Helen Keller International, New York, New York, USA.
UNICEF East Asia Pacific Regional Office, Bangkok, Thailand.
Matern Child Nutr. 2023 Dec;19 Suppl 2(Suppl 2):e13585. doi: 10.1111/mcn.13585.
Commercially produced complementary foods (CPCF), including ready-to-eat CPCF purées and meals, are gaining popularity among caregivers of older infants and young children (IYC) as a convenient alternative to home-prepared foods in low and middle-income countries. However, there is growing concern regarding the suitability of these products for older IYC, as they can contain high levels of sugar and/or sodium. Given the rapidly evolving market in Southeast Asia, it is crucial to monitor the appropriate composition and promotion of CPCF in the region. This study examined the nutrient composition and labelling practices of CPCF purées and meals sold in 2021 in the capital cities of seven Southeast Asian countries: Phnom Penh (Cambodia), Jakarta (Indonesia), Manila (Philippines), Bangkok (Thailand), Vientiane (Lao PDR), Hanoi (Viet Nam), Kuala Lumpur (Malaysia). The study adapted a nutrient profiling model from the WHO Regional Office for Europe to determine the proportion of products suitable for promotion for older IYC. The proportion of CPCF purées and meals that would require a high sugar front-of-pack warning based on the percentage energy from total sugar was also determined. Of the 459 CPCF purées/meals assessed, only 37.7% of the products met all nutrient composition requirements and none met all labelling requirements. In addition, most CPCF purées and meals were identified as having high total sugar content. To ensure that older IYC consume appropriate CPCF products, Southeast Asian countries need to implement and enforce regulations concerning the nutrient composition and labelling practices of CPCF purées and meals.
商业生产的补充食品(CPCF),包括即食 CPCF 泥和餐食,在低收入和中等收入国家,作为家庭自制食品的便捷替代品,越来越受到大月龄婴儿和幼儿(IYC)照顾者的欢迎。然而,人们越来越担心这些产品是否适合大龄 IYC,因为它们可能含有高水平的糖和/或钠。鉴于东南亚市场的快速发展,监测该地区 CPCF 的适当成分和推广情况至关重要。本研究调查了 2021 年在东南亚七个国家首都销售的 CPCF 泥和餐的营养成分和标签做法:金边(柬埔寨)、雅加达(印度尼西亚)、马尼拉(菲律宾)、曼谷(泰国)、万象(老挝人民民主共和国)、河内(越南)、吉隆坡(马来西亚)。该研究采用了来自世界卫生组织欧洲区域办事处的营养成分分析模型,以确定适合大龄 IYC 推广的产品比例。还确定了根据总糖能量百分比需要高糖前置警告的 CPCF 泥和餐的比例。在所评估的 459 种 CPCF 泥/餐中,只有 37.7%的产品符合所有营养成分要求,没有一种产品符合所有标签要求。此外,大多数 CPCF 泥和餐被确定为总糖含量高。为确保大龄 IYC 食用适当的 CPCF 产品,东南亚国家需要实施和执行有关 CPCF 泥和餐的营养成分和标签做法的法规。