 wks) 2. changed over time: to begin at 3 mo, to 4-6 mo, to >6 mo 3. Specific recommendations, e.g., when to give eggs, milk; documented data is limited in developing countries 3. Evidence of CF impacts 1. Replacement of BM intakes when <6 mo 2. Early introduction of solid foods vs infant growth Quality and quantity of CF practices in SEA
5 Dewey & Brown, FNB 2003 Dewey & Brown, FNB 2003 Adequacy ensured nutrients a using locally available non-fortified foods in serving sizes consumed Age group # nutrients >70% RNI Cambodia Indonesia Laos PDR Thailand Vietnam folate 6-8 m a out of 11 nutrients modelled
6 FBR with and w/o fortified food (Thailand) FBR + Non-fortified foods Fortified Foods 6-8 months breastfed Nutrien %RNI ts Iron Zinc Ca Iron Zinc Ca Max months breastfed Nutrient %RNI Max s Iron Zinc Ca months not breastfed Nutrien ts None Iron None %RN I Ma x Micronutrients and potential bioavailability in commercial CF in selected Asian countries country Mg/ 100 g dry wt Phy:Fe Phy: Fe Zn Ca IP5+IP6 Zn Indonesia (n=14) Philippines (n=7) Thailand (n=7) China (n=1) Mongolia (n=3) Phy: Ca a a < a one sample with 0. Desirable molar ratio (adults): Phy:Fe <1, Phy:Zn 4-18 for mixed plant-based, Phy:Ca<.17 Gibbs, et al, J Fd Comp Anal 2011 WHO global guidelines on IYCF 1. Recommendation: 1. Exclusive breastfeeding (EBF) for 6 mo 2. CF from 6 mo, continue BF till 2 y 2. WHO indicators for monitoring IYCF 1. Early initiation of BF 2. EBF during the past 24 h 3. Continued BF at 1 y 4. For 6-8 mo babies, CF is given 5. Minimum dietary diversity (MDD) 6. Minimum meal frequency (MMF) 7. Minimum acceptable diets (MAD) 8. Consumption of Iron rich or iron-fortified foods
7 Timely introduction of CF (WHO): 6-8 mo old received CF vs growth 6-24 mo old children Using WHO IYCF indicators & DHS 14 countries 66% received solid foods by 6-8 mo, continued BF till 15 mo For infants 6 8 mo, consumption of solid foods associated with significantly lower risk of both stunting & underweight (P < 0.001) Feeding frequency was associated with lower risk of underweight (P < 0.05). Timely solid food introduction with maternal education, dietary diversity and IRF were associated with reduced risk of underweight and stunting and (P < 0.001). Conclusion: Feeding indicators were associated with growth and reinforce importance of maternal education to reduce risk of underweight and stunting in poor countries Mariott, et al, MCN 2012 WHO IYCF indicators vs anthropometry: review of studies using DHS data from 13 LMIC Studies which included WHO IYCF indicators and child anthropometry (9 Africa, 3 Asia (India, B desh, Cambodia), Haiti) At 6-8 mo, solid foods introduced (60-90% of children), MDD, MDF, MAD, IRF all varied across countries For 0-23 mo: Stunting 23-47%; wasting (5-26%) Finding: MDD & MAD +ve associated with HAZ in 4 countries, no relation with WHZ; Lack sensitivity/ specificity may contributes to inconsistent finding Conclusion: WHO indicators useful to monitor trends of CF practices, but how CF relate to growth faltering needs better indicators Jones, et al, MCN 2014 Efficacy/effectiveness of CF interventions in developing countries Dewey & Adu-Afarwuah (MCN 2008): 1. No single best package of CF interventions, context specific and nature of habitual eating patterns and prevalence of MN 2. Child growth/anthropometry may not be a sensitive indicators of benefits 3. Improving energy density where traditional diets are bulky 4. Fortification helps to ensure several micronutrient gaps 5. Education/counseling with key messages on CF along with providing CF - better impact Short- and long-term impacts of CF on growth, development and health CF practices can influence: Food preference, appetite, eating behavior & later health outcomes Evidence on later health impact is limited and from developed countries; suggestive that introducing solid foods before 4 mo may increase the risk of obesity and allergy (Fewtrell, 2016)
8 Conclusion WHO indicators on CF: currently used in many national surveys good for monitoring practices No recent data on early introduction (before 6 mo) of CF, esp. in development transition Benefits of CF practices (using WHO indicators) on child growth and health other outcomes being inconsistent; More rigorous CF/IYCF indicators needed Both under- & over-nutrition should be assessed Other later benefits e.g., food preference, eating behavior, cognition
Translating guidelines into practice: Complementary feeding in Indonesia
Translating guidelines into practice: Complementary feeding in Indonesia SEAMEO-TROPMED Regional Center for Community Nutrition University of Indonesia Dr. Umi Fahmida SEAMEO RECFON ILSI-SEA Region Seminar
More informationMyanmar Food and Nutrition Security Profiles
Key Indicators Myanmar Food and Nutrition Security Profiles Myanmar has experienced growth in Dietary Energy Supply (DES). Dietary quality remains poor, low on protein and vitamins and with high carbohydrates.
