Development and Validation of Nutrition and Food Safety Educational Material for Fish Processors in Nigeria.

INTRODUCTION: fish can be an affordable and accessible animal-source food in many Low- and Middle-Income Countries (LMIC). BACKGROUND: Traditional fish processing methods pose a risk of exposing fish to various contaminants that may reduce their nutritional benefit. In addition, a lack of literacy may increase women fish processors' vulnerability to malnutrition and foodborne diseases. OBJECTIVE: The overall aim of the project was to educate women and youth fish processors in Delta State, Nigeria about the benefit of fish in the human diet and to develop low literacy tools to help them better market their products. The objective of this study was to describe the development and validation of a low-literacy flipbook designed to teach women fish processors about nutrition and food safety. METHOD: developing and validating instructional material requires understanding the population, high-quality and relevant graphics, and the involvement of relevant experts to conduct the content validation using the Content Validity Index (CVI) and the index value translated with the Modified Kappa Index (k). RESULT: The Item-level Content Validity Index (I-CVI) value of all domains evaluated at the initial stage was 0.83 and the Scale-level Content Validity Index (S-CVI) was 0.90. At the final stage, the material was validated with CVI 0.983 by four experts and satisfied the expected minimum CVI value for this study (CVI ≥ 0.83, p-value = 0.05). The overall evaluation of the newly developed and validated flipbook was "excellent". CONCLUSIONS: the developed material was found to be appropriate for training fish processors in Nigeria in nutrition and food safety and could be modified for a population of fish processors in other LMICs.

Importance and use of reliable food composition data generation by nutrition/dietetic professionals towards solving Africa's nutrition problem: constraints and the role of FAO/INFOODS/AFROFOODS and other stakeholders in future initiatives.

Despite the rich biodiversity of the African continent and the tremendous progress so far made in food production, Africa is still struggling with the problems of food insecurity, hunger and malnutrition. To combat these problems, the production and consumption of nutritious and safe foods need to be promoted. This cannot be achieved without reliable data on the quantity and quality of nutrients and other components provided through these foods. Food composition data (FCD) are compiled as food composition tables (FCT) or food composition databases (FCDB). These are subsequently used for a variety of purposes, ranging from clinical practice, research, public health/education, food industry to planning and policy, as well as nutrition monitoring and surveillance. To perform these functions effectively, the importance of reliable FCT/FCDB cannot be overemphasised. Poor quality FCT/FCDB have serious consequences on the health of the population, and provide skew evidence towards developing nutrition and health-related policies. The present paper reviews different methods to generate FCT/FCDB, their importance and use in assisting nutrition/dietetic professionals in solving Africa's nutrition problems; current status of FCT/FCDB generation, compilation and dissemination in Africa, constraint to their use by professionals and the role of FAO/INFOODS/AFROFOODS and other stakeholders towards improvement and future initiatives. The information provided will create awareness on the need for up-to-date and high-quality FCT/FCDB and facilitate the identification of data gaps and prioritisation of future efforts in FCD generation, compilation and dissemination in Africa and subsequent strategies for the alleviation of the food and nutrition problems in Africa.

Nutritional value of school meals and their contributions to energy and nutrient intakes of rural school children in Enugu and Anambra States, Nigeria.

BACKGROUND: Nutritional deficiencies among school children may hinge on inadequate nutrient intake. School meals should improve nutrient intakes by providing a third of recommended daily energy and nutrient intakes (RNI). The study aimed at evaluating school meals served in three rural schools to determine if they met one third of the RNI of the children. This will enhance meal planning. METHODS: Food samples (20 g) that constituted the school meals were collected for five consecutive days from three schools where school lunch programme was implemented. These were put in labelled small air tight plastic containers and stored in deep freezers in the Department of Home Science, Nutrition and Dietetics, University of Nigeria, Nsukka. The samples were analysed chemically using standard methods. Portion sizes of foods were obtained and the contributions made by these meals to the children's RNI were calculated. Results were presented in percentages and means ± standard deviations. RESULTS: The results showed that energy value of the meals ranged from 32.27 - 243.4 Kcal/100 g. The school meals contained carbohydrate (0.7 - 48.4 g), protein (0.69 - 12.6 g), vitamin C (0.7 - 8.22 mg), vitamin A (3.0 - 255.5 RE), iron (0.05 - 1.7 mg), calcium (3.0 -120 mg) and zinc (0.14 - 3.0 mg) per 100 g of food consumed. They contributed 16.4 - 25.5% energy, 53.4 - 116.9% protein, 66.0 - 159.5% vitamin A, 37.3 - 45.7% vitamin C, 13.2 - 28.5% calcium, 5.9 - 20.6% iron and 35.1 - 92.9% zinc to the children's daily requirements. CONCLUSION: The school meals provided over one third of the RNI for protein, vitamins A and C, and zinc but did not meet a third of the RNI for energy, calcium and iron.

