Institute of Food, Nutrition and Human Health, Massey University, Palmerston North, New Zealand.
Matern Child Nutr. 2012 Oct;8(4):512-21. doi: 10.1111/j.1740-8709.2011.00343.x. Epub 2011 Dec 6.
Vitamin A deficiency (VAD) prevalence in Sub-Saharan Africa is high in spite of vitamin A supplementation programmes among children in most countries. Plant-based complementary foods remain the key source of nutrients in addition to breast milk for infants in lower income countries. Cereal-legume blends are superior in protein and energy densities compared with maize, millet or sorghum-only porridge. However, unfortified cereal-legume and cereal-only porridges are low in vitamin A. A household-level sweet potato-based infant food, rich in vitamin A, has been developed to complement vitamin A supplementation initiatives in Sub-Saharan Africa. A composite flour containing sweet potato, soybean, soybean oil and fishmeal was processed as complementary food by oven toasting (denoted oven-toasted ComFa). The oven-toasted ComFa and enriched Weanimix (processed from dehulled maize, dehulled soybean, groundnut and fishmeal) were assessed for suitability as complementary food based on the nutrient composition using specifications in the Codex Standard (CS) as a reference. The sweet potato-based formulation and enriched Weanimix met the energy, protein, fructose and fat specifications but barely met the amino acid score as indicated in the CS. However, only the oven-toasted ComFa met the calcium and almost half the vitamin A levels as specified in the CS. Oven-toasted ComFa was slightly lower in energy, protein and fat by a difference not greater than 4.0% but was higher by more than 100% in fructose and vitamin A levels. Therefore, the sweet potato-based complementary food is likely to support vitamin A supplementation initiatives in low-income countries better than the cereal-based formulation.
尽管大多数国家都为儿童实施了维生素 A 补充计划,但撒哈拉以南非洲的维生素 A 缺乏症(VAD)患病率仍然很高。除了母乳外,植物性补充食品仍然是低收入国家婴儿的主要营养来源。与仅用玉米、小米或高粱制成的粥相比,谷物-豆类混合物在蛋白质和能量密度方面更具优势。然而,未经强化的谷物-豆类和仅用谷物制成的粥中维生素 A 含量较低。为了补充撒哈拉以南非洲的维生素 A 补充计划,已经开发出了一种以红薯为基础的家庭用婴儿食品,富含维生素 A。这种复合面粉含有红薯、大豆、大豆油和鱼粉,经过烤箱烘烤(称为烤箱烘烤的 ComFa),被加工成补充食品。烤箱烘烤的 ComFa 和富含 Weanimix(由去壳玉米、去壳大豆、花生和鱼粉加工而成),根据营养成分进行了评估,使用食品法典标准(CS)中的规范作为参考,以确定其是否适合作为补充食品。基于红薯的配方和富含 Weanimix 的食品符合能量、蛋白质、果糖和脂肪的规范,但在 CS 中指示的氨基酸评分仅勉强符合。然而,只有烤箱烘烤的 ComFa 符合 CS 中规定的钙和近一半的维生素 A 水平。烤箱烘烤的 ComFa 的能量、蛋白质和脂肪略低,差异不超过 4.0%,但果糖和维生素 A 水平则高出 100%以上。因此,与基于谷物的配方相比,基于红薯的补充食品更有可能支持低收入国家的维生素 A 补充计划。