Randomized controlled trial2016

Effect of African leafy vegetables on the micronutrient status of mildly deficient farm-school children in South Africa: a randomized controlled study

van der Hoeven M, Faber M, Osei J, Kruger A, Smuts CM

Public health nutrition · 15 citations

Review labels

Controlled feeding

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Food provided by researchers

Who paid for it

Funding
Independent funding
Government
European Commission
University or hospital
North-West University

Based on 2 listed funder(s).

Publication

Published
2015-07-06 · Public Health Nutr · vol. 19 · issue 5 · pp. 935–945
Publisher
Cambridge University Press
Cited
32 citations · more than 89% of similar papers · 2.5× the field average
References
40 works
Access
Free to read
Research areas
Seed and Plant Biochemistry · Plant Micronutrient Interactions and Effects · Advances in Cucurbitaceae Research
Keywords
Micronutrient, Meal, Medicine, Vigna, Vitamin, Randomized controlled trial, Population, Animal science, Retinol, Leafy vegetables, Completely randomized design, Food science, Biology, Internal medicine, Botany, Environmental health
MeSH
humans, vegetables, anemia, iron-deficiency, malnutrition, zinc, vitamin a, protoporphyrins, micronutrients, receptors, transferrin, nutrition assessment, prevalence, linear models, energy intake, nutritional status, schools, child, rural population, south africa, ferritins, diet, healthy

5 authors

From ZA

  • Marinka van der HoevenNorth-West University
  • Mieke FaberSouth African Medical Research Council
  • Jennifer OseiNorth-West University
  • Annamarie KrugerNorth-West University
  • Cornelius Mattheus Smuts · correspondingNorth-West University

Abstract

Objective

A randomized controlled trial was conducted to assess the effect of African leafy vegetable (ALV) consumption on Fe, Zn and vitamin A status in children.

Design

Children were randomly allocated to receive either a 300 g cooked ALV dish and school meal starch (n 86) or the normal school meal (n 81) five times per week for three months. ALV in the dish consisted mainly of Amaranthus cruentus (at least 80 %) and the remainder of Cleome gynandra, Cucurbita maxima or Vigna unguiculata. Nutrient content and consumer acceptance of the ALV dish were also determined.

Setting

North West Province, South Africa.

Subjects

Grade R to grade 4 children (6-12 years old) of two farm schools.

Results

The ALV dish contributed 11·6-15·8 mg Fe and 1·4-3·7 mg Zn. At baseline, prevalence of deficiencies in the intervention group was 16·0 %, 16·3 %, 7·0 % and 75·6 %, respectively, for anaemia (Hb<11·5 g/dl), Fe (serum ferritin<15 µg/l), vitamin A (serum retinol<20 μg/dl) and Zn (serum Zn<65 μg/dl); and in the control group 10·5 %, 18·5 %, 2·5 % and 75·3 %, respectively. No significant estimated intervention effect was found.

Conclusions

This randomized controlled trial showed that ALV were unable to improve serum retinol, serum ferritin or Hb if there are only mild deficiencies present. Furthermore, despite the low Zn status in the study population, ALV consumption did not improve serum Zn concentrations either.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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