Chemical composition and antioxidant activities of some indigenous spices consumed in Nigeria.

The chemical compositions and antioxidant capacities of seven spices consumed in Southern Nigeria were determined. They were purchased from majors markets in the study area. Edible portions of the spices were ground into fine powder and their nutrient and phytochemical compositions determined using standard methods. Antioxidant activity were determined on aqueous extract using standard assays, namely, 1,1-diphenyl-2picrylhydrazyl (DPPH) free radical ability and ferric reducing antioxidant potential (FRAP). The spices were rich in macro-and micro-nutrients. Ricinodendron heudelotii had the highest protein (30.6%) and fat (24.6%) contents. Tetrapleura tetraptera had the least fat content. The total phenol, flavonoid and vitamin C contents differed significantly (p<0.001) from each other. Aframomum citratum had the highest amount of total phenol, flavonoid and DPPH scavenging ability, while Afrostyrax lepidophyllus had the best FRAP. The spices have good nutrient profile and antioxidant potentials. Their increased consumption is recommended and use as functional foods needs to be exploited.

Recipe standardization, nutrient composition and sensory evaluation of waterleaf (Talinum triangulare) and wild spinach (Gnetum africanum) soup "afang" commonly consumed in South-south Nigeria.

One hundred recipes of waterleaf and wild spinach soup (afang) consumed among the Ibibios in South-south Nigeria were collected through interview and questionnaire from indigenous homemakers and food sellers, harmonized, standardized, prepared and their nutrient content calculated. Mean weights of ingredients were calculated to obtain the control recipe. Major ingredients in the soup were analyzed chemically. Edible portions, retention factors to be applied in recipe calculation were determined. Sensory evaluation was conducted on five of the most preferred recipes on a nine-point hedonic scale. Edible coefficients of major foods ranged between 0.32 and 0.95. Significant changes (p<0.05) in nutrients were observed between raw and cooked ingredients and recipes. Afang soup had 67.9% moisture; protein, 12.7% and energy, 169kcal. Fat contributed 57% of the total energy. Consumption of adequate quantities of afang soup will contribute substantially to Recommended Nutrient Intake of protein and micronutrients which will further increase with additional fish/meat.

Commonly Consumed Foods: Nutritional Quality and Contributions to Recommended Nutrient Intakes of Schoolchildren in Rural Southeastern Nigeria.

BACKGROUND: Commonly consumed foods may be nutritionally inadequate. Schoolchildren may be at risk of undernutrition as a result of this. OBJECTIVE: To assess the nutrient and energy values of commonly consumed foods and determine their contributions to the recommended nutrient intakes (RNIs) of schoolchildren (6-15 years). METHODS: List of commonly consumed foods was obtained through focus group discussions with parents of schoolchildren. Ninety randomly selected schoolchildren were visited at home on 3 consecutive days (2 weekdays and 1 weekend day) during which their portion sizes of these foods were obtained. Aliquots of these foods were collected, wrapped in polyethylene bags, and kept frozen until analysis. The samples were analyzed using standard methods. Percentage contributions of the nutrients to RNI were calculated. Data were analyzed by descriptive statistics. RESULTS: Results per 100 g showed that Pentaclethra macrophylla ( akpaka) sauce had the highest moisture (76.91%), ash (6.9%), iron (13.51%), and vitamin A (44.0 retinol equivalent [RE]). Steamed bambara groundnut pudding ( okpa) had the highest protein (15.08%). Maize + pigeon pea ( ayaraya oka) had the highest fat (15.76%). Tomato stew proved superior in carbohydrate (28.15%) and energy (194.6 kcal). Pterocarpus soyauxii ( oha) soup contained the highest fiber (4.13%). Yam + pigeon pea ( ayaraya ji) had the highest zinc (4.97 mg). Contributions to RNI were protein (5.0%-134.0%), carbohydrate (0.6%-9.9%), energy (4.9%-38.8%), iron (1.5%-168.8%), vitamin A (0.0%-18.7%), and zinc (1.2%-166.0%). CONCLUSION: Most foods did not meet one-third of the schoolchildren's RNI for vitamin A, zinc, iron, protein, carbohydrate, and energy. Nutrition education on nutrient adequacy is recommended.

Gender roles, family relationships, and household food and nutrition security in Ohafia matrilineal society in Nigeria.

