title: Development of food-based complementary feeding recommendations for 9- to 11-month-old peri-urban Indonesian infants using linear programming.
abstract: Effective population-specific, food-based complementary feeding recommendations (CFR) are required to combat micronutrient deficiencies. To facilitate their formulation, a modeling approach was recently developed. However, it has not yet been used in practice. This study therefore aimed to use this approach to develop CFR for 9- to 11-mo-old Indonesian infants and to identify nutrients that will likely remain low in their diets. The CFR were developed using a 4-phase approach based on linear and goal programming. Model parameters were defined using dietary data collected in a cross-sectional survey of 9- to 11-mo-old infants (n = 100) living in the Bogor District, West-Java, Indonesia and a market survey of 3 local markets. Results showed theoretical iron requirements could not be achieved using local food sources (highest level achievable, 63% of recommendations) and adequate levels of iron, niacin, zinc, and calcium were difficult to achieve. Fortified foods, meatballs, chicken liver, eggs, tempe-tofu, banana, and spinach were the best local food sources to improve dietary quality. The final CFR were: breast-feed on demand, provide 3 meals/d, of which 1 is a fortified infant cereal; > or = 5 servings/wk of tempe/tofu; > or = 3 servings/wk of animal-source foods, of which 2 servings/wk are chicken liver; vegetables, daily; snacks, 2 times/d, including > or = 2 servings/wk of banana; and > or = 4 servings/wk of fortified-biscuits. Results showed that the approach can be used to objectively formulate population-specific CFR and identify key problem nutrients to strengthen nutrition program planning and policy decisions. Before recommending these CFR, their long-term acceptability, affordability, and effectiveness should be assessed.
authors.affiliation: Southeast Asian Ministers of Education Organization Tropical Medicine Regional Centre for Community Nutrition, University of Indonesia, 10430 Jakarta, Indonesia.
authors.forename: Otte
authors.initials: O
authors.lastname: Santika
authors.forename: Umi
authors.initials: U
authors.lastname: Fahmida
authors.forename: Elaine L
authors.initials: EL
authors.lastname: Ferguson
mesh_terms: D001942:Breast Feeding; D003469:Culture; D004032:Diet / Q000592:standards*; D005502:Food; D006293:Health Promotion; D006801:Humans; D007214:Indonesia; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena / Q000592:standards*; D018977:Micronutrients / Q000172:deficiency; D008954:Models, Biological; D018673:Nutrition Policy; D009751:Nutritional Requirements; D014505:Urban Population
chemical_list: D018977:Micronutrients