This study investigated the proximate composition, mineral content, physicochemical characteristics, bacterial viability, and sensory attributes of soybean–coconut composite milk yoghurts formulated in different ratios (100:0, 75:25, 50:50, 25:75, and 0:100) of soybean to coconut milk, codename SCMY01 to SCMY05. The moisture content of approximately 86% with no significant difference among the samples, dominates the proximate results. A gradual reduction in protein (3.79–1.21%) was observed with higher coconut substitution. Sample SCMY05 had the highest fat content (6.48%). Ash, crude fibre, and carbohydrate were highest in sample SCMY01 (0.71, 0.41, and 7.11%). Mineral analysis revealed that soybean-dominant samples were richer in calcium, sodium, magnesium, iron, and zinc, whereas potassium levels were significantly higher in coconut-rich formulations (202.25 to 220.10mg/100g). Physicochemical assessment revealed a decline in pH (4.35–3.90) and an increase in titratable acidity (0.70–1.05%) as the coconut content increased, accompanied by a substantial improvement in total solids (12.00–21.25%). No significant difference was observed in total soluble solid results. Microbial counts ranged from (7.2–8.5 log₁₀ cfu/ml), with soybean-based samples supporting relatively higher microbial growth. Sensory analysis revealed that 100% coconut milk yoghurt was most favoured in terms of colour, taste, flavour, and overall acceptability, whereas soybean-based yoghurt, despite being nutritionally superior, was less accepted due to its pronounced beany flavour. This study highlight soybean–coconut composite yoghurt as a sustainable and health-promoting alternative to dairy yoghurt, with prospects for broader consumer acceptance and commercialization.
Abstract This study analyses the influence of geographical origin and taste on honey consumer behavior. First, we explore the influence of geographical origin on consumers’ hedonic evaluation of honey. We then assess the influence of geographical origin and taste on their willingness to pay (WTP) for honey. We conducted a field experiment at a real supermarket. The participants were exposed to two treatments (blind and informed treatment). The findings showed that knowledge about the geographical origin of honey influences consumers’ hedonic evaluations and that the WTP for honey is more strongly influenced by geographical origin than by taste.
Nutrition. Foods and food supply, Agricultural industries
EFSA Panel on Food Enzymes (FEZ), Holger Zorn, José Manuel Barat Baviera
et al.
Abstract The food enzyme endo‐polygalacturonase ((1‐4)‐α‐d‐galacturonan glycanohydrolase, EC 3.2.1.15) is produced with the genetically modified Trichoderma reesei strain RF6197 by AB Enzymes GmbH. A safety evaluation of this food enzyme was made previously, in which EFSA concluded that this food enzyme did not give rise to safety concerns when used in five food manufacturing processes. Subsequently, the applicant has requested to extend its use to include two additional processes. In this assessment, EFSA updated the safety evaluation of this food enzyme when used in a total of seven food manufacturing processes. As the food enzyme–total organic solids (TOS) are removed from or not carried into the final foods in three food manufacturing processes, the dietary exposure to the food enzyme–TOS was estimated only for the remaining four processes. The dietary exposure was calculated to be up to 0.137 mg TOS/kg body weight (bw) per day in European populations. When combined with the no observed adverse effect level previously reported (1000 mg TOS/kg bw per day, the highest dose tested), the Panel derived a margin of exposure of at least 7299. Based on the new data, the revised margin of exposure and the previous evaluation, the Panel concluded that this food enzyme does not give rise to safety concerns under the revised intended conditions of use.
Nutrition. Foods and food supply, Chemical technology
Brown rice (Oryza nivara S.D.Sharma & Shastry) is a rice variety that belongs to the Graminae family. Brown rice contains vitamins A, B, C, Zn and B complex. Vitamin B1 is one type of vitamin that is not stable. Its stability is influenced by pH, temperature and processing. The purpose of this study was to determine the comparison of vitamin B1 levels in brown rice and cooked brown rice. The study began with a qualitative test of vitamin B1 using 10% Pb acetate and 6 N NaOH if a yellow color and brown precipitate formed after heating, the sample was positive for vitamin B1. Determination of vitamin B1 levels in brown rice and cooked brown rice by alkalimetric method using NaOH as a titer that has been standardized in advance with potassium biftalat 0.1 N. Data analysis using the Mann Whitney test is an alternative to the Independent T-test if the t-test requirements are not met. The Mann Whitney test is used to determine whether or not there is a difference between two independent samples. The results of the qualitative test of vitamin B1 in brown rice and cooked brown rice showed that the samples were positive for vitamin B1. The quantitative test results of vitamin B1 levels in brown rice and cooked brown rice obtained an average of 12.40 mg / kg and 4.96 mg / kg. Statistical test results, the significance value (p) = 0.043, where p < 0.05 means there is a significant difference in vitamin B1 levels in brown rice and cooked brown rice. The conclusion of this study is that vitamin B1 levels in brown rice are higher than vitamin B1 levels in cooked brown rice.
