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Chagwena DT, Fernando S, Tavengwa NV, Sithole S, Nyachowe C, Njovo H, Datta K, Brown T, Humphrey JH, Prendergast AJ, Smith LE. Formulation and acceptability of local nutrient-dense foods for young children: A formative study for the Child Health, Agriculture and Integrated Nutrition (CHAIN) Trial in rural Zimbabwe. MATERNAL & CHILD NUTRITION 2024; 20:e13605. [PMID: 38093409 PMCID: PMC10981484 DOI: 10.1111/mcn.13605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 11/10/2023] [Accepted: 11/22/2023] [Indexed: 04/01/2024]
Abstract
Stunting affects almost one-quarter of children globally, leading to reduced human capacity and increased long-term risk of chronic disease. Despite intensive infant and young child feeding (IYCF) interventions, many children do not meet their requirements for essential nutrients. This study aimed to assess the feasibility of implementing an IYCF intervention utilizing nutrient-dense powders from egg, biofortified sugar beans and Moringa oleifera leaf in rural Zimbabwe. A mixed-methods formative study was conducted comprising the following: (i) a recipe formulation trial, (ii) trials of improved practices to assess acceptability of the intervention, and (iii) a participatory message formulation process to develop counselling modules for the IYCF-plus intervention. Twenty-seven mother-baby pairs were recruited between November 2019 and April 2020. Key domains affecting IYCF practices that emerged were time, emotional and physical space, cultural and religious beliefs, indigenous knowledge systems and gender dynamics. Household observations and sensory evaluation indicated high acceptability of the new ingredients. Recipe formulation and participatory message formulation by participants instilled community ownership and served to demystify existing misconceptions about the new food products. Families noted the potential for intervention sustainability because the foods could be grown locally. Supplementing complementary foods with nutrient-dense local food ingredients as powders has the potential to sustainably address nutrient-gaps in the diets of young children living in rural lower- and middle-income countries. Comprehensive IYCF counselling utilizing a gender-lens approach, family support and indigenous knowledge systems or resources are key elements to support positive behaviour change in complementary feeding interventions.
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Affiliation(s)
- Dexter T. Chagwena
- Zvitambo Institute for Maternal and Child Health ResearchHarareZimbabwe
- Ministry of Health and Child CareHarareZimbabwe
- School of GeographyQueen Mary University of LondonLondonUK
| | - Shamiso Fernando
- Zvitambo Institute for Maternal and Child Health ResearchHarareZimbabwe
| | - Naume V. Tavengwa
- Zvitambo Institute for Maternal and Child Health ResearchHarareZimbabwe
| | | | | | | | - Kavita Datta
- School of GeographyQueen Mary University of LondonLondonUK
| | - Tim Brown
- School of GeographyQueen Mary University of LondonLondonUK
| | - Jean H. Humphrey
- Zvitambo Institute for Maternal and Child Health ResearchHarareZimbabwe
- Johns Hopkins Bloomberg School of Public HealthBaltimoreMarylandUSA
| | - Andrew J. Prendergast
- Zvitambo Institute for Maternal and Child Health ResearchHarareZimbabwe
- School of GeographyQueen Mary University of LondonLondonUK
- Johns Hopkins Bloomberg School of Public HealthBaltimoreMarylandUSA
| | - Laura E. Smith
- Zvitambo Institute for Maternal and Child Health ResearchHarareZimbabwe
- Department of Public and Ecosystem HealthCornell UniversityIthacaNew YorkUSA
