Efficiency of the consumption of multiple micronutrients fortified milk on vitamin D status of schoolchildren aged 7-9 years in Morocco.

Abstract Number Theme Presentation Type Cover Approved
0129 Efficacy or effectiveness of micronutrient interventions Poster Not Approved

Authors

Abstract Content

Objectives

The objective of our investigation is to determine the efficacy of the consumption of multiple micronutrients fortified milk (including vitamin D) on vitamin D status of schoolchildren aged 7-9 years in Morocco.

Methods

A total of 196 Children aged 7 to 9 years were recruited. The study was a longitudinal (over 9 months) interventional randomized, double-blinded and controlled one. Children were divided in two groups: a non fortified group (NFG) received daily 200ml of non fortified milk and a fortified group (FG) received daily 200ml of milk fortified with 30% of vitamin D RDI. Blood sample collections were performed at baseline (T0), 4 months (T4) and 9 months (T9).

Results

In the total sample, the average of age, weight and height was respectively 8.0±0.7years, 22.8±2.6kg and 121.5±5.2cm. No statistical significant difference was recorded between both groups. For malnutrition, the means of underweight, stunting and wasting indicators were -0.7±0.8SD, -0.9±0.8SD and -0.2±0.6SD, respectively. No child was overweight or obese. The comparison of improved vitamin D status between two groups shows at the end of the study a significant increase of vitamin D serum concentration in the FG (+14.52nmol/l) than NFG (+5.6nmol/l) (p=0.000001). The prevalence of vitamin D deficiency, at the beginning of the study was more than 70%. At the end of the intervention, we recorded a significant decrease of the prevalence between the NFG (32.5% improvement) and FG (57.6% improvement) (p= 0.004).

Conclusions

Our study demonstrated that the consumption of fortified milk maintained and increased circulating concentrations of 25(OH)D in school children aged 7-9, the generalization of fortified milk distribution is desired to fight against the micronutrient deficiency problem.

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