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尼日利亚埃努古州当地配制的辅食对6至23个月儿童人体测量参数和微量营养素状况的影响:一项随机对照试验

Effect of Locally Formulated Complementary Foods on Anthropometric Parameters and Micronutrient Status in Children (6-23 Months) in Enugu State, Nigeria: A Randomized Controlled Trial.

作者信息

Nnam Ngozi Mercy, Ani Peace Nwanneka, Chukwuemeka Ngozi Elizabeth

机构信息

Department of Nutrition and Dietetics, University of Nigeria, Nsukka 410001, Nigeria.

出版信息

Prev Nutr Food Sci. 2025 Apr 30;30(2):110-119. doi: 10.3746/pnf.2025.30.2.110.

Abstract

Malnutrition remains a significant challenge in low- and middle-income countries, contributing to stunting, wasting, and micronutrient deficiencies. This study investigated the effect of locally formulated complementary foods on anthropometric parameters and micronutrient status in children aged 6 to 23 months. A randomized controlled trial involving 40 infants explored the effects of experimental diets, including Maize-Soybean, Maize-Soybean-Termite flour, Maize-Soybean-Fishbone powder, and Maize-Soybean-Termite-Fishbone-Pawpaw-Pumpkin (MaSoTFPP), and a control diet on children over a period of 90 days. Anthropometric measurements of weight, height, and mid-upper arm circumference (MUAC) as well as biochemical analyses of blood samples were carried out. Dietary intake was monitored over the 90-day feeding trial period. The data obtained were analyzed using Statistical Product for Service Solution, version 23. Significance was set at <0.05. The findings revealed significant improvements in the anthropometric parameters, particularly in the MaSoTFPP group, which exhibited the largest percentage increase in height and MUAC. The children fed with the experimental diets demonstrated enhanced serum hemoglobin, iron, and zinc levels, which increased most significantly in the MaSoTFPP group (by 308%, 264%, and 58%, respectively). The study underscores the potential of incorporating locally available food crops in community-based management of acute malnutrition and supports the World Health Organization's recognition of fortified staple foods in improving child growth and development.

摘要

营养不良在低收入和中等收入国家仍然是一项重大挑战,会导致发育迟缓、消瘦和微量营养素缺乏。本研究调查了当地配制的辅食对6至23个月大儿童人体测量参数和微量营养素状况的影响。一项涉及40名婴儿的随机对照试验探讨了实验性饮食(包括玉米 - 大豆、玉米 - 大豆 - 白蚁粉、玉米 - 大豆 - 鱼骨粉以及玉米 - 大豆 - 白蚁 - 鱼骨 - 木瓜 - 南瓜(MaSoTFPP))和一种对照饮食在90天内对儿童的影响。进行了体重、身高和上臂中部周长(MUAC)的人体测量以及血样的生化分析。在为期90天的喂养试验期内监测饮食摄入量。使用统计产品与服务解决方案23版对获得的数据进行分析。显著性设定为<0.05。研究结果显示人体测量参数有显著改善,特别是在MaSoTFPP组,该组身高和MUAC的百分比增幅最大。喂食实验性饮食的儿童血清血红蛋白、铁和锌水平有所提高,其中MaSoTFPP组的增幅最为显著(分别提高了308%、264%和58%)。该研究强调了在社区急性营养不良管理中纳入当地可获得的粮食作物的潜力,并支持世界卫生组织对强化主食在改善儿童生长发育方面的认可。

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