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Intake of micronutrients high in animal-source foods is associated with better growth in rural Kenyan school children

Published online by Cambridge University Press:  08 March 2007

Monika Grillenberger ,
Charlotte G. Neumann ,
Suzanne P. Murphy ,
Nimrod O. Bwibo ,
Robert E. Weiss ,
Luohua Jiang ,
Joseph G. A. J. Hautvast  and
Clive E. West
Monika Grillenberger*
Affiliation:
Division of Human Nutrition, Wageningen University, PO Box 8129, 6700 EV Wageningen, The Netherlands
Charlotte G. Neumann
Affiliation:
School of Public Health, University of California, Los Angeles, CA 90095, USA
Suzanne P. Murphy
Affiliation:
Cancer Research Center, University of Hawaii at Manoa, Honolulu, HI 96 813, USA
Nimrod O. Bwibo
Affiliation:
School of Medicine, University of Nairobi, Nairobi, Kenya
Robert E. Weiss
Affiliation:
Department of Biostatistics, School of Public Health, University of California, Los Angeles, CA 90095, USA
Luohua Jiang
Affiliation:
Department of Biostatistics, School of Public Health, University of California, Los Angeles, CA 90095, USA
Joseph G. A. J. Hautvast
Affiliation:
Division of Human Nutrition, Wageningen University, PO Box 8129, 6700 EV Wageningen, The Netherlands
Clive E. West
Affiliation:
Deceased, formerly at Department of Gastroenterology and Hepatology, University Medical Centre Nijmegen, Nijmegen, The Netherlands.
*
*corresponding author: Monika Grillenberger, fax +31 317 483342, email [email protected]
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Abstract

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Observational studies have shown that children in developing countries consuming diets containing high amounts of bioavailable nutrients, such as those found in animal-source foods, grow better. The present study investigated which specific nutrients from the diet of Kenyan school children predicted their growth. The children (n544, median age 7 years) participated in a 2-year long food supplementation study with animal-source foods. Height gain during the intervention period was positively predicted by average daily intakes of energy from animal-source foods, haem Fe, preformed vitamin A, Ca and vitamin B12. Weight gain was positively predicted by average daily intakes of energy from animal-source foods, haem Fe, preformed vitamin A, Ca and vitamin B12. Gain in mid-upper-arm muscle area was positively predicted by average daily intakes of energy from animal-source foods and vitamin B12. Gain in mid-upper-arm fat area was positively predicted by average daily intakes of energy from animal-source foods. Gain in subscapular skinfold thickness was not predicted by any of the nutrient intakes. Negative predictors of growth were total energy and nutrients that are contained in high amounts in plant foods. The study shows that growth was positively predicted by energy and nutrients that are provided in high amounts and in a bioavailable form in meat and milk, and their inclusion into the diets of children in developing countries should be part of all food-based programmes in order to improve micronutrient status and growth.

Keywords

GrowthNutrient intakeKenyaAnimal-source foods
Type
Research Article
Information
British Journal of Nutrition , Volume 95 , Issue 2 , February 2006 , pp. 379 - 390
Copyright
Copyright © The Nutrition Society 2006

