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
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
40:13    |    
Final thoughts 
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

22 de marzo de 2012   | Vistas: 3 |  

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 of Pediatrics and chair of the Department of Pediatrics…


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Universidad Francisco Marroquín