Energy and nutrient intake increased by 47-67% when amylase was added to fortified blended foods-a study among 12- to 35-month-old Burkinabe children

Nynke A Kampstra, Nguyen Van Hoan, Damiet J P C Koenders, Rotraut Schoop, Britt C Broersen, Claire Mouquet-Rivier, Tahirou Traoré, Maaike J Bruins, Saskia de Pee, Nynke A Kampstra, Nguyen Van Hoan, Damiet J P C Koenders, Rotraut Schoop, Britt C Broersen, Claire Mouquet-Rivier, Tahirou Traoré, Maaike J Bruins, Saskia de Pee

Abstract

Adding amylase to fortified blended foods can improve energy density, and increase child's energy and nutrient intake. The efficacy of this strategy is unknown for the World Food Programme's Super Cereal Plus (SC+) and Super Cereal (SC) blends. The primary goal of this study was to investigate the increased energy intake from amylase-containing SC+ and SC compared to control porridges in Burkinabe children. Secondly, energy intake from amylase-containing porridges compared to CERELAC® , Vitazom, and eeZeeBAR™ was studied. Thirdly, caregivers' (n = 100) porridge acceptability was investigated. The design was a randomized double-blind controlled cross-over trial studying the effect of amylase addition to SC+ and SC flours on porridge energy and nutrient intake in healthy Burkinabe children aged 12-23 (n = 80) and 24-35 months (n = 40). Amylase added to porridges increased energy density from 0.68 to 1.16 kcal/g for SC+ and from 0.66 to 1.03 kcal/g for SC porridges. Among children aged 12-23 months, mean energy intake from all porridges with amylase (135-164 kcal/meal) was significantly higher compared to control SC+ porridges (84-98 kcal/meal; model-based average). Among children aged 24-35 months, mean energy intakes were also significantly higher from all porridges with amylase added (245-288 kcal/meal) compared to control SC porridges (175-183 kcal/meal). Acceptability of the porridges among caregivers was rated neutral to good, both for amylase-added and non-amylase-containing porridges. These findings suggest that, among 12-35-month-old, adding amylase to fortified blended foods significantly increased energy and consequently nutrient intake per meal by 67% for SC+ and 47% for SC. Moreover, amylase-containing porridges were well accepted by the caregivers.

Trial registration: ClinicalTrials.gov NCT02192892.

Keywords: Super Cereal; Super Cereal Plus; amylase; complementary feeding; energy intake; fortified blended foods; infant and child nutrition.

Conflict of interest statement

DK, RS, and MB are employed at DSM, a manufacturer of vitamin and mineral premixes. All other authors did declare no conflict of interest. The views expressed in this article are those of the listed authors.

© 2017 The Authors Maternal & Child Nutrition published by John Wiley & Sons Ltd.

Figures

Figure 1
Figure 1
Flowchart for analysis sample. *Based on their proximity to health centers and agreement or commitment of the parents to participate for the complete duration study (30 consecutive days)
Figure 2
Figure 2
Meal size by bodyweight (in g/kg BW per meal). All data are presented in means and 95% confidence intervals. Values in a column with different superscript letters are significantly different, p < .05 (p‐values adjusted for multiple comparisons)
Figure 3
Figure 3
Energy intake per meal by bodyweight (in kcal/kg BW per meal). All data are presented in means and 95% confidence intervals. Values in a column with different superscript letters are significantly different, p < .05 (p‐values adjusted for multiple comparisons)
Figure 4
Figure 4
Model‐based mean porridge energy intakes (kcal/meal) from SC+ (12–23 months) and SC (24–35 months), with and without amylase. Data are presented in mean intake in kilocalorie per meal and 95% confidence intervals. Within SC+ and SC, bars with different letters are significantly different (i.e., energy intakes are significantly different between amylase and non‐amylase‐added porridges (p < .01). SC+ with and without added amylase includes CSB, WSB, RSB, and CSB drum dried. SC with and without amylase includes CSB, RSB, and CSB drum dried

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Source: PubMed

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