References

Adams, P & Berridge, FEffects of kwashiorkor on cortical and trabecular bone. Arch Dis Child 1969 44 705–709CrossRefGoogle ScholarPubMed
Administrative Committee on Coordination, Sub-Committee on Nutrition of the United Nations Fourth Report on the World Nutrition Situation GenevaACC/SCN in collaboration with International Food Policy Research Institute 2000Google Scholar
Allen, LHNutritional influences on linear growth: a general review. Eur J Clin Nutr 1994 48 suppl., S75–S89Google ScholarPubMed
Allen, LH, Backstrand, JR, Stanek, EJ 3rd, Pelto, GH, Chavez, A, Molina, E, Castillo, JB & Mata, AThe interactive effects of dietary quality on the growth of young Mexican children. Am J Clin Nutr 1992 56 353–364CrossRefGoogle ScholarPubMed
Black, MMZinc deficiency and child development. Am J Clin Nutr.Suppl., 1998 68, S464–S469.CrossRefGoogle ScholarPubMed
Black, R, Williams, S, Jones, I & Goulding, AChildren who avoid drinking cow milk have low dietary calcium intakes and poor bone health. Am J Clin Nutr 2002 76, 675–680.CrossRefGoogle ScholarPubMed
Boldsen, J & Mascie-Taylor, CEvidence for maternal inheritance of female height in a British national sample. Hum Biol 1990 62, 767–772.Google Scholar
Bougléd, D, Laroche, D & Bureau, FZinc and iron status and growth in healthy infants. Eur J Clin Nutr 2000 54, 764–767.CrossRefGoogle Scholar
Calloway, DH, Murphy, S, Balderston, J, Receveur, O, Lein, D & Hudes, MVillage Nutrition in Egypt, Kenya, and Mexico Berkeley, CAUniversity of California (1992) Looking across the CRSP Projects. Final Report to USAIDGoogle Scholar
Castillo-Duran, C & Uauy, RCopper deficiency impairs growth of infants recovering from malnutrition Am J Clin Nutr 1988 47, 710–714.CrossRefGoogle ScholarPubMed
Chusilp, K, Somnasang, P, Kirdpon, W, Wongkham, S, Sribonlue, P, Mahaverawat, U, Yongvanit, P, Sawakontha, P, Mahaverawat, U, Yongvanit, P, Sawakontha, S & Waterlow, JObservations on the development of stunting in childrenof the Khon Kaen region of Thailand, Eur J Clin Nutr 1992 46. 475–487.Google Scholar
Clausen, T & Dorup, IMicronutrients, minerals and growth control. Bibl Nutr Dieta 1998 54, 84–92.Google Scholar
Dewey, K, Beaton, G, Fjeld, C, Lonnerdal, B & Reeds, PProtein requirements of infants and children Eur J Clin Nutr. 1996 50, Suppl S119–S150.Google Scholar
Frisancho, ARNew norms of upper limb fat and muscle areas for assessment of nutritional status Am J Clin Nutr 1981 34, 2540–2545.CrossRefGoogle ScholarPubMed
Garn, S, Rohmann, C, Behar, M, Viteri, F & Guzman, MCompact bone deficiency in protein–calorie malnutrition. Science 1964 145, 1444–1445.Google Scholar
Gibson, RPrinciples of Nutritional Assessment New York: Oxford University Press. 1990Google Scholar
Government of Kenya/United Nations Children's Fund (1998) Situation Analysis of Children and Women in Kenya 1998. Nairobi: Ministry of Planning and National Development, Human Resources and Social Services Department/UNICEF Kenya Country OfficeGoogle Scholar
Graham, G & Adrianzen, BLate ‘catch-up’ growth after severe infantile malnutrition. Johns Hopkins Med J 1972 131, 204–211.Google Scholar
Graham, GG, Creed, HM, MacLean, WC Jr, Kallman, CH, Rabold, J & Mellits, EDDeterminants of growth among poor children:nutrient intake–achieved growth relationships Am J Clin Nutr 1981 34, 539–554.Google Scholar
Grillenberger, M, Neumann, CG, Murphy, SP, Bwibo, NO, van't Veer, P, Hautvast, JG & West, CEFood supplements have a positive impact on weight gain and the addition of animal source foods increases lean body mass of Kenyan schoolchildren. J Nutr 2003 133, Suppl., S3957–S3964.CrossRefGoogle ScholarPubMed
Hallberg, L & Hulthén, LPrediction of dietary iron absorption:an algorithm for calculating absorption and bioavailability of dietary iron. Am J Clin Nutr 2000 71, 1147–1160.CrossRefGoogle ScholarPubMed
Institute of Medicine Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Washington, DC: National Academy Press. 1998Google Scholar
Institute of Medicine Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium and Zinc. Washington, DC: National Academy Press. 2001aGoogle Scholar
Institute of Medicine Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. Washington, DC: National Academy Press. 2001bGoogle Scholar