More informationMyanmar - Food and Nutrition Security Profiles
Key Indicators Myanmar - Food and Nutrition Security Profiles Myanmar has experienced growth in Dietary Energy Supply (DES). Dietary quality remains poor, low on protein and vitamins and with high carbohydrates.
More informationSoutheast Asia: Nutrition in transition and its challenges for maternal and child nutrition
Southeast Asia: Nutrition in transition and its challenges for maternal and child nutrition Pattanee Winichagoon, PhD Institute of Nutrition, Mahidol University (INMU), Thailand Presented at the Regional
More informationSystematic review of the efficacy and effectiveness of complementary feeding interventions
Systematic review of the efficacy and effectiveness of complementary feeding interventions Kathryn G. Dewey, PhD Seth Adu-Afarwuah Afarwuah,, PhD Program in International and Community Nutrition University
More informationLaos - Food and Nutrition Security Profiles
Key Indicators Laos - Food and Nutrition Security Profiles In Lao PDR, GDP per capita has increased consistently during recent years, as has Dietary Energy Supply (DES) per person. Nevertheless, undernutrition
More informationNew and updated indicators for assessing infant and young child feeding practices. Presentation outline
New and updated indicators for assessing infant and young child feeding practices Bernadette Daelmans (WHO) on behalf of the Working Group on IYCF indicators Presentation outline The rationale for developing
More informationGAIN S GLOBAL STRATEGY ON FOOD FORTIFICATION TO IMPROVE PUBLIC HEALTH ASIA HIGHLIGHTS. Regina Moench-Pfanner, PhD Director, Singapore GAIN
GAIN S GLOBAL STRATEGY ON FOOD FORTIFICATION TO IMPROVE PUBLIC HEALTH ASIA HIGHLIGHTS Regina Moench-Pfanner, PhD Director, Singapore GAIN 1 GAIN - Introduction GAIN was founded at a UN global summit on
More informationThe role of diet on nutrient bioavailability: Issues for habitual diets of Asian countries
The role of diet on nutrient bioavailability: Issues for habitual diets of Asian countries Dr. Umi Fahmida SEAMEO-TROPMED Regional Center for Community Nutrition University of Indonesia Southeast Asian
More informationActivity 3-F: Micronutrient Activity Station
Activity 3-F: Micronutrient Activity Station 1 Vitamin A deficiency 1 Instructions Please read through this Vitamin A information package and discuss amongst your group. You have 15 minutes to review this
More informationChild and Adult Nutrition
Children in Egypt 2015 A STATISTICAL DIGEST Chapter 5 Child and Adult Nutrition Children in Egypt 2015 Children in Egypt 2015 is a statistical digest produced by UNICEF Egypt to present updated and quality
More informationSolomon Islands Food and Nutrition Security Profiles
Key Indicators Solomon Islands Food and Nutrition Security Profiles Solomon Islands has experienced stagnation in percapita GDP and undernourishment in recent years. Dietary Energy Supply (DES) has continued
More informationEarly Child Development in 6 districts of Cambodia challenges for appropriate growth: 2016 data. Dr Laillou Arnaud UNICEF Cambodia
Early Child Development in 6 districts of Cambodia challenges for appropriate growth: 2016 data Dr Laillou Arnaud UNICEF Cambodia Stunting- Multisectorial pregnancy Pre-school Limited hygiene - - Limited
More informationInsights into Child Nutritional Status and Programmes in Malaysia
Insights into Child Nutritional Status and Programmes in Malaysia Khor Geok Lin International Medical University, Malaysia Kuala Lumpur 6-7 Nov 2012 1 Child nutritional status in Malaysia including changing
More informationPower Porridge: Empowering Families to Conquer Malnutrition with Local Ingredients
Power Porridge: Empowering Families to Conquer Malnutrition with Local Ingredients TOPS/FSN Network Regional Knowledge Sharing Meeting - Uganda September 20, 2016 Power Porridge Presentation The Problem
More informationOutline of presentation.