Pharmacy and materia medica, Nutrition. Foods and food supply
Magdalena Sevilla-González, Maria Fernanda Garibay-Gutiérrez, Arsenio Vargas-Vázquez
et al.
Background: A risk haplotype in SLC16A11 characterized by alterations in fatty acid metabolism emerged as a genetic risk factor associated with increased susceptibility to type 2 diabetes (T2D) in Mexican population. Its role on treatment responses is not well understood. Objectives: We aimed to determine the impact of the risk haplotype on the metabolomic profile during a lifestyle intervention (LSI). Methods: We recruited Mexican-mestizo individuals with ≥1 prediabetes criteria according to the American Diabetes Association with a body mass index between 25 and 45 kg/m2. We conducted a 24-wk quasiexperimental LSI study for diabetes prevention. Here, we compared longitudinal plasma liquid chromatography/mass spectrometry metabolomic changes between carriers and noncarriers. We analyzed the association of risk haplotype with metabolites leveraging repeated assessments using multivariable-adjusted linear mixed models. Results: Before the intervention, carriers (N = 21) showed higher concentrations of hippurate, C16 carnitine, glycine, and cinnamoylglycine. After 24 wk of LSI, carriers exhibited a deleterious metabolomic profile. This profile was characterized by increased concentrations of hippurate, cinnamoglycine, xanthosine, N-acetylputrescine, L-acetylcarnitine, ceramide (d18:1/24:1), and decreased concentrations of citrulline and phosphatidylethanolamine. These metabolites were associated with higher concentrations of total cholesterol, triglycerides, and low density lipoprotein cholesterol. The effect of LSI on the risk haplotype was notably more pronounced in its impact on 2 metabolites: methylmalonylcarnitine (β: −0.56; P-interaction = 0.014) and betaine (β: −0.64; P-interaction = 0.017). Interestingly, lower consumption across visits of polyunsaturated (β: −0.038; P = 0.017) fatty acids were associated with higher concentrations of methylmalonylcarnitine. Covariates for adjustment across models included age, sex, genetic ancestry principal components, and body mass index. Conclusions: Our study highlights the persistence of deleterious metabolomic patterns associated with the risk haplotype before and during a 24-wk LSI. We also emphasize the potential regulatory role of polyunsaturated fatty acids on methylmalonylcarnitine concentrations suggesting a route for improving interventions for individuals with high-genetic risk.
Nutrition. Foods and food supply, Nutritional diseases. Deficiency diseases
Background. People live in a technological world, where social media is used very commonly. Social media has effects on eating behaviors, as in other aspects. For this reason, it is important to measure social media effect.
Objective. This study aimed to adapt the Scale of Effects of Social Media on Eating Behaviour (SESMEB) that examines the effect of social media on eating behavior in Hungarian university students.
Material and methods. The SESMEB was translated into the target language by taking various stages. The online questionnaire including general information, social media use, and the eighteen-item SESMEB was used to collect data. The scale was administered to the study group consisting of 213 Hungarian university students, and data from 203 of them were analyzed. Confirmatory factor analyses were performed to test construct validity, and the Cronbach alpha coefficient was calculated for the reliability of the scale in Hungarian.
Results. Total correlation value was higher than 0.50 for all items of the scale. The fit indices were at an acceptable level or had a perfect fit. The t-values were significant at the level of 0.1 and ranged between 2.927 and 5.706. The Spearman–Brown coefficient was calculated at 0.894. The reliability coefficient of the scale was calculated to be 0.866. SESMEB scores were different according to spending time daily, sharing content, and using filters or Photoshop on social media (p < 0.05).
