Selecting desirable micronutrient fortificants for plant‐based complementary foods for infants and young children in low‐income countries

The World Health Organization (WHO) recommends that both breast‐fed and non‐breast‐fed children are fed micronutrient fortified complementary foods designed to meet their high nutrient requirements from aged 6 to 23 months of age. This paper summarises the steps recommended by WHO/FAO to identify the country‐specific micronutrient shortfalls in complementary diets and establish desirable levels of bioavailable fortificants for centrally processed plant‐based complementary foods for infant and young child feeding. The goal of the WHO/FAO guidelines is to achieve a desirably low prevalence of inadequate micronutrient intakes in the target group whilst simultaneously ensuring minimal risk of excessive intakes. © 2014 Society of Chemical Industry     

我国市售婴幼儿谷类辅助食品可选择营养成分使用现况调查

目的:了解我国市售婴幼儿谷类辅助食品可选择营养成分添加情况和含量分布,为修订《婴幼儿谷类辅助食品》(GB10769-2010)可选择营养成分提供参考依据。方法:通过线下实体店和网店收集婴幼儿谷类辅助食品标签信息,将产品信息及可选择营养成分录入Excel表格,用SPSS 21.0统计各可选择营养成分添加率及含量分布,用秩和检验比较不同类别谷物辅助食品含量差异。结果:55家企业的247例婴幼儿谷类辅助食品纳入分析。现行标准中规定的所有可选择营养成分均有使用,不同类型的婴幼儿谷物辅助食品添加的可选择营养成分不同。各可选择营养成分含量整体处于标准范围值的较低区间。维生素B_2和烟酸添加率最高,分别为70.8%和70.0%;添加率最高的矿物质磷为54.2%,添加率最低的酪蛋白磷酸肽为3.6%。婴幼儿高蛋白辅助食品中的维生素E、维生素B_6、维生素B_(12)、泛酸、维生素C和磷含量高于其他3类婴幼儿谷物食品中的含量,差异具有统计学意义(P 0.05)。结论《婴幼儿谷类辅助食品》(GB10769-2010)规定的可选择营养成分均有使用,不同类型的婴幼儿谷物辅助食品添加的可选择营养成分不同。各可选择营养成分含量总体处在标准范围值的低区间。     

2018年河南省市售婴幼儿谷类辅助食品微生物污染状况调查

目的 了解河南省市售婴幼儿谷类辅助食品卫生状况,为食品安全风险评估及标准制定提供基础数据。方法 参照《2018年国家食品污染物和有害因素风险监测工作手册》提供方法进行采样和检测,在河南省共采集婴幼儿谷类辅助食品103份,对其进行肠杆菌科、蜡样芽胞杆菌、单核细胞增生李斯特菌和克罗诺杆菌属污染状况检测,对检测中可疑菌落采用基质辅助激光解吸电离飞行时间质谱进行鉴定。结果 103份样品中肠杆菌科和克罗诺杆菌属检出率分别为0.97%(1/103)和5.83%(6/103),均在婴幼儿即食谷物辅助食品中检出,产地集中在江西省和福建省,采样地点类型均为便利店/零售店,6份克罗诺杆菌属阳性样品中有5份样品标识为≥辅食添加初期。9份样品蜡样芽胞杆菌定量结果在10～10³ CFU/g范围,检出率为8.74%(9/103),样品产地包括广东省、江西省、福建省、黑龙江省和四川省,采样地点类型均为超市和便利店/零售店,其中有8份是婴幼儿即食谷物辅助食品。结论 河南省市售婴幼儿谷类辅助食品尤其是婴幼儿即食谷物辅助食品受到克罗诺杆菌属和蜡样芽胞杆菌污染,且这些阳性产品中大多数标识的适用年龄为≥辅食添加初期,由此带来的食品安全风险较大,建议婴幼儿即食谷物辅助食品添加克罗诺杆菌属和蜡样芽胞杆菌微生物限量,降低由此带来的食品安全隐患。     