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Araújo MDS, Aragão WFLD, Santos SPD, Freitas TKT, Saraiva VDC, Damasceno-Silva KJ, Dias LADS, Rocha MDM. Evaluation of adaptability and stability for iron, zinc and protein content in cowpea genotypes using GGE biplot approach. Heliyon 2022; 8:e11832. [PMID: 36506391 PMCID: PMC9732134 DOI: 10.1016/j.heliyon.2022.e11832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 06/26/2022] [Accepted: 11/16/2022] [Indexed: 12/05/2022] Open
Abstract
Cowpea is a widely cultivated crop in the world. Biofortification strategies aim to reduce mineral and protein deficiencies, especially among the poorest people. The aim of this study was to estimate adaptability and stability of cowpea genotypes for iron, zinc and protein contents, through GGE biplot analysis. Twenty cowpea genotypes were evaluated in the municipalities of Piauí Monsenhor Hipólito, Pio IX and São Miguel do Tapuio, under rainfed conditions. The experimental design was a randomized block design with four replications. The traits evaluated were grain yield, iron, zinc and protein contents in dry grains. Iron (Fe) and zinc (Zn) were determined by flame atomic absorption spectrophotometer, and protein contents by Kjeldahl methods. Adaptability and stability were evaluated by GGE biplot analyses. The means of the experiments were 1,209.1 kg ha-1, 51.1 mg kg-1, 46.8 mg kg-1 and 24.3% for grain yield, Fe, Zn and protein contents, respectively. The joint analysis of variance showed significant difference (p < 0.05) for the effect of interaction genotypes by environments for Fe, Zn and protein contents. The lines G6 and G8 were the most promising for grain yield, mineral and protein content through adaptability and stability by GGE biplot approach.
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Affiliation(s)
- Maurício dos Santos Araújo
- Universidade Federal de Viçosa, Departamento de Agronomia, 36570-900, Viçosa, Minas Gerais, Brazil
- Universidade Federal do Piauí, Departamento de Fitotecnia, 64049-550, Teresina, Piauí, Brazil
- Corresponding author.
| | | | | | | | | | | | | | - Maurisrael de Moura Rocha
- Empresa Brasileira de Pesquisa Agropecuária, (Embrapa Meio-Norte), 64008-780, Teresina, Piauí, Brazil
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Jaiswal A, Jyothi Lakshmi A. Maximising the bioaccessibility of iron and zinc of a complementary food mix through multiple strategies. Food Chem 2022; 372:131286. [PMID: 34818733 DOI: 10.1016/j.foodchem.2021.131286] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 08/25/2021] [Accepted: 09/29/2021] [Indexed: 11/18/2022]
Abstract
The investigation was undertaken to maximise the bioaccessibility of iron and zinc of a complementary food mix by multiple approaches of dephytinisation and addition of organic acids. A wheat, pulse and oilseed protein flour mix was dephytinized by phytase activation and different thermal treatments. As the mineral content of the mix was low, the spray dried mix was fortified with different iron and zinc salts to identify the salt with the highest bioaccessibility in this matrix. Based on the percent bioaccessibility, the mix with sodium iron EDTA and zinc oxide was chosen for fortification. Bioaccessibility was enhanced by the addition of fruit powders and pure organic acids. Fruit powders showed a significant increase, but citric acid at a higher dose was beneficial in enhancing bioaccessible iron. The strategy of dephytinisation followed by fortification and the addition of fruit powders or organic acids is promising in alleviating iron and zinc deficiencies.
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Affiliation(s)
- Aishwarya Jaiswal
- Protein Chemistry and Technology Department, CSIR-Central Food Technological Research Institute, Mysuru, India; Academy of Scientific and Innovative Research, Ghaziabad, Uttar Pradesh, India
| | - A Jyothi Lakshmi
- Protein Chemistry and Technology Department, CSIR-Central Food Technological Research Institute, Mysuru, India.
