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Wasting, categorized as either severe or moderate, is a form of child malnutrition that manifests with a low weight-for-height Z-score. Previous treatment methods for moderate wasting, which affects approximately 300,000 children in Kenya, were ineffective as they lacked a mechanism to replace the accelerated loss of lean tissue. Supplementation with leucine, may be a safe and effective method for treating moderate wasting. At a high dosage, leucine activates the mammalian target of rapamycin within the muscles which enhances gain of lean tissue. Leucine supplements are currently inaccessible to populations affected by moderate wasting in Kenya. The objective of this study was, therefore, to formulate a leucine-rich composite flour (TheraPEM) from locally available foods for treatment of moderate wasting. Six composite flours were prepared using combinations of beans (Phaseolus vulgaris), groundnuts (Voandzeia subterranea), and foxtail millet (Setaria italica) selected for their high leucine content, local availability and relatively low cost. Nutrient composition analysis and sensory evaluation were conducted on each of the six flours. The three preferred flours in terms of sensory attributes were subjected to accelerated shelf-life evaluation to determine changes in peroxide value, fat acidity, moisture content and total viable count. Kraft paper, gunny bags and plastic containers were the packaging materials used. All six flours met the Codex Alimentarius food standards for minimum energy density (80 kcal/100g) and maximum fat content (27 %) in processed cereal-based foods used for complementary feeding of infants and young children. They all also met the required > 1050 mg leucine per 100 grams of flour. Formulations 2, 3 and 5 had the most preferred sensory attributes and were thus subjected to accelerated shelf-life evaluation. At the fifth month, fat acidity was least in the flours packaged in plastic containers. There was no peroxide formation in any of the three samples during the storage period. The study generated six formulations that meet the minimum requirement for leucine in treatment of moderate wasting but formulation 3, had the most preferred sensory attributes. It is recommended that formulation three be subjected to a study to further validate its effectiveness in the treatment of moderate wasting prior to release for up-scaled use. [ABSTRACT FROM AUTHOR]

Traditional indigenous vegetables are the most economically efficient source of micronutrients in terms of both land required and production costs per unit. Promotion of production and consumption of such micronutrient-rich foods will improve intakes, the overall diet, and health status. This study aimed to determine nutrient (iron, calcium, vitamin A and ascorbic acid) and anti-nutrient (oxalates and polyphenols) contents in raw, cooked and dried sweet potato leaves Two varieties of sweet potatoes, which were identified as commonly grown for leaves consumption were analyzed at Department of Food Technology, Sokoine University of Agriculture and at the Government Chief Chemist Laboratory Tanzania. The analysis included proximate, nutrient (ascorbic acid, carotenoids, iron and calcium) and anti-nutrient (oxalate and polyphenols) composition. The purple midrib sweet potato leaves were further analyzed for nutrient and anti-nutrient retention after cooking (with and without lemon) and open sun-drying (with and without salting). There was no significant difference (P>0.05) between the two varieties in crude protein, crude lipid and moisture content. The purple midrib sweet potato leaves had significantly (P<0.05) higher ash, crude fibre, carotenoids, calcium and iron contents while the green midrib sweet potato leaves had significantly (P<0.05) higher ascorbic acid content. The polyphenols were about 4 times higher in the purple midrib sweet potato leaves (22.16%) as compared to that of the green ones (5.28%), which had significantly higher oxalate levels (3730 mg/100g). Drying with salt and cooking with lemon reduced polyphenols significantly (p<0.05), with retention of 42% and 56% respectively; while cooking with lemon lowered significantly the oxalate levels. The traditional methods of cooking SPL with addition of lemon is advantageous because it reduces polyphenols while retaining higher levels of minerals, β carotene and vitamin C. Drying with salt results in a nutritionally and organoleptically good product, hence, drying with salt and cooking with addition of lemon is encouraged. Since the sweet potato leaves are harvested more than once before the plant is uprooted, further studies are recommended to assess whether there is variation in nutrient and anti-nutrient contents in consecutive harvests. [ABSTRACT FROM AUTHOR]

