Dietary micronutrients are associated with higher cognitive function gains among primary school children in rural Kenya

被引:45
作者
Gewa, Constance A. [1 ]
Weiss, Robert E. [2 ]
Bwibo, Nimrod O. [3 ]
Whaley, Shannon [4 ,5 ]
Sigman, Marian [4 ,5 ]
Murphy, Suzanne P. [6 ]
Harrison, Gail [7 ]
Neumann, Charlotte G. [7 ,8 ,9 ]
机构
[1] George Mason Univ, Coll Hlth & Human Serv, Dept Global & Community Hlth, Fairfax, VA 22030 USA
[2] Univ Calif Los Angeles, Sch Publ Hlth, Dept Biostat, Los Angeles, CA 90095 USA
[3] Univ Nairobi, Sch Med, Nairobi, Kenya
[4] Univ Calif Los Angeles, Inst Neuropsychiat, Dept Psychiat, Los Angeles, CA 90095 USA
[5] Univ Calif Los Angeles, Inst Neuropsychiat, Dept Psychol, Los Angeles, CA 90095 USA
[6] Univ Hawaii, Canc Res Ctr Hawaii, Honolulu, HI 96813 USA
[7] Univ Calif Los Angeles, Sch Publ Hlth, Dept Community Hlth Sci, Los Angeles, CA 90095 USA
[8] Univ Calif Los Angeles, Sch Publ Hlth, Dept Pediat, Los Angeles, CA 90095 USA
[9] Univ Calif Los Angeles, Sch Med, Los Angeles, CA 90095 USA
关键词
Dietary micronutrients; School children; Cognitive gains; Kenya; ANIMAL SOURCE FOODS; IRON-DEFICIENCY; ZINC; BRAIN; NUTRITION; SUPPLEMENTATION; INTERVENTION; DOPAMINE; IMPACT; CONSTRAINTS;
D O I
10.1017/S0007114508066804
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
With the exception of iodine and Fe, there is still very limited information on the effect of micronutrients on cognitive function, especially among school-age children. The present analysis evaluates the relationship between dietary Fe, Zn and B vitamins (B-12, B-6, folate and riboflavin) and gains in cognitive test scores among school children in rural Kenya. Data for the present study were obtained from The Child Nutrition Kenya Project, a 2-year longitudinal, randomised controlled feeding intervention study using animal source foods. Dietary nutrient values were based on monthly and bimonthly 24 h recall data collected during the study period. In longitudinal regression analyses, available Fe, available Zn, vitamin B-12 and riboflavin showed significant relationships with improved cognitive test scores, after controlling for confounders such as energy intake, school, socio-economic status and morbidity. Available Fe intake was associated with significantly higher gains in Raven's Coloured Progressive Matrices test scores over time. Available Zn intake was associated with significantly higher gains in digit span-total test scores over time, while vitamin B-12 and riboflavin intakes were each associated with significantly higher gains in digit span-forward test scores over time. This analysis demonstrates the influence of improved dietary micronutrient status on school children's cognitive function.
引用
收藏
页码:1378 / 1387
页数:10
相关论文
共 50 条
[31]   Sustainability of a Curriculum-based Intervention on Dietary Behaviours and Physical Activity among Primary School Children in Trinidad and Tobago [J].
Nichols, S. D. S. ;
Francis, M. P. ;
Dalrymple, N. .
WEST INDIAN MEDICAL JOURNAL, 2014, 63 (01) :68-77
[32]   Assessment of Knowledge, Attitude and Dietary Practices among rural school children around Mangalore - An Epidemiological Survey [J].
Hegde, Amitha M. ;
Shah, Tanvi ;
George, Sherin Sara ;
Priyanka, K. K. .
NITTE UNIVERSITY JOURNAL OF HEALTH SCIENCE, 2016, 6 (03) :33-37
[33]   Prevalence of anemia and associated factors among school children in Gondar town public primary schools, northwest Ethiopia: A school-based cross-sectional study [J].
Getaneh, Zegeye ;
Enawgaw, Bamlaku ;
Engidaye, Getabalew ;
Seyoum, Masresha ;
Berhane, Muruts ;
Abebe, Zegeye ;
Asrie, Fikir ;
Melku, Mulugeta .
PLOS ONE, 2017, 12 (12)
[34]   Lack of an association between dietary patterns and adiposity among primary school children in Kilimanjaro Tanzania [J].
Mary Vincent Mosha ;
Heavenlight A. Paulo ;
Sia E. Msuya ;
Heiner Grosskurth ;
Suzanne Filteau .
BMC Nutrition, 8
[35]   Prevalence and factors associated with stunting and thinness among school age children in rural primary schools, East Dembia District, Northwest Ethiopia [J].
Sisay, Mihretu ;
Atenafu, Azeb ;
Hunegnaw, Melkamu Tamir ;
Lorato, Merkineh Markos .
BMC NUTRITION, 2022, 8 (01)
[36]   Prevalence and factors associated with stunting and thinness among school age children in rural primary schools, East Dembia District, Northwest Ethiopia [J].
Mihretu Sisay ;
Azeb Atenafu ;
Melkamu Tamir Hunegnaw ;
Merkineh Markos Lorato .
BMC Nutrition, 8
[37]   Nutrition knowledge, attitude and practices among urban primary school children in Nairobi City, Kenya: A KAP study [J].
Kigaru D.M.D. ;
Loechl C. ;
Moleah T. ;
Macharia-Mutie C.W. ;
Ndungu Z.W. .
BMC Nutrition, 1 (1)
[38]   Micronutrients and cognitive functions among urban school-going children and adolescents: A cross-sectional multicentric study from India [J].
Singh, Shweta ;
Awasthi, Shally ;
Kumar, Divas ;
Sarraf, Seema Rani ;
Pandey, Anuj Kumar ;
Agarwal, Girdhar G. ;
Awasthi, Avivar ;
Anish, T. S. ;
Mathew, Joseph L. ;
Kar, Sonali ;
Nair, Suma ;
Rao, Chythra R. ;
Pande, Harsh ;
Mahanta, B. N. ;
Bharti, Bhavneet ;
Singh, C. M. ;
Singh, Kuldeep ;
Bhat, Mushtaq A. ;
Somashekar, A. R. ;
Awasthi, Rajiv ;
Mahdi, Abbas Ali .
PLOS ONE, 2023, 18 (02)
[39]   Physical activity is associated with higher cognitive function among adults at risk for Alzheimer's disease [J].
Frith, Emily ;
Loprinzi, Paul D. .
COMPLEMENTARY THERAPIES IN MEDICINE, 2018, 36 :46-49
[40]   Higher circulating α-carotene was associated with better cognitive function: an evaluation among the MIND trial participants [J].
Liu, Xiaoran ;
Dhana, Klodian ;
Furtado, Jeremy D. ;
Agarwal, Puja ;
Aggarwal, Neelum T. ;
Tangney, Christy ;
Laranjo, Nancy ;
Carey, Vincent ;
Barnes, Lisa L. ;
Sacks, Frank M. .
JOURNAL OF NUTRITIONAL SCIENCE, 2021, 10