This study examined gender roles, family relationships, food security, and nutritional status of households in Ohafia: a matrilineal society in Nigeria. A cross-sectional descriptive study was conducted. Multistage sampling technique was used to select 287 households from three villages: Akanu, Amangwu, and Elu. Qualitative and quantitative data collection methods were adopted, namely, focus group discussions and questionnaires. Anthropometric measurements (height and weight for mothers and children and Mid-Upper Arm Circumference for young children) were taken using standard techniques. The body mass index of women was calculated. All nutritional indices were compared with reference standards. Food insecurity was assessed using the Household Hunger Scale and Dietary Diversity Score, then analysed using the Statistical Product for Service Solution version 21. Data analysis used descriptive statistics. Most (91.2%) of the respondents were female. The matrilineal system known as ikwu nne or iri ala a nne (inheritance through mothers' lineage) is still in place but is changing. One important benefit of the system is the access to land by women. Whereas women participated actively in agriculture, food preparation, and care of family, the men were moving to off-farm activities. High prevalence of household food insecurity (66%) and signs of malnutrition including moderate to severe stunting (48.4%) and wasting (31.7%) in children, household hunger (34.5%), and overweight (27.5%) and obesity (19.2%) among mothers were observed. These communities urgently need gender sensitive food and nutrition interventions.

Nutrient and phytochemical composition of two varieties of Monkey kola (Cola parchycarpa and Cola lepidota): An underutilised fruit.

The nutrient and phytochemical composition of two varieties of Monkey kola: Cola parchycarpa and Cola lepidota were determined. The pulps were extracted, grated and dried using solar dryer. Dried pulps were milled into flour with attrition milling machine (0.5mm sieve size). The nutrient compositions were determined using standard AOAC methods. Gravimetric and spectrophotometric methods were used for phytochemical determinations. There were significant (p<0.05) differences in the proximate and some mineral and vitamin composition of the two varieties. Most abundant minerals were calcium (195-199mg for C. parchycarpa), potassium (204-209mg/100g for C. lepidota) and ß-carotene (2755-5028µg/100g for C. parchycarpa). Calcium:phosphorus and sodium:potassium ratios were adequate (>1.0 and ⩽0.06, respectively). Monkey kola had substantial amounts of iron, zinc, and copper; the B-vitamins and vitamin C. The phytochemical contents were quiet high, the most abundant being flavonoids (415-494mg/100g). Monkey kola is a fruit that should be fully exploited for its potential health benefits.

Iron status of schoolchildren (6-15 years) and associated factors in rural Nigeria.

BACKGROUND: Schoolchildren are vulnerable to anaemia because of their higher iron need to meet the demands of puberty and adolescence. OBJECTIVE: The survey determined the haemoglobin levels of schoolchildren aged 6-15 years and the factors affecting their haemoglobin status. DESIGN: Data were obtained through a cross sectional survey of 450 randomly selected schoolchildren in Ede-Oballa, Nsukka, Enugu State, Nigeria. Ninety were selected for clinical examination, biochemical tests, and nutrient intake study. Haemoglobin, malaria, and stool analysis were carried out by the cyanmethaemoglobin, thin blood film, and wet mount direct methods, respectively. Iron intake was determined by a three-day weighed food intake. RESULTS: Results showed that the schoolchildren had pallor (35.6%), brittle hair (31.1%), koilonychia (2.2%), oedema (4.4%) and sore/smooth tongue (7.8%). The children also had malaria (58.9%) and Entamoeba histolytica (42.2%), hookworm (36.7%), tapeworm (35.6%), whipworm (34.5%), and roundworm (27.9%) infestations. Iron intake was inadequate (<100% of recommended nutrient intake) for most of the children. The mean haemoglobin levels of the schoolchildren were low. The 6-9, 10-12, and 13-15 year olds had 9.0, 9.1, and 9.3 g/dl, respectively. Most (85.5%) of them had anaemia. Moderate anaemia was prevalent in 62.2%. Severe anaemia affected the 6-9 year olds more. Malaria (P<0.001), Entamoeba histolytica (P<0.01), hookworm (P<0.05), tapeworm (P<0.01), and whipworm (P<0.001) caused significant reduction in haemoglobin level. Age (b=1.284, P<0.05), birth order (b=-0.629, P<0.01), frequency of illness attack (b=-1.372, P<0.01), household size (b=-0.526, P<0.05), and frequency of skipping breakfast (b=-1.542, P<0.001) were factors that influenced the haemoglobin status of the children. CONCLUSION: The schoolchildren had poor iron status as a result of consumption of plant sources of iron with low bioavailability, parasitic infections, birth order, skipping of breakfast, large household size, and frequent bouts of illnesses.

Data collection and assessment of commonly consumed foods and recipes in six geo-political zones in Nigeria: important for the development of a National Food Composition Database and Dietary Assessment.

