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The role of enriched foods in infant and child nutrition

Published online by Cambridge University Press:  08 March 2007

Teresa Shamah*
Affiliation:
Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Av. Universidad 655, Col. Sta. María Ahuacatitlán, CP 62508 Cuernavaca, Morelos, México
Salvador Villalpando
Affiliation:
Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Av. Universidad 655, Col. Sta. María Ahuacatitlán, CP 62508 Cuernavaca, Morelos, México
*
*Corresponding author: Dr Teresa Shamah, fax +52 777 3113787, email tshamah@insp.mx
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Abstract

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Since the last century, fortified and enriched foods are products whose original composition has been modified–through addition of essential nutrients–to satisfy specific population needs. For the fortification of foods to have a positive impact on nutritional status, the micronutrients added must be well absorbed and utilized by the organism (bioavailability). Diverse factors affect bioavailability, such as the nutritional status of individuals, the presence in the diet of substances which facilitate or inhibit its absorption, interactions among micronutrients, illnesses, and chemical characteristics of the compound used for fortification. In countries such as Chile, Venezuela and Mexico, important effects have been demonstrated in reducing iron deficiency anaemia in children under 5 years of age. In less than a decade, the salt iodization programme has also proven its effectiveness. Other programmes have fortified foods with Zn, vitamin A and folic acid, which are deficient in infants and children of many populations. In summary, food fortification is a low-cost, relatively simple strategy that may reach a wide range of people, and contribute to reducing the high prevalence of micronutrient deficiencies affecting children, especially in poor countries. The costs due to losses of human capital and their repercussions on health and future development are very high. Building links among academic researchers, politicians, food manufacturers and consumers is essential in order for food fortification to be efficacious and effective, and therefore should be considered as part of an integral strategy to combat micronutrient deficiencies.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2006

