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    Consuming cassava as a staple food places children 2-5 years old at risk for inadequate protein intake, an observational study in Kenya and Nigeria

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    U10ArtStephensonConsumingNothomDev.pdf-fab2ac5dc44b497a1953797a78e6f367.pdf (219.2Kb)
    Date
    2010
    Author
    Stephenson, K.
    Amthor, R.
    Mallowa, S.
    Nungo, R.
    Maziya-Dixon, B.
    Gichuki, S.
    Mbanaso, A.
    Manary, M.
    Type
    Journal Article
    Target Audience
    Scientists
    Metadata
    Show full item record
    Abstract/Description
    Background Inadequate protein intake is known to be deleterious in animals. Using WHO consensus documents for human nutrient requirements, the protein:energy ratio (P:E) of an adequate diet is > 5%. Cassava has a very low protein content. This study tested the hypothesis that Nigerian and Kenyan children consuming cassava as their staple food are at greater risk for inadequate dietary protein intake than those children who consume less cassava. Methods A 24 hour dietary recall was used to determine the food and nutrient intake of 656 Nigerian and 449 Kenyan children aged 2-5 years residing in areas where cassava is a staple food. Anthropometric measurements were conducted. Diets were scored for diversity using a 12 point score. Pearson's Correlation Coefficients were calculated to relate the fraction of dietary energy obtained from cassava with protein intake, P:E, and dietary diversity. Results The fraction of dietary energy obtained from cassava was > 25% in 35% of Nigerian children and 89% of Kenyan children. The mean dietary diversity score was 4.0 in Nigerian children and 4.5 in Kenyan children, although the mean number of different foods consumed on the survey day in Nigeria was greater than Kenya, 7.0 compared to 4.6. 13% of Nigerian and 53% of Kenyan children surveyed had inadequate protein intake. The fraction of dietary energy derived from cassava was negatively correlated with protein intake, P:E, and dietary diversity. Height-for age z score was directly associated with protein intake and negatively associated with cassava consumption using regression modeling that controlled for energy and zinc intake. Conclusions Inadequate protein intake was found in the diets of Nigerian and Kenyan children consuming cassava as a staple food. Inadequate dietary protein intake is associated with stunting in this population. Interventions to increase protein intake in this vulnerable population should be the focus of future work.
    https://doi.org/10.1186/1475-2891-9-9
    Multi standard citation
    Permanent link to this item
    https://hdl.handle.net/20.500.12478/2141
    Digital Object Identifier (DOI)
    https://doi.org/10.1186/1475-2891-9-9
    IITA Subjects
    Cassava; Nutrition
    Agrovoc Terms
    Cassava; Protein Content; Nutritional Value; Dietary; Inadequate Protein Intake; Children
    Regions
    Africa; East Africa; West Africa
    Countries
    Kenya; Nigeria
    Journals
    Nutrition Journal
    Collections
    • Journal and Journal Articles5283
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