Conclusions. Higher than 0.80 Cronbach’s alpha coefficient and other results show that Hungarian SESMEB is a valid and reliable tool. Therefore, Hungarian SESMEB will be useful for further studies to determine the impact of social media on eating behaviors.
Nutrition. Foods and food supply, Industrial medicine. Industrial hygiene
Abstract Food‐derived peptides have garnered significant attention in research due to their multifaceted functionalities, abundant availability, efficient utilization of agricultural by‐products, and environmentally sustainable preparation methods. These peptides play a crucial role in human health, yet their precise mechanisms of action remain largely unexplored, posing challenges in their screening, preparation, and effective application utilizing protein‐based raw materials. This review offers an extensive examination of 19 types of bioactive peptides derived from food. The sources of food‐derived bioactive peptides are well concluded and the classifications are made according to their potential health benefit based on five primary systems: general bodily functions, the nervous system, the cardiovascular system, the metabolic system, and the immune system. This review specifically highlights the multifaceted impacts of tasty peptides on human health, extending beyond their gustatory effects. Furthermore, it explores the interplay between various functions of bioactive peptides, noting a progression from basic to advanced functionalities. Antioxidant activity and the modulation of key enzymes are identified as fundamental actions that are interconnected with other functional properties. This implies that a single bioactive peptide could exhibit multiple beneficial effects. The key role of antioxidant capabilities is underscored based on their broad influence and straightforward assessment. This comprehensive analysis aims to deepen the systematic understanding of the diverse benefits offered by various food‐derived peptides.
Nutrition. Foods and food supply, Food processing and manufacture
Objetivo: Avaliar o comportamento alimentar de universitários durante o isolamento social, afim de compreender a relação dos mesmos com os alimentos durante este período. Método: Estudo observacional transversal, onde foram avaliados por meio de um questionário eletrônico, alunos de graduação da Universidade Federal de Pelotas, no período de julho a outubro de 2021. O questionário foi dividido em duas partes, avaliando o perfil dos estudantes o comportamento alimentar. Como ferramenta foi utilizado o questionário “The three factor eating questionnaire – R21” (TFEQ-R21), que pontua em uma escala de 0 a 100 os 3 domínios do comportamento alimentar. Os dados encaminharam-se automaticamente para uma planilha do programa Excel® gerada pelo Google Forms. A análise descritiva das variáveis sexo, faixa etária, procedência, área de conhecimento e semestre de graduação, foi apresentada por meio de médias com seus respectivos desvios padrões. Resultados: A amostra do estudo foi composta por 397 universitários, sendo a maioria mulheres (78,59%) entre 18 e 30 anos (87,66%), procedendo das regiões sul e sudeste (96,73%). Entre as áreas de conhecimento e semestre em curso, 47,86% eram da área da saúde e 64,99% estavam entre o primeiro e o sexto semestre de graduação. Houve relação significativa apenas entre alimentação emocional e sexo, evidenciando que as mulheres apresentaram maiores escores para esse domínio. Conclusão: A maioria das respostas foram de mulheres, com uma porcentagem significativa voltada para alimentação emocional. Os reflexos da alimentação emocional no comportamento alimentar desses indivíduos, resultam em efeitos compensatórios, fazendo com que as escolhas alimentares não sejam conscientes.
Palavras Chave: comportamento alimentar, coronavírus, isolamento social.
Nathália Leal Dominguez, Thaís Amaral Ferreira Baracho, Bruna de Abreu Toscano Souza
et al.
Objetivo: Avaliar a relação do risco de síndrome de realimentação com desfechos clínicos (tempo de internação e óbito) em pacientes admitidos nos prontos socorros de dois hospitais públicos do Distrito Federal (DF). Método: Trata-se de um estudo com caráter longitudinal, prospectivo, observacional e analítico, o qual foi realizado em dois hospitais públicos do DF no período de agosto de 2018 a agosto de 2019. Resultados: A amostra foi composta por 478 pacientes admitidos nos prontos-socorros dos dois hospitais. Observou-se que 45,60% da amostra apresentou risco nutricional e 32,22% algum grau de desnutrição. A frequência do risco para síndrome de realimentação foi de 23,65%. Os pacientes que apresentaram risco para síndrome de realimentação apresentaram 83% mais risco de permanecerem internados por mais de 7 dias e 58% mais risco de óbito em relação aos pacientes que não apresentaram risco para SR. Conclusão: Pacientes que apresentam risco para síndrome de realimentação permaneceram mais tempo internados e possuem mais risco de irem a óbito.
