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Complementary foods in Jamaica: viscosity, energy density and feeding practices

Published online by Cambridge University Press:  02 January 2007

Julie Meeks Gardner ,
Susan P Walker ,
Karlene A Gavin  and
Ann Ashworth
Julie Meeks Gardner*
Affiliation:
Epidemiology Research Unit, Tropical Medicine Research Institute, University of the West Indies, Mona, Kingston 7, Jamaica
Susan P Walker
Affiliation:
London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK
Karlene A Gavin
Affiliation:
London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK
Ann Ashworth
Affiliation:
London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK
*
*Corresponding author: Email jgardner@infochan.com
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Abstract

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Objectives:

To develop and validate a field method for measuring the viscosity of small quantities of weaning porridges, to measure the viscosity and energy density of porridges fed in urban and rural environments, and to relate the findings to ingredients used and feeding practices.

Design:

A new method for determining the viscosity of homogeneous, semi-solid weaning foods was developed. The viscosity and energy density of porridges fed to young children were measured, ingredients obtained by recall, and caregiver feeding behaviours observed.

Setting:

One urban and one rural community in Jamaica.

Subjects:

A purposive random sample of 70 children aged 3 to 14 months.

Results:

Most children (80%) were fed porridges with medium viscosity (1700–2900 mPa s) or thicker. The mean energy density was 3.18±0.92 kJ g−1. Energy density was only moderately related to viscosity, being higher only in porridges >4000 mPa s (analysis of variance (ANOVA), P<0.05). Energy density was correlated (P<0.05) with the amounts of sugar (r=0.28) and milk powder (r=0.24) used. Viscosity and energy density were lower in porridges fed by bottle than in those fed by spoon. Anthropometric status (weight-for-length and weight-for-age) was positively correlated with energy density of the porridge but not to the encouragement or persistence of the caregiver.

Conclusions:

Porridges of adequate energy density were prepared by caregivers in Jamaica without raising viscosity to levels that might constrain intakes. Improvements in porridge preparation and more varied weaning diets may have contributed to the decline in undernutrition in Jamaica.

Keywords

Complementary foodsWeaningEnergy densityViscosityDeveloping countriesUndernutritionJamaica
Type
Research Article
Information
Public Health Nutrition , Volume 5 , Issue 2 , April 2002 , pp. 295 - 302
Copyright
Copyright © CABI Publishing 2002

References

1United Nations Administrative Committee on Coordination Sub-Committee on Nutrition. 4th Report on The World Nutrition Situation. Geneva: ACC/SCN, 2000.Google Scholar
2World Health Organization (WHO). Complementary Feeding of Young Children in Developing Countries: A Review of Current Scientific Knowledge. WHO/NUT/98.1. Geneva: WHO, 1998.Google Scholar
3Ashworth, A, Draper, A. The Potential of Traditional Technologies for Increasing the Energy Density of Weaning Foods – A Critical Review of Existing Knowledge with Particular Reference to Malting and Fermentation. WHO/CDD/EDP/92.4. Geneva: World Health Organization, 1992.Google Scholar
4World Health Organization (WHO). Complementary Feeding of Infants and Young Children. Report of a Technical Consultation. WHO/NUT/96.9. Geneva: WHO, 1998.Google Scholar
5Engle, PL, Ricciuti, HN. Psychosocial aspects of care and nutrition. Food Nutr. Bull. 1995; 16: 356–77.CrossRefGoogle Scholar
6Engle, PL, Menon, P, Haddad, L. Care and Nutrition: Concepts and Measurement. Washington, DC: International Food Policy Research Unit, 1997.Google Scholar
7Planning Institute of Jamaica. Economic and Social Survey of Jamaica, 1997. Kingston: Planning Institute of Jamaica, 1998.Google Scholar
8Lohman, TG, Roche, AF, Martorell, R. Anthropometric Standardization Manual. Champaign, IL: Human Kinetics Books, 1988.Google Scholar
9Hamill, PVV, Drizd, TA, Johnson, CI, Reed, RB, Roche, AF. NCHS Growth Curves for Children, Birth–18 years. National Center for Health Statistics, Centers for Disease Control. Series 11, 165. DHEW publication (PHS) 78 1650, Washington, DC: US Government Printing Office, 1978.Google Scholar
10Miller, DS, Payne, PR. A ballistic bomb calorimeter. Br. J. Nutr. 1959; 13: 501–8.CrossRefGoogle ScholarPubMed
11Fox, HC, Gordon, E, Peat, G, Hall, M. Community Nutrition Studies. Kingston: Ministry of Health, 1975.Google Scholar
12Ashley, D, Fox, K. Final Report: Infant Feeding patterns in Jamaica 1982. Kingston: Ministry of Health, 1984.Google Scholar
13Stephenson, D, Meeks Gardner, J, Walker, S, Ashworth, A. Weaning food viscosity and energy density: their effects on ad libitum consumption and energy intakes in Jamaican children. Am. J. Clin. Nutr. 1975; 60: 465–9.CrossRefGoogle Scholar
14Brown, KH, Dickin, KL, Bentley, ME, Oni, GA, Obasaju, VT, Esrey, SA, Mebrahtu, S, Alade, I, Stallings, RY. Consumption of weaning foods from fermented cereals in Kwara State, Nigeria. In: Alnwick, D, Moses, S, Schmidt, OG, eds. Improving Child Feeding in Eastern and Southern Africa: Household Level Food Technology. Ottawa: IDRC, 1988: 181–97.Google Scholar
15Hibbert, JM. Nutrient and bacterial content of infants' bottle feeds, MSc thesis, University of the West Indies, Mona, 1980.Google Scholar
16King, J, Ashworth, A. Changes in Infant Feeding Practices in the Caribbean. An Historical Review. London: London School of Hygiene and Tropical Medicine, 1987.Google ScholarPubMed
17United Nations Children's Fund (UNICEF). UNICEF Position on the Duration of Exclusive Breastfeeding. UNICEF Nutrition Section, 11 1999.Google Scholar
18Dettwyler, KA. Styles of infant feeding: parental/caretaker control of food consumption in young children. Am. Anthropol. 1989; 91: 696–703.CrossRefGoogle Scholar
19Bentley, ME, Black, MM, Hurtado, E. Child feeding and appetite: what can programmes do?. Food Nutr. Bull. 1995; 16: 340–8.CrossRefGoogle Scholar
20Fox, K, Ashley, D. Report of a Survey of Health Status of Children less than Ten Years in Jamaica. Kingston: Ministry of Health, 1985.Google Scholar
21Planning Institute of Jamaica. Jamaica Survey of Living Conditions, 1996. Kingston: Planning Institute of Jamaica, 1997.Google Scholar