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Mariutti LRB, Rebelo KS, Bisconsin-Junior A, de Morais JS, Magnani M, Maldonade IR, Madeira NR, Tiengo A, Maróstica MR, Cazarin CBB. The use of alternative food sources to improve health and guarantee access and food intake. Food Res Int 2021; 149:110709. [PMID: 34600699 DOI: 10.1016/j.foodres.2021.110709] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Revised: 09/03/2021] [Accepted: 09/03/2021] [Indexed: 12/18/2022]
Abstract
To feed and provide Food Security to all people in the world is a big challenge to be achieved with the 2030 Agenda. Undernutrition and obesity are to the opposite of a healthy nutritional status. Both conditions are associated with unbalanced nutrition, absence of food or excess of non-nutritive foods intake. These two nutritional conditions associated with food production are closely related to some goals highlighted by the United Nations in the 2030 Agenda to achieve sustainable world development. In this context, the search for alternative foods whose sustainable production and high nutritional quality guarantee regular access to food for the population must be encouraged. Alternative foods can contribute to Food Security in many ways as they contribute to the local economy and income generation. Popularizing and demystifying the uses of unconventional food plants, ancestral grains, flowers, meliponiculture products, and edible insects as sources of nutrients and non-nutrients is another challenge. Herein, we present an overview of alternative foods - some of them cultivated mostly in Brazil - that can be explored as sources of nutrients to fight hunger and malnutrition, improve food production and the economic growth of nations.
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Affiliation(s)
| | | | - Antonio Bisconsin-Junior
- School of Food Engineering, University of Campinas, Campinas, SP, Brazil; Federal Institute of Rondônia, Ariquemes/RO, Brazil
| | - Janne Santos de Morais
- Department of Food Engineering Centro de Tecnologia, Universidade Federal da Paraíba, Paraíba, Brazil
| | - Marciane Magnani
- Department of Food Engineering Centro de Tecnologia, Universidade Federal da Paraíba, Paraíba, Brazil
| | | | - Nuno Rodrigo Madeira
- Laboratory of Food Science and Techonology, Embrapa Hortaliças, Distrito Federal, Brazil
| | - Andrea Tiengo
- Universidade do Vale do Sapucaí, Pouso Alegre, MG, Brazil
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Adejuwon KP, Osundahunsi OF, Akinola SA, Oluwamukomi MO, Mwanza M. Effect of Fermentation on Nutritional Quality, Growth and Hematological Parameters of Rats Fed Sorghum-Soybean-Orange flesh Sweet Potato Complementary Diet. Food Sci Nutr 2021; 9:639-650. [PMID: 33598149 PMCID: PMC7866588 DOI: 10.1002/fsn3.2013] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 10/06/2020] [Accepted: 11/02/2020] [Indexed: 11/21/2022] Open
Abstract
The protein quality of complementary foods developed from fermented and unfermented sorghum, soybeans, and orange-fleshed sweet potato (OFSP) flour blends was evaluated using rat model. The test diet was as follows: UF2: unfermented sorghum (56%), soybean (17%), and OFSP (27%); UF3: unfermented sorghum (59%), soybean (31%), and OFSP (10%); F2: fermented sorghum (56%), soybean (17%), and OFSP (27%); and F3: fermented sorghum (59%), soybean (31%), and OFSP (10%), while cerelac served as positive control, corn starch (basal diet), and ogi (negative control). Forty-nine Wistar albino rats were grouped and fed with diets for 28 days. The growth, hematological, serum parameters of animals, protein quality, and proximate composition of developed diet were determined. Fermentation significantly improved the protein content and nutritional indices of experimental animals. Moisture content ranged from 2.5% to 9.24%, protein (7.09%-25.29%), ash (1.09%-3.71%), fat (10.28%-15.24%), and fiber (0.85%-3.17%). The biological values (BV) ranged from 75.11% to 78.44%. The weight gained in rat fed the formulated diet ranged from 46.0 g to 77.3 g and was highest in F3. The packed cell volume (PCV), hemoglobin concentration (HBC), red blood cell (RBC), and lymphocytes were highest in F3. Urea nitrogen and creatinine of the rats fed with formulated diets ranged from 3.58 to 15.32 mg/dl and 1.56 to 6.15 mg/dl, respectively. Sample F3 is a protein-rich complementary food that is comparable to ogi and suitable to manage malnutrition and support growth in children. However, clinical trials on the formulated diet are needed to further substantiate its nutritional potentials.
