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Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                     impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




    Workshop 1. How to use Moringa leaves and other
    highly nutritious plants in a medical or nutritional
    context




                                                          Summary of discussions




1
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                        impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




    Expected Results



        Product standards with acceptable range of
    
        variation
        Best practices to reach these standards
    
        Guidelines for measuring out Moringa leaf
    
        powder according to patient’s profile



2
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                        impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




    Expected Results

        Patients to exclude from Moringa leaf
    
        powder intake for medical / ethical reasons?
        Best eating practices/associations to
    
        maximize nutrient intake
        Further information and research projects
    
        needed



3
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                        impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




    Product standards with an acceptable range of
    variation

        The considerable task of compiling and
    
        summarizing data in preparation for this
        workshop has already been accomplished
        Additional analyses obtained from other
    
        participants of the workshop will be added
        The average values as well as the
    
        acceptable range of variation will be
        published in the proceedings
4
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                       impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




    Establishing product standards with an acceptable
    range of variation

       Elément                                                        Elément
                            Moyenne + ET/100g MS                                               Moyenne + ET/100g MS
                            Mean + SD /100g DM                                                 Mean + SD /100g DM
       Nutrient                                                       Nutrient
    Protéines (g)
                                   29 + 6 (11)               Potassium (mg)                       1384 + 420 (6)
    Proteins
    Minéraux (g)
                                  11 + 2.2 (9)               Magnesium (mg)                         422 + 52 (6)
    Minerals
    Glucides (g)
                                    38 + 7 (6)               Manganese (mg)                         8.4 + 2.4 (7)
    Carbohydrates
    Calcium (mg)                                             Zinc (mg)                              2.5 + 0.6 (7)
                               1924 + 288 (13)
    Cuivre (mg)
                                 1.0 + 0.2 (8)               Vitamine A (IU)                     15620 + 6475 (7)
    Copper
    Fer (mg)
                                   28 + 6 (10)               Vitamine C* (mg)                       773 + 91 (5)
5   Iron
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                        impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




    Establishing product standards with an acceptable
    range of variation


        These values will evolve and become increasingly reliable
    
        as new data is taken into consideration

        These values will be useful for field work and for
    
        communication on Moringa

        But all nutritional studies should include a proper analysis
    
        of the particular samples used




6
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                        impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




    Best practices to meet these standards

        Cultivars’ nutritional content vary little
    
        Except for the iron content of an Indian
        variety grown in India. Two reliable
        independent analyses report a very low iron
        value for these varieties (cultivar-
        environment interaction?)



7
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                        impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




    Best practices to meet these standards

        Production: preferably choose mature leaves (richer
    
        in nutrients) for leaf powder and young leaves (more
        tender) for fresh consumption

        Harvesting season can have an effect on nutrient
    
        content, but this is difficult to quantify as it varies
        depending on the local climate. Long conservation
        also effects nutrient content.




8
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                        impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




    Best practices to meet these standards

        Processing can greatly alter nutrient content (esp.
    
        vitamins): drying and grinding temperature, drying
        time, UV exposure…
        Processing can also have an effect on the
    
        bioavailability of nutrients (which must be very
        precise when used in a medical context)




9
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                         impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Best practices to meet these standards

         Storage can influence the nutrient content
     
         (shelf life, temperature, oxidization…)
         Avoid contaminations while being stored and
     
         used (use appropriate packaging)




10
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                         impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Patients’ profiles

         To prevent and cure moderate malnutrition
     
         in vulnerable groups: children being weaned
         (6 months – 3 years), pregnant and nursing
         women.




11
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                         impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Patients’ profiles

         In addition to medical treatment for people
     
         suffering from chronic diseases or particular
         affections




12
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                         impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Patients’ profiles

         Regular consumption of Moringa leaves by
     
         pregnant women increases the birth weight
         of babies
         It stimulates milk production in nursing
     
         women




13
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                      impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Patients’ profiles


      From what is known today, Moringa
      leaves should not be used to treat severe
      malnutrition as the patients are very
      weak and have very specific needs




14
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                         impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Medicinal properties linked to leaf consumption

     Chronic diseases

         Boosts the immune system of HIV+ patients
     
         Lowers glycaemia in diabetic patients
     
         Lowers blood pressure (taken as tea or leaf powder)
     
         Drepanocytose
     




15
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                         impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Medicinal properties linked to leaf consumption


     Minor Health Issues

         Improves libido
     
         Regulates bowel movements (fresh leaves)
     
