Department of Family and Community Health,School of Public Health,University of Health and Allied Sciences,Hohoe,Ghana.
Research Section,Department of Clinical Affairs,Primary Health Care Corporation,P.O. Box 26555,Doha,Qatar.
Proc Nutr Soc. 2017 Nov;76(4):535-542. doi: 10.1017/S002966511700115X.
Over the past two decades, increasing efforts have been made to find suitable nutritional products for managing particularly moderate forms of malnutrition following acute phase treatment, including the adoption of ready-to-use therapeutic foods. The challenge in meeting nutrient needs of normal growing young children and other vulnerable population groups with scant food supply has led us to explore the use of local, traditional and culturally adaptable food-based complementary foods employing the food multimix (FMM) concept. The present paper examined FMM as a concept to demonstrate how locally available composite complementary recipes were used to create highly nutritious recipes at low cost and improve nutrition among vulnerable individuals. The method employed a food-to-food fortification approach for recipe development making use of the 'nutrient strengths' of candidate ingredients. A range of different food recipes had been developed using a stepwise approach and combinations of foods from different populations and communities and packaged as 100 g recipe powders. Proximate and micronutrient analyses have been undertaken, optimised and the nutrient compositions compared with reference nutrient intakes for target groups. Examples of recipes and their nutrient profiles had been highlighted for different formulations showing different ingredients. Theoretical nutrient values were translated into practice based on data from intervention studies. The FMM approach using locally available food has held promise, and published evidence did indicate that the concept can contribute significantly to long-term food-based solutions to meeting nutrient needs of vulnerable groups in poor communities.
在过去的二十年中，人们越来越努力地寻找合适的营养产品来管理急性阶段治疗后特别是中度营养不良的情况，包括采用即用型治疗性食品。在满足正常生长的幼儿和其他食物供应匮乏的脆弱人群的营养需求方面存在挑战，促使我们探索使用当地、传统和文化上适应的基于食物的补充食品，采用食物多种混合（FMM）概念。本文研究了 FMM 作为一种概念，以展示如何利用当地可用的复合补充食谱来创造低成本、高营养的食谱，改善脆弱个体的营养状况。该方法采用食物对食物强化方法来开发食谱，利用候选成分的“营养优势”。采用逐步方法开发了一系列不同的食品食谱，结合了来自不同人群和社区的食品，并包装成 100 克食谱粉。进行了粗蛋白和微量营养素分析，并进行了优化，将营养成分与目标人群的参考营养素摄入量进行了比较。针对不同配方的食谱及其营养概况进行了举例说明，展示了不同的成分。理论营养素值基于干预研究的数据转化为实践。使用当地可用食物的 FMM 方法很有前景，已发表的证据表明，该概念可以为满足贫困社区中脆弱群体的长期基于食物的解决方案做出重大贡献。
