Skip to main content

Advertisement

Log in

Evaluation of the Impact of a Food Program on the Micronutrient Nutritional Status of Argentinean Lactating Mothers

  • Published:
Biological Trace Element Research Aims and scope Submit manuscript

Abstract

This study was conducted to evaluate the impact of a food aid program (Plan Más Vida, PMV) on the micronutrient nutritional condition of lactating mothers 1 year after its implementation. The food program provided supplementary diets (wheat- and maize-fortified flour, rice or sugar, and fortified soup) to low-income families from the province of Buenos Aires, Argentina. A prospective, non-experimental study was carried out to evaluate the micronutrient nutritional status of lactating mothers (n = 178 at baseline and n = 151 after 1 year). Biochemical tests (hemoglobin, ferritin, zinc, vitamin A, and folic acid), anthropometric assessments (weight and height) and dietary surveys (24-h recall) were performed. We found no significant changes in anthropometric values 1 year after the intervention. The risk for vitamin A (retinol 20–30 μg/dl) and folate deficiency significantly decreased 1 year after PMV implementation (56.3 vs. 29.9 and 50.3 vs. 3.4 %, respectively; p < 0.001). Anemia was seen in 25.8 % of lactating mothers at baseline, without statistically significant differences 1 year after (p = 0.439). The nutritional data obtained after assessing the early impact of PMV actions may be useful to provincial health authorities to perform periodic evaluations in the future.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Jehn M, Brewis A (2009) Paradoxical malnutrition in mother–child pairs: untangling the phenomenon of over- and under-nutrition in underdeveloped economies. Econ Hum Biol 7(1):28–35

    Article  PubMed  Google Scholar 

  2. Boccio JR, Iyengar V (2003) Iron deficiency: causes, consequences, and strategies to overcome this nutritional problem. Biol Trace Elem Res 94(1):1–32

    Article  PubMed  CAS  Google Scholar 

  3. Ross EM (2002) Evaluation and treatment of iron deficiency in adults. Nutr Clin Care 5(5):220–224

    Article  PubMed  Google Scholar 

  4. Milman N (2011) Postpartum anemia I: definition, prevalence, causes, and consequences. Ann Hematol 90(11):1247–1253

    Article  PubMed  Google Scholar 

  5. Nakamori M, Ninh NX, Isomura H et al (2009) Nutritional status of lactating mothers and their breast milk concentration of iron, zinc and copper in rural Vietnam. J Nutr Sci Vitaminol (Tokyo) 55(4):338–345

    Article  CAS  Google Scholar 

  6. Ahmed F, Azim A, Akhtauruzzaman M (2003) Vitamin A deficiency in poor, urban, lactating women in Bangladesh: factors influencing vitamin A status. Public Health Nutr 6(5):447–452

    Article  PubMed  Google Scholar 

  7. Bodnar LM, Scanlon KS, Freedman DS, Siega-Riz AM, Cogswell ME (2001) High prevalence of postpartum anemia among low-income women in the United States. Am J Obstet Gynecol 185:438–443

    Article  PubMed  CAS  Google Scholar 

  8. Dijkhuizen MA, Wieringa FT, West CE, Muhilal, Muherdiyantiningsih (2001) Concurrent micronutrient deficiencies in lactating mothers and their infants in Indonesia. Am J Clin Nutr 73(4):786–791

    PubMed  CAS  Google Scholar 

  9. Blanco A, Rodríguez S, Cunningham L (2003) Nutritional anemia in nursing women in Costa Rica. Arch Latinoam Nutr 53(1):28–34

    PubMed  CAS  Google Scholar 

  10. Singh MB, Fotedar R, Lakshminarayana J (2009) Micronutrient deficiency status among women of desert areas of western Rajasthan, India. Public Health Nutr 12(5):624–629

    Article  PubMed  Google Scholar 

  11. Mitra AK, Khoury AJ (2011) Universal iron supplementation: a simple and effective strategy to reduce anemia among low-income, postpartum women. Public Health Nutr 23:1–8 [Epub ahead of print]

