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The livestock sector in low- and middle-income countries could contribute significantly to reduce the rate of growth and/or the level of greenhouse gas (GHG) emissions required to achieve the 1.5 °C target of the Paris Agreement. Yet, the sector is also expected to contribute to food and income security in these countries. Using an extensive dataset on the Ethiopian livestock sector, we assessed the potential of selected interventions to increase supply of animal source protein (ASP) and reduce GHG emissions intensity or absolute emissions at national level. The business as usual (BAU) scenario was modelled by extrapolating the historical trends observed during the base years (i.e. 2010 – 2020) to the period between 2021 and 2030. Four scenarios were modelled including structural changes in cattle herd (S1) and chicken flock (S3) composition, increased milk yields of dairy cattle (S2), and a combination of all strategies (S4). We found that the total ASP produced and supplied per capita, as well as total GHG emissions increased between 2021 and 2030 across all scenarios while emission intensities per unit ASP produced decreased. However, by 2030, the total GHG emissions in S1 (i.e. 146.7 MtCO2e) were lower than in the BAU scenario (i.e. 149.0 MtCO2e) while the total ASP supplied per capita was higher in the former (i.e. 6.84 kg) than the latter (i.e. 6.24 kg). These findings suggest that structural changes at herd level could reduce total GHG emissions and concomitantly increase ASP supply. Therefore, structural transformation could be a highly relevant policy option for low- and middle- income countries, where the livestock sector must address multiple goals including food and income security, and global climate commitments.

The livestock sector in low- and middle-income countries could contribute significantly to reduce the rate of growth and/or the level of greenhouse gas (GHG) emissions required to achieve the 1.5 °C target of the Paris Agreement. Yet, the sector is also expected to contribute to food and income security in these countries. Using an extensive dataset on the Ethiopian livestock sector, we assessed the potential of selected interventions to increase supply of animal source protein (ASP) and reduce GHG emissions intensity or absolute emissions at national level. The business as usual (BAU) scenario was modelled by extrapolating the historical trends observed during the base years (i.e. 2010 – 2020) to the period between 2021 and 2030. Four scenarios were modelled including structural changes in cattle herd (S1) and chicken flock (S3) composition, increased milk yields of dairy cattle (S2), and a combination of all strategies (S4). We found that the total ASP produced and supplied per capita, as well as total GHG emissions increased between 2021 and 2030 across all scenarios while emission intensities per unit ASP produced decreased. However, by 2030, the total GHG emissions in S1 (i.e. 146.7 MtCO2e) were lower than in the BAU scenario (i.e. 149.0 MtCO2e) while the total ASP supplied per capita was higher in the former (i.e. 6.84 kg) than the latter (i.e. 6.24 kg). These findings suggest that structural changes at herd level could reduce total GHG emissions and concomitantly increase ASP supply. Therefore, structural transformation could be a highly relevant policy option for low- and middle- income countries, where the livestock sector must address multiple goals including food and income security, and global climate commitments. [ABSTRACT FROM AUTHOR]

Growth faltering under 5 years of age is unacceptably high worldwide, and even more children, while not stunted, fail to reach their growth potential. The time between conception and 2 years of age is critical for development. The period from 6 to 23 months, when complementary foods are introduced, coincides with a time when growth faltering and delayed neurocognitive developments are most common. Fortunately, this is also the period when diet exercises its greatest influence. Growing up in an adverse environment, with a deficient diet, as typically seen in low‐ and middle‐income countries (LMICs), hampers growth and development of children and prevents them from realising their full developmental and economic future potential. Sufficient nutrient availability and utilisation are paramount to a child's growth and development trajectory, especially in the period after breastfeeding. This review highlights the importance of essential amino acids (EAAs) in early life for linear growth and, likely, neurocognitive development. The paper further discusses signalling through mammalian target of rapamycin complex 1 (mTORC1) as one of the main amino acid (AA)‐sensing hubs and the master regulator of both growth and neurocognitive development. Children in LMICs, despite consuming sufficient total protein, do not meet their EAA requirements due to poor diet diversity and low‐quality dietary protein. AA deficiencies in early life can cause reductions in linear growth and cognition. Ensuring AA adequacy in diets, particularly through inclusion of nutrient‐dense animal source foods from 6 to 23 months, is strongly encouraged in LMICs in order to compensate for less than optimal growth during complementary feeding. [ABSTRACT FROM AUTHOR]

Background A large proportion of infants in low- and middle-income countries are stunted. These infants are often fed complementary foods that are low-quality, primarily in terms of protein and micronutrients. Objectives We aimed to test 2 milk–cereal mixes supplemented with modest and high amounts of protein during 6–12 mo of age, compared with no supplementation, for their effect on length-for-age z score (LAZ) at 12 mo of age. Methods Eligible infants (6 mo plus ≤29 d) were randomly assigned to either of the 2 interventions (modest- and high-protein) or a no supplement group. The milk–cereal mixes provided ∼125 kcal, 30%–45% energy from fats, and 80%–100% RDA of multiple micronutrients (MMN). The modest-protein group received 2.5 g protein [protein energy ratio (PER): 8%; 0.75 g from milk source] and the high-protein group received 5.6 g protein (PER: 18%, 1.68 g from milk source). One packet was given daily for 180 d. Counseling on continued breastfeeding and optimal infant-care practices was provided to all. Results We enrolled 1548 infants (high-protein: n  = 512; modest-protein: n  = 519; and no supplement: n  = 517). Compared with the no supplement group, there was an improvement in LAZ [adjusted mean difference (MD): 0.08; 95% CI: 0.01, 0.15], weight-for-age z score (MD: 0.12; 95% CI: 0.06, 0.19), weight-for-length z score (MD: 0.11; 95% CI: 0.02, 0.19), and midupper arm circumference z score (MD: 0.10; 95% CI: 0.02, 0.18) in the high-protein group at 12 mo of age. No significant differences for these anthropometric indicators were noted between the modest-protein and no supplement groups or between the high- and modest-protein groups. Conclusions Cereal mixes with higher amounts of milk-based protein and MMN may lead to improvement in linear growth and other anthropometric indexes in infants, compared with no supplementation. This trial was registered at ctri.nic.in as CTRI/2018/04/012932. [ABSTRACT FROM AUTHOR]