1 E-Siong Tee, PhD Scientific Director, ILSI Southeast Asia Region Outline of presentation. Nutrient addition: voluntary and mandatory fortification of micronutrients Status of regulations in 7 SEA countries
More informationNUTRITION and. Child Growth & Development. Washington, DC May 2-3, Kay Dewey. UC-Davis and Alive & Thrive
Clean, Fed & Nurtured: Joining forces to promote child growth and development NUTRITION and Child Growth & Development Washington, DC May 2-3, 2013 Kay Dewey UC-Davis and Alive & Thrive Nutrition Basics
More informationActivity 3-F: Micronutrient Activity Station
Activity 3-F: Micronutrient Activity Station 1 Vitamin A deficiency 1 Instructions Please read through this Vitamin A information package and discuss amongst your group. You have 15 minutes to review this
More informationAgriculture and Nutrition Global Learning and Evidence Exchange (AgN-GLEE)
This presentation is part of the Agriculture and Nutrition Global Learning and Evidence Exchange (AgN-GLEE) held in Bangkok, Thailand from March 19-21, 2013. For additional presentations and related event
More informationILSI SEA Region Seminar on Maternal, Infant and Young Child Nutrition, July 24, 2017, Bangkok, Thailand OUTCOMES
Outline: Background on birth outcomes and maternal nutrition MATERNAL NUTRITION OUTCOMES DIETARY INTAKES AND RELATED Micronutrient deficiencies Dietary intakes and assessments Dietary diversity and pregnancy
More informationBREASTFEEDING TO PREVENT DOUBLE BURDEN OF MALNUTRITION
BREASTFEEDING TO PREVENT DOUBLE BURDEN OF MALNUTRITION Sirinuch Chomtho Department of Pediatrics, Chulalongkorn University, Bangkok, Thailand The double burden of malnutrition means under- and over-nutrition
More informationIndonesia - Food and Nutrition Security Profiles
Key Indicators Indonesia - Food and Nutrition Security Profiles The levels of underweight and stunting remain persistently high in Indonesia, despite considerable increase in GDP per capita. Notable disparities
More informationVitamin A Facts. for health workers. The USAID Micronutrient Program
Vitamin A Facts for health workers The USAID Micronutrient Program What is vitamin A? Vitamin A Vitamin A is a nutrient required in small amounts for the body to function properly. It is called a micronutrient
More informationNauru Food and Nutrition Security Profiles
Key Indicators Nauru Food and Nutrition Security Profiles Nauru has remained stationary in health and child survival outcomes and will not achieve the Millennium Development Goal (MDG) on child mortality.
More informationCambodia Food and Nutrition Security Profiles
Key Indicators Although Cambodia has an integrated framework for food and nutrition security, it has not yet achieved the desired nutritional outcomes. Cambodia has experienced rapid growth in per capita
More informationPresentation Outline. Data Sources MATERNAL DIETARY INTAKE AND NUTRITIONAL STATUS IN MALAYSIA
ILSI SEA Region Seminar on Maternal, Infant and Young Child Nutrition, July 24, 217, Bangkok, Thailand MATERNAL DIETARY INTAKE AND NUTRITIONAL STATUS IN MALAYSIA Zalilah Mohd Shariff Department of Nutrition
More informationMarch 30, ASN Comments and Additions to Select, Proposed Topics and Questions are in Red Below
March 30, 2018 The American Society for Nutrition (ASN) appreciates the opportunity to comment on the proposed topics and supporting scientific questions that will be considered during the development
More informationContent. The double burden of disease in México
Can we and Prevent Malnutrition while Addressing the Challenge of NRCD s? Experiences from Mexico Content The double burden of disease in México What is currently being done in México for preventing and
More informationUSAID s Infant and Young Child Nutrition Project: Creating Demand and Ensuring Appropriate Use of Complementary Foods
USAID s Infant and Young Child Nutrition Project: Creating Demand and Ensuring Appropriate Use of Complementary Foods WISHH Conference, Washington, D.C., March 13, 2008 By Rae Galloway This presentation
More informationJosie Grace C. Castillo, M.D.
