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Fortified food supplementation in children with reduced dietary energy and micronutrients intake in Southern Mexico

Overview of attention for article published in Nutrition Journal, August 2018
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Title
Fortified food supplementation in children with reduced dietary energy and micronutrients intake in Southern Mexico
Published in
Nutrition Journal, August 2018
DOI 10.1186/s12937-018-0385-3
Pubmed ID
Authors

Gabriela Añorve-Valdez, Amado David Quezada-Sánchez, Fabiola Mejía-Rodríguez, Armando García-Guerra, Lynnette Marie Neufeld

Abstract

Nutritional supplements are an important source of complementary food for young children, since they may either complement or substitute nutrients obtained from other food sources. Assessing how the introduction of different types of supplements modifies the consumption of other food sources may help in designing supplementation programs that aim to improve the nutrition of vulnerable populations. The objetive is to quantify dietary energy and nutrient intake among children aged 6-12 months who received one of three nutritional supplements. A cluster-randomized trial was conducted from 2005 to 2007. Urban communities were randomly allocated to one of three intervention groups receiving one of the following: a milk-based fortified food, micronutrient powders, or syrup. Each supplement was fortified with equal amounts of micronutrients. Dietary intake was estimated using a food frequency questionnaire (FFQ) to reflect the average consumption over the month prior to the interview. Children between 6 and 12 months of age were recruited. Median regression was performed with adjusted standard errors for clustered data, and the linear predictors for the median included the study group, study stage and their interaction. Adjusted medians by study group and study stage were obtained as post-estimations. No statistically significant differences between study groups were observed at baseline. After four months of supplementation, the children in the fortified food group had a smaller increase in median dietary energy (183.7 kcal, CI95%: 59.9, 307.5) and dietary protein (6.6 g, CI95%: 2.6, 10.6) intake from their home diet than those in the syrup group (p < 0.05). These differences remained significant after adjusting for group differences at baseline. Regarding covariate-adjusted median changes from baseline to follow-up at 10 months, the children in the fortified food group had a smaller median increase in dietary energy intake than those in the syrup group (698 vs 915 kcal), with a difference of 217.9 kcal (CI95%: 20.4, 415.4). Children in the fortified food group consumed less dietary energy, protein, and micronutrients than those in the micronutrient powder and syrup groups. It is possible that absolute nutrient intake may be overestimated by the FFQ, but this possibility does not compromise the ability to compare study groups. Given the observed differences in dietary energy consumption among the three supplemented groups, it can be concluded that supplementation with micronutrient powders is an adequate option for urban children who have met their minimum energy and protein requirements.

Mendeley readers

The data shown below were compiled from readership statistics for 87 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 87 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 11 13%
Student > Bachelor 11 13%
Student > Ph. D. Student 10 11%
Student > Master 8 9%
Student > Doctoral Student 4 5%
Other 13 15%
Unknown 30 34%
Readers by discipline Count As %
Medicine and Dentistry 15 17%
Nursing and Health Professions 13 15%
Social Sciences 5 6%
Psychology 5 6%
Biochemistry, Genetics and Molecular Biology 4 5%
Other 10 11%
Unknown 35 40%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 August 2018.
All research outputs
#11,863,644
of 13,376,849 outputs
Outputs from Nutrition Journal
#1,028
of 1,078 outputs
Outputs of similar age
#193,195
of 223,521 outputs
Outputs of similar age from Nutrition Journal
#1
of 1 outputs
Altmetric has tracked 13,376,849 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,078 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 27.7. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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