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Macro- and Micronutrients in the Development of Food for Babies and Children

  • Aarathi Rajesh
  • Nikita Sreenath
  • Srilekha Marmavula
  • Chandan Krishnamoorthy
  • Ramalingam ChidambaramEmail author
Chapter
  • 27 Downloads

Abstract

Proper nutrition throughout infancy and childhood is vital as these life stages are characterized by many physical, mental and behavioral changes: rapid growth, weight gain, the development of cognitive and psychomotor skills, and a change in food preferences. Babies and children thus require small but adequate amounts of food to provide them with the energy and nutrients they need to meet their daily basic requirements. This chapter looks at macronutrients (fats, proteins, carbohydrates) and micronutrients (vitamins and minerals) with respect to the minimum requirements of each nutrient for different age groups, and their bioavailability and stability, packaging; allergens, and flavoring agents. We discuss the importance of the common macronutrients and micronutrients in a child’s diet and how we can improve their provision. There is mounting evidence that diet quality is associated with cognitive functioning and academic performance in children, and that infant feeding practices directly affect growth during early life. It has been found that children with retarded growth and total energy deficiency refused up to 25% of the food provided to them. Thus, we also look at complementary feeding which employs food supplements such as water dispersible or crushable micronutrient tablets and fortified spreads. Diet quality rather than quantity is a key aspect of complementary foods, and this needs to be improved to ensure adequate nutrient delivery. We look at several aspects of common complementary foods such as the types available, packaging, flavoring, and differences between infant and adult foods. Malnutrition and the deficiency of certain nutrients lead to poor brain development and a weak body. We look at the effects of a lack of macro- and micronutrients in the diet and associated diseases. Finally, we explore the different forms of nutrient delivery to children and infants and focus on the sources and strategies used to improve fortified food processing methods.

Keywords

Deficiency Fortification Health Infants Macronutrients Supplements 

Notes

Acknowledgments

We would thank Vellore Institute of Technology, Vellore, for providing us with the facilities we required and the opportunity to work on this chapter.

Conflicts of Interest

The authors declare no conflict of interest.

