Performance of Nutritionally Optimized Millet Porridges in the Rehabilitation of Severely Malnourished Children at Mulago National Referral Hospital, Uganda

Isingoma, Barugahara Evyline; Samuel, Mbugua; Edward, Karuri; Maina, Gakenia Wamuyu

doi:10.9734/bjmmr/2016/28355

Cited by 2 publications

(5 citation statements)

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“…Indigenous nutrient-rich plant sources like Moringa oleifera are increasingly discussed as potential sustainable solution to combat malnutrition in children [88], [89], [90], [91], [92], [93], [94], [95], [96], [97], [98], [99], [100], [101], [102]. Descriptive studies (intra-group comparisons) comment positively on MLP application as preventive or treatment approach however bear distinct limitations:…”

Section: Nutrition Intervention Studies Including the Feeding Of Morimentioning

confidence: 99%

“…Isingoma et al [99] reported the application of a fermented millet porridge with 7% MLP (IG, n=26, weeks (IG n=60, CG n=59). A study on the Philippines conducted by Serafico et al [96] found no significant effects of snack foods enriched with 3g MLP on Hb, weight or height after 120 days in 8 to 10 year old underweight school children (mean baseline Hb of 12.5g/dl for IG n=61/CG n=60, respectively).…”

Section: Nutrition Intervention Studies Including the Feeding Of Morimentioning

confidence: 99%

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Effect of diversified meals only, or either enriched with Amaranthus tricolor and Moringa oleifera leaf powder or commercial micronutrient powder on prevention/treatment of anemia in Adivasi children, West Bengal, India

Stiller

Golembiewski

Stuetz

et al. 2020

Preprint

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Background and objectives: Malnutrition associated with anemia remains a leading cause of morbidity and mortality among Adivasi children in India. The present trial aimed to test three possible ways of designing improved supplementary meals and to define their role in decreasing rates of anemia, thus increasing hemoglobin (Hb) concentrations as primary health objective: diversified meals only (intervention group 1 (IG 1)), with the addition of locally producible Amaranthus tricolor/Moringa oleifera leaf powders (ALP/MLP) in the ratio 2:1 (IG2) or with an adjusted amount of commercially produced micronutrient powder TopNutri (IG3). Methods: Cluster-randomization of 21 villages resulted in the inclusion of n=293 children aged 6-39 months after baseline assessment. The trial duration was 18 months, beginning in February 2015 (baseline assessment), with application of study meals three times a week at community level. Anthropometric, Hb (HemoCue201+) and morbidity data were collected in a total of four assessment points. At baseline a socio-economic questionnaire was performed. Results: Adjusted for age and Hb concentrations at baseline, time between assessment points, and gender; IG1 showed significant higher Hb concentrations as compared to the control group (CG) throughout the intervention period. The Hb of the remaining intervention groups IG2 or IG3, remained comparable to the CG at all assessment points. The effect on growth indices was less consistent, however most positive tendencies related to nutrition status (stunting, underweight, wasting) and morbidity reduction were attributable to IG3, indicating the beneficial role of a holistic nutrient composition in addressing undernutrition and infectious diseases. Conclusion: This low-dose intervention trial proofed the feeding of diversified diets alone (IG1) to be sufficient to significantly increase Hb concentrations of study children. On the way of achieving diversified diets for Santal children the promotion of kitchen garden programs combined with interactive awareness trainings may be a key measure. Trial registration: the trial was retrospectively registered at the German Clinical Trials Register on the 1 st July 2019 (DRKS00017388). URL: https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00017388

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Section: Nutrition Intervention Studies Including the Feeding Of Morimentioning

confidence: 99%

Section: Nutrition Intervention Studies Including the Feeding Of Morimentioning

confidence: 99%

Effect of diversified meals only, or either enriched with Amaranthus tricolor and Moringa oleifera leaf powder or commercial micronutrient powder on prevention/treatment of anemia in Adivasi children, West Bengal, India

Stiller

Golembiewski

Stuetz

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Feeding trials were carried out for four months and during this period, incidences of diseases such as respiratory infections; malaria and diarrhoea episodes were recorded. The amounts of nutrients obtained from the ready to feed porridges were determined basing on their predetermined nutrient composition [13].…”

Section: Nutritional Performance Of the Millet Based Porridgesmentioning

confidence: 99%

“…For children aged 25-36 months, all porridges could not meet 60 % of the daily energy requirements. The porridges had been designed as complementary food for children aged 7-24 months [13]. The frequency of feeding on the porridges may also need to be adjusted for children above 24 months.…”

Section: Performance Of Nutritionally Optimised Millet Porridges As Cmentioning

confidence: 99%

“…aureus, E. coli and S. Shiga due to their improved antimicrobial properties [12]. The performance of the nutritionally optimised millet porridges among severely malnourished children under rehabilitation in a hospital setting showed that they were 92-97% efficacious compared to F100, the hospital ration used for their treatment [13]. The objective of this study was therefore to determine the performance of these porridges on the nutritional status of moderately malnourished children.…”

Section: Introductionmentioning

confidence: 99%

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Performance of Nutritionally Optimised Millet Porridges as Complementary Food for Children from Low Socio-Economic Status Households in Bujenje County, Western Uganda

Isingoma¹,

Mbugua²,

Karuri³

2018

jnhfs

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Lack of proper complimentary foods continues to be a problem in many parts of the world, especially among low socioeconomic status households. The main objective of this study was to evaluate the effect of optimised millet porridges on the nutritional status of moderately malnourished children. The study was a closed cohort study involving 93 moderately wasted children aged 7-36 months and their mothers/caretakers. Thirty two children recruited from Ntooma village centre were fed on traditional millet porridge as the control while 30 from Karongo and 31 from Kiryamyongo village centres were fed on millet porridges optimised with 7% moringa leaf powder and 17% pumpkin flesh powder respectively. Optimised millet porridges were fermented using lactic acid fermentation starter cultures. Anthropometric measurements, dietary assessments and morbidity patterns of children in the study were monitored for 4 months. One way ANOVA (Analysis of Variance) and Chi-square tests were used to analyse the effect of porridges on the nutritional status of children. In all cases a p value of < 0.05 was regarded as significant. All children fed on optimised millet porridges recovered from wasting by the 6th week and being underweight by the 12th week, compared to 26 and 25 percent of children that were still wasted and underweight respectively among those fed on traditional millet porridges. Children fed on traditional millet porridge had their Height for Age (HAZ) scores deteriorate while those on optimised millet porridges had their HAZ scores improved. Diarrhoea incidences were significantly high among children fed on traditional millet porridge (P = 0.006). Fermented moringa and fermented pumpkin millet porridges can therefore be adopted as better options for complementary feeding among low socioeconomic status households of Western Uganda.

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Performance of Nutritionally Optimized Millet Porridges in the Rehabilitation of Severely Malnourished Children at Mulago National Referral Hospital, Uganda

Cited by 2 publications

References 0 publications

Effect of diversified meals only, or either enriched with Amaranthus tricolor and Moringa oleifera leaf powder or commercial micronutrient powder on prevention/treatment of anemia in Adivasi children, West Bengal, India

Effect of diversified meals only, or either enriched with Amaranthus tricolor and Moringa oleifera leaf powder or commercial micronutrient powder on prevention/treatment of anemia in Adivasi children, West Bengal, India

Performance of Nutritionally Optimised Millet Porridges as Complementary Food for Children from Low Socio-Economic Status Households in Bujenje County, Western Uganda

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