The potential contributions of bouillon fortification to meeting micronutrient requirements among women and preschool children in Senegal: A modeling study using household consumption and expenditure survey data.

Autor: Adams KP; Institute for Global Nutrition, Department of Nutrition, University of California, Davis, Davis, California, USA., Vosti SA; Institute for Global Nutrition, Department of Nutrition, University of California, Davis, Davis, California, USA.; Department of Agricultural and Resource Economics, University of California, Davis, Davis, California, USA., Tarini A; Independent Consultant, Laval, Quebec, Canada., Beye M; Helen Keller International, Dakar, Senegal., Pachón H; Food Fortification Initiative, Atlanta, Georgia, USA.; Rollins School of Public Health, Emory University, Atlanta, Georgia, USA., Kiselova S; The Swiss Federal Institute of Technology in Lausanne (EPFL), Lausanne, Switzerland., Engle-Stone R; Institute for Global Nutrition, Department of Nutrition, University of California, Davis, Davis, California, USA.
Jazyk: angličtina
Zdroj: Annals of the New York Academy of Sciences [Ann N Y Acad Sci] 2024 Jul; Vol. 1537 (1), pp. 98-112. Date of Electronic Publication: 2024 Jul 08.
DOI: 10.1111/nyas.15156
Abstrakt: To reduce micronutrient deficiencies, Senegal mandates the fortification of refined oil with vitamin A and wheat flour with iron and folic acid. Expanding Senegal's large-scale food fortification programs to include fortified bouillon could help fill the remaining gaps in dietary micronutrient requirements. Using 7-day household food consumption data collected between 2018 and 2019, we assessed the potential contributions of bouillon fortified with vitamin A (40-250 μg/g bouillon), folic acid (20-120 μg/g), vitamin B12 (0.2-2 μg/g), iron (0.6-5 mg/g), and zinc (0.6-5 mg/g) for meeting micronutrient requirements of women of reproductive age (WRA; 15-49 years old) and children (6-59 months old). Most households (90%) reported consuming bouillon, including poor and rural households. At modeled fortification levels, bouillon fortification reduced the national prevalence of inadequacy by up to ∼20 percentage points (pp) for vitamin A, 34 pp (WRA) and 20 pp (children) for folate, 20 pp for vitamin B12, 38 pp (WRA) and 30 pp (children) for zinc, and ∼8 pp for iron. Predicted reductions in inadequacy were generally larger among poor and rural populations, especially for vitamins A and B12. Our modeling suggests that bouillon fortification has the potential to substantially reduce dietary inadequacy of multiple micronutrients and could also help address inequities in dietary micronutrient inadequacies in Senegal.
(© 2024 The Author(s). Annals of the New York Academy of Sciences published by Wiley Periodicals LLC on behalf of The New York Academy of Sciences.)
Databáze: MEDLINE
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