+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Low nutrient intakes among infants in rural Bangladesh are attributable to low intake and micronutrient density of complementary foods

Low nutrient intakes among infants in rural Bangladesh are attributable to low intake and micronutrient density of complementary foods

Journal of Nutrition 135(3): 444-451

We assessed the adequacy of nutrient intakes of 135 rural Bangladeshi breast-fed infants 6-12 mo of age and examined nutritional trade-offs due to possible displacement of breast milk by complementary foods. Observers completed 12-h daytime measurements of breast milk and complementary food intakes; data for the previous 12 h were obtained from maternal recall, yielding estimates of total 24-h intakes. On average, infants were mildly wasted (mean +/- SD weight-for-length Z-score = -0.92 +/- 0.88) and moderately stunted (length-for-age Z-score = -1.49 +/- 0.96). Total energy intakes at 6-8 and 9-12 mo were 88 and 86% of absolute energy requirements (kJ/d), 106 and 105% of requirements per kg body weight, and 97 and 94% of requirements per kg median weight-for-length, respectively. Breast milk contributed 78% of energy intake at 6-8 mo and 75% at 9-12 mo. Mean meal frequency and energy density of complementary foods were generally consistent with recommendations, but only small amounts of food were offered. Nevertheless, only 72% of the food energy offered was consumed. Total energy intake was positively correlated with meal frequency, quantity consumed per meal, and energy intake from breast milk, but not with energy density of complementary foods. Energy intake from complementary foods was inversely related to energy intake from breast milk. The diets fell short of recommended intakes for numerous vitamins and minerals. We conclude that although greater intakes of complementary foods were associated with higher total energy intake, micronutrient intake remained low due to the low micronutrient density of the complementary foods consumed and the partial displacement of breast milk.

(PDF emailed within 0-6 h: $19.90)

Accession: 004224951

Download citation: RISBibTeXText

PMID: 15735076

DOI: 10.1093/jn/135.3.444

Related references

Behavior-change trials to assess the feasibility of improving complementary feeding practices and micronutrient intake of infants in rural Bangladesh. Food and Nutrition Bulletin 25(3): 228-238, 2004

Food Consumption Patterns and Micronutrient Density of Complementary Foods Consumed by Infants Fed Commercially Prepared Baby Foods. Nutrition Today 53(2): 68-78, 2018

Very low adequacy of micronutrient intakes by young children and women in rural Bangladesh is primarily explained by low food intake and limited diversity. Journal of Nutrition 143(2): 197-203, 2013

Canadian infants' nutrient intakes from complementary foods during the first year of life. Bmc Pediatrics 10: 43, 2010

Comparison of an interactive 24-h recall and weighed food record for measuring energy and nutrient intakes from complementary foods among 9-10-month-old Malawian infants consuming lipid-based nutrient supplements. British Journal of Nutrition 120(11): 1262-1271, 2018

Complementary feeding practices and nutrient intake from habitual complementary foods of infants and children aged 6-18 months old in Lusaka, Zambia. African Journal Of Food, Agriculture, Nutrition And Development: 1, 28-47, 2008

Studies on food and nutrient intake by rural population of Bangladesh: Comparison between intakes of 1962-64, 1975-76 and 1981-82. Ecology of food and nutrition: 43-158, 1984

Micronutrient intake and psychological performance of schoolchildren: consideration of the value of calculated nutrient intakes for the assessment of micronutrient status in children. Proceedings of the Nutrition Society 51(3): 315-324, 1992

Effects of energy density of complementary foods on total energy intakes by healthy, breastfed children in Bangladesh a preliminary study. FASEB Journal 17(4-5): Abstract No 768 1, 2003

Studies on food and nutrient intake by rural population of bangladesh comparison between intakes of 1962 1964 1975 1976 and 1981 1982. Ecology of Food & Nutrition 15(2): 143-158, 1984

Contribution of complementary food nutrients to estimated total nutrient intakes for rural Guatemalan infants in the second semester of life. Asia Pacific Journal of Clinical Nutrition 19(4): 481-490, 2011

Complementary feeding practices and dietary intakes from complementary foods amongst weanlings in rural Malawi. European journal of clinical nutrition 55(10): 841-849, 2001

Meat as an early complementary food for infants: implications for macro- and micronutrient intakes. Nestle Nutrition Workshop Series. Paediatric Programme 60: 221-9; Discussion 229-33, 2007

Simulated effects of home fortification of complementary foods with micronutrient powders on risk of inadequate and excessive intakes in West Gojjam, Ethiopia. Maternal and Child Nutrition 14(1), 2017

Donated fortified cereal blends improve the nutrient density of traditional complementary foods in Haiti, but iron and zinc gaps remain for infants. Food and Nutrition Bulletin 25(4): 361-376, 2005