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Affiliation(s)
- Kikelomo P. Adejuwon
- Department of Nutrition and Health PromotionOndo State Primary Healthcare Development AgencyAkureNigeria
- Department of Food Science and TechnologyFederal University of TechnologyAkureOndo StateNigeria
| | | | - Stephen A. Akinola
- Department of MicrobiologyFood Security and Safety NicheFaculty of Natural and Agricultural SciencesNorth West UniversityMmabathoSouth Africa
| | - Matthew O. Oluwamukomi
- Department of Food Science and TechnologyFederal University of TechnologyAkureOndo StateNigeria
| | - Mulunda Mwanza
- Center for Animal Health StudiesFood Security and Safety NicheFaculty of Natural and Agricultural SciencesNorth West UniversityMmabathoSouth Africa
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Chemical Formulation and Characterization of Complementary Foods from Blend of Orange-Fleshed Sweet Potato, Brown Teff, and Dark Red Kidney Beans. INTERNATIONAL JOURNAL OF FOOD SCIENCE 2020; 2020:4803839. [PMID: 32509844 PMCID: PMC7244972 DOI: 10.1155/2020/4803839] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/26/2020] [Accepted: 03/23/2020] [Indexed: 11/17/2022]
Abstract
Consumption of nutritionally inadequate diets results in infant malnutrition. This study is aimed at formulating complementary foods from blend of orange-fleshed sweet potato, brown teff, and dark red kidney beans for infants aged 6–23 months. The Design-Expert 6.0.8 Software was used to formulate flour blends. Proximate, mineral, and antinutrient characterizations of flour blends were determined by using standard methods. The crude protein, crude fat, carbohydrate, and energy contents of raw flour blends were varied from 4.90–14.25%, 1.63–1.99%, 67.10–76.29%, and 339.07–343.63 Kcal/100 g, respectively. The crude protein, crude fat, carbohydrate, and energy contents of extruded blends were varied from 3.65–12.41%, 0.16–0.31%, 72.66–83.96%, and 343.07–356.74 Kcal/100 g, respectively. The crude protein, crude fat, carbohydrate, and energy contents of drum-dried blends were varied from 4.45–14.08%, 1.21–1.70%, 69.30–80.45%, and 347.20–356.57 Kcal/100 g, respectively. The products meet the recommended daily intake of protein (5.2–10.9 g), carbohydrate (≥65 g), energy (202–894 Kcal), and potassium (60–160 mg) for infants. However, the products are in short of meeting some of the recommendations given by international standards regarding daily intake of fats and minerals. Therefore, it requires some enhancement by including studied amount of butter and other micronutrient dense foodstuffs.
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Gichau AW, Okoth JK, Makokha A. Moisture sorption isotherm and shelf life prediction of complementary food based on amaranth-sorghum grains. JOURNAL OF FOOD SCIENCE AND TECHNOLOGY 2020; 57:962-970. [PMID: 32123417 PMCID: PMC7026356 DOI: 10.1007/s13197-019-04129-2] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Revised: 09/04/2019] [Accepted: 10/07/2019] [Indexed: 11/28/2022]
Abstract
The quantity and quality of complementary foods is one of the contributing factors to childhood under nutrition. Complementary food based on amaranth and sorghum grains was formulated. It was deemed to be superior nutritionally to the commonly used complementary foods in Kenya. Knowledge on storage and packaging is important for a long shelf life of the product to be achieved. Water activity and moisture content are key indicators of the stability of dried foods. To establish the proper storage conditions of the product, moisture sorption isotherms at 25 °C, 30 °C and 35 °C were determined over water activity range of 0.11-0.97 and data fitted with six sorption models. Water vapour permeability of common packaging materials was also determined at 25 °C and 35 °C and the data was used to predict the product's shelf life. The product exhibited type two sorption isotherm according to Brunner classification an indication of monolayer-multilayer sorption behavior. The critical storage moisture content of the complementary food corresponding to 0.6 water activity a point of microbiological stability was found to be 7.5%. Based on Heiss-Eichner model, a shelf life of 1423 days at 25 °C can be achieved with product initial moisture content of 5 g/100 g and packaged in 110 µm thick aluminum pouch. The shelf life of the product was shortened two to three fold at 35 °C in comparison to storage at 25 °C.