Josie Grace C. Castillo, M.D. 2 types of nutrients Macronutrients Carbohydrate Fats Protein Micronutrients Vitamins Minerals 1 Occur when the quantity or quality of food is not sufficient to meet a persons
More informationComplementary feeding practices: Current global and regional estimates
Received: 8 December 2016 Revised: 14 July 2017 Accepted: 18 July 2017 DOI: 10.1111/mcn.12505 SUPPLEMENT ARTICLE Complementary feeding practices: Current global and regional estimates Jessica M. White
More informationNutritional Improvement of Food Crops
Nutritional Improvement of Food Crops Gerard Barry International Rice Research Institute, The Philippines IMPROVING FOOD PLANT DEVELOPMENT FOR BETTER FOODS Organized by the International Food Biotechnology
More informationSupplementary Infant Feeding in Developing Countries
Weaning: Why, What, and When?, edited by A. Ballabriga and J. Rey. Nestlf Nutrition, Vevey/Raven Press, New York c 97 Supplementary Infant Feeding in Developing Countries Ashfaq Ahmad Department of Child
More informationTuvalu Food and Nutrition Security Profiles
Key Indicators Tuvalu Food and Nutrition Security Profiles Tuvalu has experienced a decreasing trend in infant mortality rates, but the country will not meet the Millennium Development Goal (MDG) target.
More information2018 Global Nutrition
Professor Corinna Hawkes Director, Centre for Food Policy, City, University of London Co-Chair, Independent Expert Group of the Global Nutrition Report 2018 Global Nutrition Report November 2018 About
More informationInfant and Young Child Feeding
Infant and Young Child Feeding At six months (180 days), start giving your child complementary foods. Continue to breastfeed Wash your hands before feeding your child Continue to breastfeed Give your child
More informationAOHS Global Health. Unit 3, Lesson 9. Causes and Effects of Malnutrition
AOHS Global Health Unit 3, Lesson 9 Causes and Effects of Malnutrition Copyright 2012 2016 NAF. All rights reserved. Nutritional status has a major impact on health status Health of pregnant women and
More informationCook Islands Food and Nutrition Security Profiles
Key Indicators Cook Islands Food and Nutrition Security Profiles Mortality in children has shown a constant reduction over the years, but unless further acceleration, Cook Islands will not achieve the
More informationPage 1. Catherine McAuley ( ) United Nations Millennium Development Goals. Catherine McAuley ( )
Catherine McAuley (1778-1841) Catherine McAuley (1778-1841) Born to upper middle class Irish family By 1798 & aged 20 y: parents had died 1803: became manager & companion to Callaghans 1822: Callaghans
More informationRosalind S Gibson, Tommaso Cavalli-Sforza, Research Professor, Department of Human Nutrition, University of Otago, Dunedin New Zealand
Using reference nutrient density goals with food balance sheet data to identify likely micronutrient deficits for fortification in countries in the Western Pacific Region Rosalind S Gibson, Research Professor,
More informationHow to strengthen the link between biology and implementation for sustainable action
How to strengthen the link between biology and implementation for sustainable action Emorn Udomkesmalee Institute of Nutrition, Mahidol University Thailand Evidence for Implementation require composite
More informationNutritional Assessment & Monitoring of Hospitalized Children
Nutritional Assessment & Monitoring of Hospitalized Children Kehkashan Zehra, Clinical Dietitian Sindh Institute of Urology & Transplantation, Karachi In Pakistan 42% of children aged < 5 years are stunted