Traditional indigenous vegetables are the most economically efficient source of micronutrients in terms of both land required and production costs per unit. Promotion of production and consumption of such micronutrient-rich foods will improve intakes, the overall diet, and health status. This study aimed to determine nutrient (iron, calcium, vitamin A and ascorbic acid) and anti-nutrient (oxalates and polyphenols) contents in raw, cooked and dried sweet potato leaves Two varieties of sweet potatoes, which were identified as commonly grown for leaves consumption were analyzed at Department of Food Technology, Sokoine University of Agriculture and at the Government Chief Chemist Laboratory Tanzania. The analysis included proximate, nutrient (ascorbic acid, carotenoids, iron and calcium) and anti-nutrient (oxalate and polyphenols) composition. The purple midrib sweet potato leaves were further analyzed for nutrient and anti-nutrient retention after cooking (with and without lemon) and open sun-drying (with and without salting). There was no significant difference (P>0.05) between the two varieties in crude protein, crude lipid and moisture content. The purple midrib sweet potato leaves had significantly (P<0.05) higher ash, crude fibre, carotenoids, calcium and iron contents while the green midrib sweet potato leaves had significantly (P<0.05) higher ascorbic acid content. The polyphenols were about 4 times higher in the purple midrib sweet potato leaves (22.16%) as compared to that of the green ones (5.28%), which had significantly higher oxalate levels (3730 mg/100g). Drying with salt and cooking with lemon reduced polyphenols significantly (p<0.05), with retention of 42% and 56% respectively; while cooking with lemon lowered significantly the oxalate levels. The traditional methods of cooking SPL with addition of lemon is advantageous because it reduces polyphenols while retaining higher levels of minerals, β carotene and vitamin C. Drying with salt results in a nutritionally and organoleptically good product, hence, drying with salt and cooking with addition of lemon is encouraged. Since the sweet potato leaves are harvested more than once before the plant is uprooted, further studies are recommended to assess whether there is variation in nutrient and anti-nutrient contents in consecutive harvests. [ABSTRACT FROM AUTHOR]

A comparative cross-sectional study was carried out to compare childcare practices and nutritional status of children aged 6-36 months in Mwembesongo and Mjimpya wards that had long and short experiences respectively with the Child Survival, Protection and Development (CSPD) programme. The purpose of the study was to establish whether the long-term implementation of the CSPD programme had an impact compared to that of a short-term programme. The findings showed that the children from Mwembesongo were exclusively breast-fed for a significantly longer period (50 days) than those in the Mjimpya ward (32 days) and that significantly more mothers (95.7%) in Mwembesongo than in Mjimpya (84.5%) attended growth monitoring programmes. On the other hand, significantly more mothers in Mjimpya (71.5%) compared to those in Mwembesongo (51.8%) breast-fed immediately (less than one hour) after birth. The study revealed that there was no significant difference in children's nutritional status (wasting and underweight) between the two wards, except for stunting. More children in Mwembesongo (39.7%) than in Mjimpya (27.5%) were stunted. The findings have demonstrated that financial capacity to support children's food and care requirements forms a springboard from which to launch additional efforts for improved nutritional status. [ABSTRACT FROM AUTHOR]

A comparative cross-sectional study was carried out to compare childcare practices and nutritional status of children aged 6-36 months in Mwembesongo and Mjimpya wards that had long and short experiences respectively with the Child Survival, Protection and Development (CSPD) programme. The purpose of the study was to establish whether the long-term implementation of the CSPD programme had an impact compared to that of a short-term programme. The findings showed that the children from Mwembesongo were exclusively breast-fed for a significantly longer period (50 days) than those in the Mjimpya ward (32 days) and that significantly more mothers (95.7%) in Mwembesongo than in Mjimpya (84.5%) attended growth monitoring programmes. On the other hand, significantly more mothers in Mjimpya (71.5%) compared to those in Mwembesongo (51.8%) breast-fed immediately (less than one hour) after birth. The study revealed that there was no significant difference in children's nutritional status (wasting and underweight) between the two wards, except for stunting. More children in Mwembesongo (39.7%) than in Mjimpya (27.5%) were stunted. The findings have demonstrated that financial capacity to support children's food and care requirements forms a springboard from which to launch additional efforts for improved nutritional status. [ABSTRACT FROM AUTHOR]