    Google Scholar 

  12. Allen LH (2002) Interventions for micronutrient deficiency control in developing countries: past, present and future. J Nutr 133:3875S–3878S

    Google Scholar 

  13. Caballero B (2005) A nutrition paradox—underweight and obesity in developing countries. NEJM 352(15):1514–1516

    Article  PubMed  CAS  Google Scholar 

  14. Uauy R, Kain J (2002) The epidemiological transition: need to incorporate obesity prevention into nutrition programmes. Public Health Nutr 5(1A):223–229

    Article  PubMed  Google Scholar 

  15. Ministerio de Desarrollo Social de la Provincia de Buenos Aires (2004) Plan Más Vida. http://www.desarrollosocial.gba.gov.ar/subsec/politicas_sociales/programas/masvida.php. Accessed 12 Feb 2012

  16. Food and Nutrition Board: Institute of Medicine (2002) Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids (macronutrients). Washington, DC, National Academy Press

  17. Portela ML, Río ME, Slobodianik NH (1997) Aplicación de la bioquímica a la evaluación del estado nutricional. López Libreros Editores, Buenos Aires

    Google Scholar 

  18. Lohman TF, Roche AF, Martorell R (1988) Anthropometric. Standardization Reference Manual. Human Kinetics, Champaign

    Google Scholar 

  19. World Health Organization. Obesity and overweight http://www.who.int/mediacentre/factsheets/fs311/es/. Accessed 12 Feb 2012

  20. Centers for Disease Control and Prevention (1998) Recommendations to prevent and control iron deficiency in the United States. MMWR Recomm Rep 47(RR-3):1–29

    Google Scholar 

  21. Food and Nutrition Board, Subcommittee on Upper Reference Levels of Nutrients (1998) Dietary reference intakes for thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, pantothenic acid, biotin and choline. Institute of Medicine, Washington, D.C

  22. Wood J, Cannon D (1991) Metabolic intermediates and inorganic ions. In: Clinical diagnosis and management by laboratory methods, 18th edn. WB Saunders Company, Philadelphia, p 170

    Google Scholar 

  23. IVACG (1993) A brief guide to current methods of assessing vitamin A status. A report of the International Vitamin A consultative Group (IVACG) Nutrition Foundations Inc. Washington DC

  24. Ley No 25.630. Available at http://www.anmat.gov.ar/Legislacion/Alimentos/Ley_25630.pdf. Accessed 12 Feb 2012

  25. Encuesta Nacional de Nutrición y Salud. Ministerio de Salud de la Nación Argentina. 2005. http://www.msal.gov.ar/htm/site/ennys/download/Implementación.pdf. Accessed 12 Feb 2012

  26. Calvo EB, Biglieri A (2008) Impacto de la fortificación con ácido fólico sobre el estado nutricional en mujeres y la prevalencia de defectos del tubo neural. Rev Chil Pediatr 81(1):78–79

    Google Scholar 

  27. Hertrampf E, Cortés F, Erickson D et al (2003) Consumption of folic acid-fortified bread improves folate status in women of reproductive age in Chile. J Nutr 133:3166–3169

    PubMed  CAS  Google Scholar 

  28. Berry RJ, Bailey L, Mulinare J, Bower C, Folic Acid Working Group (2010) Fortification of flour with folic acid. Food Nutr Bull 31(1 Suppl):S22–S35

    PubMed  Google Scholar 

  29. De Wals P, Tairou F, van Allen MI et al (2007) Reduction in neural-tube defects alters folic acid fortification in Canada. N Engl J Med 357:135–142

    Article  PubMed  Google Scholar 

  30. Klemm RD, West KP, Palmer AC et al (2010) Vitamin A fortification of wheat flour: considerations and current recommendations. Food Nutr Bull 31(1 Suppl):S47–S61

    PubMed  Google Scholar 

  31. Huo J, Sun J, Huang J et al (2011) The effectiveness of fortified flour on micro-nutrient status in rural female adults in China. Asia Pac J Clin Nutr 20(1):118–124

