Effect of Spirulina platensis Supplementation on Nutritional and Biochemical Parameters of Under Five Years Malnourished Children from an Orphanage in Douala, Cameroon
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Keywords

 Malnutrition, Spirulina platensis, Supplementation, Rehabilitation, Biomarkers, children.

How to Cite

Kana Sop Marie Modestine, Namadi Muhamadu, Tetanye Ekoe, & Gouado Inocent. (2015). Effect of Spirulina platensis Supplementation on Nutritional and Biochemical Parameters of Under Five Years Malnourished Children from an Orphanage in Douala, Cameroon. Journal of Pharmacy and Nutrition Sciences, 5(1), 5–13. https://doi.org/10.6000/1927-5951.2015.05.01.2

Abstract

Malnutrition is the underlying cause of 50% of morbidity and mortality in the under-five age group. Its frequencies have been increasing in young Cameroon children during the past three decades (stunting ≥ 38%; anemia ≥ 58%; Zinc ≥ 69% and vitamin A ≥ 38%)

We carried out a prospective study to assess the supplementation effect of Spirulina platensis on moderate and mild malnutrition on children under five years old. Seven children (4-5 years) were enrolled in this study. Children were enrolled in nutritional rehabilitation for 25 days. Each child received 8g of supplement daily, 4g in the morning and 4g in the evening. Anthropometric and haematologic parameters were measured before and after rehabilitation.

Mild and moderate malnutrition, wasting and underweight was seen in 4 children anthropometrically (no child was stunted) and haematologically in all 7 children before rehabilitation started. The children were weighted four times (First week at enrollment (W1), week 2 (W2), Week 3 (W3), Week 4 (W4)). After 25 days, a significant gain in weight was observed and varying from 17.21 ± 2.00Kg (W1) to 18.45 ± 2.07Kg (W2) and from 18.143 ± 1.77Kg (W3) to 18.67 ± 1.93Kg (W4) with their respective P- values at 0.02 (W2), 0.02 (W3) and 0.04 (W4) after rehabilitation. The following biomarkers and their constants also showed a significant variation: calcium (73.91 ± 16.89mg/L vs 88.41 ± 14.83mg/L (p = 0.03), mean cell volume (86.14 ± 4.38 fl vs 83.86 ± 4.83 fl (p = 0.04) and mean cell haemoglobin concentration (32.10 ± 0.38 g/dL vs 34.27 ± 3.35 g/dL (p = 0.03) respectively before and after rehabilitation. Other biomarkers (proteins, haemoglobin, haematocrit, platelets, red blood cells, white blood cells, neutrophiles, eosinophiles, basophiles, monocytes, lymphocytes) had also increased in non a significant manner.

The study showed that spirulina platensis impact positively in the fight against malnutrition by improving weight and raising the blood content of biomarkers due to its high content of proteins (60-70%) and pigments.

https://doi.org/10.6000/1927-5951.2015.05.01.2
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References

WHO, De Onis M, Monteiro C, Clugston G. The worldwide magnitude of protein energy malnutrition: an overview from the WHO global database on child growth Bull 1993; 71(6): 703-12.

Kana Sop MM, Gouado I, Mananga MJ, Ecoule LD, Amvam Zollo PH, Tetanye E. Evaluation of nutritional status of young children age 0-5 years in the Douala city (Cameroon), Survey of some practice during diversification of complementary food. African Journal of Food Science and Technology 2013; 4(2): 29-34.

UNICEF. La malnutrition responsable de la moitié des décès. www.unicef.fr/la-malnutrition-responsable-de-la-moitie-des-deces-d’enfants 2011.

WHO. Iron deficiency anaemia: assessment, prevention, and control. A guide for programme managers. Geneva: World Health Organization (WHO/NHD/01.3) 2001.

UNICEF. Progress for Children: A world fit for children statistical review. New York: United Nations Children?s Fund 2007.

Hug C, Denis VD. Spirulina in the fight against malnutrition assessment and prospect 2011: 3-5.

Scrimshaw S, Taylor E, Gordon E. Interaction between nutrition and infection. Geneva, WHO monograph series: 1968; 143-183.

Michaelsen KF, Hoppe C, Roos N. Choice of Foods and Ingredients for Moderately Malnourished Children 6 Months to 5 Years of Age. In: Food and Nutrition Bulletin 2009; (30): 1029-102.