References

Anon. (1997) La carencia de hierro, un problema frecuente en España. Jano Diario, 6 October.Google Scholar
Beard, JL & Tobin, BW (2000) Iron status and exercise. Am J Clin Nutr 72, Suppl.594S597S.CrossRefGoogle ScholarPubMed
Blomhoff, HK & Smeland, EB (1994) Role of retinoids in normal hematopoiesis and the immune system. In Vitamin A in Health and Disease, pp. 451484 [Blomhoff, R, editors]. New York: Marcel Dekker.CrossRefGoogle Scholar
Blumberg, JB (1995) Considerations of the scientific substantiation for antioxidant vitamins and β-carotene in disease prevention. Am J Clin Nutr 62, 1521s1526s.CrossRefGoogle ScholarPubMed
Brown, K, Peerson, JM, Rivera, J & Allen, L (2002) Effect of supplemental zinc on the growth and serum zinc concentration of prepubertal children: a meta-analysis of randomized controlled trials. Am J Clin Nutr 75, 10621071.CrossRefGoogle ScholarPubMed
Casanueva, E, Avila, H, Polo, E, Tejero, E, Narcia, ML & Pfeffer, F (1995) Vitamin C status, cervico-vaginal infection and premature rupture of amniotic membranes. Arch Med Res 26, S149S152.Google ScholarPubMed
Casanueva, E, Magaña, L, Pfeffer, E & Baez, A (1991) Incidence of premature rupture of membranes in pregnant women with low leukocyte levels of vitamin C. Eur J Clin Nutr 45, 401405.Google ScholarPubMed
Daly, LE, Kirke, PN, Mohillo, A, Weir, DG & Scott, JM (1995) Folate levels and neural tube defects. Implications for prevention. JAMA 274, 16981702.CrossRefGoogle ScholarPubMed
Darnton-Hill, I, Mora, JO & Weinstein, H (1999) Iron and folate fortification in the Americas to prevent and control micronutrient malnutrition: an analysis. Nutr Rev 57, 2531.CrossRefGoogle ScholarPubMed
De Maeyer, E, Adiels-Tegman, M (1985) The prevalence of anemia in the world. World Health Stat Q 38, 302316.Google ScholarPubMed
Dietz, W (2003) Global problem of deficiencies in iron, folic acid, and vitamin B 12, and food fortification as a key public health intervention. Paper presented at Fortificación de harinas con hierro, ácido fólico y vitamina B 12 en las Américas, Organización Panamericana de la Salud (OPS/OMS), Centros para el Control y Prevención de Enfermedades (CDC), March of Dimes (MOD), Fondo de las Naciones Unidas para la Infancia (UNICEF), Santiago, Chile, 910 October.Google Scholar
Freire, WB (1998) La anemia por deficiencia de hierro, estrategias de OPS/OMS para combatirla. Salud Publica Mex 40, 199205.CrossRefGoogle Scholar
Freire, W (2003) Situación de hierro, folatos y vitamina B 12 en las Américas. Paper presented at Fortificación de harinas con hierro, ácido fólico y vitamina B 12 en las Américas, Organización Panamericana de la Salud (OPS/OMS), Centros para el Control y Prevención de Enfermedades (CDC), March of Dimes (MOD), Fondo de las Naciones Unidas para la Infancia (UNICEF), Santiago, Chile, 910 October.Google Scholar
García-Casal, MN & Layrisse, M (2002) Iron fortification of flours in Venezuela. Nutr Rev 60, S26S29.CrossRefGoogle ScholarPubMed
Hadi, H, Stoltfus, RJ, Moulton, LH, Dibley, MJ & West, KP (1999) Respiratory infections reduce the growth response to vitamin A supplementation in a randomized controlled trial. Int J Epidemiol 28, 874881.CrossRefGoogle ScholarPubMed
Hertrampf, E (2003) Fortificación de la harina de trigo en Chile: hierro y ácido fólico. Paper presented at Fortificación de harinas con hierro, ácido fólico y vitamina B 12 en las Américas, Organización Panamericana de la Salud (OPS/OMS), Centros para el Control y Prevención de Enfermedades (CDC), March of Dimes (MOD), Fondo de las Naciones Unidas para la Infancia (UNICEF), Santiago, Chile, 910 October.Google Scholar
Hertrampf, E & Cortes, F (2004) Folic acid fortification of wheat flour: Chile. Nutr Rev 62 (6 Pt 2) S44S48.CrossRefGoogle ScholarPubMed
Hotz, C &, Brown, KH (eds) (2004) Assessment of the risk of zinc deficiency in populations and options for its control. IZINCG Technical Document, 1. Food Nutr Bull 24, 186.Google Scholar
International Bank, for Reconstruction & and Development (1994) Enriching Lives: Overcoming Vitamin and Mineral Malnutrition in Developing Countries. Washington, DC: World Bank.Google Scholar
Latham, MC (2002) Nutrición Humana en el Mundo en Desarrollo. Colección FAO: Alimentación y Nutrición no. 29. Rome: Organización de las Naciones Unidas para la Agricultura y la Alimentación.Google Scholar