         Improves sleep patterns
     
         Improves state of health in general in cases of microbial
     
         infection (taken as tea)




16
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                       impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Medicinal properties of Moringa leaves

           To treat malaria: a decoction of leaves is
       prepared by soaking leaves in water with
       palm oil for 24 hours. The next day the
       patient washes himself with this water (in
       addition to treatment)




17
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                         impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Recommended amounts

         To prevent or cure malnutrition: 10 to 30g of leaf
     
         powder per day (50 to 150g fresh leaves) according
         to the patient’s weight.
         For medicinal use, generally 1 to 4 tablespoons are
     
         used daily




18
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                         impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Caution

         Moringa leaves are not a substitute for medical
     
         treatment in cases of illness (HIV, malaria, etc.)
         For pregnant women, the quantities should be
     
         lowered during the third trimester to avoid the
         problems related to giving birth to high birth-
         weight babies




19
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                         impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Important notice

         Medical follow-up is always necessary in
     
         cases of disease or malnutrition
         Moringa leaves should not be considered as
     
         a medicinal plant but as a dietary
         supplement that bolsters overall wellbeing




20
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                        impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Important notice

         If Moringa is associated with disease and
     
         malnutrition, healthy people will refuse to
         use it
         People suffering from diseases could be
     
         tempted to replace their treatment with
         cheaper Moringa, which could be dangerous
         for them


21
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                         impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Best eating practices

             Leaf powder should be associated
         with other foods in order to increase the
         bioavailability of nutrients:
         For children, pregnant women, nursing
     
         women and the ill, as a flour associated with
         cereals, legumes and lipids
         As beverage: tea, powder in water (for
     
         medicinal use mainly)
         Fresh or dry leaves added to traditional
     
         dishes
22
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                      impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Best eating practices

         These eating practices promote the
      idea that Moringa leaves are a « health
      food » rather than a medicine, which
      fosters consumption sustainability




23
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                        impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Further information and research projects needed

     Priority research areas:
      Effects on malnourished children, pregnant and nursing women
        (figures and statistics)
      Effect on HIV+ patients (recommended intake, limitations)
      Cardio-vascular pathologies, diabetes, obesity, high blood pressure
      Drepanocytose




24
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                         impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Proposals

         Create a nutrition task group in the
         Moringanews Network

         Priority actions:
         Define a simple protocol for clinical follow-up
     
         that can be easily used by field workers in
         order to gather as much comparable data as
         possible

25
Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better
                         impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006




     Proposals

         Establish technical notes on production,
     
         processing, storage, packaging, nutritional
         values, recommended intake, food
         associations for optimal efficiency