More informationViet Nam - Food and Nutrition Security Profiles
Key Indicators Viet Nam has experienced sustained growth in per-capita GDP and Dietary Energy Supply (DES) in recent years, as well as a sustained decline in undernourishment rates. Viet Nam reports a
More informationINFANT FEEDING, NUTRITIONAL PRACTICES, AND NUTRITIONAL STATUS AMONG YOUNG CHILDREN AND WOMEN
INFANT FEEDING, NUTRITIONAL PRACTICES, AND NUTRITIONAL STATUS AMONG YOUNG CHILDREN AND WOMEN 11 Bornwell Sikateyo, Agnes Mugala Aongola, and Arlinda Zhuzhuni Malnutrition plays an important role in the
More informationMonitoring and Evaluation of Fortification Programs and Portfolios. The Role of the HCES
Monitoring and Evaluation of Fortification Programs and Portfolios The Role of the HCES An Imperfect World There is no single reporting system or survey or database that can provide an answer to all of
More informationFill the Nutrient Gap Pakistan: Rationale, key findings and recommendations. Fill the Nutrient Gap National Consultation Islamabad, 11 April 2017
Fill the Nutrient Gap Pakistan: Rationale, key findings and recommendations Fill the Nutrient Gap National Consultation Islamabad, 11 April 2017 Meeting nutrient requirements is a prerequisite for preventing
More informationGlobal Recommendations on Complementary Feeding Need for a Relook
Global Recommendations on Complementary Feeding Need for a Relook K.P. Kushwaha, Professor(Pediatrics), Principal and Dean B R D Medical College, Gorakhpur Opportunities, confusion and sale Global Situation
More informationStrengthening Maternal Nutrition Data for Policy and Program in Selected ASEAN Countries
Strengthening Maternal Nutrition Data for Policy and Program in Selected ASEAN Countries Emorn Udomkesmalee Institute of Nutrition, Mahidol University Thailand 4. Be accountable for better, more regular,
More informationFood fortification in five Southeast Asian countries: SMILING project
Food fortification in five Southeast Asian countries: SMILING project Pattanee Winichagoon, Ph.D On behalf of the SMILING team Presented at the SMILING Symposium 20 th International Congress of Nutrition,
More informationBrunei Darussalam - Food and Nutrition Security Profiles
Key Indicators Brunei Darussalam Food and Nutrition Security Profiles Brunei Darussalam has one of the highest rates of GDP per capita and of Dietary Energy Supply (DES) per person in the region. For decades,
More informationEarly Nutrition and Adult Noncommunicable. that must be broken
Early Nutrition and Adult Noncommunicable diseases: A vital link that must be broken Commonwealth Health Ministers Meeting WHO, Geneva May 14, 2011 Anna Lartey (Associate Professor) Department of Nutrition
More informationBrunei Darussalam - Food and Nutrition Security Profiles
Key Indicators Brunei Darussalam Food and Nutrition Security Profiles Brunei Darussalam has one of the highest rates of GDP per capita and of Dietary Energy Supply (DES) per person in the region. For decades,
More informationAnswer Key for Introduction to Food Packages
Practice Activity-A Answer Key for Introduction to Food Packages Observe how food package assignment is conducted in your clinic. Answer the following questions for each certification that you observe.
More informationMONGOLIA. The 1997 World Vision/Nutrition Research Center (WV/NRC) report showed that 5.8% of infants were born with a low birth weight (<2500 g).