References

  1. Acosta-Estrada, B. A., Lazo-Vélez, M. A., Nava-Valdez, Y., Gutiérrez-Uribe, J. A., & Serna-Saldívar, S. O. (2014). Improvement of dietary fiber, ferulic acid and calcium contents in pan bread enriched with nejayote food additive from white maize (Zea mays). Journal of Cereal Science, 60(1), 264–269.  https://doi.org/10.1016/j.jcs.2014.04.006.CrossRefGoogle Scholar
  2. Allen, L., de Benoist, B., Dary, O., & Hurrell, R. (2006). Guidelines on food fortification with micronutrients. Geneva, Switzerland World Health Organization, Food and Agricultural Organization of the United Nations. Available in: http://www.unscn.org/layout/modules/resources/files/fortification_eng.pdf.
  3. Bailey, R. L., Gahche, J. J., Thomas, P. R., & Dwyer, J. T. (2013). Why US children use dietary supplements. Pediatric Research, 74(6), 737–741.  https://doi.org/10.1038/pr.2013.160.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Beigbeder, Y. (2001). New challenges for UNICEF: Children, women and human rights. Springer.  https://doi.org/10.1057/9780230595576.
  5. Brennan, C. S., & Samyue, E. (2004). Evaluation of starch degradation and textural characteristics of dietary fiber enriched biscuits. International Journal of Food Properties, 7(3), 647–657.  https://doi.org/10.1081/JFP-200033070.CrossRefGoogle Scholar
  6. Carlson, S. E., & Colombo, J. (2016). Docosahexaenoic acid and arachidonic acid nutrition in early development. Advances in Pediatrics, 63(1), 453–471.  https://doi.org/10.1016/j.yapd.2016.04.011.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Case, R. (1992). The role of the frontal lobes in the regulation of cognitive development. Brain and Cognition, 20(1), 51–73.  https://doi.org/10.1016/0278-2626(92)90061-p.CrossRefPubMedGoogle Scholar
  8. Casey, C. F., Slawson, D. C., & Neal, L. R. (2010). Vitamin D supplementation in infants, children, and adolescents. American Family Physician, 81(6), 745–748.PubMedGoogle Scholar
  9. Chacon, V., Letona, P., & Barnoya, J. (2013). Child-oriented marketing techniques in snack food packages in Guatemala. BMC Public Health, 13(1), 967.  https://doi.org/10.1186/1471-2458-13-967.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Chandra, R. K. (1997). Nutrition and the immune system: An introduction. The American Journal of Clinical Nutrition, 66(2), 460S–463S.  https://doi.org/10.1093/ajcn/66.2.460s.CrossRefPubMedGoogle Scholar
  11. Chen, S., Binns, C., Maycock, B., Liu, Y., & Zhang, Y. (2014). Prevalence of dietary supplement use in healthy pre-school Chinese children in Australia and China. Nutrients, 6(2), 815–828.  https://doi.org/10.3390/nu6020815.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Cooper, E. L., & Ma, M. J. (2017). Understanding nutrition and immunity in disease management. Journal of Traditional and Complementary Medicine, 7(4), 386–391.  https://doi.org/10.1016/j.jtcme.2016.12.002.CrossRefPubMedPubMedCentralGoogle Scholar
  13. Cusick, S. E., & Georgieff, M. K. (2016). The role of nutrition in brain development: The golden opportunity of the “first 1000 days”. The Journal of Pediatrics, 175, 16–21.  https://doi.org/10.1016/j.jpeds.2016.05.013.CrossRefPubMedPubMedCentralGoogle Scholar
  14. Femenia, A., Lefebvre, A. C., Thebaudin, J.-Y., Robertson, J. A., & Bourgeois, C. M. (1997). Physical and sensory properties of model foods supplemented with cauliflower fiber. Journal of Food Science, 62(4), 635–639.  https://doi.org/10.1111/j.1365-2621.1997.tb15426.x.CrossRefGoogle Scholar
  15. Ferro-Luzzi, A., Norgan, N. G., & Durnin, J. V. (1975). Food intake, its relationship to body weight and age, and its apparent nutritional adequacy in New Guinean children. The American Journal of Clinical Nutrition, 28(12), 1443–1453.  https://doi.org/10.1093/ajcn/28.12.1443.CrossRefPubMedGoogle Scholar
  16. Figuerola, F., Hurtado, M. L., Estévez, A. M., Chiffelle, I., & Asenjo, F. (2005). Fibre concentrates from apple pomace and citrus peel as potential fibre sources for food enrichment. Food Chemistry, 91(3), 395–401.  https://doi.org/10.1016/j.foodchem.2004.04.036.CrossRefGoogle Scholar
  17. Food and Agriculture Organization (FAO). (1995). Food fortification: Technology and quality control at the Istituto Nazionale della Nutrizione, Rome. Available in: http://www.fao.org/3/w2840e/w2840e03.htm#topofpage.
  18. Gudaitis, E. L. (2016). UNICEF kid power: Empowering kids to get active and save lives. Masters of Public Health Candidate University of San Francisco, School of Nursing and Health Professions. Available in: https://repository.usfca.edu/cgi/viewcontent.cgi?article=1410&context=capstone.
  19. Hans, K. B., & Jana, T. (2018). Micronutrients in the life cycle: Requirements and sufficient supply. NFS Journal, 11, 1–11.  https://doi.org/10.1016/j.nfs.2018.03.001.CrossRefGoogle Scholar
  20. Kalala, R. H., DeLeon, J. R., & Maculan, T. P. (1989). Calcium fortified food producto. U.S. patent no. 4,871,554. Washington, DC: U.S. Patent and Trademark Office. Available in: https://patentimages.storage.googleapis.com/73/46/ae/8000e72e037324/us4871554.pdf.
  21. Karpouzos, A., Diamantis, E., Farmaki, P., Savvanis, S., & Troupis, T. (2017). Nutritional aspects of bone health and fracture healing. Journal of Osteoporosis, 2017, 4218472.  https://doi.org/10.1155/2017/4218472.CrossRefPubMedPubMedCentralGoogle Scholar
  22. Leach, R. L. (1997). Nutrient fortified food bar. U.S. patent no. 5,612,074. Washington, DC: U.S. Patent and Trademark Office. https://patentimages.storage.googleapis.com/4a/27/32/d045489d856731/us5612074.pdf.
