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Does the consumption of amylase-containing gruels impact on the energy intake and growth of Congolese infants?

Published online by Cambridge University Press:  02 January 2007

M Moursi
Affiliation:
‘Nutrition, Alimentation, Sociétés’ Research Unit, Institut de Recherche pour le Développement, UR106, BP 64501, F-34394 Montpellier Cedex 5, France
F Mbemba
Affiliation:
University Marien Ngouabi, Brazzaville, Republic of theCongo
S Trèche*
Affiliation:
‘Nutrition, Alimentation, Sociétés’ Research Unit, Institut de Recherche pour le Développement, UR106, BP 64501, F-34394 Montpellier Cedex 5, France
*
*Corresponding author: Email serge.treche@mpl.ird.fr.
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Abstract

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Objective:

To assess the effect of the incorporation of amylase in maize-based flours prepared as gruels on the energy intake and growth of Congolese infants.

Design:

A randomised controlled trial. At 18 weeks of age, infants were randomised into either an intervention group, where they were provided with a maize/soya-based flour that contained amylase, or a control group, where they were provided with a similar flour that did not contain amylase.

Setting:

Urban borough of Poto-Poto in Brazzaville, The Congo.

Subjects:

Eighty infants (40 in each group) were randomised into intervention and control groups. Three infants in the intervention group and two controls subsequently dropped out.

Results:

At 24 weeks, the addition of amylase resulted in a significant increase in energy intake (in kJ kg-1 day-1) from gruels (P=0.02) without affecting breast milk consumption. In contrast, total energy intake (in kJ kg-1 day-1) did not differ significantly between groups (P=0.08). After adjustment for morbidity and previous growth, infants in the intervention group showed better growth in length during the trial (+0.22 cm month-1; P=0.04), especially between 24 and 31 weeks of age (+0.51 cm month-1; P>0.01). There were no differences in weight velocity between groups.

Conclusions:

The findings of this study suggest that the consumption of amylase-treated gruels allows an increase in energy intake from these gruels without affecting breast milk consumption but has no impact on total daily energy intake. However, if started after 6 months, it could be effective in preventing faltering of infant linear growth.

Type
Research Article
Copyright
Copyright © CAB International 2003

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