Influence of Complementary Food Composition on Prevalence of Anemia among Children Aged 6-24 Months in West Cameroon


Influence of Complementary Food Composition on Prevalence of Anemia among Children Aged 6-24 Months in West Cameroon


MANANGA Marlyne Josephine12*, KANA SOP Marie Modestine2, NOLLA Nicolas2, TETANYE Ekoe3, GOUADO Inocent2
1 University of Yaoundé I, Faculty of Science, Department of Biochemistry of Yaoundé
2 University of Douala, Faculty of Science, Department of Biochemistry of Douala.
3 University of Yaoundé I, Faculty of Medicine and Biomedical Sciences.


International Journal of Food and Nutrition Research

Iron is an essential micronutrient for human health and inadequate intake may result in iron deficiency (ID) or iron deficiency anaemia (IDA). In western region of Cameroon, 39 % of children under 59 months suffering from IDA. To reduce the high prevalence of IDA, the evaluation of nutritional potential of complementary food is very necessary to improve the nutritional status of the young children. The objective of this study is to determine the influence of complementary food composition on prevalence of anemia among young children living in West Cameroon. A food interview survey was carried out among 50 families (25 families with children having Hb ≥ 11 g/dL and 25 families having children with Hb ≤ 11 g/d/L). Ten complementary foods frequently consumed by children were recruited near the families. The amount of food nutrient intake per day was also determined. The data were analyzed using ANOVA (p ≤ 0.05) and the principal component analysis (PCA). The PCA shows that corn meal with vegetables was a dish with high level in iron, fats, dietary fiber and calcium. The complementary food based on corn meal with okra and those based on Irish potatoes with beans and fishes were higher in protein, ash, magnesium, potassium, phosphorus and zinc. The other dishes based on irish potatoes, rice, peanuts and corn meal porridge had high levels of carbohydrates. There was no significant difference between the daily iron, protein, calcium, and potassium intakes between anemic and non anemic children. However, food intake of anemic children was low compared with non-anemic children. The daily iron intake of the children ranged between 23.73 % and 42.27 % of their iron requirement daily. Their daily iron was generally poor. Though, most of their foods were of plant source whose nutrients are poorly bioavailable. Therefore, application of improved food processing and storage techniques, good dietary diversification and fortification with intensified nutrition education would reduce iron deficiency anemia in the area.


Keywords: Iron, complementary food, nutrient intake, young children, anemia.


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How to cite this article:
MANANGA Marlyne Josephine, KANA SOP Marie Modestine, NOLLA Nicolas, TETANYE Ekoe, GOUADO Inocent. Influence of Complementary Food Composition on Prevalence of Anemia among Children Aged 6-24 Months in West Cameroon. International Journal of Food and Nutrition Research, 2019; 3:21. DOI: 10.28933/ijfnr-2019-01-0905


References:

1. Durrani Anisa M. Prevalence of anemia in adolescents: a challenge to the global health. Acta Scientific Nutritional Health 2018; 2(4): 24-27.
2. EDSC-MICS (Enquête de Démographie et de Santé à Indicateurs multiples). Rapport préliminaire. Institut national de la statistique. EDSC-MICS 2011; 1-66.
3. Kana-Sop MM, Mananga MJ, Tetanye E, et al. Risk factors of anemia among young children in rural Cameroon. Int.J.Curr. Microbiol. App.Sci. 2015; 4(2): 925-935.
4. Casgrain A, Collings R, Harvey LJ et al. Effect of iron intake on iron status: A systematic review and meta-analysis of randomized controlled trials. Am. J. Clin. Nutr. 2012; 96 : 768–780.
5. Egbi G, Steiner-Asiedu M, Kwesi FS et al. Anaemia among school children older than five years in the Volta Region of Ghana. Pan Afr Med J. 2014 ; 17 (1):
6. Siu AL. U.S. Preventive Services Task Force. Screening for iron defciency anemia in young children: USPSTF recommendation statement. Pediatr. 2015; 136 (4):746-752.
7. Kana SM, Gouado I, Mananga MJ et al. Trace elements in foods of children from Cameroon: a focus on zinc and phytate content. J. Trace Elem. Med. Biol. 2012; 26: 201-204.
8. Sharma S, Mbanya JC, Cruickshank K et al. Nutritional composition of commonly consumed composite dishes from the Central Province of Cameroon. Int. J. Food Sci. Nutr. 2007; 58: 475-485.
9. Kouebou CP, Achu M, Nzali S et al. A review of composition studies of Cameroon traditional dishes: Macronutrients and minerals. Food Chem. 2013; 140: 483-494.
10. Kana SM, Gouado I, Teugwa MC et al. Mineral content in some Cameroonian household foods eaten in Douala. Afr. J. Biotech. 2008; 7(17): 3085-3091.
11. Kana SM, Fotso M, Gouado I et al. Nutritional survey, staple foods composition and the uses of savoury condiments in Douala, Cameroon. Afr. J. Biotech. 2008; 7: 1339-1343.
12. Kouebou CP, Essia NJJ, Etoa FX. Variation de qualité au sein des unités traditionnelles de transformation du maïs en farines, pâtes et Gaari. In Perrot L, Njoya A, Havard M (Eds). Agricultures et Développement Urbain en Afrique de l’Ouest et du Centre», Enjeux sanitaires et environnementaux. L’Harmattan 2008; 151-161.
13. Kana SMM, Zollo PHA, Ndifor F. Iron bioavailability in Cameroon weaning foods and the influence of the diet composition. Afr. J. Food Agri. Nutr. Dev. 2004; 4(1): 1-11.
14. Woldie H, Kebede Y, Tariku A. Factors associated with anemia among children aged
6-23 months attending growth monitoring at Tsitsika Health center, way-Himra zone,
Northeast Ethiopia. J. Nutr. Met. 2015; 1-9.
15. Mananga MJ, Kana-Sop MM, Nolla NP et al. Feeding practices, food and nutrition insecurity of infants and their mothers in Bangang rural community, Cameroon. J. Nutr. Food Sci. 2014; 4 (2): 1-6.
16. Young I, Parker HM, Rangan A et al. Association between haem and non haem iron intake and serum ferritin in healthy young women. Nutr, 2018; 10 (81): 2-13.
17. Engle-Stone R, Ongla A, Nankap M et al. Consumption of potentially fortifiable foods by women and young children varies by ecological zone and socio economics status in Cameroon. J. Nutr. 2012; 142: 555-565.
18. Beck KL, Kruger R, Conlon C et al. Suboptimal iron status and associated dietary patterns and practices in premenopausal women living in Auckland, New Zealand. Eur. J. Nutr. 2013; 52: 467–476.
19. FAO/WHO. Human vitamin and mineral requirements. Report of a joint FAO/WHO expert consultation Bangkok, Thailand, 2001, 303p.
20. Leal LP, Filho MB, De Lira PIC et al. Prevalence of anemia and associated factors in children aged 6–59 months in Pernambuco, North-eastern Brazil. Revista de Saude Publica 2011; 45 (3): 457-466.
21. Ministry of Health and Population (MOHP), New ERA, and ICF International, Nepal Demographic and Health Survey 2011, Ministry of Health and Population, Kathmandu, Nepal; New ERA, and ICF International, Calverton, Md, USA, 2012.
22. Asongni WD, Sop MM, Gouado I, Nolla NP, Mananga MJ, Zollo PH, And Ekoe. Feeding practices and nutritional parameters of children aged 6-14 years from Cameroon. J.Food Sci. Adv. 2013; 1(1): 1-10.