  23. Lifshitz, F. (2009). Nutrition and growth. Journal of Clinical Research in Pediatric Endocrinology, 1(4), 157–163.  https://doi.org/10.4274/jcrpe.v1i4.39.CrossRefPubMedGoogle Scholar
  24. Michaelsen, K. F. (2000). Complementary feeding of young children in developing countries: A review of current scientific knowledge: Edited by Kenneth Brown, Kathryn Dewey, and Lindsay Allen, 1998, 178 pages, softcover. World Health Organization, Geneva. The American Journal of Clinical Nutrition, 71(2), 605–606. doi: https://doi.org/10.1093/ajcn/71.2.605a.
  25. Michaelsen, K. F., Weaver, L., Branca, F., & Robertson, A. (2003). Feeding and nutrition of infants and young children. WHO regional publications, European Series, 87, 288. Available in: http://www.euro.who.int/__data/assets/pdf_file/0004/98302/ws_115_2000fe.pdf?ua=1.
  26. Nandi, A., Ashok, A., Kinra, S., Behrman, J. R., & Laxminarayan, R. (2015). Early childhood nutrition is positively associated with adolescent educational outcomes: Evidence from the Andhra Pradesh Child and Parents Study (APCAPS). The Journal of Nutrition, 146(4), 806–813.  https://doi.org/10.3945/jn.115.223198.CrossRefPubMedGoogle Scholar
  27. Ning, W. (2015). The design of interesting packaging of children’s food. The Open Cybernetics & Systemics Journal, 9(1), 2173–2176.  https://doi.org/10.2174/1874110x01509012173.CrossRefGoogle Scholar
  28. Nyaradi, A., Li, J., Hickling, S., Foster, J., & Oddy, W. H. (2013). The role of nutrition in children’s neurocognitive development, from pregnancy through childhood. Frontiers in Human Neuroscience, 7, 97.  https://doi.org/10.3389/fnhum.2013.00097.CrossRefPubMedPubMedCentralGoogle Scholar
  29. Ohlhorst, S. D., Russell, R., Bier, D., Klurfeld, D. M., Li, Z., Mein, J. R., Milner, J., Ross, A. C., Stover, P., & Konopka, E. (2013). Nutrition research to affect food and a healthy life span. The Journal of Nutrition, 143(8), 1349–1354.  https://doi.org/10.3945/jn.113.180638.CrossRefPubMedPubMedCentralGoogle Scholar
  30. Pavleen, S. (2013). Promoting foods to Indian children through product packaging. Journal of Competitiveness, 5(4), 134–146.  https://doi.org/10.7441/joc.2013.04.08.CrossRefGoogle Scholar
  31. Prentice, A., Schoenmakers, I., Laskey, M. A., de Bono, S., Ginty, F., & Goldberg, G. R. (2006). Symposium on ‘nutrition and health in children and adolescents’ session 1: Nutrition in growth and development nutrition and bone growth and development: A meeting of the nutrition society hosted by the Irish section was held on 14–16 June 2006 at University College Cork, Cork, Republic of Ireland. Proceedings of the Nutrition Society, 65(4), 348–360.  https://doi.org/10.1079/pns2006519p.CrossRefPubMedGoogle Scholar
  32. Sichert-Hellert, W., Kersting, M., Alexy, U., & Manz, F. (2000). Ten-year trends in vitamin and mineral intake from fortified food in German children and adolescents. European Journal of Clinical Nutrition, 54(1), 81–86.  https://doi.org/10.1038/sj.ejcn.1600897.CrossRefPubMedGoogle Scholar
  33. Sichert-Hellert, W., Wenz, G., & Kersting, M. (2006). Vitamin intakes from supplements and fortified food in German children and adolescents: Results from the DONALD study. The Journal of Nutrition, 136(5), 1329–1333.  https://doi.org/10.1093/jn/136.5.1329.CrossRefPubMedGoogle Scholar
  34. Tapsell, L. (2007). Meat in the context of the whole diet: A social and cuisine perspective. Nutrition & Dietetics: The Journal of the Dietitians Association of Australia, 64(suppl. 4), S108–S110.  https://doi.org/10.1111/j.1747-0080.2007.00195.x.CrossRefGoogle Scholar
  35. Tudoricǎ, C. M., Kuri, V., & Brennan, C. S. (2002). Nutritional and physicochemical characteristics of dietary fiber enriched pasta. Journal of Agricultural and Food Chemistry, 50(2), 347–356.  https://doi.org/10.1021/jf0106953.CrossRefPubMedGoogle Scholar
  36. World Health Organization (WHO). (2007). World Food Programme and United Nations Children’s Fund (UNICEF). Joint statement. Available in: https://www.who.int/nutrition/publications/who_wfp_unicefstatement.pdf.
  37. World Health Organization (WHO). (2009). The importance of infant and young child feeding and recommended practices. Infant and young child feeding: Model chapter for textbooks for medical students and allied health professionals. Geneva: Available in: https://www.ncbi.nlm.nih.gov/books/nbk148965/pdf/bookshelf_nbk148965.pdf.
  38. World Health Organization (WHO)./Food and Agriculture Organisation (FAO). (1973). Energy and protein requirements. World Health Organization technical report series. No. 522. Geneva: Available in https://apps.who.int/iris/bitstream/handle/10665/41042/who_trs_522.pdf;jsessionid=0684009222571b848ee1013c49c4f04e?sequence=1.
  39. World Health Organization (WHO)./Food and Agriculture Organisation (FAO). (2006). Guidelines on food fortification with micronutrients. Available in https://www.who.int/nutrition/publications/guide_food_fortification_micronutrients.pdf.
  40. Wu, T. C., & Chen, P. H. (2009). Health consequences of nutrition in childhood and early infancy. Pediatrics & Neonatology, 50(4), 135–142.  https://doi.org/10.1016/s1875-9572(09)60051-6.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Aarathi Rajesh
    • 1
  • Nikita Sreenath
    • 1
  • Srilekha Marmavula
    • 1
  • Chandan Krishnamoorthy
    • 1
    • 2
  • Ramalingam Chidambaram
    • 1
    • 2
    Email author
  1. 1.Department of Biotechnology, School of Bioscience & TechnologyVellore Institute of Technology (VIT)VelloreIndia
  2. 2.Instrumental & Food Analysis Laboratory, Industrial Biotechnology Division, School of Bioscience & TechnologyVellore Institute of Technology (VIT)VelloreIndia

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