South African Journal of Clinical Nutrition <ol><li>The Journal accepts articles from all basic and applied areas of dietetics and human nutrition, including clinical nutrition, community nutrition, food science, food policy, food service management, nutrition policy and public health nutrition.</li><li>The Journal has a broad interpretation of the field of nutrition and recognizes that there are many factors that determine nutritional status and that need to be the subject of scientific investigation and reported in the Journal.</li><li>The Journal seeks to serve a broad readership and to provide information that will be useful to the scientific community, the academic community, government and non-government stakeholders in the nutrition field, policy makers and industry.</li><li>The Journal encourages articles from all investigators in the field of dietetics, food, nutrition and related areas. In particular young researchers and researchers from historically disadvantaged backgrounds will be encouraged and supported to submit their research work for publication.</li><li>The Journal is based in South Africa and encourages articles from other African countries to act as a forum for the discussion of African nutritional issues.</li><li>The Journal is committed to high scientific and ethical standards.</li><li>The Journal will accept letters for publication, which are relevant to the Journal.</li><li>The Journal provides a forum for publication of congress abstracts, supplements, short communications and policy statements with their technical support papers.</li><li>The views expressed in the Journal are those of the authors and not necessarily those of the Editorial Board.</li><li>The Journal will be managed by an Editor and Editorial Board with the following responsibilities:</li><ul><li>Maintenance of scientific standards of the articles published and appointment of a review Panel of experts for the peer review process</li><li>Maintenance of ethical standards of the articles published</li>Encouragement and support of authors<li>Promotion of the readership</li><li>Ensuring the spread of articles published</li></ul><li>Maintenance of ethical standards with regard to sponsorship and advertisements</li><li>The Editorial Board of the SAJCN recognises the important role that advertisements and sponsorships play in meeting the costs of the publication and in ensuring the continued existence of the Journal. The SAJCN welcomes advertising or funding from all possible sources, provided the advertisements or funding arrangements are supportive of the objectives of the Journal and do not conflict with the mission, vision and values statements of ADSA, NSSA and SASPEN. The following guidelines shall be implemented for sponsorship and advertising:</li><ul><li>The Jakarta Declaration, which clearly stipulates that “both the public and the private sector should promote health by pursuing policies and practices that ….. restrict production and trade in inherently harmful goods and substances such as tobacco and armaments, as well as unhealthy practices?</li><li>Advertisements/sponsorships should not conflict with the South African Code of Ethics for the Marketing of Breastmilk Substitutes. The updated code will be used as soon as it is formally released.</li><li>The Journal will accept advertisements for infant-feeds, which are therapeutic in nature, for example lactose free feeds, breast milk fortifiers, hypo-allergic feeds and feeds designed for tube feeding. Any such advertisements shall include a phrase that normally exclusive breast milk feeding is the best food for babies.</li><li>There shall be full disclosure at all times of funding sources</li><li>The decision to reject an advertisement / sponsorship rests with the Editorial Board and should be recorded, so that further investigations can be conducted if required</li><li>Non-designated support will be accepted from interested organisations and shall be acknowledged in the Journal</li><li>The allocated editorial space for advertisements should not normally exceed 40% of the total editorial space in any one issue of the Journal; however, the costs of publication of the Journal should always be borne in mind in any one given situation</li><li>The Editor, in consultation with the Editorial Board as appropriate, will be responsible for the final acceptance of any advertorial material</li></ul></ol><p>Other websites related to this journal: <a title="" href="" target="_blank"></a> (Sabinet), <a title="" href="" target="_blank"></a> (Taylor &amp; Francis) and <a title="" href="" target="_blank"></a></p> Medpharm Publications (Pty) en-US South African Journal of Clinical Nutrition 2078-6190 <p>Material submitted for publication in the South African Journal of Clinical Nutrition (SAJCN) is accepted provided it has not been published elsewhere. Copyright forms will be sent with acknowledgement of receipt and the SAJCN reserves copyright of the material published.</p><p>The SAJCN does not hold itself responsible for statements made by the authors.</p> Editor’s note No Abstract Demetre Labadarios Copyright (c) 2019-02-21 2019-02-21 31 3 3 3 Healthy ageing: Is it achievable? No Abstract Anniza de Villiers Mieke Faber Copyright (c) 2019-02-21 2019-02-21 31 3 4 5 Case Study: Lung transplantation for cystic fibrosis – A complex nutritional setting No Abstract Emma-Jane Stanbridge Anna-Lena du Toit Copyright (c) 2019-02-21 2019-02-21 31 3 24 29 Migration related malnutrition among war-instigated refugee children in the northern part of Cameroon <p>Migration is interwoven with the problems of health and nutrition. When people migrate, they are still in need of the most basic human needs including nutrition and health care. These two again are inter-related since they affect one another. The quality of nutrition which an individual receives has a lot to play on his/her health. This paper seeks to discuss the malnourished situation of the children of refugees and internally displaced persons in the northern part of Cameroon resulting from Boko Haram insurgencies in boarder countries (Nigeria in particular) and within Cameroon itself. The study also shows that the number of refugees in the Northern part of Cameroon has been on a progressive increase since 2013. The most alarming aspect of the presence of these refugees driven out of their homes by Boko Haram attacks is the large number of children who suffer from severe acute malnutrition.