• 00:01    |    
    Initial credits
  • 00:06    |    
    Introduction by Nancy Krebs
  • Topics to be discussed
  • 02:10    |    
    Similarities in toddlers across the world
  • Similar settings
  • 03:21    |    
    Background on breastfed infants at risk for zinc and iron deficiencies
  • 05:36    |    
    Myth about iron absorption
  • 06:48    |    
    Iron status in breastfed infants
  • 08:44    |    
    Complementary foods to meet micronutrient needs
    • Plant-based foods
    • Animal-source foods
  • 11:44    |    
    Guidelines for complementary feeding
  • 12:28    |    
    Meat as a complementary food
    • Positive impact of meat as complementary food
    • Stunting and wasting rates
  • 17:07    |    
    Intensive metabolic study performed in Denver, Colorado
    • Purpose of the study
    • Study design
    • Methods applied to the study
    • Dietary intake results
    • Zinc absorption results
    • Iron intake results
    • Factors associated with low ferritin
    • Comparison of iron intake in cereal and meat
  • 28:52    |    
    Interventions to improve complementary feeding
    • Background
    • Participants and clusters
    • Differences in the nutrient composition of meat and cereal
    • Results of the study
    • Significant variables for the model
    • Biomarkers results
    • Rates of iron and zinc deficiency by group
    • Guatemalan infants
  • 37:15    |    
    Conclusions of the study
  • 38:21    |    
    Similar trial in China
  • Biomarkers
  • 40:13    |    
    Final thoughts
  • Summary
  • 41:10    |    
  • 42:49    |    
    Question and answer period
    • Do you think that the concept of physiologic anemia in a child's first year is still valid?
    • What do you recommend for a child who, in spite of iron intake, still has anemia?
    • Would it make a difference if you changed the way the content of the supplements is measured, both in cereals and meat?
    • Is there a relationship between high-meat diets and pathological microbes, and is there an inflammatory response to fortified cereals intake?
    • Is the inflamation of the bowel clinically significant for the fortified cereal group?
  • 50:34    |    
    Final credits

Complementary Feeding: Effects of Different Approaches to Meet Micronutrient Needs

New Media  | 22 de marzo de 2012  | Vistas: 90

Nancy Krebs shares the findings of a study concerning micronutrients deficiencies in breastfed infants and toddlers, a research performed on children from different countries, with similar feeding settings. The study revealed that the diet of most of the children, who were part of the investigation, lacked the proper amounts of iron and zinc for a good nutrition, which may have consequences on the brain development and affect their growth.

She explains that complementary feeding refers to providing children with food, other than breast milk, which will help them meet their energy and micronutrient needs, fulfilling the corresponding quantities of zinc and iron from quality food. Krebs presents worldwide guide principles for complementary feeding, stating that meat, poultry, fish or eggs, should be eaten as often as possible.

She summarizes her conclusions and results and suggests a combination of strategies to achieve, as best as possible, a child's good nutrition.


Nancy Krebs is specialist in pediatric clinical nutrition. She is professor…