Marieke Vossenaar

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BACKGROUND Consumption of healthy diets that contribute with adequate amounts of fat and fatty acids is needed for children. Among Guatemalan children, there is little information about fat intakes. Therefore, the present study sought to assess intakes of dietary fats and examine food sources of those fats in Guatemalan children. METHODS The study(More)
The objective of this study was to describe and compare the dietary variety, diversity, and origins of complementary foods given to urban and rural Guatemalan infants in the second semester of life. Dietary intake from a total of 128 infants of both sexes, aged 6.0 to 12.0 months on admission, from a low-income district of Guatemala City and a rural Mayan(More)
BACKGROUND Estimates of adequate intake (AI) for water only became available in 2005. The daily water AI for 6-12-month-old infants of both sexes is 800 mL. The present study aimed to estimate the water intake of urban infants receiving both breast milk and complementary feeding (CF) and to compare them with the reference AI. METHODS Sixty-four infants,(More)
OBJECTIVE To assess the nutritional content and contribution to recommended nutrient intakes of the menu offerings in diverse daycare centers serving low-income urban families in Guatemala City. METHODS An observational study design was used to record all food and drink items offered to children attending four daycare centers on 5 different days of the(More)
OBJECTIVE This objective of this study was a methodological analysis of the variety and diversity of dietary items and their different origins offered in institutional menus across four daycare centers serving low-income families in Guatemala City. METHODS Foods, as served in daycare centers, were used to explore and illustrate the different approaches to(More)
BACKGROUND In developing countries, complementary foods are often introduced earlier or later than appropriate and the quality is frequently insufficient, particularly in rural areas where complementary foods have traditionally been based on starchy gruels. Adequate intakes of a number of nutrients are recognized to be problematic in traditional(More)
OBJECTIVE To assess the within-subject and between-subject coefficients of variation (CV) of iron, zinc and copper concentrations in the milk of Guatemalan mothers. METHODS We performed a cross-sectional study in lactating women who had delivered a healthy infant 1 to 6 months previously in two low-income peri-urban areas (San Bartolome Milpas Altas and(More)
The paradigm of the first 1000 days of life, the period from conception to the second birthday, has been advanced as a critical window of opportunity to save a life and a child's future. Infancy and toddler life, through the first 24 months after birth, is a unique period during which human milk is recommended as either the exclusive source of nutrition (6(More)
OBJECTIVE Guatemala has the highest prevalence of stunting (54% of children under age 5 years) in the Americas and the fifth highest in the world. The aim of this study was to describe the stunting prevalence and the association with early feeding practices, morbidity patterns, and socioeconomic status (SES) in a sample of infants and toddlers from urban(More)
BACKGROUND The nature and severity of 3 categories of maternal stressors (nutritional, infectious, and psychosocial) that may impact maternal health and early infant growth are not often considered together. OBJECTIVES To describe quantitative methodologies; assess construct validity of questionnaires; report variability in sociodemographic, obstetric,(More)