Corrigendum to ‘Nutritious Supplemental Foods for Pregnant Women from Food Insecure Settings: Types, Nutritional Composition, and Relationships to Health Outcomes’ [Curr. Dev. Nutr. 7 (2023) 100094] (Current Developments in Nutrition (2023) 7(6), (S2475299123247678), (10.1016/j.cdnut.2023.100094))

Mihaela A. Ciulei, Emily R. Smith, Nandita Perumal, Chioniso S. Jakazi, Christopher R. Sudfeld, Alison D. Gernand

Research output: Contribution to journalComment/debatepeer-review

Abstract

The authors regret that the commonly used definition for BEP products vs what the Expert Consultation Report uses had not been clarified. As such, clarification in percentages and not only grams for fat in BEP (3-33 g or 10-60%) is included below. Section, Types of NSFs, • “The report recommends the following ranges: 250–500 kcals, 14–18 g protein, and 3–33 g (10-60%) fat.”• We removed this line, “It was also recommended that the BEP supplement contain ≤25% of energy coming from protein.” because it is not the definition from the Expert Consultation Report but the commonly used definition by the prior literature.• Authors would like to clarify and emphasize that the proportion of fat is the differentiating factor between BEP and LNS products/foods in this sentence, “Notably, the energy provided by medium- and large-quantity LNS overlaps with some BEP products and foods, although the proportion of fat and protein differentiates the 2 types.”• Authors would like to clarify that BEP products do not always follow the overall macronutrient profile of a healthy diet, as such we would like to replace the word “closely” with “often,” “Considering the macronutrient recommendations for BEP foods or supplements, they closely often follow the recommended macronutrient content of a healthy diet in adults, where 45%–65% are carbohydrates, 10%–35% are protein, and 20%–35% are fat.”• Authors would like to generalize the following statement by widening the range of fat to <60% since some BEP products have 59% of energy from fat. “Thus, unlike LNS supplements, BEP products often/commonly provide < 5060% of energy from fat, which is an important distinction.” This applies to the Figure 1 legend: “BEP food/products often provide < 5060% of energy from fats.”Section, Future directions, • Authors have received suggestions from our readers that we should clarify that some BEP and LNS products can overlap. This sentence “BEP supplements differ from LNS because they provide ≤25% of energy from protein, and LNS provides >50% of energy from fat (including essential fatty acids) was updated to “NSFs referred to as BEP and LNS can overlap in their nutritional profiles allowing some products to fall into both categories. BEP supplements are commonly defined by providing ≤25% of energy from protein and LNS provides >50% of energy from fat (including essential fatty acids).”The authors also regret the following errors: • The first author under medium-quantity LNS had more than one similar paper, as such we included an additional trial that was not included in the systematic reviews and meta-analysis studies that we reviewed. Thus, the authors would like to remove the study indicated under medium-quantity LNS in Figure 1 (updated figure attached).• The authors would like to clarify that the amounts of protein and fat for each type of LNS are not indicated in the Arimond reference [13], as such we would like them removed. “Small-quantity LNS provides 20 g of food per day , including 3 g (9%) of protein and 10 g (73%) of fat, and is meant to complement food in the diet.”And “The medium-quantity LNS is between 45 and 90 g/d of supplementary food , of which 6 g (10%) is protein and 16 g (58%) is fat.” And “It provides between 180 and 280 g/d of supplementary food , of which 15 g (16%) is protein and 28 g (67%) is fat [13].”• The Arimond reference [13] only specifies the typical ration in grams and kcals for each type of LNS. This aspect affected the following statement under the Nutritional Composition of NSFs, LNS subsection: “ All Four out of the 5 study interventions [31, 43-45] match the definitions of calories that should come from protein and fat for small- and medium- large-quantity LNS described by Arimond et al.,[13].”The authors would also like to clarify an error in Figure 1: the label for large-quantity LNS should be renamed to and include medium- and large-quantity LNS since one study that provides 372 kcals (it should be corrected to 373 kcals, reference #31) should be under medium-quantity LNS and the 746 kcals study (reference #46) fits between medium- to large-quantity LNS. This clarification also applies to the section, Nutritional composition of NSFs, LNS subsection where large-quantity LNS should be updated everywhere to medium- to large-quantity LNS. Similarly, the Supplemental Table 2 (LNS subsection) and legend has been updated with the same clarification, LNS trials section. With respect to the Ongoing or recently completed BEP trials section, after direct communications with the trial PIs, the authors identified a few minor errors primarily regarding BEP product composition, which they would like to identify: Section, Ongoing or recently completed studies: • MumtaPW trial: the BEP intervention was in the form of 2 sachets rather than high energy biscuits. “The MumtaPW trial investigates the effect of fortified BEP (a World Food Program product called Mumta that provides 2 sachets high-energy biscuits) [52].” This affected the BEP energy and protein content indicated in Table 3, 400 800 kcals, 10.5 21 g.Table 3: • MISAME-III and MINT trials: the BEP product given is not Plumpy'Mom but a similar product that matches the Expert Consultation Report recommendations, “BEP (PlumpyMom) fortified with MMN.”• MumtaPW, ENAT, and WINGS trials: update the amount of fat included in the BEP intervention (remove: “ Not indicated ” and replace with 24 g, 10.1 g, and 18-20 g for the respective trials).• WINGS trial: error in the total sample size, “ 2,400 13,500.”The authors would like to deeply apologize for any inconvenience caused.

Original languageEnglish (US)
Article number104433
JournalCurrent Developments in Nutrition
Volume8
Issue number8
DOIs
StatePublished - Aug 2024

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Food Science
  • Nutrition and Dietetics

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