MONGOLIA Population 1 2 442.540 Infant mortality rate 2 30.4 per 1000 live births Life expectancy at birth 1 65.3 years Fertility rate 1 2.2 Annual population growth 1 1.4% NUTRITION OVERVIEW Major achievements
More informationMaternal and Infant Nutrition Briefs
Maternal and Infant Nutrition Briefs January/February 2004 A research-based newsletter prepared by the University of California for professionals interested in maternal and infant nutrition What are Infants
More informationAddressing key challenges of global growth with nutrition
DSM Capital Market Days Media Program Addressing key challenges of global growth with nutrition Stephan Tanda Basel, 27 September 2012 From 7 billion to 9 billion Page 2 Resource-constrained world Scarcity
More informationUpdate on the nutrition situation in the Asia Pacific region
Update on the nutrition situation in the Asia Pacific region Mike Toole 13 th National Rural Health Conference, Darwin, 24-27 May 2015 Source: DFAT, Port Moresby, Papua New Guinea Conceptual framework
More informationDevelopment of a complementary feeding manual for Bangladesh
TERMS OF REFERENCE #14 For the research proposal to be funded under NFPCSP Phase II Development of a complementary feeding manual for Bangladesh 1. Background and Rationale Inappropriate infant and young
More informationMaine CDC WIC Nutrition Program Food Packages
Maine CDC WIC Nutrition Program Food Packages 1. Food Package I: Infants 0-5 months Infant formula issuance in Food Package I is based on age (Food Package IA: Infants 0-3 months and Food Package IB: Infants
More informationSOME ASPECTS OF INFANT FEEDING. Quak Seng Hock
SOME ASPECTS OF INFANT FEEDING Quak Seng Hock Contents Introduction Importance of proper nutrition in the infant Breastfeeding Nutritional requirements of infants Introducing solid food Vitamin requirements
More informationNUTRITION NUTRITIONAL STATUS OF CHILDREN
NUTRITION 12 This chapter covers two topics: nutritional status of women and children under five and infant feeding practices. Nutritional status is reported in terms of the height and weight of women
More informationIMPROVING NUTRITION SECURITY IN ASIA An EU-UNICEF Joint Action
IMPROVING NUTRITION SECURITY IN ASIA An EU-UNICEF Joint Action One billion people in the world suffer from chronic hunger. Two thirds of them live in Asia. This is a crisis with devastating and farreaching
More informationClasses of Nutrients A Diet
Ch. 7 Notes Section 1: What is Nutrition? is the science or study of food and the ways the body uses food. are substances in food that provide energy or help form body tissues and are necessary for life
More informationComplementary Feeding
Complementary Feeding Raanan Shamir, MD ESPGHAN Goes Africa Capetown, October 2013 Definition and Concepts Nutritional Adequacy Allergy ESPGHAN recommendations Safety (lack of) Specific Regulation Taste
More informationPhilippines - Food and Nutrition Security Profiles
Key Indicators Philippines - Food and Nutrition Security Profiles Although the Philippines has experienced growth in per-capita GDP and Dietary Energy Supply (DES), the dietary quality has remained poor
More informationPrevalence of Vitamin A Deficiency among 6 months to 5 years old Children
Prevalence of Vitamin A Deficiency among 6 months to 5 years old Children Htin Lin, May Khin Than, Khaing Mar Zaw, Theingi Thwin, Moh Moh Hlaing I. Introduction Myanmar, likewise other South-East Asian
More informationSystematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries
Review Article Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries Kathryn G. Dewey and Seth Adu-Afarwuah Program in International and Community
More informationThe Special Supplemental Nutrition Program for Women, Infants, and
EXECUTIVE SUMMARY The Special Supplemental Nutrition Program for Women, Infants, and Children (often called the WIC program) is one of the largest food assistance programs in the United States. Started
More informationGuidelines and recommendations for maternal and infant nutrition. Charlotte Stirling-Reed BSc, MSc, RNutr (Public Health)
Guidelines and recommendations for maternal and infant nutrition Charlotte Stirling-Reed BSc, MSc, RNutr (Public Health) Overview The first 1000 days of life UK maternal and infant nutrition guidelines
More informationNUTRITION IN PREGNANCY & INFANCY
NUTRITION IN PREGNANCY & INFANCY NUTR 2050 Nutrition for Nursing Professionals Mrs. Deborah A. Hutcheon, MS, RD, LD Lesson Objectives At the end of the lesson, the student will be able to: 1. Define the
More informationUnintended Consequences of Regulating Messaging
Unintended Consequences of Regulating Messaging Setting the scene.. Nutrition plays the most critical role in a narrow window of time. The first 1,000 days begins at the start of a pregnancy and continue