Economic evaluation of progeny-testing and genomic selection schemes for small-sized nucleus dairy cattle breeding programs in developing countries

In developing countries minimal and erratic performance and pedigree recording impede implementation of large-sized breeding programs. Small-sized nucleus programs offer an alternative but rely on their economic performance for their viability. We investigated the economic performance of 2 alternative small-sized dairy nucleus programs [i.e., progeny testing (PT) and genomic selection (GS)] over a 20-yr investment period. The nucleus was made up of 453 male and 360 female animals distributed in 8 non-overlapping age classes. Each year 10 active sires and 100 elite dams were selected. Populations of commercial recorded cows (CRC) of sizes 12,592 and 25,184 were used to produce test daughters in PT or to create a reference population in GS, respectively. Economic performance was defined as gross margins, calculated as discounted revenues minus discounted costs following a single generation of selection. Revenues were calculated as cumulative discounted expressions (CDE, kg) × 0.32 (€/kg of milk) × 100,000 (size commercial population). Genetic superiorities, deterministically simulated using pseudo-BLUP index and CDE, were determined using gene flow. Costs were for one generation of selection. Results show that GS schemes had higher cumulated genetic gain in the commercial cow population and higher gross margins compared with PT schemes. Gross margins were between 3.2- and 5.2-fold higher for GS, depending on size of the CRC population. The increase in gross margin was mostly due to a decreased generation interval and lower running costs in GS schemes. In PT schemes many bulls are culled before selection. We therefore also compared 2 schemes in which semen was stored instead of keeping live bulls. As expected, semen storage resulted in an increase in gross margins in PT schemes, but gross margins remained lower than those of GS schemes. We conclude that implementation of small-sized GS breeding schemes can be economically viable for developing countries.     

我国市售婴幼儿谷类辅助食品营养成分含量水平研究

目的 了解我国市售婴幼儿谷类辅助食品营养成分含量水平,为GB 10769—2010《食品安全国家标准婴幼儿谷类辅助食品》标准修订提供参考.方法 收集我国市售婴幼儿谷物辅助食品、婴幼儿高蛋白谷物辅助食品、婴幼儿生制类谷物辅助食品和婴幼儿饼干类辅助食品,对GB 10769—2010中规定的基本营养成分和可选择营养成分含量进...     

《婴幼儿谷类辅助食品》(GB 10769—2010)跟踪评估研究

目的 了解我国监督部门、检验机构和生产企业对GB 10769-2010《婴幼儿谷类辅助食品》的依从性和贯彻实施情况,以期为今后标准的制修订提供资料.方法 通过现况调查,了解婴幼儿谷类辅助食品主产区的监管部门、检验机构和生产企业的基本情况、对标准条款的理解、各项指标的检测能力和标准的实施情况,收集标准执行过程中遇到的主要问题以及反馈的意见和建议.结果 向监督部门、检验机构和生产企业分别发放问卷176、90和56份,有效问卷回收率分别为95.5％、91.1％和85.7％,不同部门均认为标准的整体合理程度较高(89.3％、90.2％、95.9％),收集的反馈意见分别为235、231和207条,大型、外资企业和监督部门、检验机构中从事食品监管和检验工作时间较长以及标准使用频率较高、积极参加各项培训活动的人员反馈问题相对较多.其中产品分类、原料要求、基本营养成分、污染物和真菌毒素限量部分的反馈意见相对集中.结论 通过跟踪调查发现标准整体合理程度较高,部分指标需要跟进新的风险评估结果并及时更新指标值,某些重点营养素亟需出台配套的国标检验方法.加大监管部门、中小企业标准培训的力度和深度,并发挥媒体在标准宣贯中的积极作用,对各方正确执行标准有重要意义.     

