首页> 外文期刊>Maternal & child nutrition >Complementary feeding messages that target cultural barriers enhance both the use of lipid-based nutrient supplements and underlying feeding practices to improve infant diets in rural Zimbabwe
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Complementary feeding messages that target cultural barriers enhance both the use of lipid-based nutrient supplements and underlying feeding practices to improve infant diets in rural Zimbabwe

机译:针对文化障碍的补充喂养信息,不仅可以提高基于脂质的营养补充剂的使用,还可以改善在津巴布韦农村地区改善婴儿饮食的基础喂养方法

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Supplementation with lipid-based nutrient supplements (LiNS) is promoted as an approach to prevent child undernutrition and growth faltering. Previous LiNS studies have not tested the effects of improving the underlying diet prior to providing LiNS. Formative research was conducted in rural Zimbabwe to develop feeding messages to improve complementary feeding with and without LiNS. Two rounds of Trials of Improved Practices were conducted with mothers of infants aged 6-12 months to assess the feasibility of improving infant diets using (1) only locally available resources and (2) locally available resources plus 20g of LiNS as Nutributter?/day. Common feeding problems were poor dietary diversity and low energy density. Popular improved practices were to process locally available foods so that infants could swallow them and add processed local foods to enrich porridges. Consumption of beans, fruits, green leafy vegetables, and peanut/seed butters increased after counselling (P<0.05). Intakes of energy, protein, vitamin A, folate, calcium, iron and zinc from complementary foods increased significantly after counselling with or without the provision of Nutributter (P<0.05). Intakes of fat, folate, iron, and zinc increased only (fat) or more so (folate, iron, and zinc) with the provision of Nutributter (P<0.05). While provision of LiNS was crucial to ensure adequate intakes of iron and zinc, educational messages that were barrier-specific and delivered directly to mothers were crucial to improving the underlying diet.
机译:提倡补充基于脂质的营养补充剂(LiNS),以防止儿童营养不良和生长发育迟缓。以前的LiNS研究尚未测试提供LiNS之前改善基础饮食的效果。在津巴布韦农村地区进行了形成性研究,以开发喂养信息,以改善有或没有LiNS时的辅助喂养。针对(6-12个月)婴儿的母亲进行了两轮改进实践试验,以评估使用(1)仅本地可获得的资源和(2)当地可获得的资源加上20克LiNS作为营养物质/天来改善婴儿饮食的可行性。 。常见的喂养问题是饮食多样性差和能量密度低。流行的改进做法是加工本地可用的食物,以便婴儿可以吞咽并添加加工过的本地食物以丰富粥。咨询后,豆类,水果,绿叶蔬菜和花生/种黄油的消费量增加(P <0.05)。咨询或不咨询营养素后,补充食品的能量,蛋白质,维生素A,叶酸,钙,铁和锌的摄入量显着增加(P <0.05)。补充营养素后,脂肪,叶酸,铁和锌的摄入仅增加(脂肪)或更多(叶酸,铁和锌)(P <0.05)。虽然提供LiNS对于确保铁和锌的充分摄入至关重要,但是针对障碍的,直接传递给母亲的教育信息对于改善基本饮食至关重要。

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