Nutritional diseases. Deficiency diseases, Nutrition. Foods and food supply
Wasiu Awoyale, Wasiu Awoyale, Busie Maziya-Dixon
et al.
The use of the biophysical and textural qualities of fufu to choose the possible substitution of an adopted cassava variety (TMEB419-V1) with improved genotypes from the breeding program was assessed in this study. Standard methods were used for the biophysical and textural attributes of the fufu produced from different cassava roots. The outcomes portray that the means of the biophysical attributes of the fufu flour from different cassava genotypes are swelling power (SWP) of 13.59%, solubility index (SI) of 3.41%, dispersibility of 26.77%, bulk density (BD) of 54.46%, water absorption capacity (WAC) of 149.44%, peak viscosity of 693.97 RVU, trough viscosity of 319.76 RVU, breakdown viscosity of 374.21 RVU, final viscosity of 433.84 RVU, setback viscosity of 114.08 RVU, peak time of 4.49 min, and pasting temperature of 78.52°C, as well as moisture content of 4.92%, ash content of 0.52%, sugar content of 2.85%, starch content of 76.24%, amylose content of 31.68%, and cyanogenic potential content (CNP) of 3.03 mg HCN/kg. The sensory texture attributes depict that the cooked fufu dough was stretchable, slightly hard, sticky, and mouldable. The instrumental texture attribute of the cooked fufu dough is hardness 27.18 N/m2, adhesiveness −62.04 N/m2, moldability 0.93, stretchability 0.89, and gumminess 25.26 N/m2. Similar functional (BD) and pasting (peak and breakdown viscosities) properties and chemical composition (amylose content) to that of the control sample (V1 variety) were produced from the V6 genotype. However, the cooked fufu dough prepared from the V7 and V8 genotypes was comparable to that of the V1 variety in terms of the sensory (stretchability) and instrumental (moldability) texture attributes; therefore, most of the genotypes may be suitable for producing fufu flour like the control sample (V1 variety) based on attributes preferred by the consumers.
Nutrition. Foods and food supply, Food processing and manufacture
AbstractThere is increasing concern about the negative impact of the modern food system on the health of both us and our planet. As the global population continues to increase, we need to feed everyone without irreparably harming the environment. Moreover, the food produced should be affordable, convenient, safe, nutritious and sustainable. This article reviews some of the recent technological advances being employed to design foods to improve their healthiness and sustainability. In particular, emphasis is placed on how processed foods can be redesigned to make them healthier by altering the nature and structural organisation of their constituents to modulate the way they behave inside our bodies. This includes reducing the levels of undesirable food constituents, such as saturated fat, salt and sugar, as well as incorporating health‐promoting ingredients such as vitamins, minerals, bioactive compounds, prebiotics and probiotics. Moreover, foods are being designed to be masticated and digested more slowly or to release their constituents at particular locations along our gastrointestinal tract, which may help to fight obesity and diabetes by reducing appetite. A focus will also be placed on some of the new technologies being developed to create alternatives to animal products, such as meat, milk and egg, which should reduce the amount of meat consumed and alleviate some of its negative impacts on our environment.
Recognising the importance of infant and young child feeding practices during the first 2 years of life, the World Health Organization's Global Nutrition Monitoring Framework developed a minimum dietary diversity (MDD) indicator for feeding children aged 6–23 months. MDD is defined as the consumption of food items from five or more groups out of a total of eight food groups. Food intake from less than five food groups is considered minimum dietary diversity failure (MDDF). Using the nationally representative National Family Health Survey (NFHS) dataset, the present study assessed the trend in MDDF between 2005–6 and 2015–16 and the factors associated with MDDF among children aged 6–23 months during 2015–16. The NFHS conducted in 2005–6 and 2015–16 covered a sample of 14 419 and 74 078 children aged 6–23 months, respectively. Overall, the MDDF reduced from 87⋅4 % (95 % confidence interval (95 % CI) 86⋅8 %, 87⋅9 %) in 2005–6 to 80⋅6 % (95 % CI 80⋅1 %, 81⋅0 %) in 2015–16. Multivariable logistic regression analysis revealed that increased child's age, second and third birth order children, higher maternal age and education, mass media exposure of mothers and more than four antenatal care visits had a negative association with the MDDF. Children living in rural areas and residing in high-focus states of India were observed with higher odds of experiencing MDDF. Exposure to community healthcare services was negatively associated with MDDF, and anaemic children were more likely to have MDDF. Socioeconomic status of mothers and children and encouragement of maternal and child healthcare use could be helpful in devising context-specific intervention to mitigate MDDF.
