Table 5.
The nutrient content of worst-case and best-case scenario diets without food-based recommendations (module III), and food-based recommendations with the greatest nutritional impact, expressed as a percentage of Recommended Dietary Allowances (RDA) among lactating women 1,2.
| % of RDA | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Analysis 3 | Vitamin A | Vitamin C | Thiamin | Riboflavin | Niacin | Vitamin B6 | Folate | Vitamin B12 | Iron | Zinc | Calcium 4 | No. MN Adequate | Cost of Diet (€/day) |
| Current energy intake | |||||||||||||
| Best-case scenario | 52.3 | 40.9 | 95.4 | 83.3 | 72.3 | 128.0 | 81.7 | 21.9 | 245.1 | 199.8 | 54.8 | 3 | |
| Worst-case scenario | 0.0 | 0.0 | 51.9 | 29.8 | 38.0 | 64.2 | 11.0 | 2.1 | 82.0 | 96.5 | 4.0 | 2 | |
| Additional meal | |||||||||||||
| Best-case scenario | 80.9 | 67.4 | 128.0 | 118.5 | 97.8 | 155.3 | 135.3 | 40.7 | 306.4 | 270.7 | 89.0 | 6 | |
| Worst-case scenario | 0.0 | 0.1 | 53.2 | 25.4 | 42.1 | 61.5 | 11.7 | 2.4 | 59.9 | 98.1 | 1.9 | 1 | |
| Best modeled FBR (worst-case scenario) | 13.7 | 15.1 | 78.4 | 69.3 | 56.7 | 111.6 | 69.9 | 37.0 | 181.9 | 207.2 | 65.4 | 7 | 0.43 |
| Additional meal + UNIMMAP | |||||||||||||
| Best-case scenario | 142.6 | 125.8 | 228.1 | 206.1 | 203.9 | 250.5 | 271.4 | 133.7 | 473.3 | 395.9 | 89.0 | 10 | |
| Worst-case scenario | 61.5 | 58.3 | 153.0 | 112.8 | 147.8 | 156.3 | 147.5 | 95.1 | 226.3 | 222.9 | 1.9 | 8 | |
| Best modeled FBR (worst-case scenario) | 75.2 | 73.3 | 178.2 | 156.7 | 162.4 | 206.5 | 205.7 | 129.7 | 348.3 | 332.0 | 65.4 | 11 | 0.43 |
| Additional meal + Supercereal (CSB+) | |||||||||||||
| Best-case scenario | 156.4 | 128.2 | 151.9 | 204.7 | 146.1 | 201.8 | 158.3 | 111.7 | 325.7 | 300.3 | 138.4 | 11 | |
| Worst-case scenario | 84.5 | 60.8 | 80.9 | 117.5 | 93.8 | 116.5 | 37.5 | 73.4 | 111.2 | 139.1 | 51.9 | 8 | |
| Best modeled FBR (worst-case scenario) | 88.9 | 69.7 | 91.3 | 123.6 | 97.1 | 129.1 | 74.6 | 73.6 | 125.2 | 143.3 | 69.7 | 11 | 0.21 |
| Additional meal + SQ-LNS P & L |
|||||||||||||
| Best-case scenario | 142.6 | 150.9 | 324.8 | 291.1 | 307.4 | 340.1 | 270.3 | 226.6 | 406.9 | 513.0 | 116.6 | 11 | |
| Worst-case scenario | 61.5 | 83.3 | 249.5 | 198.4 | 251.2 | 246.3 | 146.8 | 187.7 | 166.5 | 340.6 | 29.4 | 9 | |
| Best modeled FBR (worst-case scenario) | 71.5 | 96.9 | 251.7 | 213.3 | 259.9 | 265.1 | 150.4 | 204.8 | 174.9 | 372.5 | 69.9 | 11 | 0.30 |
| Additional meal + Plumpy’Mum | |||||||||||||
| Best-case scenario | 148.8 | 126.7 | 224.5 | 204.9 | 210.3 | 232.5 | 287.0 | 132.3 | 454.0 | 377.5 | 98.2 | 10 | |
| Worst-case scenario | 67.7 | 59.1 | 149.8 | 116.2 | 155.3 | 143.2 | 165.1 | 93.7 | 235.0 | 209.3 | 11.5 | 9 | |
| Best modeled FBR (worst-case scenario) | 81.3 | 73.7 | 153.0 | 139.6 | 168.6 | 162.4 | 169.5 | 128.0 | 243.4 | 274.0 | 67.3 | 11 | 0.32 |
1 CSB+, corn soy blend plus; IFA, iron and folic acid supplement; MN, micronutrients; SQ-LNS, small-quantity lipid-based nutrient supplement; P&L, pregnancy and lactation. 2 Best case scenario: diets sequentially modeled for each micronutrient, which would provide the highest possible amount (expressed as % of the RDA) of that micronutrient. “Problem” nutrients (non-shaded) were defined as nutrients where the nutrient did not achieve 100% of the RDA in the maximized best-case scenario; these are nutrients that will likely remain inadequate in the population given the local food supply and food patterns, even if women were to follow the FBR. Worst-case scenario: diets sequentially modeled for each micronutrient, which would provide the least possible amount (expressed as % of the RDA) of that micronutrient. Dietary adequacy for each nutrient was defined as the worst-case scenario for that nutrient being > 65% of the RDA (shaded); if the worst-case scenario is less than 65% (non-shaded) of the RDA, the nutrient is likely to be inadequate in the population, given local food supply and food patterns. 3 Energy constraints, food serving sizes and food consumption patterns are presented in Table 1 and Table 4, and Supplemental Tables S1–S3. Best-modeled FBR are presented in Table 6 for each series. 4 Series modeled using calcium RDA of 1000 mg/day.