More informationAppendix G. U.S. Nutrition Recommendations and Guidelines. Dietary Guidelines for Americans, Balancing Calories to Manage Weight
Appendix G U.S. Nutrition Recommendations and Guidelines Dietary Guidelines for Americans, 2010 Balancing Calories to Manage Weight Prevent and/or reduce overweight and obesity through improved eating
More informationTargeted Levels of Minerals in Plant Foods: biofortification & post harvest fortification
Targeted Levels of Minerals in Plant Foods: biofortification & post harvest fortification Erick Boy Workshop: Improving the composition of plant foods for better mineral nutrition June 4, 2012 ETH Zurich,
More informationInfants. Lecture 21: Nutrition for Infants. Infants Metabolic Rate. Age 0-1 yrs. Massive weight gain. Calorie, vitamin and mineral needs are high
Lecture 21: Nutrition for Infants Nutrition 150 Shallin Busch, Ph.D. Age 0-1 yrs Infants Massive weight gain Weight doubles by 5 months Weight triples by 12 months Calorie, vitamin and mineral needs are
More informationMonitoring, Evaluation, Accountability, Learning (MEAL) Enabling Environment Finance for. Nutrition
Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD Philippines The MEAL Results Framework identifies a wide range of desired results and associated indicators of progress
More informationFrom malnutrition to nutrition security
From malnutrition to nutrition security Martin W. Bloem, MD, PhD Senior Nutrition Advisor/WFP Global Coordinator UNAIDS World Food Program Nurturing development: Improving human nutrition with animal-source
More informationAdvancing Policy Dialogue on Maternal Health Maternal Undernutrition: Evidence, Links, and Solutions
Advancing Policy Dialogue on Maternal Health Maternal Undernutrition: Evidence, Links, and Solutions Amy Webb Girard Assistant Professor of Maternal and Child Nutrition Hubert Department of Global Health
More informationBeverage Guidelines: 1 up to 3 Years
Beverage Guidelines: nutritionally-equivalent nondairy beverages like soy, rice, or lactose-free milks with medical permission). nutritionally-equivalent nondairy beverages like soy, rice, or lactose-free
More informationResearcher, Head of Community Nutrition Unit, Head of Nutrition Cluster
Name Email Address Sueppong Gowachirapant ส บพงษ กอวช รพ นธ sueppong.gow@mahidol.ac.th Current position Researcher, Head of Community Nutrition Unit, Head of Nutrition Cluster Education 1997 B.Sc. (Food
More informationTHE IAEA SUPPORTS MEMBER STATES NUTRITION PROGRAMMES: WHAT THEY HAVE TO SAY
THE IAEA SUPPORTS MEMBER STATES NUTRITION PROGRAMMES: WHAT THEY HAVE TO SAY body composition of lactating mothers and the human milk intake of breastfed babies. In addition, the IRSS is now providing training
More informationHappy Holidays. Below are the highlights of the articles summarized in this issue of Maternal and Infant Nutrition Briefs. Best Wishes, Lucia Kaiser
Dear colleagues, Happy Holidays. Below are the highlights of the articles summarized in this issue of Maternal and Infant Nutrition Briefs. Best Wishes, Lucia Kaiser Do pregnant teens need to get their
More informationJOINT FAO/WHO FOOD STANDARDS PROGRAMME
Agenda Item 8 CX/NFSDU 10/32/8 JOINT FAO/WHO FOOD STANDARDS PROGRAMME CODEX COMMITTEE ON NUTRITION AND FOODS FOR SPECIAL DIETARY USES Thirty second Session Crowne Plaza Hotel, Santiago, Chile 1 5 November
More informationProfile of complementary food consumption during the first year of life based on Indonesia Individual Food Consumption Survey 2014
Mal J Nutr 24(1): 53-61, 2018 Profile of complementary food consumption during the first year of life based on Indonesia Individual Food Consumption Survey 2014 Yusra Egayanti 1,2*, Nurheni Sri Palupi
More informationIncreasing infants length: the complementary feeding mixed of ripe bananas flour and soybean sprouts
International Journal of Biosciences IJB ISSN: 2220-6655 (Print), 2222-5234 (Online) http://www.innspub.net Vol. 12, No. 1, p. 193-199, 2018 RESEARCH PAPER OPEN ACCESS Increasing infants length: the complementary
More informationKarnataka Comprehensive Nutrition Mission
Karnataka Comprehensive Nutrition Mission Karnataka Multi-Sectoral Nutrition Pilot Project Project Background The Karnataka Comprehensive Nutrition Mission (KCNM), through the Karnataka State Rural Livelihoods
More informationHarvestPlus Statement on the Potential Benefits of Biofortification on the Nutritional Status of Populations
HarvestPlus Statement on the Potential Benefits of Biofortification on the Nutritional Status of Populations Biofortification is an intervention strategy currently being researched and developed for increasing
More informationAnswering the question- Why Should You Care What You Are Eating???