Layrisse, M, Chávez, JF, Méndez-Castellano, H, Bosch, V, Tropper, E, Bastardo, B, González, E (1996) Early response to the effect of iron fortification in the Venezuela population. Am J Clin Nutr 64, 903907.CrossRefGoogle Scholar
Lindembaum, J & Allen, RH (1995) Clinical spectrum and diagnosis of folate deficiency. In Folate in Health and Disease, pp. 4374 [Bailey, LB, editors]. New York: Marcel Dekker.Google Scholar
Maberly, GF (2003) Fortification of wheat flour is a public–private–civic investment in each nation. In Strategic Plan 2003–2004, Flour Fortification Initiative, pp. 613. Atlanta, GA: Emory University.Google Scholar
Menendez, C, Todd, J & Alonso, PL (1994) The effects of iron supplementation during pregnancy, given by traditional birth attendants, on the prevalence of anemia and malaria. Trans R Soc Trop Med Hyg 88, 590593.CrossRefGoogle Scholar
Olivares, M, Hertrampf, E, Pizarro, F & Walter, T (2003) El enriquecimiento con hierro de la leche: la experiencia chilena (Iron fortification of milk in Chile). Food Nutr Agric 32, 6973.Google Scholar
Pantanelli, A (2000) Alimentos fortificados y enriquecidos. Revista Alimentos Argentinos 14, 115.Google Scholar
Preziosi, P, Prual, A, Galan, P, Daouda, H, Boureima, H & Hercberg, S (1997) Effects of iron supplementation on iron status of pregnant women: consequences for newborns. Am J Clin Nutr 66, 11781182.CrossRefGoogle ScholarPubMed
Rivera, J, Brown, K, Hotz, C & Ruel, M (2001) Zinc deficiency: issues for public health, assessment, and prevention. In Modern Aspects of Nutrition: Present Knowledge and Future Perspectives. [Elmadfa, I, Anklam, E, König, JS, editors]. Proceedings of the 17th International Congress of Nutrition. 2731August, Vienna, Austria Basel: Karger.Google Scholar
Ross, JS & Horton, S (1999) The Economic Consequences of Iron Deficiency. Ottawa: Micronutrient Initiative.Google Scholar
Salgueiro, MJ, Zubillaga, M, Lysionek, A, Caro, R, Weill, R & Boccio, J (2002) Fortification strategies to combat zinc and iron deficiency. Nutr Rev 60 2 5258.CrossRefGoogle ScholarPubMed
Sayed, NE, Gad, A, Nofal, L & Netti, G (1999) Assessment of the prevalence and potential determinants of nutritional anemia in Upper Egypt. Food Nutr Bull 20, 417421.CrossRefGoogle Scholar
Sedgh, G, Herrera, MG, Nestel, P, elAmin, A & Fawzi, WW (2000) Dietary vitamin A intake and nondietary factors are associated with reversal stunting in children. J Nutr 130, 25202526.CrossRefGoogle ScholarPubMed
Serra-Majem, Ll (2001) Factors affecting nutrient intake in children. Ann Nutr Metab 45, Suppl. 1, 602Google Scholar
Svedberg, P (2000) Poverty and Undernutrition. New York: Oxford University Press.CrossRefGoogle Scholar
Thuy, PV, Berger, J, Davidsson, L, Khan, NC, Lam, NT, Cook, JD, Hurrell, RF & Khoi, HH (2003) Regular consumption of NaFeEDTA-fortified fish sauce improves iron status and reduces the prevalence of anemia in anemic Vietnamese women. Am J Clin Nutr 78 2 284290.CrossRefGoogle ScholarPubMed
Torrejón, C, Castillo Duran, C, Hertrampf, E, Ruz, M (2004) Zinc and iron nutrition in Chilean children fed fortified milk provided by the complementary national food program. Nutrition 20, 177180.CrossRefGoogle ScholarPubMed
UNICEF (1998) Estado Mundial de la Infancia, p. 64 Ginebra: UNICEF. UNICEF/Micronutrient Initiative (2004) Vitamin & Mineral Deficiency Reports. New York: UNICEF. 2004.Google Scholar
United Nations Administrative Committee on Coordination/Sub-Committee on Nutrition (2000) Nutrition Throughout the Life Cycle. 4th Report on The World Nutrition Situation. Geneva: ACC/SCN in collaboration with International Food Policy Research Institute.Google Scholar
Villalpando, S, Shamah Levy, T, Ramírez-Silva, CI, Mejía-Rodríguez, F, & Rivera, F (2003) Prevalence of anemia in children 1–12 years of age. Results from a national probabilistic survey in Mexico. Salud Publica Mex 45, Suppl. 4, S490S498.CrossRefGoogle Scholar
West, KP (1991) Dietary vitamin-A deficiency: effects on growth infection, and mortality. Food Nutr Bull 19, 119131.Google Scholar
World Health Organization/UNICEF/United Nations University (2001) Iron Deficiency Anaemia: Assessment, Prevention, and Control. Geneva: WHO/UNICEF/UNU.Google Scholar