婴幼儿谷类辅助食品中脱氧雪腐镰刀菌烯醇污染水平及其风险评估

目的 了解我国市售婴幼儿谷类辅助食品(以下简称谷类辅食)脱氧雪腐镰刀菌烯醇(DON)污染情况并评估婴幼儿来源于谷类辅食的DON暴露风险。方法 在我国6省共采集了360份市售谷类辅食样品,包括米粉类183份、饼干类91份、面条类67份、其他类19份,检测每份样品中DON、3-乙酰脱氧雪腐镰刀菌烯醇(3-Ac-DON)和15-乙酰脱氧雪腐镰刀菌烯醇(15-Ac-DON)含量。分别采用点评估和简单分布评估方法估计3岁以下婴幼儿来源于谷类辅食的DON急性和慢性暴露风险。结果 谷类辅食DON检出率为60.3%(217/360),平均含量为116.3 μg/kg,最大值为1 198.7 μg/kg;面条类DON平均含量最高(342.7 μg/kg),其次为饼干类(173.0 μg/kg),米粉类最低(12.0 μg/kg)。3岁以下婴幼儿食用面条类辅食的DON急性暴露量可能超过成组急性参考剂量(ARfD)。食用谷类辅食的婴幼儿DON平均暴露量为0.27 μg/(kg·d),其中7.3%(243/3 320)的个体来源于谷类辅食的DON暴露量超过成组暂定每日最大耐受摄入量。不同年龄组谷类辅食食用者DON平均暴露量分别为0～<1岁0.22 μg/(kg·d)、1～<2岁0.31 μg/(kg·d)、2～<3岁0.37 μg/(kg·d)。面条类辅食对DON平均暴露量的贡献率最高,达77.8%。结论 在当前谷类辅食DON污染水平下,3岁以下婴幼儿来源于谷类辅食的DON暴露量可能存在健康风险,需要关注。     

Microbiological and mycotoxicological analyses of processed cereal-based complementary foods for infants and young children from the German market

This study investigated several food safety criteria in 38 different commercial products of processed cereal-based foods (PCF) from the German market. Microbiological assessment, followed by 16S RNA gene sequencing of suspect colonies, included aerobic mesophilic bacteria, moulds, Enterobacteriaceae, Cronobacter spp., and presumptive Bacillus cereus. Mycotoxin analyses were performed by enzyme immunoassays for deoxynivalenol (DON), zearalenone (ZEN), T-2/HT-2 toxins (T-2/HT-2; oat containing products only), ergot alkaloids (EA), and alternariol (AOH). No violative result above existing European Union regulations or international guidelines was obtained. Most samples had very low aerobic mesophilic cell counts (<2.0 × 10¹ CFU/g), the maximum was 9.6 × 10² CFU/g. A few samples contained low numbers of opportunistic pathogens, most notably Cronobacter sakazakii, Acinetobacter spp., Pantoea spp., and enterotoxigenic Bacillus wiedmannii. Levels of mycotoxin contamination were very low, well below European Union maximum limits. DON was found in 10 samples, at levels of 9–35 µg/kg. T-2/HT-2 were found in all 15 oat-based products (1–8 µg/kg). All samples were negative for ZEN and EA. A high number (n = 25) of samples yielded weakly positive results for the nonregulated AOH (0.4–2 µg/kg), but just three samples exceeded a level of 1 µg/kg. No relationship between cereal composition and analytical findings for microbiological parameters and mycotoxins could be found. As long as PCF meals are freshly prepared and consumed immediately after preparation, the risk from sporadically occurring opportunistic bacteria appears to be minimal.     

Proceedings of the workshop on food-consumption surveys in developing countries: methodologic considerations in descriptive food-consumption surveys in developing countries

This paper reviews some methodologic issues relative to food-consumption studies in developing countries, including sampling considerations; capturing temporal variation in food consumption; choice of dietary instruments and protocols; and food-composition databases and needs for adequate software interfaces. Increasingly, issues of cross-country and regional comparability in food-consumption data are now coming into the decision mix. Comparability of data across countries requires comparability of several fundamental systems. Specific countries and cultural contexts must tackle problems of how to estimate individual intakes when one-dish serving is the norm; how to keep up with rapidly changing food supplies; how to capture ingredients added at the table that may be concentrated sources of nutrients or other components of interest; and how to document out-of-home eating. Assumptions about error, bias, and intra-individual variation in food intake need to be thoroughly tested in developing-country contexts. There is an urgent need for improvement in the availability of appropriate food-composition databases and software interfaces for developing-country use.     