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Affiliation(s)
- Anne Wanjiru Gichau
- Department of Food Science and Technology, School of Food and Nutrition Sciences, Jomo Kenyatta University of Agriculture and Technology, P.O. Box 62000-00200, Nairobi, Kenya
| | - Judith Kanensi Okoth
- Department of Food Science and Technology, School of Food and Nutrition Sciences, Jomo Kenyatta University of Agriculture and Technology, P.O. Box 62000-00200, Nairobi, Kenya
| | - Anselimo Makokha
- Department of Food Science and Technology, School of Food and Nutrition Sciences, Jomo Kenyatta University of Agriculture and Technology, P.O. Box 62000-00200, Nairobi, Kenya
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8
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Formulation, nutritional and sensory evaluation of baobab based ready-to-eat sorghum and cowpea blend snack bars. SCIENTIFIC AFRICAN 2020. [DOI: 10.1016/j.sciaf.2019.e00215] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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9
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Atukuri J, Odong BB, Muyonga JH. Multi-response optimization of extrusion conditions of grain amaranth flour by response surface methodology. Food Sci Nutr 2019; 7:4147-4162. [PMID: 31890194 PMCID: PMC6924338 DOI: 10.1002/fsn3.1284] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Revised: 07/22/2019] [Accepted: 07/27/2019] [Indexed: 11/26/2022] Open
Abstract
The study was designed to optimize extrusion processing conditions for production of instant grain amaranth flour for complementary feeding. Multi-response criteria using response surface methodology and desirability function analysis were employed during the study. The central composite rotatable design (CCRD) was used to determine the level of processing variables and to generate the experimental runs. The process parameters tested included extrusion temperature (110-158°C), screw speed (40-52 Hz), and feed moisture content (11%-16%), while response variable was protein digestibility, sensory acceptability, water absorption index, water solubility index, bulk density, and viscosity. Data obtained from extrusion were analyzed using response surface methodology. Data were fitted to a second-order polynomial model, and the dependent variables expressed as a function of the independent variables. Analysis of variance (ANOVA) revealed that extrusion parameters had significant linear, quadratic, and interactive effects on the responses. Numerical optimization indicated that the optimum extrusion parameters were extrusion temperature of 150°C, extrusion speed (screw speed) of 50 Hz, and feed moisture content of 14.41%. The responses predicted for optimization resulted in protein digestibility 81.87%, water absorption index 1.92, water solubility index 0.55, bulk density 0.59 gm/L, viscosity 174.56 cP (14.55 RVU), and sensory acceptability score of 6.69, with 71% desirability.