EFSA Panel on Additives and Products or Substances used in Animal Feed (FEEDAP), Guido Rychen, Giovanna Azimonti
et al.
Abstract Following a request from the European Commission, the Panel on Additives and Products or Substances used in Animal Feed (FEEDAP) was asked to deliver a scientific opinion on the safety and efficacy of ponceau 4R for cats, dogs and ornamental fish. The following ponceau 4R concentrations in complete feed were considered safe: 31 mg/kg for cats, 37 mg/kg for dogs and 137 mg/kg for ornamental fish. Inhalation exposure of ponceau 4R is regarded as hazardous. In the absence of data, the Panel cannot conclude on the irritancy potential of ponceau 4R to skin or eyes. No conclusion could be made on the skin sensitisation of ponceau 4R. Ponceau 4R is effective in adding colour to feedingstuffs.
Nutrition. Foods and food supply, Chemical technology
Abstract Background A cornerstone of conventional dietary advice is the recommendation to replace saturated fatty acids (SFA) with mostly n-6 polyunsaturated fatty acids (PUFA) to reduce the risk of coronary heart disease (CHD). Many clinical trials aimed to test this advice and have had their results pooled in several meta-analyses. However, earlier meta-analyses did not sufficiently account for major confounding variables that were present in some of those trials. Therefore, the aim of the study was to account for the major confounding variables in the diet heart trials, and emphasise the results from those trials that most accurately test the effect of replacing SFA with mostly n-6 PUFA. Design Clinical trials were identified from earlier meta-analyses. Relevant trials were categorised as ‘adequately controlled’ or ‘inadequately controlled’ depending on whether there were substantial dietary or non-dietary differences between the experimental and control groups that were not related to SFA or mostly n-6 PUFA intake, then were subject to different subgroup analyses. Results When pooling results from only the adequately controlled trials there was no effect for major CHD events (RR = 1.06, CI = 0.86–1.31), total CHD events (RR = 1.02, CI = 0.84–1.23), CHD mortality (RR = 1.13, CI = 0.91–1.40) and total mortality (RR = 1.07, CI = 0.90–1.26). Whereas, the pooled results from all trials, including the inadequately controlled trials, suggested that replacing SFA with mostly n-6 PUFA would significantly reduce the risk of total CHD events (RR = 0.80, CI = 0.65–0.98, P = 0.03), but not major CHD events (RR = 0.87, CI = 0.70–1.07), CHD mortality (RR = 0.90, CI = 0.70–1.17) and total mortality (RR = 1.00, CI = 0.90–1.10). Conclusion Available evidence from adequately controlled randomised controlled trials suggest replacing SFA with mostly n-6 PUFA is unlikely to reduce CHD events, CHD mortality or total mortality. The suggestion of benefits reported in earlier meta-analyses is due to the inclusion of inadequately controlled trials. These findings have implications for current dietary recommendations.
Nutrition. Foods and food supply, Nutritional diseases. Deficiency diseases
Mandy Lucinda Gault, Mark Elisabeth Theodorus Willems
Background: Instructions for older adults regarding the intensity of walking may not elicit an intensity to infer health gains. We recorded the metabolic equivalents (METs) during a 1-mile walk using constant and predicted values of resting MET in older adults to establish walking guidelines for health promotion and participation.Methods: In a cross-sectional design study, participants (15 men, 10 women) walked 1-mile over ground, in a wooden floored gymnasium, wearing the Cosmed K4b2 for measurement of energy expenditure. Constant or predicted values for resting MET were used to calculate the number of 1-mile walks to meet 450-750 MET∙min∙wk-1.Results: Participants had MET values higher than 3 for both methods, with 29% and 64% of the participants higher than 6 for a constant and predicted MET value, respectively. The METs of the1-mile walk were (mean ± SD) 6 ± 1 and 7 ± 1 METs using constant and predicted resting MET,and similar for men (constant: 6 ± 1 METs; predicted: 7 ± 1 METs) and women (constant: 5±1METs; predicted: 6 ± 1 METs) (P > 0.05).Conclusion: Older adults that are instructed to walk 1-mile at a fast and constant pace meet the minimum required intensity for physical activity, and public health guidelines. Health professionals, that administer exercise, could encourage older adults to accumulate between six and nine 1-mile walks per week for health gains.
