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Opinion David Thurnham`s Reflections on Adequate Nutrition for Children 24 to 59 Months

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David Thurnham’s article touches on a more complex topic than the prevention of stunting in children. In essence, it begs the question: Are the Recommended Nutrient Intake (RNI) values – designed to guarantee the health and nutritional status of apparently normal children, as well as to promote their growth and well-being – applicable to virtually all 24- to 59-month-old children worldwide? I would argue that RNI values should be able to discriminate according to population group. Are new developments, techniques, and understandings overall applicable and appropriate for developing countries? The time will come when RNIs for developing countries will need to be based on developing country data. The energy RNIs could be a good example of contradictions. Years ago, before the last edition of the 2004 FAO/WHO RNIs,1 I participated in a Latin American exchange on proposals to use total energy expenditure (TEE) data obtained by the doubly labeled water method fr om preschoolers living mainly in cities of highly industrialized or developing countries (UK, USA, Chile),2 to set energy requirement values for normal preschoolers the world over. These TEE values, measured by this isotopic gold standard method in children aged one to fi ve years, were certainly more accurate than the previous energy intake data collected by Durnin and Ferro-Luzzi on energy RNIs for the previous 1985 FAO/WHO/UNU Expert Consultation.3 But such isotopic studies were carried out in only 143 boys (UK 81, USA 48, Santiago de Chile 14) and 165 girls (UK 87, USA 64, Santiago de Chile 14),2 all of them city dwellers. Thus, while quality of biochemical and physiological data improved, necessary social data did not.

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Key Details

Year 2013
Authors Manuel Hernandez-Triana
Language English
Keywords
DOI https://doi.org/10.52439/NWRY7971
DOI Number 10.52439/NWRY7971
ISBN
ISSN

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