Poster Topical Area: Maternal, Perinatal and Pediatric Nutrition

Location: Hall D

Poster Board Number: 316

P13-058 - Identifying dietary strategies to improve nutrient adequacy among Ethiopian infants and young children using linear modelling

Sunday, Jun 10
8:00 AM – 6:00 PM

Objective: To identify nutrient gaps in diets for children (6-8, 9-11 and 12-23 months),  to formulate age appropriate feasible Food Based Dietary Recommendations (FBDRs) and explore alternative approaches to help improve dietary adequacy in four regions of Ethiopia.


Methods:
Data from Ethiopian National Food Consumption Survey were analysed using linear programming (Optifood). Alternative interventions including a local complementary food, micronutrient powders (MNPs), Small quantity Lipid based Nutrient Supplement (Sq-LNS) and combinations of these were modelled to compare their relative contribution to improved nutrient adequacy. In addition, the risk of inadequate and excess nutrient intakes when MNP was added daily or every other day to observed intakes, were simulated using the Estimated Average Requirements (EAR) cut point method and full probability approach.


Results:
Optimised local diets did not provide adequate zinc in all regions and age groups, iron for infants < 12 months of age in all regions, and calcium, niacin, thiamine, folate, vitamin B12 and B6 in some regions and age-groups. The set of regional FBDRs, considerably different for four regions, increased nutrient adequacy but some nutrients remain sub-optimal. A combination of regional FBDRs with MNP, closed the identified nutrient gaps without leading to a substantial increase in risk of excess intakes.


Conclusion:
In a country like Ethiopia, regional FBDR need to be developed and combined with other interventions, such as MNP supplementation (daily (6-12 months) and every other day (12-23 months)), together with breast-feeding on demand, in order to ensure adequate nutrient intakes in 6-23 mo old children. To further reduce the prevalence of inadequate zinc intakes, fortification of grain flour products could be considered.


CoAuthors: Saskia Osendarp – Nutrition International, Canada Wageningen University and Research; Elaine Ferguson, PhD – London School of Hygiene and Tropical Medicine; Karin Borgonjen – Wageningen University and Research; Brenda Alvarado – Wageningen University and Research; Lynnette Neufeld, PhD – GAIN; Abdulaziz Adish – Nutrition International, Ethiopia; Amha Kebede H/Meskel – ASLM; Inge Brouwer, PhD – Wageningen University and Research

Aregash SAMUEL.. Hafebo

Researcher, PhD student
Ethiopian Public Health Institute
Addis Ababa, Adis Abeba, Ethiopia