Answering the question- Why Should You Care What You Are Eating??? Never eat more than you can lift. - Miss Piggy Portion Distortion 6 Main Nutrients Vitamins Minerals Water Carbohydrates Protein Fat Keep
More informationWhat and when to feed your child (6 to 24 months)
Page 1 of 8 0:00:20.2 All parents want their children to grow up to be fit and healthy adults. In the first two years of a child s life their brains and bodies grow and develop more than at any other time.
More informationOverview of Micronutrient Issues And Action In The Eastern And Southern Africa Region
Overview of Micronutrient Issues And Action In The Eastern And Southern Africa Region Saba Mebrahtu Regional Nutrition Advisor UNICEF ESARO Harmonization Workshop for Wheat and Maize Flour Fortification
More informationWHO Updates Essential Nutrition Actions: Improving Women s, Newborn, Infant and Young Child Health and Nutrition
WHO Updates Essential Nutrition Actions: Improving Women s, Newborn, Infant and Young Child Health and Nutrition Agnes Guyon, MD, MPH Senior Child Health & Nutrition Advisor John Snow, Inc. WCPH-Kolkata
More informationCHILD AND ADULT MEALS
UPDATED CHILD AND ADULT CARE FOOD PROGRAM MEAL PATTERNS: CHILD AND ADULT MEALS USDA recently revised the CACFP meal patterns to ensure children and adults have access to healthy, balanced meals throughout
More informationUnited Nations Children s Fund (UNICEF)
United Nations Children s Fund (UNICEF) Phnom Penh, Cambodia Individual Consultancy: Technical support for a landscape analysis of complementary feeding and maternal nutrition in Cambodia Terms of Reference
More informationNational Guidelines of Micronutrient deficiencies Control in Vietnam: Progress and lessons Learned. Contents
National Guidelines of Micronutrient deficiencies Control in Vietnam: Progress and lessons Learned Le Thi Hop, Tran Khanh Van, Nguyen Song Tu NIN,Vietnam Contents 1. Micronutrient deficiencies in Vietnam
More informationINFANT FEEDING, NUTRITIONAL PRACTISES, AND NUTRITIONAL STATUS AMONG YOUNG CHILDREN AND WOMEN
INFANT FEEDING, NUTRITIONAL PRACTISES, AND NUTRITIONAL STATUS AMONG YOUNG CHILDREN AND WOMEN 10 Habib Somanje and George Bicego Malnutrition is one of the most important health and welfare problems facing
More informationLao PDR. Maternal and Child Health and Nutrition status in Lao PDR. Outline
Maternal and Child Health and Nutrition status in Lao PDR Outline Brief overview of maternal and child health and Nutrition Key interventions Challenges Priorities Dr. Kopkeo Souphanthong Deputy Director
More informationThe importance of early complementary feeding in the development of oral tolerance: Concerns and controversies
The importance of early complementary feeding in the development of oral tolerance: Concerns and controversies Prescott SL, Smith P, Tang M, Palmer DJ, Sinn J, Huntley SJ, Cormack B. Heine RG. Gibson RA,
More informationMalnutrition Experience in Sultanate of Oman. Dr Salima almamary Family physician Nutrition Department
Malnutrition Experience in Sultanate of Oman Dr Salima almamary Family physician Nutrition Department Outline Country profile Malnutrition prevalence in Oman and interventions done to reduce it Fortification
More informationMarshall Islands Food and Nutrition Security Profiles
Key Indicators Marshall Islands Food and Nutrition Security Profiles Marshall Islands has made significant improvements in health and child survival; nevertheless, it will not achieve the Millennium Development
More informationWHO Child Growth Standards. Training Course on Child Growth Assessment. Answer Sheets
WHO Child Growth Standards Training Course on Child Growth Assessment BB F Answer Sheets WHO Child Growth Standards Training Course on Child Growth Assessment F Answer Sheets Version 1 November 006 Department
More informationTexas WIC Health and Human Services Commission
Purpose Food Packages To establish procedures for the issuance of the allowable foods within the food packages. To assure food benefits are appropriate for each participant s health and nutritional needs.
More information