         Set up common research projects
     




26

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Moringa Partners

  • 1. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Workshop 1. How to use Moringa leaves and other highly nutritious plants in a medical or nutritional context Summary of discussions 1
  • 2. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Expected Results Product standards with acceptable range of  variation Best practices to reach these standards  Guidelines for measuring out Moringa leaf  powder according to patient’s profile 2
  • 3. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Expected Results Patients to exclude from Moringa leaf  powder intake for medical / ethical reasons? Best eating practices/associations to  maximize nutrient intake Further information and research projects  needed 3
  • 4. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Product standards with an acceptable range of variation The considerable task of compiling and  summarizing data in preparation for this workshop has already been accomplished Additional analyses obtained from other  participants of the workshop will be added The average values as well as the  acceptable range of variation will be published in the proceedings 4
  • 5. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Establishing product standards with an acceptable range of variation Elément Elément Moyenne + ET/100g MS Moyenne + ET/100g MS Mean + SD /100g DM Mean + SD /100g DM Nutrient Nutrient Protéines (g) 29 + 6 (11) Potassium (mg) 1384 + 420 (6) Proteins Minéraux (g) 11 + 2.2 (9) Magnesium (mg) 422 + 52 (6) Minerals Glucides (g) 38 + 7 (6) Manganese (mg) 8.4 + 2.4 (7) Carbohydrates Calcium (mg) Zinc (mg) 2.5 + 0.6 (7) 1924 + 288 (13) Cuivre (mg) 1.0 + 0.2 (8) Vitamine A (IU) 15620 + 6475 (7) Copper Fer (mg) 28 + 6 (10) Vitamine C* (mg) 773 + 91 (5) 5 Iron
  • 6. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Establishing product standards with an acceptable range of variation These values will evolve and become increasingly reliable  as new data is taken into consideration These values will be useful for field work and for  communication on Moringa But all nutritional studies should include a proper analysis  of the particular samples used 6
  • 7. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Best practices to meet these standards Cultivars’ nutritional content vary little  Except for the iron content of an Indian variety grown in India. Two reliable independent analyses report a very low iron value for these varieties (cultivar- environment interaction?) 7
  • 8. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Best practices to meet these standards Production: preferably choose mature leaves (richer  in nutrients) for leaf powder and young leaves (more tender) for fresh consumption Harvesting season can have an effect on nutrient  content, but this is difficult to quantify as it varies depending on the local climate. Long conservation also effects nutrient content. 8
  • 9. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Best practices to meet these standards Processing can greatly alter nutrient content (esp.  vitamins): drying and grinding temperature, drying time, UV exposure… Processing can also have an effect on the  bioavailability of nutrients (which must be very precise when used in a medical context) 9
  • 10. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Best practices to meet these standards Storage can influence the nutrient content  (shelf life, temperature, oxidization…) Avoid contaminations while being stored and  used (use appropriate packaging) 10
  • 11. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Patients’ profiles To prevent and cure moderate malnutrition  in vulnerable groups: children being weaned (6 months – 3 years), pregnant and nursing women. 11
  • 12. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Patients’ profiles In addition to medical treatment for people  suffering from chronic diseases or particular affections 12
  • 13. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Patients’ profiles Regular consumption of Moringa leaves by  pregnant women increases the birth weight of babies It stimulates milk production in nursing  women 13
  • 14. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Patients’ profiles From what is known today, Moringa leaves should not be used to treat severe malnutrition as the patients are very weak and have very specific needs 14
  • 15. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Medicinal properties linked to leaf consumption Chronic diseases Boosts the immune system of HIV+ patients  Lowers glycaemia in diabetic patients  Lowers blood pressure (taken as tea or leaf powder)  Drepanocytose  15
  • 16. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Medicinal properties linked to leaf consumption Minor Health Issues Improves libido  Regulates bowel movements (fresh leaves)  Improves sleep patterns  Improves state of health in general in cases of microbial  infection (taken as tea) 16
  • 17. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Medicinal properties of Moringa leaves To treat malaria: a decoction of leaves is prepared by soaking leaves in water with palm oil for 24 hours. The next day the patient washes himself with this water (in addition to treatment) 17
  • 18. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Recommended amounts To prevent or cure malnutrition: 10 to 30g of leaf  powder per day (50 to 150g fresh leaves) according to the patient’s weight. For medicinal use, generally 1 to 4 tablespoons are  used daily 18
  • 19. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Caution Moringa leaves are not a substitute for medical  treatment in cases of illness (HIV, malaria, etc.) For pregnant women, the quantities should be  lowered during the third trimester to avoid the problems related to giving birth to high birth- weight babies 19
  • 20. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Important notice Medical follow-up is always necessary in  cases of disease or malnutrition Moringa leaves should not be considered as  a medicinal plant but as a dietary supplement that bolsters overall wellbeing 20
  • 21. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Important notice If Moringa is associated with disease and  malnutrition, healthy people will refuse to use it People suffering from diseases could be  tempted to replace their treatment with cheaper Moringa, which could be dangerous for them 21
  • 22. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Best eating practices Leaf powder should be associated with other foods in order to increase the bioavailability of nutrients: For children, pregnant women, nursing  women and the ill, as a flour associated with cereals, legumes and lipids As beverage: tea, powder in water (for  medicinal use mainly) Fresh or dry leaves added to traditional  dishes 22
  • 23. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Best eating practices These eating practices promote the idea that Moringa leaves are a « health food » rather than a medicine, which fosters consumption sustainability 23
  • 24. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Further information and research projects needed Priority research areas:  Effects on malnourished children, pregnant and nursing women (figures and statistics)  Effect on HIV+ patients (recommended intake, limitations)  Cardio-vascular pathologies, diabetes, obesity, high blood pressure  Drepanocytose 24
  • 25. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Proposals Create a nutrition task group in the Moringanews Network Priority actions: Define a simple protocol for clinical follow-up  that can be easily used by field workers in order to gather as much comparable data as possible 25
  • 26. Moringa and other highly nutritious plant resources: Strategies, standards and markets for a better impact on nutrition in Africa. Accra, Ghana, November 16-18, 2006 Proposals Establish technical notes on production,  processing, storage, packaging, nutritional values, recommended intake, food associations for optimal efficiency Set up common research projects  26