Content of iron and vitamin A in participatory improved complementary dishes for children in Central Uganda

ID Author Title Page 157 The association between stunting, wasting and breastfeeding, and fat-free mass and fat mass in Kenyan children aged 6 and 15 months Silvenus Konyole 1 161 Evaluation of iodized salt and iodine intake, and determination of iodine deficiency in schoolchildren in the region of Rabat Anass Rami 2 289 Content of iron and vitamin A in participatory improved complementary dishes for children in Central Uganda Beatrice Ekesa 3 INTERNATIONAL SYMPOSIUM ON Understanding the Double Burden of Malnutrition for Effective Interventions 10 -13 December 2018 Vienna, Austria INDICO/Abstract ID Number: 157 STUNTING, WASTING AND BREASTFEEDING AS RELATED TO FAT-FREE MASS AND FAT MASS IN KENYAN CHILDREN AGED 6 AND 15 MONTHS Silvenus O Konyole, Selina A Omollo, John N Kinyuru, Bethwell O Owuor, Benson B Estambale, Kim F Michaelsen, Henrik Friis, Nanna Roos, and Suzanne Filteau, Victor O Owino Background and objective It is important to understand the linkage between nutritional status, growth, breastfeeding and body composition in order to design interventions to prevent growth faltering, but few data from lowand middle-income countries are available. The objective was to assess the role of nutritional status and other correlates of body composition in Kenyan children aged 6 and 15 months. Methods Four hundred and forty nine infants were enrolled in an observational study embedded in a nutrition intervention trial conducted in rural Kenya. Infants were enrolled at 6 months of age. Anthropometric measurements were conducted, and fat-free mass (FFM) and fat mass (FM) were measured with the deuterium dilution technique when the children were 6 and 15 months of age, respectively. Linear regression was used to assess the association of sex, breastfeeding, stunting and wasting as correlates of fat-free mass index (FFMI), fat mass index (FMI) and body mass index (BMI). At the age of 6 months, boys had a 0.45 (95% CI 0.100.80) kg/m2 higher FFMI compared to girls. There was no difference in FMI. A similar pattern was seen when the children reached the age of 15 months. Those who stopped breastfeeding before the age of 15 months (11%) had a 0.10 (95% CI -0.60; 0.40) kg/m2 lower FMI when they reached 15 months. At 6 months, stunted infants had a 0.28(95%CI -0.85; 0.29) kg/m2 lower BMI than infants with LAZ above 0, due to 0.66(95% CI -1.08;0.23) kg/m2 lower FMI, but not FFMI. Stunting was not associated with body composition at 15 months of age. Wasted children had both lower FFMI and FMI at 6 and 15 months of age. Table 1: Correlates of body composition at 6-month visit, with B and (mean) of the reference groups Conclusion Further research is needed to establish the relation between these early changes in body composition and later body functions and the risk of chronic diseases. Table 2: Correlates of body composition at 15-month visit, with B and (mean) of the reference groups Department of Nutritional Sciences, Masinde Muliro University of Science and Technology, Kakamega, Kenya; University of Nairobi Institute of Tropical & Infectious Diseases, Nairobi, Kenya; Department of Food Science & Postharvest Technology, Jomo Kenyatta University of Agriculture & Technology, Juja, Kenya; Department of Biology, Catholic University of Eastern Africa, Nairobi, Kenya; Research, Innovations and Outreach Division, Jaramogi Oginga Odinga University of Science and Technology, Bondo, Kenya; Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark; Department of Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom Technical University of Kenya, Nairobi, Kenya NO CONFLICTS OF INTEREST TO DECLARE BY AUTHORS Institutional affiliations