Judisch, JM, Naiman, JL & Oski, FAThe fallacy of the fat irondeficient child Pediatrics. 1966 37, 987–990.CrossRefGoogle ScholarPubMed
Kulin, HE, Bwibo, N, Mutie, D, Santer, SJThe effect of chronic childhood malnutrition on pubertal growth and development. Am J Clin Nutr 1982 36, 527–536.CrossRefGoogle ScholarPubMed
Marquis, GHabicht, J, Lanata, C, Black, R & Rasmussen, KBreast milk or animal-product foods improve linear growth of Peruvian toddlers consuming marginal diets. Am J Clin Nutr 1997 66, 1102–1109.CrossRefGoogle ScholarPubMed
Mele, L, West, KP Jr, Kusdiono, Pandji A, Nendrawati, H, Tilden, RL & Tarwotjo, INutritional and household risk factors for xerophthalmia in Aceh, Indonesia: a case–control study. The Aceh Study Group. Am J Clin Nutr 1991 53, 1460–1465.CrossRefGoogle ScholarPubMed
Murphy, SP, Calloway, DH & Beaton, GHSchoolchildren have similar predicted prevalences of inadequate intakes as toddlers in village populations in Egypt, Kenya, and Mexico. Eur J Clin Nutr 1995 49, 647–657.Google ScholarPubMed
Murphy, SP, Gewa, C, Liang, L-J, Grillenberger, M, Bwibo, NO & Neumann, CGSchool snacks containing animal source foods improve dietary quality for children in rural Kenya. J Nutr 2003 133, Suppl., S3950–S3956.CrossRefGoogle ScholarPubMed
Neumann, CG & Bwibo, NOFinal Report: Food Intake and Human Function, Kenya Project. Washington, DC: Human Collaborative Support Program, United States Agency for International Development, Office of Nutrition. 1987Google Scholar
Neumann, CG, Bwibo, NO, Murphy, SP, Sigman, M, Whaley, S, Allen, LH, Guthrie, D, Weiss, RE & Demment, MWAnimal source foods improve dietary quality, micronutrient status, growth and cognitive function in Kenyan school children: background, study design and baseline findings. J Nutr 2003 133, Suppl.,S3941–S3949.CrossRefGoogle ScholarPubMed
Paik, H, Hwang, S & Lee, SComparative analysis of growth, diet, and urinary N excretion in elementary school children from urban and rural areas of Korea. Int J Vitam Nutr Res 1992 62, 83–90.Google Scholar
Prentice, A & Bates, CJAdequacy of dietary mineral supply for human bone growth and mineralisation Eur J Clin Nutr. 1994 48, Suppl., S161–S177.Google ScholarPubMed
Proos, LA, Hofvander, Y & Tuvemo, TMenarcheal age and growth pattern of Indian girls adopted in Sweden. II. Catch-up growth and final height. Indian J Pediatr 1991 58, 105–114.Google Scholar
Rao, K, Radhiah, G & Raju, SAssociation of growth status and the pGrevalence of anemia in preschool children. Indian J Med Res 1980 71, 237–246.Google Scholar
Santos, L, Dricot, J, Asciutti, L & Dricot-d'Ans, CXerophthalmia in the state of Paraiba, northeast of Brazil: clinical findings. Am J Clin Nutr 1983 38, 139–144.Google Scholar
Sedgh, G, Herrera, M, Nestel, P, el Amin, A & Fawzi, WDietary vitamin A intake and nondietary factors are associated with reversal of stunting in children J Nutr 2000 130, 2520–2526.CrossRefGoogle ScholarPubMed
Siekmann, JH, Allen, LH, Bwibo, NO, Demment, MW, Murphy, SP & Neumann, CGKenyan school children micronutrient deficiencies, but increased plasma vitamin B-12 isthe only detectable micronutrient response to meat or milk supplementation. J Nutr 2003 133, Suppl., S3972–S3980.CrossRefGoogle ScholarPubMed
Tanner, JCatch-up growth in man. Br Med Bull 1981 37, 233–238.Google Scholar
Tarwotjo, I, Katz, J, West, KJ, Tielsch, J & Sommer, AXerophthalmia and growth in preschool Indonesian children. Am J Clin Nutr 1992 55, 1142–1146.CrossRefGoogle ScholarPubMed
Torun, B, Davies, PS, Livingstone, MB, Paolisso, M, Sackett, R & Spurr, GBEnergy requirements and dietary energy recommendations for children and adolescents 1 to 18 years old Eur J Clin Nutr 1996 50, Suppl., S37–S81.Google ScholarPubMed
Uauy, R, Mize, C & Castillo-Duran, CFat intake during childhood: metabolic responses and effects on growth. Am J Clin Nutr 2000 72, Suppl., S1354–S1360.CrossRefGoogle ScholarPubMed
Walker, SP, Powell, CA & Grantham-McGregor, SMDietary intakes and activity levels of stunted and non-stunted children in Kingston, Jamaica, Part 1. Dietary intakes. Eur J Clin Nutr 1990 44, 527–534.Google ScholarPubMed
Whaley, SE, Sigman, M, Neumann, C, Bwibo, N, Guthrie, D, Weiss, RE, Alber, S & Murphy, SPThe impact of dietary intervention on the cognitive development of Kenyan school children. J Nutr 2003 133, S3965–S3971.Google Scholar