Abstract Growth faltering under 5 years of age is unacceptably high worldwide, and even more children, while not stunted, fail to reach their growth potential. The time between conception and 2 years of age is critical for development. The period from 6 to 23 months, when complementary foods are introduced, coincides with a time when growth faltering and delayed neurocognitive developments are most common. Fortunately, this is also the period when diet exercises its greatest influence. Growing up in an adverse environment, with a deficient diet, as typically seen in low‐ and middle‐income countries (LMICs), hampers growth and development of children and prevents them from realising their full developmental and economic future potential. Sufficient nutrient availability and utilisation are paramount to a child's growth and development trajectory, especially in the period after breastfeeding. This review highlights the importance of essential amino acids (EAAs) in early life for linear growth and, likely, neurocognitive development. The paper further discusses signalling through mammalian target of rapamycin complex 1 (mTORC1) as one of the main amino acid (AA)‐sensing hubs and the master regulator of both growth and neurocognitive development. Children in LMICs, despite consuming sufficient total protein, do not meet their EAA requirements due to poor diet diversity and low‐quality dietary protein. AA deficiencies in early life can cause reductions in linear growth and cognition. Ensuring AA adequacy in diets, particularly through inclusion of nutrient‐dense animal source foods from 6 to 23 months, is strongly encouraged in LMICs in order to compensate for less than optimal growth during complementary feeding.

Background and Objectives: The efficacy of nutrient interventions to prevent/reverse stunting is considered to be restricted to early life. Whether such interventions are equally effective in later childhood is not clear. The present study evaluated the effect of a food-based high-quality protein and micronutrient intervention on the linear growth of Indian primary school children.Methods and Study Design: A secondary analysis of a one-year milkprotein and micronutrient fortified food product intervention (protein-energy ratio: 12.8%) on the height of 550 children aged 6-10 years, of poor-socioeconomic background, was carried out. Height and weight increments were compared between groups of each year of age using multiple linear regression. Comparisons in prevalence of stunting and underweight between these groups was also made.Results: The overall mean height increment at the end of 1-year was 6.10±1.07 cm, the highest being for 6-year olds (6.38±0.84 cm). The mean height increments in 6, 7 and 8-year-olds were significantly higher (all p<0.05) than the expected median growth. Height-forage score increased across all age-groups (by 0.14±0.18) and was significantly higher in 6-year olds compared to the rest. Stunting reduced by 12% in 6- year olds in comparison to the older age-groups. No significant association was observed between height gain and gender. The increased BMI-for-age scores were significantly lower for the 6-year olds compared to older children.Conclusions: Food supplements containing high-quality protein (like milk) along with micronutrients, can continue to influence height of children even in primary school, although the most effect is seen in younger children. [ABSTRACT FROM AUTHOR]

Objective: Milk protein may stimulate linear growth through insulin-like growth factor-1 (IGF-1). However, the effect of plant proteins on growth factors is largely unknown. This study assesses the effect of combinations of milk and rapeseed protein versus milk protein alone on growth factors in children., Design: An exploratory 3-armed randomized, double-blind, controlled trial was conducted in 129 healthy 7-8 year-old Danish children. Children received 35 g milk and rapeseed protein (ratio 54:46 or 30:70) or 35 g milk protein per day for 4 weeks. The primary outcome was difference in IGF-1 changes between intervention groups after 4 weeks. Secondary outcomes included changes in IGF-1 after 1 week and changes in insulin-like growth factor binding protein-3 (IGFBP-3), IGF-1/IGFBP-3, insulin, height, weight and body composition after 1 and 4 weeks. Results were analysed by multiple linear mixed-effect models., Results: There were no differences in changes of plasma IGF-1, insulin-like growth factor binding protein-3 (IGFBP-3), IGF-1/IGFBP-3 ratio or insulin between groups after 1 or 4 weeks based on 89 complete cases (P > 0.10). IGF-1 increased by 13.7 (95% CI 9.7;17.7) ng/mL and 18.0 (14.0;22.0) ng/mL from baseline to week 1 and 4, respectively, a 16% increase during the intervention. Similarly, insulin increased by 31% (14; 50) and 33% (16; 53) from baseline to week 1 and 4. Fat-free mass index (FFMI) increments were higher with milk alone than rapeseed blends (P < 0.05), coinciding with a trend towards a lower height increment. Body mass index increased within all groups (P < 0.05), mainly due to an increase in FFMI (P < 0.01)., Conclusion: There were no differences in changes of growth factors between the combinations of milk and rapeseed protein and milk protein alone in healthy, well-nourished children with a habitual intake of milk. Within groups, growth factors increased considerably. Future studies are needed to investigate how intakes of plant and animal proteins affect childhood growth., (Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.)