    PubMed  CAS  Google Scholar 

  32. Hyder SM, Haseen F, Khan M et al (2007) A multiple-micronutrient-fortified beverage affects hemoglobin, iron, and vitamin A status and growth in adolescent girls in rural Bangladesh. J Nutr 137(9):2147–2153

    PubMed  CAS  Google Scholar 

  33. Seal A, Kafwembe E, Kassin IA et al (2008) Maize meal fortification is associated with improved vitamin A and iron status in adolescents and reduced childhood anemia in a food aid-dependent refugee population. Public Health Nutr 11(7):720–728

    Article  PubMed  Google Scholar 

  34. Temple VJ, Masta A (2004) Zinc in human health. P N G Med J 47(3–4):146–158

    PubMed  Google Scholar 

  35. Olivares M, Pizarro F, de Pablo S, Araya M, Uauy R (2004) Iron, zinc, and copper: contents in common Chilean foods and daily intakes in Santiago, Chile. Nutrition 20(2):205–212

    Article  PubMed  CAS  Google Scholar 

  36. Stuetz W, Carrara VI, McGready R et al (2012) Micronutrient status in lactating mothers before and after introduction of fortified flour: cross-sectional surveys in Maela refugee camp. Eur J Nutr 51(4):425–434

    Article  PubMed  CAS  Google Scholar 

  37. Brown KH, Hambidge KM, Ranum P (2010) Zinc fortification of cereal flours: current recommendations and research needs. Food Nutr Bull 31(1):62–74

    Google Scholar 

  38. Correia SAM, Bolognini PK, Erthal SR, Teles Boaventura G, Blondet AV (2011) Dietary supplements for the lactating adolescent mother: influence on plasma micronutrients. Nutr Hosp 26(2):392–398

    Google Scholar 

  39. Cavalli-Sforza T, Berger J, Smitasiri S, Viteri F (2005) Weekly iron-folic acid supplementation of women of reproductive age: impact overview, lessons learned, expansion plans, and contributions toward achievement of the millennium development goals. Nutr Rev 63(12 pt 2):s152–s158

    PubMed  Google Scholar 

  40. WHO (2009) Weekly iron–folic acid supplementation (WIFS) in women of reproductive age: its role in promoting optimal maternal and child health. Position statement. Geneva, World Health Organization (http://www.who.int/nutrition/publications/micronutrients/weekly_iron_folicacid.pdf) Accessed February 2, 2012

  41. Frongillo EA (2003) Understanding obesity and program participation in the context of poverty and food insecurity. J Nutr 133(7):2117–2118

    PubMed  Google Scholar 

  42. Gibson D (2003) Food stamp program participation is positively related to obesity in low income women. J Nutr 133(7):2225–2231

    PubMed  CAS  Google Scholar 

  43. Gibson D (2006) Long-term Food Stamp Program participation is positively related to simultaneous overweight in young daughters and obesity in mothers. J Nutr 136(4):1081–1085

    PubMed  CAS  Google Scholar 

  44. Uauy R, Albala C, Kain J (2001) Obesity trends in Latin America: transiting from under to overweight. J Nutr 131:893S–899S

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This study was funded by CICPBA and the Ministry of Human Development, Province of Buenos Aires. The authors are grateful to professionals from the Food Program Department of the Ministry of Human Development, Andrea Touza for logistics support, and Adriana Di Maggio for manuscript edition. Thanks are also due to Prof. Fernando Viteri for a critical review of the manuscript.

Conflict of Interest

The authors declare that they have no competing interests.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Horacio F. González.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Varea, A., Malpeli, A., Disalvo, L. et al. Evaluation of the Impact of a Food Program on the Micronutrient Nutritional Status of Argentinean Lactating Mothers. Biol Trace Elem Res 150, 103–108 (2012). https://doi.org/10.1007/s12011-012-9512-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12011-012-9512-8

Keywords

Navigation