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Micronutrients Fortification for Children’s Health

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Public Health".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 3576

Special Issue Editors


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Guest Editor
National Institute for Nutrition and Health, Chinese Center for Disease Control Prevention, No. 27 Nanwei Road, Xicheng District, Beijing 100050, China
Interests: micronutrient supplement; iron; anemia
Special Issues, Collections and Topics in MDPI journals
National Institute for Nutrition and Health, Chinese Center for Disease Control Prevention, No. 27 Nanwei Road, Xicheng District, Beijing 100050, China
Interests: micronutrients supplement; iron; anemia

Special Issue Information

Dear Colleagues,

If infant malnutrition is not ameliorated in the future, it will continue to affect lifelong health, including the ability to work in adulthood. In the future, it is expected that many malnourished people will be unable to fully recover from the physical damage caused by malnutrition. The malnutrition of infants is mainly manifested as growth restriction, low weight, weight loss, anemia, and lack of a variety of micronutrients. The high rate of malnutrition has become a major threat to children’s health, causing a medical burden and reducing the possibility of having an education and/or stable economic income in adulthood. Additionally, malnutrition is an important factor in the return of poverty due to illness, and thus cannot be ignored. Under the promotion of the WHO, nearly 50 developing countries have used MNP to carry out early childhood complementary food nutrition interventions to achieve significant improvements. For example, the Chinese government adopted YYB (Ying Yang Bao) with Chinese characteristics to carry out complementary food and nutrition interventions for infants aged 6-23 months living in economically deprived regions, which has been praised for its Chinese experiences and characteristics.

We welcome original research and literature reviews on micronutrients fortification regarding children’s health and the impacts of malnutrition.

Dr. Junsheng Huo
Dr. Yanli Wei
Guest Editors

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Keywords

  • micronutrients fortification
  • YYB
  • infants
  • nutrition intervention
  • anemia
  • stunting
  • feeding behavior
  • cost–benefit

Published Papers (3 papers)

