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An Assessment of the Potential Impact of Fortification of Staples and Condiments on Micronutrient Intake of Young Children and Women of Reproductive Age in Bangladesh

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ABSTRACT

Bangladesh has experienced rapid economic growth and achieved major health improvements in the past decade, but malnutrition rates remain high. A nationally representative study conducted in 2011 assessed the dietary habits of 841 children 24–59 months old, 1428 children 6–14 years old, and 1412 nonpregnant, nonlactating women. The study’s objective was to assess dietary intakes of key micronutrients and the consumption pattern of potentially fortifiable foods, and then to model the potential impact of the fortification of key staple foods. The current intakes of several micronutrients—namely, iron, zinc, folate, vitamin A, and vitamin B12—were found to be insufficient to meet the needs of Bangladesh’s children and women. The fortification of rice with iron and zinc and edible oil with vitamin A has the potential to fill a significant part of the nutrient gap, as these are consumed widely and in significant amounts. Wheat flour and sugar are not as promising food vehicles in the Bangladeshi context, as they were consumed by a smaller portion of the population and in smaller amounts. In conclusion, fortification of rice and oil is recommended to address the large gap in micronutrient intakes.

No MeSH data available.


Percentage of iron, zinc, vitamin A, folate, and vitamin B12 recommended nutrient intake (RNI) covered by the diet per population group.
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nutrients-08-00541-f001: Percentage of iron, zinc, vitamin A, folate, and vitamin B12 recommended nutrient intake (RNI) covered by the diet per population group.

Mentions: The consumption patterns of 841 pre-SAC, 1428 SAC, and 1412 NPNL were analyzed. The micronutrient intake estimates for five micronutrients are reported in Table 2 and Figure 1. For pre-SAC, 38.5%, 36.6%, 50.5%, 31.0%, and 70.0% of the requirements in iron, zinc, vitamin A, folic acid, and vitamin B12, respectively, were covered by the diet. The iron and zinc intakes varied significantly depending on the district of residency (p < 0.01 for iron and p < 0.05 for zinc). Zinc intake was higher in higher income quintiles (p < 0.001). There were no significant differences in folic acid intake between areas of residency, districts, nor socioeconomic strata. Vitamin B12 intake was significantly lower in pre-SAC from lower SES than from higher SES (p < 0.05).


An Assessment of the Potential Impact of Fortification of Staples and Condiments on Micronutrient Intake of Young Children and Women of Reproductive Age in Bangladesh
Percentage of iron, zinc, vitamin A, folate, and vitamin B12 recommended nutrient intake (RNI) covered by the diet per population group.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5037528&req=5

nutrients-08-00541-f001: Percentage of iron, zinc, vitamin A, folate, and vitamin B12 recommended nutrient intake (RNI) covered by the diet per population group.
Mentions: The consumption patterns of 841 pre-SAC, 1428 SAC, and 1412 NPNL were analyzed. The micronutrient intake estimates for five micronutrients are reported in Table 2 and Figure 1. For pre-SAC, 38.5%, 36.6%, 50.5%, 31.0%, and 70.0% of the requirements in iron, zinc, vitamin A, folic acid, and vitamin B12, respectively, were covered by the diet. The iron and zinc intakes varied significantly depending on the district of residency (p < 0.01 for iron and p < 0.05 for zinc). Zinc intake was higher in higher income quintiles (p < 0.001). There were no significant differences in folic acid intake between areas of residency, districts, nor socioeconomic strata. Vitamin B12 intake was significantly lower in pre-SAC from lower SES than from higher SES (p < 0.05).

View Article: PubMed Central - PubMed

ABSTRACT

Bangladesh has experienced rapid economic growth and achieved major health improvements in the past decade, but malnutrition rates remain high. A nationally representative study conducted in 2011 assessed the dietary habits of 841 children 24&ndash;59 months old, 1428 children 6&ndash;14 years old, and 1412 nonpregnant, nonlactating women. The study&rsquo;s objective was to assess dietary intakes of key micronutrients and the consumption pattern of potentially fortifiable foods, and then to model the potential impact of the fortification of key staple foods. The current intakes of several micronutrients&mdash;namely, iron, zinc, folate, vitamin A, and vitamin B12&mdash;were found to be insufficient to meet the needs of Bangladesh&rsquo;s children and women. The fortification of rice with iron and zinc and edible oil with vitamin A has the potential to fill a significant part of the nutrient gap, as these are consumed widely and in significant amounts. Wheat flour and sugar are not as promising food vehicles in the Bangladeshi context, as they were consumed by a smaller portion of the population and in smaller amounts. In conclusion, fortification of rice and oil is recommended to address the large gap in micronutrient intakes.

No MeSH data available.