Could local foods achieve recommended calcium intakes for nutritionally vulnerable populations in Uganda, Guatemala, and Bangladesh?
Open Access
- 25 May 2023
- journal article
- research article
- Published by Wiley in Annals of the New York Academy of Sciences
- Vol. 1525 (1), 173-183
- https://doi.org/10.1111/nyas.15008
Abstract
Globally, dietary intake of calcium is often insufficient, and it is unclear if adequacy could be achieved by promoting calcium-rich local foods. This study used linear programming and household consumption data from Uganda, Bangladesh, and Guatemala to assess whether local foods could meet calcium population reference intakes (Ca PRIs). The most promising food-based approaches to promote dietary calcium adequacy were identified for 12- to 23-month-old breastfed children, 4- to 6-year-old children, 10- to 14-year-old girls, and nonpregnant and nonbreastfeeding (NPNB) women of reproductive age living in two regions of each country. Calcium-optimized diets achieved 75-253% of the Ca PRI, depending on the population, and were <100% for 4- to 6-year-olds in one region of each country and 10- to 14-year-old girls in Sylhet, Bangladesh. The best food sources of calcium were green leafy vegetables and milk, across geographic locations, and species of small fish, nixtamalized (lime-treated) maize products, sesame seeds, and bean varieties, where consumed. Food-based recommendations (FBRs) achieving the minimum calcium threshold were identified for 12- to 23-month-olds and NPNB women across geographic locations, and for 4- to 6-year-olds and 10-to 14-year-old girls in Uganda. However, for 4- to 6-year-olds and 10- to 14-year-old girls in Bangladesh and Guatemala, calcium-adequate FBRs could not be identified, indicating a need for alternative calcium sources or increased access to and consumption of local calcium-rich foods.Keywords
Funding Information
- Children's Investment Fund Foundation
This publication has 36 references indexed in Scilit:
- Dietary calcium and zinc deficiency risks are decreasing but remain prevalentScientific Reports, 2015
- Effectiveness in improving knowledge, practices, and intakes of “key problem nutrients” of a complementary feeding intervention developed by using linear programming: experience in Lombok, IndonesiaThe American Journal of Clinical Nutrition, 2015
- Calcium supplementation during pregnancy for preventing hypertensive disorders and related problemsEmergencias, 2014
- Cash, food, or vouchers? Evidence from a randomized experiment in northern EcuadorJournal of Development Economics, 2014
- Designing appropriate complementary feeding recommendations: tools for programmatic actionMaternal & Child Nutrition, 2013
- Estimating Micronutrient Intakes from Household Consumption and Expenditures Surveys (HCES): An Example from BangladeshFood and Nutrition Bulletin, 2012
- Still Waiting for Godot? Improving Household Consumption and Expenditures Surveys (HCES) to Enable More Evidence-Based Nutrition PoliciesFood and Nutrition Bulletin, 2012
- The 2011 Report on Dietary Reference Intakes for Calcium and Vitamin D from the Institute of Medicine: What Clinicians Need to KnowJournal of Clinical Endocrinology & Metabolism, 2011
- The effects of SNAP and WIC programs on nutrient intakes of childrenFood Policy, 2010
- Book Review: Complementary Feeding of Young Children in Developing Countries: A Review of Current Scientific KnowledgeJournal of Human Lactation, 1999