The triple burden of malnutrition is a problem that is being fought against at global, continental, regional and national levels. When consumed in adequate quantities, healthy diets are important in reversing the menace of malnutrition. In Kenya, grains are an important source of energy and micronutrients. Even though they contribute most energy and micronutrients, a huge Recommended Daily Allowance deficit still exists. Incorporating ancient grains such as quinoa which are nutrientrich and can survive in harsh climatic zones into the diets, can boost the efforts made towards the fight against malnutrition. Though quinoa adaptation trials have been conducted in Kenya, expanded data on the nutrient content are yet to be compiled. Between May 2022 and August 2022, four varieties of quinoa; Cherry Vanilla, Titicaca, Brilliant Bright Red and Biobio were grown at the University of Nairobi, Upper Kabete campus field station. The harvests of the four varieties were separately analyzed to determine and compare the content levels of macronutrients (carbohydrates, crude protein, fats) and micro-nutrients (manganese, magnesium, potassium, calcium, iron, copper and zinc). The four varieties were significantly different in all the analyzed elements except moisture content. Cherry vanilla had the highest level of crude protein (25.1±0.3g/100g) and fat (11.46±0.184g/100g) but the lowest level of carbohydrates (42.5±0.4%). Titicaca had the highest amounts of; manganese (21.9±0.06g/100g), potassium (511.9±0.03mg/100g), iron (11.5± 0.07mg/100g) and zinc (14.1±0.0mg/100g). Biobio variety exhibited the highest amount of magnesium (73.9±0.1mg/100g). In conclusion, the different varieties of quinoa significantly differ in their levels of macro and micronutrients. The Kenyan-grown quinoa has the potential to contribute to increased dietary intake of both macronutrients and micronutrients of children aged 2-6 years old. The Kenyan-grown quinoa contains levels of micronutrients in higher amounts compared to maize, rice and wheat - the commonly consumed cereals in Kenya. On this basis, the study recommends that the growing and consumption of quinoa should be promoted in Kenya and introduced into the diets of children aged 2-6 years of age in Kenya. Quinoa-based products for children aged 2-6 years should be developed. Climate zone-oriented agronomic trials on quinoa farming should be conducted. [ABSTRACT FROM AUTHOR]

The prevalence of maternal undernutrition has been reduced via numerous interventions, but it remains a global public health concern in underdeveloped countries. Pregnant women are increasingly using mobile phone applications to obtain, save, and share health information. This study evaluated maternal nutrition knowledge for the purposes of developing a mobile phone application-based health information sharing platform for pregnant women attending ante-natal care at Kenyatta National Hospital in Nairobi, Kenya. The study adopted cross-sectional descriptive and analytical study design. A food frequency and individual dietary diversity questionnaires were used to gather data on dietary consumption and diversity, while a semi-structured questionnaire was used to gather sociodemographic information from respondents who attended the antenatal clinic. Approximately 31.2% of respondents exhibited a high level of knowledge regarding mobile phone applications. Half of the participants (50.1%) demonstrated a moderate level of understanding, whereas 18.7% showed a low level of familiarity with mobile phone applications. About 19.9% met the minimum dietary diversity score, while 12.2% met the minimum meal frequency, and 26.7% met the minimum acceptable diet. Based on Mid-Upper Arm Circumference, 60% of the pregnant women had normal nutritional status, 36.9% moderate acute malnutrition while 3.1% had severe acute malnutrition. Significant association was observed between dietary diversity score and mobile phone application knowledge p < 0.001. Additionally, nutritional status p < 0.05 and level of education p ? 0.05, and mobile phone application knowledge of pregnant women showed significant associations. Despite the growing number of mHealth apps, the level of knowledge and usability of such apps by patients still remains relatively low. Nevertheless, the majority who used health apps found them to be beneficial, and agreed that it helped them to live a healthier lifestyle. Health apps have great potential in health promotion and therefore, to increase the use of these apps, it is necessary to first increase awareness and knowledge of these apps, both to the public and to healthcare professionals. [ABSTRACT FROM AUTHOR]