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研究开发即食肝泥丸对治疗儿童轻度贫血和维生素 A 缺乏症的功效,评估其对改善儿童营养生化指标和认知功能的作用,对象为 3-9 岁埃及轻度贫血儿童。

Development and evaluating the biopotency of ready to eat liver meat balls in fighting anaemia and vitamin A deficiency, improving selected nutritional biochemical indicators and promoting the cognitive function among mildly anaemic Egyptian children aged 3-9 years.

机构信息

Department of Nutrition and Food Science, National Research Centre, Cairo, Egypt.

Department of Child Health, National Research Centre, Cairo, Egypt.

出版信息

Public Health Nutr. 2022 Nov;25(11):3182-3194. doi: 10.1017/S1368980022000970. Epub 2022 Apr 22.

Abstract

OBJECTIVE

Ready to eat fried liver meat balls (LMB) were developed to fight anaemia and vitamin A deficiency and promote cognitive function.

DESIGN

Randomised controlled trial consisting of two arms: control group with no supplement and LMB group receiving LMB supplement three times a week for 90 d. Criteria of evaluations included dietary assessment, anthropometric measurements, laboratory investigations and cognitive function by Wechsler test.

SETTING

Kinder Garten and primary school in Urban Giza.

PARTICIPANTS

Sixty boys and girls aging 3-9 years.

RESULTS

The LMB supplement contributed to significant increases in the intakes of high bioavailable Fe and vitamin A in the diets of all children. Initial overall prevalence of mild and moderate anaemia was 43 %, which disappeared completely from all children aging < 72 months and from 88 % of children ≥ 72 months after the 90 d dietary intervention with the LMB. Faecal systemic immune globulin A, urinary hydroxyproline index and urinary iodine excretion increased significantly ( < 0·05) only after the dietary intervention with the LMB supplement for 90 d. The standard scores of verbal and non-verbal cognitive function tests (Δ day 90-day 0) increased significantly ( < 0·05) among the LMB group compared with the respective changes observed among the control group. The increase in height-for-age Z score and blood Hb were good predictors for improvement in cognitive function.

CONCLUSION

LMB supplement is effective sustainable nutritious biotherapeutic food in fighting hidden hunger and promoting the cognitive function.

摘要

目的

研制即食炒肝肉丸(LMB),以防治贫血和维生素 A 缺乏症,促进认知功能。

设计

包括两个组别的随机对照试验:对照组不补充任何营养物质,LMB 组每周补充 LMB 三次,共 90 天。评估标准包括饮食评估、人体测量学测量、实验室检查和韦氏测试的认知功能。

地点

吉萨市幼儿园和小学。

参与者

60 名 3-9 岁的男孩和女孩。

结果

LMB 补充剂显著增加了所有儿童饮食中高生物可利用铁和维生素 A 的摄入量。初始总体轻度和中度贫血患病率为 43%,在 90 天的 LMB 饮食干预后,所有 < 72 个月的儿童和 88%的 ≥ 72 个月的儿童完全消除了贫血。只有在 LMB 补充剂进行 90 天的饮食干预后,粪便系统性免疫球蛋白 A、尿羟脯氨酸指数和尿碘排泄才会显著增加(<0·05)。与对照组相比,LMB 组的言语和非言语认知功能测试的标准分数(Δ第 90 天-第 0 天)显著增加(<0·05)。身高年龄 Z 评分和血液 Hb 的增加是认知功能改善的良好预测指标。

结论

LMB 补充剂是一种有效的可持续营养生物治疗食品,可防治隐性饥饿和促进认知功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ede/9991726/dcaff530e2a9/S1368980022000970_fig1.jpg

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