Contribution of commercial infant products and fortified staple foods to nutrient intake at ages 6, 12, and 18 months in a cohort of children from a low socio-economic community in South Africa.
Date
2019Author
Swanepoel, Eloïse
Havemann-Nel, Lize
Rothman, Marinel
Matsungo, Tonderayi M.
Smuts, Cornelius M.
Faber, Mieke
Metadata
Show full item recordAbstract
Fortification of two staple foods, maize meal and wheat flour (bread), is mandatory,
and commercial infant products are widely available in South Africa. Using a 24
‐
hr
recall, we determined the contribution of these foods towards nutrient intakes at ages
6(
n
= 715), 12 (
n
= 446), and 18 (
n
= 213) months in a cohort of children in a peri
‐
urban community, North West province. On the day of recall, commercial infant prod-
ucts were consumed by 83% of children at 6 months, 46% at 12 months, and 15% at
18 months; fortified staples were consumed by 23%, 81%, and 96%, respectively. For
consumers thereof, commercial infant products contributed 33% energy and 94% iron
intakes at 6 months and 27% energy and 56% iron intakes at 12 months; nutrient
densities of the complementary diet was higher than for nonconsumers for most
micronutrients. For consumers of fortified staples, energy contribution thereof was
11% at 6 months versus 29% at 18 months; at 18 months, fortified staples contrib-
uted
>
30% of iron, zinc, vitamin A, thiamine, niacin, vitamin B6, and folate; at
12 months, nutrient densities of the complementary diet were higher for zinc, folate,
and vitamin B6 but lower for calcium, iron, vitamin A, niacin, and vitamin C than non-
consumers. At ages 12 and 18 months, ~75% of children had low calcium intakes. At
12 months, 51.4% of consumers versus 25.0% (
P
= 0.005) of nonconsumers of forti-
fied staples had adequate intakes (
>
EAR) for all eight fortificant nutrients. However,
despite fortification, nutrient gaps remain
URI
http://hdl.handle.net/10394/31351https://onlinelibrary.wiley.com/doi/full/10.1111/mcn.12674
https://doi.org/10.1111/mcn.12674
Collections
- Faculty of Health Sciences [2385]