Annapuna V, Shah N, Bhaskaram P. Bioavailability of Spirulina carotenes in pre-school children. J Clin Biochem Nutr 1991; 10: 145-151. http://dx.doi.org/10.3164/jcbn.10.145

Hasler C. Functional foods: benefits, concerns and challenges a position paper from the American Council on Science and Health 2002; 132: 3772-3781.

Azabji Kenfack M, Edie Dikosso S, Loni EG. Potential of Spirulina Platensis as a Nutritional Supplement in Malnourished HIV-Infected Adults in Sub-Saharan Africa: A Randomised, Single-Blind Study. In: Nutrition and Metabolic Insights 2011; 4: 29-37

Halidou DM, Degbey H, Leveque A, Donnen P, Hennart P, Dramaix WM. The effect of spiruline during nutritional rehabilitation: Systematic review. Revue d'Épidémiologie et de Santé Publique 2008; 56: 425-431.

Sall MG, Dankoko B, Badiane M, Ehua E, Kuakuwi N. Résultats d'un essai de réhabilitation nutritionnelle avec la Spiruline à Dakar. Médecine d'Afrique Noire 1999; 46: 143-146.

Keatinge WR, Mcllroy MB, Goldfien A Cardiovascular response to ice-cold showers. J Appi Physiol 1964; 19: 1145-50.

Mitchell MK. Nutrition across the life span. Philadelphia: W.B. Saunders Company 2003; pp. 4-11.

Dein J. Haematology. Clinical Avian Medicine. Harrison GJ, Harrison WR, Eds. Saunders, London 1986; pp. 174-191.

Sturkie PD, Griminger P. Body fluids: Blood Avian Physiology, 4th ed. Sturkie PD, Ed. Springer-Verlag, New York 1986; pp. 103-129. http://dx.doi.org/10.1007/978-1-4612-4862-0

Zhang HQ, Lin AP, Sun Y, Deng YM. Chemo- and radio-protective effects of polysaccharide of Spirulina platensis on hemopoietic system of mice and dogs. Acta Pharmacological Sinica 2001; 22: 1121-1124.

Tunnessen WW, Oski FA. Consequences of starting whole cow milk at 6 months of age. J Pediatr 1987; 111(6): 813-6. http://dx.doi.org/10.1016/S0022-3476(87)80193-2

Pizarro F, Yip R, Dallman PR. Iron status with different infant feeding regimens: relevance to screening and prevention of iron deficiency 1991; 118(5): 687-92.

Qureshi MA, Garlich JD, Kidd MT. Dietary Spirulina platensis enhances humoral and cell-mediated immune functions in chickens. Immunopharmacology and Immunotoxicology 1996; 18: 465-476. http://dx.doi.org/10.3109/08923979609052748

Pascaud M. The essential polyunsaturated fatty acids of Spirulina and our immune response 1993; pp. 1-32.

Borchers AT, Belay A, Keen CL, Gershwin ME. Spirulina and Immunity in Gershwin and Belay. Spirulina in Human Nutrition and Health 2007; 177-193.

Hayashi T, Hayashi K, Maeda M, Kojima I. Calcium spirulan, an inhibitor of enveloped virus replication, from a blue-green alga Spirulina platensis. Journal of Natural Products 1996; 59: 83-87. http://dx.doi.org/10.1021/np960017o

Plugh N, Ross SA, ElSohly HN, ElSohly MA, Pasco DS. Isolation of three high molecular weight polysaccharide preparations with potent immunostimulatory activity from Spirulina platensis, Aphanizomenon flos-aquae and Chlorella pyrenoidosa 2001: 67: 737-742.

Lobner M, Walsted A, Larsen R, Bendtzen K, Nielsen CH. Enhancement of Human Adaptive Immune Responses by Administration of a High-Molecular-Weight Polysaccharide Extract from the Cyanobacterium Arthrospira platensis Journal of Medicinal Food 2008; 11(2): 313-322. http://dx.doi.org/10.1089/jmf.2007.564

Harrigan GG, Luesch H, Yoshida WY, Moore RE, Nagle DG, Paul VJ. Symplostatin 2: a dolastatin 13 analogue from the marine cyanobacterium Symploca hydnoides 1999; 62: 655-658.

Degbey H, Hamadou B, Oumarou H. Evaluation de l’efficacité de la supplémentation en Spiruline du régime habituel des enfants atteints de malnutrition sévère. In Charpy et al. (ed.) International Symposium on Cyanobacteria for Health, Science and Development 2006; 104-108.

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Copyright (c) 2015 Kana Sop Marie Modestine, Namadi Muhamadu, Tetanye Ekoe , Gouado Inocent