Impact of mycotoxins on human health in developing countries

Adverse human health effects from the consumption of mycotoxins have occurred for many centuries. Although mycotoxin contamination of agricultural products still occurs in the developed world, the application of modern agricultural practices and the presence of a legislatively regulated food processing and marketing system have greatly reduced mycotoxin exposure in these populations. At the mycotoxin contamination levels generally found in food products traded in these market economies, adverse human health effects have largely been overcome. However, in the developing world, where climatic and crop storage conditions are frequently conducive to fungal growth and mycotoxin production, much of the population relies on subsistence farming or on unregulated local markets. The extent to which mycotoxins affect human health is difficult to investigate in countries whose health systems lack capacity and in which resources are limited. Aflatoxin B₁, the toxin on which major resources have been expended, has long been linked to liver cancer, yet its other effects, such as immune suppression and growth faltering previously observed in veterinary studies, are only now being investigated and characterized in human populations. The extent to which factors such as immune suppression contribute to the overall burden of infectious disease is difficult to quantify, but is undoubtedly significant. Thus, food safety remains an important opportunity for addressing current health problems in developing countries.     

0～36月龄婴幼儿配方食品及婴幼儿辅助食品中糖含量分析

目的 了解我国市售婴幼儿配方食品（婴儿配方食品、较大婴儿配方食品和幼儿配方食品）及婴幼儿辅助食品（婴幼儿谷类辅助食品和罐装辅助食品）中葡萄糖、半乳糖、果糖、乳糖、蔗糖和麦芽糖的含量,为婴幼儿配方食品及婴幼儿辅助食品相关的食品安全标准管理提供数据支持。方法 根据随机抽样原则,采集国内市场常见的婴幼儿配方食品及婴幼儿辅助食品83例,涵盖婴幼儿配方食品、婴幼儿谷类辅助食品和婴幼儿罐装食品等,利用离子色谱-脉冲安培法对葡萄糖、半乳糖、果糖、乳糖、蔗糖和麦芽糖进行含量检测,并对检测结果进行分析。结果 婴幼儿配方食品中总糖含量的中位数为433.43～476.99 g/kg,其中乳糖占总糖的比均高于95%,乳糖含量由高至低分别为婴儿配方食品、较大婴儿配方食品和幼儿配方食品。婴幼儿谷类辅助食品中总糖检出率为36.8%,含量中位数为0～28.35 g/kg,其乳糖和蔗糖的中位数较高,为84.30和70.17 g/kg,而蔗糖在饼干第三四分位数（Q3）的含量较高,为53.43 g/kg。国产和原装进口配方食品的添加糖含量进行比对,差异没有统计学意义（P>0.05）。结论 我国市售的婴幼儿配方食品中乳...     

Acceptability of complementary foods and breads prepared from zinc-fortified cereal flours among young children and adults in Senegal

We completed a series of studies to assess the acceptability of zinc-fortified, cereal-based complementary foods and zinc-fortified wheat breads. Young children and their caregivers completed acceptability tests with complementary foods fortified with iron only (60 mg iron as ferrous fumarate per kilogram cereal flour), or the same level of iron and zinc (240 mg zinc as zinc oxide per kilogram cereal flour), and the caregivers completed triangle taste tests to compare the same products. A separate group of adult participants completed acceptability tests with wheat breads fortified with iron and folic acid (15 mg iron as ferrous fumarate per kilogram flour and 1.5 mg folic acid per kilogram flour) or the same levels of iron-folic acid and 2 levels of zinc (63 mg zinc or 126 mg zinc as zinc oxide per kilogram flour). Finally, a threshold test was administered to another group of adult participants to compare nonfortified wheat bread to breads fortified with zinc in 80 mg increments ranging from 80 to 400 mg zinc as zinc oxide per kilogram flour. All products were acceptable when compared to non-zinc-fortified equivalents, and were well liked by the respective participants. For the triangle tests, caregivers were not able to detect significant differences between products. For threshold tests, adult participants detected differences in breads prepared from fortified wheat flour at 80 mg, 160 mg, and 320 mg zinc per kilogram flour, but not at 240 mg and 400 mg zinc per kilogram flour, respectively, when compared to nonfortified bread equivalents. Zinc fortification of cereal flours in the ranges of fortification that were tested does not adversely affect the acceptability of complementary foods and breads prepared from these flours. Practical Application: Fortification of staple food products is a low-cost approach to deliver additional micronutrients (including zinc) to large segments of a population. Determining the acceptability of products fortified with zinc is an important step in the development of zinc fortification programs.     

