Effect of Home-Based Complementary Food Fortification on Prevalence of Anemia Among Infants and Young Children Aged 6 to 23 Months in Poor Rural Regions of China
| Autor: | Junsheng Huo, Jing Sun, Zheng Fang, Suying Chang, Liyun Zhao, Ping Fu, Jie Wang, Jian Huang, Lijuan Wang, France Begin, David B. Hipgrave, Guansheng Ma |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Rural Population
Pediatrics medicine.medical_specialty China Anemia Geography Planning and Development Fortification Population Ferrous Fumarate Complementary food Hemoglobins medicine Humans Ferrous Compounds education Infant Nutritional Physiological Phenomena Poverty Edetic Acid education.field_of_study Nutrition and Dietetics Anemia Iron-Deficiency business.industry Food fortification Infant Iron Deficiencies Micronutrient medicine.disease Government Programs Dietary Supplements Food Fortified Hemoglobin Food Assistance Soybeans business Iron Dietary Food Science medicine.drug |
| Zdroj: | Food and nutrition bulletin. 36(4) |
| ISSN: | 0379-5721 |
| Popis: | Following the 2008 Wenchuan earthquake, the Chinese government instituted an infant and young and child nutrition program that included promotion of in-home fortification of complementary food with ying yang bao (YYB), a soy-based powder containing iron, 2.5 mg as iron-EDTA and 5 mg as ferrous fumarate, and other micronutrients. Ying yang bao was provided to participating families in 8 poor rural counties in Sichuan, Shaanxi, and Gansu provinces by the Ministry of Health. We assessed hemoglobin levels among infants and young children (IYC) aged 6 to 23 months at baseline in May 2010 (n = 1290) and during follow-up in November 2010 (n = 1142), May 2011 (n = 1118), and November 2011 (n = 1040), using the Hemocue method. Interviewers collected basic demographic information and child feeding practices from the children’s caretakers. Altitude-adjusted hemoglobin level averaged 10.8 g/dL, and total anemia prevalence was 49.5% at baseline. Average hemoglobin was 11.3 g/dL at 6 months, 11.6 g/dL at 12 months, and 11.7 g/dL at 18 months after introduction of YYB. Moderate anemia (hemoglobin: 70-99 g/dL) decreased from 20.3% at baseline to 7.5%, 5.8%, and 7.3% after 6, 12, and 18 months of home fortification, respectively ( P < .001), whereas mild anemia (hemoglobin: 100-110 g/dL) decreased from 29.0% to 16.7%, 18.1%, and 15.4%, respectively ( P < .001). Among infants aged 6 to 23 months, 95% had regularly been fed YYB during the observation period. Regression analysis showed that the duration of YYB consumption and number of sachets consumed per week correlated positively with hemoglobin levels and negatively with anemia rates. Home food fortification with YYB is feasible and effective for nutrition promotion among IYC in high-risk regions of China. |
| Databáze: | OpenAIRE |
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