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Affiliation(s)
- Julian Atukuri
- School of Food TechnologyNutrition and Bio‐EngineeringMakerere UniversityKampalaUganda
| | - Brian B. Odong
- School of Food TechnologyNutrition and Bio‐EngineeringMakerere UniversityKampalaUganda
| | - John H. Muyonga
- School of Food TechnologyNutrition and Bio‐EngineeringMakerere UniversityKampalaUganda
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MARTÍNEZ MEC, GAYTÁN ORT, LÓPEZ PA, TORRES EO. Improvement of nutritional quality of local dishes and their acceptance by children of different ages. REV NUTR 2018. [DOI: 10.1590/1678-98652018000600009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
ABSTRACT Objective Food insecurity and child malnutrition are central topics in many food programs around the world; however, these indices do not diminish. The creation of strategies is necessary to increase the effectiveness of nutritional improvement programs. The objective of this research was to improve the nutritional quality of three local dishes included in the regular diet of the population by adding amaranth and to evaluate their acceptance by children from three communities in Tochimilco, Puebla, Mexico. Methods The study was carried out in three communities of “Tochimilco”, Puebla, Mexico, in order to evaluate three local dishes: banana smoothie, beans and corn tortillas, which were chosen by mothers of the region in participative workshops on preparation of local dishes enriched with amaranth. Two sensory tests were applied: paired-comparison and hedonic scale to 208 and 210 children of preschool and scholar age, respectively. Results It was found that consumers showed similar preference for banana smoothie and beans enriched with amaranth compared to non-enriched dishes; while the amaranth enriched tortilla gained more preference in the different statistical tests and it was the dish with higher content of amino acids. Sensory attributes were similarly assessed and there were no significant differences among rural and urban communities and school year. Conclusion Children easily accept the addition of amaranth to the dishes they are accustomed to, as it does not change their food culture. It is possible to improve child nutrition by designing healthier dishes and incorporating them into the daily cooking of those who prepare the food.
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Jayathilake C, Visvanathan R, Deen A, Bangamuwage R, Jayawardana BC, Nammi S, Liyanage R. Cowpea: an overview on its nutritional facts and health benefits. JOURNAL OF THE SCIENCE OF FOOD AND AGRICULTURE 2018; 98:4793-4806. [PMID: 29656381 DOI: 10.1002/jsfa.9074] [Citation(s) in RCA: 72] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2017] [Revised: 02/16/2018] [Accepted: 04/04/2018] [Indexed: 05/23/2023]
Abstract
Cowpea (Vigna unguiculata) is a legume consumed as a high-quality plant protein source in many parts of the world. High protein and carbohydrate contents with a relatively low fat content and a complementary amino acid pattern to that of cereal grains make cowpea an important nutritional food in the human diet. Cowpea has gained more attention recently from consumers and researchers worldwide as a result of its exerted health beneficial properties, including anti-diabetic, anti-cancer, anti-hyperlipidemic, anti-inflammatory and anti-hypertensive properties. Among the mechanisms that have been proposed in the prevention of chronic diseases, the most proven are attributed to the presence of compounds such as soluble and insoluble dietary fiber, phytochemicals, and proteins and peptides in cowpea. However, studies on the anti-cancer and anti-inflammatory properties of cowpea have produced conflicting results. Some studies support a protective effect of cowpea on the progression of cancer and inflammation, whereas others did not reveal any. Because there are only a few studies addressing health-related effects of cowpea consumption, further studies in this area are suggested. In addition, despite the reported favorable effects of cowpea on diabetes, hyperlipidemia and hypertension, a long-term epidemiological study investigating the association between cowpea consumption and diabetes, cardiovascular disease and cancer is also recommended. © 2018 Society of Chemical Industry.
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Affiliation(s)
- Chathuni Jayathilake
- Division of Nutritional Biochemistry, National Institute of Fundamental Studies, Kandy, Sri Lanka
| | - Rizliya Visvanathan
- Division of Nutritional Biochemistry, National Institute of Fundamental Studies, Kandy, Sri Lanka
| | - Afka Deen
- Division of Nutritional Biochemistry, National Institute of Fundamental Studies, Kandy, Sri Lanka
| | - Ruksheela Bangamuwage
- Division of Nutritional Biochemistry, National Institute of Fundamental Studies, Kandy, Sri Lanka
| | | | - Srinivas Nammi
- School of Science and Health, Western Sydney University, Sydney, NSW, Australia
- National Institute of Complementary Medicine (NICM), Western Sydney University, Sydney, NSW, Australia
| | - Ruvini Liyanage
- Division of Nutritional Biochemistry, National Institute of Fundamental Studies, Kandy, Sri Lanka
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