Fortification and health: challenges and opportunities (original) (raw)

2015, Advances in nutrition (Bethesda, Md.)

Fortification is the process of adding nutrients or non-nutrient bioactive components to edible products (e.g., food, food constituents, or supplements). Fortification can be used to correct or prevent widespread nutrient intake shortfalls and associated deficiencies, to balance the total nutrient profile of a diet, to restore nutrients lost in processing, or to appeal to consumers looking to supplement their diet. Food fortification could be considered as a public health strategy to enhance nutrient intakes of a population. Over the past century, fortification has been effective at reducing the risk of nutrient deficiency diseases such as beriberi, goiter, pellagra, and rickets. However, the world today is very different from when fortification emerged in the 1920s. Although early fortification programs were designed to eliminate deficiency diseases, current fortification programs are based on low dietary intakes rather than a diagnosable condition. Moving forward, we must be dilig...

Food Fortification: Safety and Legislation

Food and Nutrition Bulletin, 1998

The Food and Agriculture Organization/World Health Organization (FAO/WHO) International Conference on Nutrition (ICN), held in Rome in December 1992, recognized the widespread occurrence of micronutrient deficiencies, particularly in developing countries. The conference recognized food-based approaches as the most effective way to address existing micronutrient deficiencies. These approaches must include appropriate strategies to assure dietary diversification, improved food availability, food preservation, nutrition education, and food fortification. The final report of the conference included strategies and actions for preventing and controlling specific micronutrient deficiencies. It was proposed to ensure and legislate the fortification of foods or water with necessary micronutrients, where possible, when existing supplies fail to provide adequate levels in the diet. Food fortification has been successfully used in both developed and developing countries as one strategy to addre...

Fortification strategies to meet micronutrient needs: sucesses and failures

Proceedings of the Nutrition Society, 2002

Food fortification is likely to have played an important role in the current nutritional health and well-being of populations in industrialized countries. Starting in the early part of the 20th century, fortification was used to target specific health conditions: goitre with iodized salt; rickets with vitamin D-fortified milk; beriberi, pellagra and anaemia with B-vitamins and Fe-enriched cereals; more recently, in the USA, risk of pregnancy affected by neural-tube defects with folic acid-fortified cereals. A relative lack of appropriate centrally-processed food vehicles, less-developed commercial markets and relatively low consumer awareness and demand, means it has taken about another 50 years for fortification to be seen as a viable option for the less-developed countries. The present paper reviews selected fortification initiatives in developing countries to identify different factors that contributed to their successful implementation, as well as the challenges that continually...

Food fortification: a novel attempt to combat micro nutrient deficiency

2016

Changing lifestyles, unavailability of nutritious food and decreased energy intake of the population during recent years have placed greater emphasis on the need to measure the amounts and the bioavailability of nutrients in the food supply. Deficiency diseases in humans are directly or indirectly caused by a lack of essential nutrients in the daily diet. Deficiency diseases are commonly associ ated with chronic ma lnutrit ion. According to World Health Organization (WHO), malnutrition is the greatest single threat to world's public health. It is the biggest contributor to child mortality in the world as about 2.2 million children die of malnu tr iti on . It al so incr eases ri sk of infections and results in retarded growth, low cognitive development etc.

Food Fortification & Sustainable Nutrition Security

Mankind has dominated the habitat on earth for ages. Phenomenal advances in technology have been achieved at the cost of violation of the Sahastitva between nature and human beings. Yet these technological developments have failed to address the most alarming problems the world faces today i.e. widespread hunger, malnutrition. This calls for judicious policy making and just use of technology to realize the same. Sustainable Nutrition Security is the need of the hour. Food Fortification has emerged as one of the viable solutions to ensure Nutrition Security. Though Food Fortification plays with the Swaroop of natural foods but it aims to restore the micro-nutrient deficiencies present in the population today. These techniques might be socially acceptable but they carry their own limitations. This article throws light on how natural food fortification has emerged with time and how it is being integrated with the idea of sustainable nutrition security. This article also calls for recommendations for the development of responsible fortification practices to ensure their safety and effectiveness.

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