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Use of Fortified Foods for Indonesian Infants

  • Umi FahmidaEmail author
Chapter
Part of the Nutrition and Health book series (NH)

Abstract

Adequate nutrition during the first 2 year of life is important to ensure optimal physical and mental development. Malnutrition, which prevents infants/young children from growing to their full genetic potential, remains problematic in developing countries including the Southeast Asian countries. It occurs primarily during the first 2 year of life [1, 2] making it essential to provide a nutritionally adequate complementary diet. During the complementary feeding period, breast milk provides less than 50 % of an infant’s high nutrient needs for iron, zinc, calcium, thiamin, and riboflavin [3]. Given the limited gastric capacity of infants to consume foods, consequently, complementary foods (CF) with a high nutrient density should be provided (WHO, 1998). Animal source foods have been cited in particular as essential to achieve micronutrient requirements [4]. However in developing countries where significant numbers of households still live below poverty level such as in Indonesia, promoting intakes of animal source foods will not be an easy task. Fortification of food vehicles which are consumed predominantly by lower-socioeconomic population can contribute to increase micronutrient intakes.

Keywords

Indonesia Infant Fortified foods Nutrient-dense foods Iron Zinc Calcium Fatty acids Linear/goal programming 

Abbreviations

CF

Complementary foods

CFR

Complementary feeding recommendations

EFA

Essential fatty acids

FF

Fortified foods

LA

Linoleic acids (18:2(n-6), an omega-6 fatty acid)

LNA

α-linolenic acid (18:3(n-3), an omega-3 fatty acid)

LP

Linear/goal programming

NDF

Nutrient-dense foods

PUFA

Polyunsaturated fatty acids

RE

Retinol equivalent

SNI

Standar Nasional Indonesia (The Indonesian National Standard)

References

  1. 1.
    Dewey K, Luther C. Guiding principles for complementary feeding of the breastfed child. Washington, DC: Pan American Health Organization; 2001.Google Scholar
  2. 2.
    WHO/UNICEF. Global strategy for infant and young child feeding. Geneva: WHO; 2003.Google Scholar
  3. 3.
    WHO. Complementary feeding of young children in developing countries: a review of current scientific knowledge. Geneva: WHO; 1998.Google Scholar
  4. 4.
    Krebs NF, Hambidge KM, Mazariegos M, et al. Complementary feeding: a global network cluster randomized controlled trial. The complementary feeding study group. BMC Pediatr. 2001;11:4.CrossRefGoogle Scholar
  5. 5.
    Harper TH. Improving the complementary feeding practices and behaviors of rural Indonesia. Thesis, Dunedin, New Zealand: Otago University; 2006.Google Scholar
  6. 6.
    Santika O, Fahmida U, Ferguson EL. Development of food-based complementary feeding recommendations for 9-to 11-month old peri-urban Indonesia infant using linear programming. J Nutr. 2009;139:135–41.PubMedGoogle Scholar
  7. 7.
    Lind T, Lonnerdal B, Stenlund H, Gamayanti IL, Ismail D, Seswandhana R, et al. A community-based randomized controlled trial of iron and zinc supplementation in Indonesian infants: effects on growth and development. Am J Clin Nutr. 2004;80(3):729–36.PubMedGoogle Scholar
  8. 8.
    de Pee S, Bloem MW, Sari M, Kiess L, Yip R, Kosen S. The high prevalence of low hemoglobin concentration among Indonesian infants aged 3–5 months is related to maternal anemia. J Nutr. 2002;132(8):2215–21.PubMedGoogle Scholar
  9. 9.
    Fahmida U, Rumawas JS, Utomo B, Patmonodewo S, Schultink W. Zinc-iron, but not zinc-alone supplementation, increased linear growth of stunted infants with low haemoglobin. Asia Pac J Clin Nutr. 2007;16(2):301–9.PubMedGoogle Scholar
  10. 10.
    Wijaya-Erhardt M, Erhardt JG, Untoro J, Karyadi E, Wibowo L, Gross R. Effect of daily or weekly multiple-micronutrient and iron foodlike tablets on body iron stores of Indonesian infants aged 6 12 mo: a double-blind, randomized, placebo-controlled trial. Am J Clin Nutr. 2007;86(6):1680–6.PubMedGoogle Scholar
  11. 11.
  12. 12.
    Head of the National Bureau of Standards. Decision of the Head of the National Bureau of Standards (SKKepala BSN Nomor 52/KEP/BSN/05/2005) dated 23 Mei 2005 regarding the formulation of four Indonesian National Standards. 2005; Available at: http://websisni.bsn.go.id/index.php?/sk_main/surat_keputusan/sksni/1/91
  13. 13.
    Soekarjo D, Zehner E. Legislation should support optimal breastfeeding practices and access to low-cost, high-quality complementary foods: Indonesia provides a case study. Matern Child Nutr. 2011;7 Suppl 3:112–22.PubMedCrossRefGoogle Scholar
  14. 14.
    Semba RD, Moench-Pfanner R, Sun K, de Pee S, Akhter N, Rah JH, et al. Iron-fortified milk and noodle consumption is associated with lower risk of anemia among children aged 6–59 mo in Indonesia. Am J Clin Nutr. 2010;92(1):170–6.PubMedCrossRefGoogle Scholar
  15. 15.
    Ferguson EL, Darmon N, Fahmida U, Fitriyanti S, Harper TB, Premachandra IM. Design of optimal food- based complementary feeding recommendations of key“ problem nutrients” using goal programming. J Nutr. 2006;136:2399–404.PubMedGoogle Scholar
  16. 16.
    Global Alliance for Improved Nutrition (GAIN): the retention of micronutrients in fortified rice kernels after different methods of preparation, protocol to define set-up and analytical method. Available at: http://www.gainhealth.org/riforg/sites/default/files/Retention%20micronutrients%20rice%20premix_GAIN.pdf. Accessed 1 Dec 2011.
  17. 17.
    Uauy R, Castillo C. Lipid requirements of infants: implications for nutrient composition of fortified complementary foods. J Nutr. 2003;133:2962S–72.PubMedGoogle Scholar
  18. 18.
    Pan American Health Organization/World Health Organization. Guiding principles for complementary feeding of the breastfed child. 2003. Available at: http://www.who.int/child_adolescent_health/documents/a85622/en/index.html. Accessed 1 Dec 2011.
  19. 19.
    Gibbs M, Bailey KB, Lander RD, Fahmida U, Perlas L, Hess SY, et al. The adequacy of micronutrient concentrations of manufactured complementary foods from low-income countries. J Food Comp and Anal. 2011;24(3):418–26.CrossRefGoogle Scholar
  20. 20.
    Le HT, Brouwer ID, de Wolf CA, van der Heijden L, Nguyen KC, Kok FJ. Suitability of instant noodles for iron fortification to combat iron-deficiency anemia among primary schoolchildren in rural Vietnam. Food Nutr Bull. 2007;28(3):291–8.PubMedGoogle Scholar
  21. 21.
    Angeles-Agdeppa I, Capanzana MV, Barba CV, Florentino RF, Takanashi K. Efficacy of iron-fortified rice in reducing anemia among schoolchildren in the Philippines. Int J Vitam Nutr Res. 2008;78(2):74–86.PubMedCrossRefGoogle Scholar
  22. 22.
    Fletcher RJ, Bell IP, Lambert JP. Public health aspects of food fortification: a question of balance. Proc Nutr Soc. 2004;63:605–14.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.SEAMEO—RECFON (Southeast Asian Minister of Education Organization Regional Center for Food and Nutrition)University of IndonesiaJakartaIndonesia

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