A cross-sectional study was undertaken to collect and assess commonly consumed foods/recipes from the six geopolitical zones in Nigeria for the production of food composition database (FCDB) for dietary assessment. Communities used were selected using a multi-stage sampling plan. Focus group discussions, interviews, recipe documentation, food preparations and literature reviews were employed. Qualitative methods were used to analyse and present data. SWOT (strengths, weaknesses, opportunities, and threats) analysis was used to evaluate the project. A total of 322 recipes were collected out of which 110 were soups. Food consumption patterns across the geographical zones were found to be changing. Variations in recipes and methods of preparation of similar foods were observed. Factors to be considered in the development of a country-specific FCDB were identified. There were challenges with the use of values reported in literature for Nigerian foods. The study justifies the need for a country-specific FCDB that will include traditional recipes.

Prevalence of overweight, obesity, and thinness among urban school-aged children and adolescents in southern Nigeria.

BACKGROUND: Overweight and obesity are public health problems all over the world because of their devastating social, economic, and health consequences, and they coexist with undernutrition in developing countries. Yet, there are few data on the magnitude of these problems in Nigeria. OBJECTIVE: To assess the prevalence of overweight, obesity, and thinness among urban school-aged children and adolescents. METHODS: A cross-sectional study of 1,599 children and adolescents 5 to 18 years of age was conducted. The subjects were randomly selected from schools in four urban towns (Lagos, Port Harcourt, Nsukka, and Aba) in southern Nigeria. A validated and pretested questionnaire was used to collect information on the background of the children and adolescents and their parents' socioeconomic status. Weight and height measurements were taken, and body mass indexes were calculated. Overweight, obesity, and thinness were defined according to the International Obesity Task Force cutoff points for children and adolescents 2 to 18 years of age. The data were analyzed by descriptive statistics, cross tabulations, and chi-squared tests. RESULTS: The prevalence rates of overweight, obesity, and thinness were 11.4%, 2.8%, and 13.0%, respectively. More females (3.7%) than males (1.8%) were obese (p < .05). The prevalence of overweight was higher among adolescents 10 to 18 years of age (13%) than among children 5 to 9 years of age (9.4%) (p < .001) and was highest (23.1%) at age 15 years. Thinness was significantly more prevalent among children (19.0%) than adolescents (8.3%) (p < .001) and was highest (28.6%) at age 7 years. Age- and sex-related increases and decreases were observed in the prevalence of overweight, obesity, and thinness. The rates of overweight, obesity, and thinness were affected by location and income levels. CONCLUSIONS: The prevalence rates of overweight and obesity are increasing among urban Nigerian children and adolescents and are of equal magnitude to the prevalence of undernutrition.

Plasma vitamin A and C status of in-school adolescents and associated factors in Enugu State, Nigeria.

The study was undertaken to determine the intake of vitamin A and C and plasma concentrations of these vitamins among in-school adolescents. The factors affecting the vitamin status of these adolescents were also determined. Data for this report were obtained from a cross-sectional survey of 600 in-school adolescents in Nsukka local government area (LGA) of Enugu State, Nigeria. Ninety and 45 of the adolescents were randomly selected for determining plasma concentrations of vitamin A and C and intake of these vitamins respectively. Dietary assessment was done using a three-day weighed food intake method. Venous blood samples were collected and used for determining plasma vitamin A using the trifluoroacetic acid (TFA) method, while plasma vitamin C was determined by the thiourea method. Values obtained were matched against standards. The intake of vitamin A by all the adolescents was adequate (126-137% of recommended intake), while the intake of vitamin C was inadequate (51-91% of recommended intake). The mean intake of vitamin C was higher among males (23.7 +/- 0.71-27.3 +/- 8.0) than among females (15.3 +/- 2.8-19.5 +/- 5.1). Despite the adequate intake of vitamin A, 40% of the male and 32% of the female adolescents had low plasma concentrations of the vitamin (< 20 microg/dL). On the other hand, concentrations of plasma vitamin C were low among about 47% of these adolescents. Using multiple regression analysis, the two most important variables influencing vitamin A status were household size (b = -0.629; p < 0.0 1) and nutrition knowledge (b = -1.372; p < 0.01), while for vitamin C status, these were household size (b = -0.110; p = 0.05) and age (b = 0.226; p < 0.05). The daytime students had a significantly (p < 0.05) better vitamin A and C status than the boarders. The prevalence of vitamin A and C deficiencies among the adolescents may be more than estimated due to inadequate intake and/or poor bioavailability. This may pose a serious health risk for adolescents. There is, therefore, a need for adequate nutrition education and awareness about healthy lifestyles among Nigerian adolescents.