Nutrition. Foods and food supply, Public aspects of medicine
The aim of the present research was to evaluate the anti-inflammatory activity of pumpkin seed oils (PSOs) of an Egyptian and European variety, in a rat model of adjuvant arthritis. Edema thickness, plasma tumor necrosis factor-α (TNF-α) and erythrocyte sedimentation rate (ESR) were determined as inflammatory biomarkers while malondialdehyde (MDA) and total antioxidant capacity (TAC) were assessed as indicative of oxidative stress. Chromosomal aberration, sperm shape abnormalities, and DNA fragmentations are cytogenetic parameters which aid in tracing inflammatory and oxidative activity. Phenolic contents and β-carotene were determined in PSOs. The results showed elevated ESR, plasma TNF-α, plasma MDA, liver cellular DNA fragmentation, bone marrow chromosomal aberration, sperm shape abnormalities with a reduction in plasma TAC and body weight gain in an adjuvant arthritis control compared to a healthy control. Administration of low and high doses of either Egyptian or European PSO improved all the aforementioned parameters with variable degrees.
Background: Undernutrition is still the major of nutritional problem in Indonesia. Toddlers are one of age group that are susceptible to nutritional problems. One of the direct cause of malnutrition is nutrient intake. Low intake of energy, protein and fat causes the utilization of nutrient intake become not optimal and susceptible to infectious diseases.
Objectives: The purpose of this study was to analyze the correlation between energy, protein and fat intake with underweight toddlers aged 24-59 months.
Methods: This research used a cross sectional study design with a sample size of 62 toddlers that living in the Suci Village Gresik. Data were collected by interview with questionnaires that related to the characteristic of toddlers and parents, form food recall 2x24 hours and measurement of weight toddlers based on WAZ index. Data were analyzed using fisher exact test.
Results: Underweight toddlers have lower intake of energy, protein and fat intake than non underweight toddlers. The results showed that there are 79.0% non underweight toddlers and 21.0% underweight, most of toddlers have adequate levels of energy, protein and fat intake. There was a correlation between energy (p=0.007), protein(p=0.039) and fat intake(p=0.010) with nutritional status of toddlers based on WAZ index.
Conclusions: It was suggested to increase the varied and food sources of high energy, protein and fat, so the malnutrition can’t getting worse.
ABSTRAK
Latar Belakang: Gizi kurang masih menjadi masalah gizi utama di Indonesia. Balita merupakan salah satu kelompok usia yang rentan mengalami masalah gizi. Penyebab langsung terjadinya gizi kurang salah satunya dipengaruhi oleh asupan zat gizi. Asupan energi, protein dan lemak yang rendah menyebabkan pemanfaatan zat gizi tidak optimal dan rentan mengalami penyakit infeksi.
Tujuan: Tujuan dari penelitian ini adalah menganalisis hubungan asupan energi, protein dan lemak dengan kejadian gizi kurang balita usia 24-59 bulan.
Metode: Penelitian ini menggunakan desain studi cross sectional dengan jumlah sampel 62 balita yang tinggal di wilayah Desa Suci Gresik. Pengumpulan data dilakukan dengan wawancara dengan kuesioner terk1q`3aq15b`6aait karakteristik balita dan orangtua, form food recall 2x24 jam dan pengukuran berat badan balita menggunakan indikator BB/U. Data dianalisis menggunakan uji fisher exact.
Hasil: Hasil dari penelitian ini menunjukkan balita dengan status gizi baik 79,0% dan balita gizi kurang 21,0%. Sebagian besar balita memiliki tingkat asupan energi, lemak dan protein dalam kategori cukup. Terdapat hubungan antara asupan energi (p=0,007), protein (p=0,039) dan lemak (p=0,010) dengan status gizi balita berdasarkan indeks BB/U.
Kesimpulan: Balita gizi kurang memiliki tingkat asupan energi, protein dan lemak lebih rendah dibandingkan dengan balita gizi baik. Perlu meningkatkan asupan bahan makanan sumber energi, protein dan lemak yang tinggi serta bervariasi agar kondisi gizi kurang tidak semakin memburuk.