</p><p><strong>Keywords:</strong> Boko Haram, children, malnutrition, migration, refugees</p> Samuel Nambile Cumber Geraldine Sinyuy Joyce Mahlako Tsoka-Gwegweni Copyright (c) 2019-02-21 2019-02-21 31 3 47 49 Relationship between child development and nutritional status of under-five Nigerian children <p><strong>Introduction:</strong> Nutrition is a major factor that can have long-term effects on the brain’s structural and functional capacity. The interplay between nutrition and child development cannot be overemphasised, especially in developing countries.</p><p><strong>Objectives:</strong> The study aimed to assess the nutritional status of under-fives and determine the relationship between the nutritional status and their developmental quotient.</p><p><strong>Methodology:</strong> A cross-sectional study was undertaken involving 415 under-fives aged 6–59 months in selected pre-schools and immunisation centres. Developmental assessment was done using the Schedule of Growing Skills II. The nutritional status was assessed using the WHO growth charts for weight-for-age, weight-for-height and height-for-age. Chi-square and odds ratio with 95% confidence interval were used to determine the association between nutritional status and selected developmental domains.</p><p><strong>Results:</strong> The mean age was 32.6 ± 15.9 months. The male to female ratio was 1.2:1. The overall prevalence of developmental delay was 35.4%, with manipulative domain accounting for the highest delay (25.8%). The prevalence of stunting, wasting and underweight was 9.1, 3.8 and 3.8% while 2.2% were overweight. Weight-for-age had a significant association with the hearing and language domain (OR 3.25, 95% CI 1.09–9.72, <em>p</em> = 0.036,) and interactive social domain (OR 5.0, 95% CI 2.0–13.0, <em>p</em> = 0.001).</p><p><strong>Conclusion:</strong> The nutritional status of a child has an effect on certain developmental domains of that child. Interventions to improve the nutritional status of under-fives will go a long way to facilitating the development of this group of children.</p><p><strong>Keywords:</strong> child, developmental delay, developmental quotient, nutritional status, under-fives, Nigerian</p> Adenike Oluwayemisi Jimoh Jane Oowo Anyiam Alhassan Mela Yakubu Copyright (c) 2019-02-21 2019-02-21 31 3 50 54 Testing of developed Food Based Dietary Guidelines for the elderly in South Africa <p>The purpose of this paper is to describe the process of the testing of the Elderly Food Based Dietary Guidelines (EFBDGs). Following a literature review, stakeholder discussions and revision, preliminary English EFBDGs were proposed and circulated to an expert panel for input. The developed EFBDGs are based on the existing FBDGs which were revised in 2012 and adapted for older people following the Food and Agricultural Organisation/World Health Organisation (FAO/WHO) guidelines. Minor corrections were received and incorporated, after which the guidelines were tested for comprehension, appropriateness and applicability in consumer groups.</p><p>A qualitative design was followed with focus group discussions. Firstly, the English EFBDGs were tested with IsiZulu, Afrikaans, IsiXhosa, English and Sesotho speaking elderly aged 60 years and older in KwaZulu-Natal, Gauteng, Eastern Cape and Free State provinces, respectively. Thereafter, they were adapted and translated into IsiZulu, Afrikaans, IsiXhosa and Sesotho. Secondly, the adapted and translated EFBDGs were tested in the mentioned ethnic groups.</p><p>In general, as expected, the results of the tests showed that the English speaking elderly responded better to the English guidelines than the other ethnic groups. The feedback in respect of the tested translated guidelines was more positive indicating a better understanding of the EFBDGs by the various ethnic groups. This is because, not only were the English guidelines translated, but they were also adapted and words were contextualised according to the day-to-day language use of the groups.</p><p>It was recommended that the guidelines be incorporated into the Integrated Nutrition Programme for the purpose of nutrition education as well as a guide for food service institutions serving the elderly. Also, it was recommended that the development of support material for health professionals and the wider community be undertaken and the material translated into all the official languages. Future strategies should include the implementation, evaluation and impact of the EFBDGs.</p><p><strong>Keywords:</strong> elderly nutrition, food based dietary guidelines</p> C.E. Napier W.H. Oldewage-Theron H.H. Grobbelaar Copyright (c) 2019-02-21 2019-02-21 31 3 55 61 Association of micronutrients and child growth in children aged 7-15 years from Qwa-Qwa, South Africa <p><strong>Objectives:</strong> This study investigated the possible associations between micronutrient deficiencies and child growth in the rural community of Qwa-Qwa in the Free State province of South Africa (SA).</p><p><strong>Design:</strong> Cross-sectional observational baseline survey.</p><p><strong>Setting:</strong> Rural Qwa-Qwa, Free State, SA.</p><p><strong>Subjects:</strong> Children 7- 15 years of age (<em>n</em> = 73; randomly selected).</p><p><strong>Outcome Measures:</strong> Nutritional status in terms of height and weight measurements, and serum haemoglobin, vitamins A and E and zinc.</p><p><strong>Results and conclusions:</strong> The results of this study showed that there was no significant difference between the mean age of the two genders (<em>p</em> = 0.94). The prevalence of micronutrient deficiencies were 47.3% vitamin E, 25.0% zinc, 3.9% haemoglobin and 1.4% vitamin A. The prevalence of wasting, stunting and underweight was 19.2, 13.7 and 11.4%, respectively. Linear regression analysis showed statistically significant positive correlations between weight-for-age (WAZ) and haemoglobin (<em>r</em> = 0.38, <em>p</em> = 0.049), zinc (<em>r</em> = 0.71, <em>p</em> = 0.008) and vitamin E (<em>r</em> = 0.43, <em>p</em> = 0.029) levels, while there were no significant correlations between vitamin A with WAZ, height-for-age (HAZ) and body mass index-(BMI)-for-age (BAZ). This study shows that there are some associations between child growth and certain micronutrient deficiencies that affects the growth and well-being. Therefore, regular and continued monitoring is recommended for the benefit of, specifically South African children, but also the general population, researchers and the government.</p><p><strong>Keywords:</strong> Children, child growth, growth monitoring, micronutrient</p> Abdulkadir Egal Wilna Oldewage-Theron Copyright (c) 2019-02-21 2019-02-21 31 3 62 66