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Research

10 pages, 250 KiB  
Article
Yingyangbao Reduced Anemia among Infants and Young Children Aged 6–23 Months When Delivered through a Large-Scale Nutrition Improvement Program for Children in Poor Areas in China from 2015 to 2020
by Lijuan Wang, Junsheng Huo, Yanli Wei, Yanbin Tang, Jing Sun and Jian Huang
Nutrients 2023, 15(11), 2634; https://doi.org/10.3390/nu15112634 - 05 Jun 2023
Cited by 1 | Viewed by 857
Abstract
The purpose of this study was to assess the effectiveness of intervention with Yingyangbao (YYB) on hemoglobin (Hb) and anemia status among infants and young children (IYC) aged 6–23 months (mo) through a large-scale Nutrition Improvement Program for Children in Poor Areas (NIPCPA) [...] Read more.
The purpose of this study was to assess the effectiveness of intervention with Yingyangbao (YYB) on hemoglobin (Hb) and anemia status among infants and young children (IYC) aged 6–23 months (mo) through a large-scale Nutrition Improvement Program for Children in Poor Areas (NIPCPA) in China from 2015 to 2020. Five rounds of cross-sectional surveys were conducted using a stratified and multi-stage probability proportional to size sampling of IYC in 2015, 2017, 2018, 2019 and 2020. Multivariable regression analyses were fitted to determine the effectiveness of the YYB intervention on Hb and anemia, respectively. A total of 36,325, 40,027, 43,831, 44,375 and 46,050 IYC aged 6–23 mo were included, and the prevalence of anemia was 29.7%, 26.9%, 24.1%, 21.2% and 18.1% in 2015, 2017, 2018, 2019 and 2020, respectively. Compared with the results in 2015, the Hb concentrations significantly improved and anemia prevalence significantly decreased among IYC in 2017, 2018, 2019, and 2020 (p < 0.001). Regression analysis showed that higher YYB consumption was significantly associated with the increment in Hb concentration and reduction in anemia stratified by age group (p < 0.001). The most significant increment in Hb concentration of 2.189 mg/L and the most significant reduction in odds of anemia were observed among IYC aged 12–17 mo who consumed 270 to 359 sachets of YYB (OR: 0.671; 95% CI: 0.627, 0.719; p < 0.001). This study suggests that YYB intervention is a successful public health strategy for reducing the risk of anemia among IYC when delivered through a large-scale NIPCPA in China. It is necessary to continue to advance the program and increase the adherence of YYB. Full article
(This article belongs to the Special Issue Micronutrients Fortification for Children’s Health)
10 pages, 262 KiB  
Article
Yingyangbao Intervention Was Associated with the Improvement of Body Growth and Nutrition Status of Infants and Young Children in Poor Rural Areas of China: The Annual Comparison from 2012 to 2020
by Ou Wang, Jian Huang, Junsheng Huo, Di Chen, Yifan Xu and Jing Sun
Nutrients 2023, 15(10), 2350; https://doi.org/10.3390/nu15102350 - 17 May 2023
Cited by 1 | Viewed by 1017
Abstract
Yingyangbao (YYB) is a soy-based micronutrient-fortified powder used in the Nutrition Improvement Project on Children in Poor Areas of China. After the baseline study in 2012, YYB intervention gradually spread to 21 provinces in China. From 2015 to 2020, a secular trend study [...] Read more.
Yingyangbao (YYB) is a soy-based micronutrient-fortified powder used in the Nutrition Improvement Project on Children in Poor Areas of China. After the baseline study in 2012, YYB intervention gradually spread to 21 provinces in China. From 2015 to 2020, a secular trend study was carried out to evaluate the body growth and nutritional status of 6–23-month-old infants and young children (IYC) under YYB intervention. The aim of this research was to investigate whether YYB intervention was associated with the improvement of body growth and development in large populations from broad areas with national and multi-year survey results. The anthropometric data collected in the baseline study and cross-sectional surveys were compared, and the correlation between YYB intake amount and body growth were analyzed. Compared with the results of the baseline study, the 6–23-month-old IYC under YYB intervention showed a significant increase in body weight, body length and Z scores since 2015, and the stunting rate decreased from 9.7% in 2012 to 5.3% in 2020. Significantly positive correlations were observed between the YYB intake amount and the body growth indicators. Therefore, YYB intervention was associated with the improvement of body growth and nutrition status of Chinese IYC. In the future, long-term and continuous efforts are still needed to further reveal the health benefits of YYB in depth. Full article
(This article belongs to the Special Issue Micronutrients Fortification for Children’s Health)
11 pages, 1105 KiB  
Article
Effects of the Duration of Ying Yang Bao Consumption on Hemoglobin Concentration in Infants and Young Children in Less Developed Areas of China
by Jing Feng, Yongjun Wang, Tingting Liu, Junsheng Huo, Qin Zhuo and Zhaolong Gong
Nutrients 2022, 14(21), 4539; https://doi.org/10.3390/nu14214539 - 28 Oct 2022
Cited by 5 | Viewed by 1249
Abstract
Ying Yang Bao (YYB) is conventionally prescribed as a nutritional supplement to infants and young children (IYC) in less developed areas of China. However, whether 18-month YYB consumption is reasonable needs assessment. This study examined the influence of the duration of YYB consumption [...] Read more.
Ying Yang Bao (YYB) is conventionally prescribed as a nutritional supplement to infants and young children (IYC) in less developed areas of China. However, whether 18-month YYB consumption is reasonable needs assessment. This study examined the influence of the duration of YYB consumption on hemoglobin (Hb) levels and anemia prevalence. Data from the Nutrition Improvement Project on Children in Poor Areas of China in 2018–2019 were used. Questionnaires were used to collect information on basic characteristics, dietary status, and YYB consumption. Propensity score matching (PSM) was used to balance confounders. Hb levels and anemia prevalence in IYC with different durations of YYB consumption were compared. After PSM, all covariates were well-balanced, and 1151 pairs of IYC were included in subsequent analyses. During the 1st–9th months of intervention, YYB effectively increased Hb levels and reduced anemia prevalence in the intervention group. During the 10th–18th months of intervention, Hb levels in the control group increased and anemia prevalence decreased, while Hb levels and anemia prevalence fluctuated in the intervention group. In conclusion, YYB was effective in improving nutritional status of infants, but had a limited effect in young children. Nutritional supplements with different quantities or nutrients should be considered for young children. Full article
(This article belongs to the Special Issue Micronutrients Fortification for Children’s Health)
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