Toward the prevention of childhood undernutrition: Diet diversity strategies using locally produced food can overcome gaps in nutrient supply

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Toward the prevention of childhood undernutrition: Diet diversity strategies using locally produced food can overcome gaps in nutrient supply. / Parlesak, Alexandr; Geelhoed, Diederike; Robertson, Aileen.

In: Food and Nutrition Bulletin, Vol. 35, No. 2, 2014, p. 191-199.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Parlesak, A, Geelhoed, D & Robertson, A 2014, 'Toward the prevention of childhood undernutrition: Diet diversity strategies using locally produced food can overcome gaps in nutrient supply', Food and Nutrition Bulletin, vol. 35, no. 2, pp. 191-199. https://doi.org/10.1177/156482651403500205

APA

Parlesak, A., Geelhoed, D., & Robertson, A. (2014). Toward the prevention of childhood undernutrition: Diet diversity strategies using locally produced food can overcome gaps in nutrient supply. Food and Nutrition Bulletin, 35(2), 191-199. https://doi.org/10.1177/156482651403500205

Vancouver

Parlesak A, Geelhoed D, Robertson A. Toward the prevention of childhood undernutrition: Diet diversity strategies using locally produced food can overcome gaps in nutrient supply. Food and Nutrition Bulletin. 2014;35(2):191-199. https://doi.org/10.1177/156482651403500205

Author

Parlesak, Alexandr ; Geelhoed, Diederike ; Robertson, Aileen. / Toward the prevention of childhood undernutrition: Diet diversity strategies using locally produced food can overcome gaps in nutrient supply. In: Food and Nutrition Bulletin. 2014 ; Vol. 35, No. 2. pp. 191-199.

Bibtex

@article{ae81371411564e749bfb5b225ff5adda,
title = "Toward the prevention of childhood undernutrition: Diet diversity strategies using locally produced food can overcome gaps in nutrient supply",
abstract = "Background: Chronic undernutrition is prevalent in Mozambique, where children suffer from stunting, vitamin A deficiency, anemia, and other nutrition-related disorders. Complete diet formulation products (CDFPs) are increasingly promoted to prevent chronic undernutrition. Objective: Using linear programming, to investigate whether diet diversification using local foods should be prioritized in order to reduce the prevalence of chronic undernutrition. Methods: Market prices of local foods were collected in Tete City, Mozambique. Linear programming was applied to calculate the cheapest possible fully nutritious food baskets (FNFB) by stepwise addition of micronutrient-dense local foods. Results: Only the top quintile of Mozambican households, using average expenditure data, could afford the FNFB that was designed using linear programming from a spectrum of local standard foods. The addition of beef heart or liver, dried fish and fresh moringa leaves, before applying linear programming decreased the price by a factor of up to 2.6. As a result, the top three quintiles could afford the FNFB optimized using both diversification strategy and linear programming. CDFPs, when added to the baskets, were unable to overcome the micronutrient gaps without greatly exceeding recommended energy intakes, due to their high ratio of energy to micronutrient density. Conclusions: Dietary diversification strategies using local, low-cost, nutrient-dense foods can meet all micronutrient recommendations and overcome all micronutrient gaps. The success of linear programming to identify a low-cost FNFB depends entirely on the investigators' ability to select appropriate micronutrient-dense foods. CDFPs added to food baskets are unable to overcome micronutrient gaps without greatly exceeding recommended energy intake.",
keywords = "Complete diet formulation products, Diet diversification, Food baskets, Linear programming, Nutrient gap, Ready-to-use therapeutic foods",
author = "Alexandr Parlesak and Diederike Geelhoed and Aileen Robertson",
note = "Publisher Copyright: {\textcopyright} 2014, The Nevin Scrimshaw International Nutrition Foundation.",
year = "2014",
doi = "10.1177/156482651403500205",
language = "English",
volume = "35",
pages = "191--199",
journal = "Food and Nutrition Bulletin",
issn = "0379-5721",
publisher = "International Nutrition Foundation",
number = "2",

}

RIS

TY - JOUR

T1 - Toward the prevention of childhood undernutrition: Diet diversity strategies using locally produced food can overcome gaps in nutrient supply

AU - Parlesak, Alexandr

AU - Geelhoed, Diederike

AU - Robertson, Aileen

N1 - Publisher Copyright: © 2014, The Nevin Scrimshaw International Nutrition Foundation.