不同喂养方式对婴幼儿肠道菌群多样性影响的研究进展

近些年的研究发现婴幼儿肠道菌群与众多机体的病理相关,其肠道内栖息着数量巨大的微生物,其中占据主导地位的是细菌,其在维持内环境稳态、调节能量代谢等方面发挥着复杂的作用,因此,婴幼儿肠道微生态的合理建立尤为重要。影响婴幼儿肠道菌群的因素有很多,其中喂养方式对婴幼儿肠道菌群结构有明显的影响。关于喂养方式对婴幼儿肠道菌群多样性影响的研究甚少,故本文结合近些年国内外关于喂养方式与婴幼儿肠道菌群的研究,综述了婴幼儿肠道菌群的建立与演替,以及婴幼儿肠道菌群的生理功能,同时,讨论了不同喂养方式(母乳喂养、配方奶粉喂养、混合喂养)下婴幼儿肠道微生态的差异,以期为研发适用于婴幼儿喂养方式的研究中提供一定的理论指导依据。     

The variability of urinary cotinine levels in young children: implications for measuring ETS exposure.

This study examined the within-subject variability of urinary cotinine levels in young children (aged = 0.6-7.2 years) of smoking parents to determine the number of urine samples needed to provide accurate estimates of exposure to environmental tobacco smoke (ETS) for different time intervals. Secondary analyses were conducted of five independent studies (N = 376), in which multiple urinary cotinine measures had been collected over time periods up to 13 months. Over measurement periods of 4-15 days, the within-subject cotinine levels varied 3-5 times more than would be expected based on measurement error alone. Over 7-13 months, the within-subject variability was 10-20 times higher than would be expected based on the measurement error. Findings indicated that cotinine measures from single urine samples provided highly accurate estimates of only recent exposure (i.e., 2-3 days; rho = 0.99). To achieve similarly precise estimates of the mean cotinine level of an individual child over 4-15 days, up to nine urine samples may be necessary. Up to 12 urine samples may be required to achieve similarly precise estimates of ETS exposure over a 4- to 13-month period. Epidemiologic and clinical research on ETS exposure in children can benefit from multiple urine samples (a) to accurately measure average exposure at the level of the individual child, (b) to describe temporal patterns, (c) to detect incidences of peak exposure that would remain underrecognized if monitoring is limited to a single time point, and (d) to establish stable baseline levels and endpoints based on urine samples collected over clinically relevant time periods.     

2015~2019年度婴幼儿谷类辅助食品监督抽检结果统计与分析

目的 分析2015~2019年度婴幼儿谷类辅助食品安全整体状况,了解不合格主要指标。方法 从国家市场监督管理总局网站收集2015~2019年度婴幼儿谷类辅助食品监督抽检公告资料,对抽检结果进行统计与分析;合格率的比较采用卡方检验分析。结果 从2015～2019年度4月上旬,共抽检样品1773批次,合格率为92.39%。2015年抽检合格率最低为89.50%,其他年度抽检合理率均高于93%。中国大陆婴幼儿谷类辅助食品生产企业的产品抽检合格率为92.83%,高于其他食品生产企业的合格率87.23%。不合格项目主要为维生素类指标和钠。结论 我国市售婴幼儿谷类辅助食品合格率较高,总体呈平稳向好趋势。