title: Acceptability of Novel Small-Quantity Lipid-Based Nutrient Supplements for Complementary Feeding in a Peri-Urban South African Community.
abstract: BACKGROUND
  Small-quantity lipid-based nutritional supplements (SQ-LNS) may potentially be used for home fortification in poor settings, where low nutrient-dense complementary foods are commonly used for infant feeding. However, they need to be acceptable to succeed.
  
  
  OBJECTIVE
  This study assessed the acceptability of 2 novel, SQ-LNS (A and B) for supplementing complementary foods among infants aged 6 to 12 months in a peri-urban South African community.
  
  
  METHODS
  Both supplements were soy-based pastes and contained micronutrients and essential fatty acids. In addition, supplement B contained docosahexaenoic acid, arachidonic acid, phytase and l-lysine. Mother-infant pairs were enrolled in a 2-part trial. Part 1 (n = 16) was a test-feeding trial with a crossover randomized design, and a 5-point hedonic scale was used for sensory evaluation (disagree = 1, agree = 5). Part 2 (n = 38) was a 2-week, home-use trial followed by focus group discussions.
  
  
  RESULTS
  In part 1, more than 70% of mothers reported a score ≥4 on sensory attributes for both SQ-LNSs indicating that both supplements were well perceived. In part 2, the mean reported consumption over the 2-week period was 65.3% ± 34.2% and 62.0% ± 31.3% of the 20 g daily portion for supplements A and B, respectively. Focus group discussions confirmed a positive attitude toward the supplements in the study population.
  
  
  CONCLUSIONS
  This study showed acceptance of both SQ-LNSs in terms of sensory characteristics as well as in terms of practicality for home use.
authors.affiliation: North-West University, Potchefstroom, South Africa marinel.rothman@nwu.ac.za.
authors.forename: Marinel
authors.initials: M
authors.lastname: Rothman
authors.affiliation: North-West University, Potchefstroom, South Africa.
authors.forename: Cristiana
authors.initials: C
authors.lastname: Berti
authors.affiliation: North-West University, Potchefstroom, South Africa.
authors.forename: Cornelius M
authors.initials: CM
authors.lastname: Smuts
authors.affiliation: Non-Communicable Disease Research Unit of the South African Medical Research Council, Cape Town, South Africa.
authors.forename: Mieke
authors.initials: M
authors.lastname: Faber
authors.affiliation: North-West University, Potchefstroom, South Africa.
authors.forename: Namukolo
authors.initials: N
authors.lastname: Covic
mesh_terms: D010832:6-Phytase / Q000008:administration & dosage; D000328:Adult; D016718:Arachidonic Acid / Q000008:administration & dosage; D003258:Consumer Behavior; D019587:Dietary Supplements; D004281:Docosahexaenoic Acids / Q000008:administration & dosage; D005228:Fatty Acids, Essential / Q000008:administration & dosage; D005260:Female; D005527:Food, Fortified; D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena; D008055:Lipids; D008239:Lysine / Q000008:administration & dosage; D018977:Micronutrients / Q000008:administration & dosage; D009035:Mothers; D011897:Random Allocation; D012677:Sensation; D013019:South Africa; D013025:Glycine max
chemical_list: D005228:Fatty Acids, Essential; D008055:Lipids; D018977:Micronutrients; D004281:Docosahexaenoic Acids; D016718:Arachidonic Acid; D010832:6-Phytase; D008239:Lysine
keywords: acceptability; complementary feeding; infants; lipid-based supplements