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Assessment of Dietary Intake and Nutrient Gaps, and Development of Food-Based Recommendations, among Pregnant and Lactating Women in Zinder, Niger: An Optifood Linear Programming Analysis.

ABSTRACT: Pregnant and lactating women in rural Niger are at high risk for inadequate intakes of multiple micronutrients. Thus, 24 h dietary recalls were conducted and analyzed for dietary intakes in this population (n = 202). Using linear programming analyses, micronutrient gaps in women's diets were identified, food-based recommendations (FBR) to improve dietary micronutrient adequacy were developed, and various supplementation strategies were modelled. Energy intakes were below estimated requirements, and, for most micronutrients, >50% of women were at risk of inadequate intakes. Linear programming analyses indicated it would be difficult to select a diet that achieved recommended dietary allowances for all but three (vitamin B?, iron and zinc) of 11 modeled micronutrients. Consumption of one additional meal per day, and adherence to the selected FBR (daily consumption of dark green leafy vegetables, fermented milk, millet, pulses, and vitamin A fortified oil), would result in a low percentage of women at risk of inadequate intakes for eight modeled micronutrients (vitamin A, riboflavin, thiamin, B6, folate, iron, zinc, and calcium). Because the promotion of realistic FBRs likely will not ensure that a low percentage of women are at risk of inadequate intakes for all modeled micronutrients, multiple micronutrient supplementation or provision of nutrient-dense foods should be prioritized.

SUBMITTER: Wessells KR

PROVIDER: S-EPMC6357040 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

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Assessment of Dietary Intake and Nutrient Gaps, and Development of Food-Based Recommendations, among Pregnant and Lactating Women in Zinder, Niger: An Optifood Linear Programming Analysis.

Wessells K Ryan KR Young Rebecca R RR Ferguson Elaine L EL Ouédraogo Césaire T CT Faye M Thierno MT Hess Sonja Y SY

Nutrients 20190102 1

Pregnant and lactating women in rural Niger are at high risk for inadequate intakes of multiple micronutrients. Thus, 24 h dietary recalls were conducted and analyzed for dietary intakes in this population (<i>n</i> = 202). Using linear programming analyses, micronutrient gaps in women's diets were identified, food-based recommendations (FBR) to improve dietary micronutrient adequacy were developed, and various supplementation strategies were modelled. Energy intakes were below estimated require ...[more]

PMID: 30609695

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Project description:BACKGROUND:Lactating women need to consume a high-quality diet to replete nutrient stores depleted during pregnancy and to ensure sufficient nutrition for breastfeeding. However, several studies reported suboptimal dietary quality and nutrient intake of lactating mothers in China. The objectives of this study was to apply dietary modeling method to develop individualized optimal diets, which meet the nutrient requirements for lactating women in urban China. METHODS:Data were collected from a sample of 576 lactating women from 0 to 240 days postpartum during the Maternal Infant Nutrition Growth study conducted between 2011 and 2012 in three cities including Beijing, Guangzhou, and Suzhou. Dietary intake data were collected with an interviewer-administered 24-h survey. Linear programming was applied to develop dietary plans that meet recommendations for lactation women in the China Dietary Reference Intakes 2013 and the Chinese Dietary Guideline 2016, while with least deviation from the observed dietary intake. RESULTS:Through dietary modeling, individual optimal diets were developed for 576 lactating women. The optimal diets met all the food and nutrient intake constraints set in the linear programming models. The large difference between observed and optimized diets suggests that the nutrient needs of lactating mothers in China may only be met after substantial dietary changes. In addition, the analysis showed that it was difficult to meet the recommended intake for six nutrients: vitamin A, vitamin B1, vitamin B6, calcium, selenium, and dietary fiber. Moreover, four clusters in the optimized diets were identified by K-means cluster analysis. The four clusters confirmed that the optimal diets developed by linear programming could characterize the variety in dietary habits by geographical regions and duration of lactation. CONCLUSION:Linear programming could help translate nutrient recommendations into personal diet advices for a sample of urban lactating mothers from China. The study showed that dietary modeling is helpful to support healthy eating of lactation women by translating dietary guidelines into personalized meal plans. TRIAL REGISTRATION:The Maternal Infant Nutrition Growth study was registered in ClinicalTrials.gov with identifier NCT01971671 . Registration date October 29, 2013.

Project description:Estimating excreted nutrients is important for farm nutrient management, but seldom occurs on commercial grazing system farms due to difficulties in quantifying pasture intake. Nitrogen (N), phosphorus (P), potassium (K), sulphur (S), calcium (Ca) and magnesium (Mg) intake, excretion and use efficiency of 43 commercial dairy herds grazing pasture were calculated to understand the range in nutrient intake and excretion in these systems. Milk production, feed (grazed and supplement), as well as farm and herd management data were collected quarterly on representative farms located in temperate, arid, subtropical and tropical regions of Australia. Lactating herd sizes on these farms averaged 267 (30 to 1350) cows, with an average daily milk yield of 22 (9 to 36) kg/cow per day and the herds walked from <0.01 to 4 km/day on a variety of terrains. The mean total metabolizable energy (ME) required by cows in the herds was estimated to be 195 (116 to 289) MJ/cow per day. Although these farms are considered grazing systems, feeding strategies ranged from total dependence on pasture to total mixed rations (TMRTMR) and consisted of a wide variety of nutrient and energy contents. Mean pasture dry matter intake (DMI) (9 kg/cow per day, from 0.1 to 22 kg/cow per day) was just over half of total DMI. Dietary concentration of crude protein, P, K, S, Ca and Mg concentrations were, on average, 19%, 0.45%, 2.1%, 0.29%, 0.65%, and 0.3%, respectively, for all herds and, except for N, supplement nutrient concentrations were always more variable than pasture. Approximately 72% and 88% of diets provided greater than recommended P and N intakes, respectively. Calculated mean N, P, K, S, Ca and Mg excretions were 433, 61, 341, 44, 92 and 52 g/cow per day, respectively. Of the farm characteristics examined, residual maximum likelihood (REML) analysis indicated that daily excreted N, P and S were significantly related to per ha milk production, and excreted P, K and Mg were related to percentage of herd DMI provided as supplement. Mean use efficiencies by cows of N, P, K, S, Ca and Mg were 21%, 25%, 9%, 16%, 23% and 4%, respectively. These estimates of nutrient excretion and feed nutrient use efficiencies can be used to improve nutrient management on grazing system commercial dairy farms.

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Dataset Information

Assessment of Dietary Intake and Nutrient Gaps, and Development of Food-Based Recommendations, among Pregnant and Lactating Women in Zinder, Niger: An Optifood Linear Programming Analysis.

Publications

Assessment of Dietary Intake and Nutrient Gaps, and Development of Food-Based Recommendations, among Pregnant and Lactating Women in Zinder, Niger: An Optifood Linear Programming Analysis.

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