Despite considerable progress in recent decades, the world still falls short of the goal of adequate food and nutrition for all. No other people feel this more than children living in the developing countries of Asia. This paper reviews the problem of protein-energy malnutrition in selected countries in this region, its determinants including improper breast-feeding and weaning practices, and the need to develop guidelines and strategies for improved weaning practices and foods at three focal levels: family, community, and commercial.
References
1.
FAO/WHO.The magnitude and trends of nutrition problems. In: Nutri development: a global assessment. International Conference on Nutrition.Rome: FAO/WHO, 1992: 6–9.
2.
GrantJ.P.The state of the world's children.New York: UNICEF, 1993: 70–71.
3.
FomonM.R.Review of research on the factors associated with choice and duration of infant feeding in less developed countries. Task Force on Infant Feeding Practices. Pediatrics1984; 74: 667–94.
4.
UnderwoodB.A., HofvandnerY.Appropriate timing in complementary feeding of the breast-feeding: observations at Ramathibodi Hospital. J Med Assoc Thai1981; 64: 324–7.
5.
UnderwoodB.A., HofvandnerY.Appropriate timing in complementary feeding of the breast-fed infant: a review. Acta Paediatr Scand1982; (suppl. 294): 5–32.
6.
SolomonsN.W., MolinaS., BuluxJ.Effect of protein-energy malnutrition on the digestive and absorptive capacities of infants and children. In: Lebenthal E, ed. Textbook of gastroenterology and nutrition in infancy. 2nd ed.New York: Raven Press, 1989: 517–33.
7.
MotarjemiY., KafersteinF., MoyG., QuevedoF.Contaminated weaning food: a major risk factor for diarrhoea and associated malnutrition. Hull WHO, 1993; 71(1): 79–92.
8.
LuwangN.C.Growth faltering of exclusively breast-fed infants in Manipur (India). In: Taylor TG, Jenkins NK, eds. Proceedings of the XIII International Congress of Nutrition.London: John Libbey, 1985: 618–19.
9.
GopaldasT.Malted versus roasted weaning mixes: development, storage, acceptability, and growth trials. In: Achaya KT, ed. Interfaces between agriculture, nutrition, and food science.Tokyo: United Nations University, 1984: 293–307.
10.
SoyaP., SenanayakeM.The introduction of a low cost weaning food, its acceptability and effectiveness in a well-baby clinic. Ceylon J Child Health1985; 14(1): 21–6.
11.
TontisirinK., WinichagoonP., ChavasiV., YamborisutU.Supplementary feeding. In: Winichagoon P. Kachondham Y. Attig G. Tontisirin K, eds. Integrating food and nutrition into development: Thailand's experiences and future visions.Salaya, Thailand: Institute of Nutrition, Mahidol University, and Bangkok: UNICEF East Asia & Pacific Regional Office, 1992: 13345.
12.
Vong-ekP.Patterns of maternal beliefs affecting duration of breast feeding in the central and the northeast of Thailand.Salaya, Thailand: Institute of Population and Social Research, Mahidol University, 1990.
13.
WinichagoonP., ViriyapanichT., DhanamittaS.Breastfeeding in Thailand: trends and promotion efforts. In: Winichagoon P. Kachondham Y. Attig G. Tontisirin K, eds. Integrating food and nutrition into development: Thailand's experiences and future visions.Salaya, Thailand: Institute of Nutrition, Mahidol University, and Bangkok: UNICEF East Asia & Pacific Regional Office, 1992: 124–32.
14.
TontisirinK., ValaiphatcharaU.Development and utilization of rice and legume mixtures in improvement of childhood nutrition. In: Yasumoto K, ltokawa Y. Koishi H. Sanno Y. eds. Proceedings of the fifth Asian Congress of Nutrition.Tokyo: Center for Academic Publications, 1987: 347–50.
15.
DhanamittaS., TontisirinK., ValyaseviA.A case study: village food production and distribution (Thailand). In: Tanphaichitr V, Dahlan W. Suphakarn V, Valyasevi A, eds. Proceedings of the 4th Asian Congress of Nutrition.Bangkok: Aksornsmai Press, 1983: 339–49.
16.
FAD/WHO.Recommended international standards for foods for infants and children. Report of Food Standards Programme, Codex Alimentarius Commission.Rome: FAD/WHO, 1976: 11–23.
17.
European Society of Paediatric Gastroenterology and Nutrition, Committee on Nutrition.Guidelines on infant nutrition: II. Recommendations for the composition of follow-up formula and beikost. Acta Paediatr Scand1981; 287(suppl): 1–38.
18.
YamborisutU., TontisirinK., ChaowanakarnkitL., PatchimasiriS.Effects of varying levels of protein intake on calcium and phosphorus utilization in young children. In: Abstracts of the 6th Asian Congress of Nutrition.Kuala Lumpur: Nutrition Society of Malaysia, 1991: 288.
19.
HussainT., TontisirinK., ChaowanakarnkitL.Protein digestibility of weaning foods prepared from rice-minced meat and rice-mungbean combination in infants using a short term nitrogen balance method. J Nutr Sci Vitaminol1983; 29: 497–508.
20.
GopaldasT., MehtaP., PatilA., GandhiH.Studies on reduction in viscosity of thick rice gruels with small quantities of an amylase-rich cereal malt. In: Gopaldas T. Deshpande S. eds. The miracle of germinated cereal grain powders.Delhi: Daya Publishing House, 1992: 10419.
21.
JohnC., GopaldasT.Evaluation of the impact on growth of the controlled six month feeding trial on children (624 months) fed a complementary food of a high energy-low bulk gruel versus a high energy-high bulk gruel in addition to their habitual home diet. In: Gopaldas T. Deshpande S. eds. The miracle of germinated cereal grain powders.Delhi: Daya Publishing House, 1992: 22436.
22.
SinghavanichC., SittinandanaS., WorawongtudW.Consistency changes of cereal-legume based weaning foods as a result of adding germinated rice and legume. Progress report on the preliminary study: weaning foods improvement of dietary bulk density using germinated cereal and legume.Salaya, Thailand: Institute of Nutrition, Mahidol University, 1992.