PY - 2014

Y1 - 2014

N2 - Background: Chronic undernutrition is prevalent in Mozambique, where children suffer from stunting, vitamin A deficiency, anemia, and other nutrition-related disorders. Complete diet formulation products (CDFPs) are increasingly promoted to prevent chronic undernutrition. Objective: Using linear programming, to investigate whether diet diversification using local foods should be prioritized in order to reduce the prevalence of chronic undernutrition. Methods: Market prices of local foods were collected in Tete City, Mozambique. Linear programming was applied to calculate the cheapest possible fully nutritious food baskets (FNFB) by stepwise addition of micronutrient-dense local foods. Results: Only the top quintile of Mozambican households, using average expenditure data, could afford the FNFB that was designed using linear programming from a spectrum of local standard foods. The addition of beef heart or liver, dried fish and fresh moringa leaves, before applying linear programming decreased the price by a factor of up to 2.6. As a result, the top three quintiles could afford the FNFB optimized using both diversification strategy and linear programming. CDFPs, when added to the baskets, were unable to overcome the micronutrient gaps without greatly exceeding recommended energy intakes, due to their high ratio of energy to micronutrient density. Conclusions: Dietary diversification strategies using local, low-cost, nutrient-dense foods can meet all micronutrient recommendations and overcome all micronutrient gaps. The success of linear programming to identify a low-cost FNFB depends entirely on the investigators' ability to select appropriate micronutrient-dense foods. CDFPs added to food baskets are unable to overcome micronutrient gaps without greatly exceeding recommended energy intake.

AB - Background: Chronic undernutrition is prevalent in Mozambique, where children suffer from stunting, vitamin A deficiency, anemia, and other nutrition-related disorders. Complete diet formulation products (CDFPs) are increasingly promoted to prevent chronic undernutrition. Objective: Using linear programming, to investigate whether diet diversification using local foods should be prioritized in order to reduce the prevalence of chronic undernutrition. Methods: Market prices of local foods were collected in Tete City, Mozambique. Linear programming was applied to calculate the cheapest possible fully nutritious food baskets (FNFB) by stepwise addition of micronutrient-dense local foods. Results: Only the top quintile of Mozambican households, using average expenditure data, could afford the FNFB that was designed using linear programming from a spectrum of local standard foods. The addition of beef heart or liver, dried fish and fresh moringa leaves, before applying linear programming decreased the price by a factor of up to 2.6. As a result, the top three quintiles could afford the FNFB optimized using both diversification strategy and linear programming. CDFPs, when added to the baskets, were unable to overcome the micronutrient gaps without greatly exceeding recommended energy intakes, due to their high ratio of energy to micronutrient density. Conclusions: Dietary diversification strategies using local, low-cost, nutrient-dense foods can meet all micronutrient recommendations and overcome all micronutrient gaps. The success of linear programming to identify a low-cost FNFB depends entirely on the investigators' ability to select appropriate micronutrient-dense foods. CDFPs added to food baskets are unable to overcome micronutrient gaps without greatly exceeding recommended energy intake.

KW - Complete diet formulation products

KW - Diet diversification

KW - Food baskets

KW - Linear programming

KW - Nutrient gap

KW - Ready-to-use therapeutic foods

U2 - 10.1177/156482651403500205

DO - 10.1177/156482651403500205

M3 - Journal article

C2 - 25076766

AN - SCOPUS:84905911771

VL - 35

SP - 191

EP - 199

JO - Food and Nutrition Bulletin

JF - Food and Nutrition Bulletin

SN - 0379-5721

IS - 2

ER -

ID: 317458662