Food and Agricultural Organization of the United Nations PA N I S F I A T G u id e in e s o n fo o d fo r tific atio n w th m ic r o n u tr ie n ts Interest in micronutrient malnutrition has increased greatly over the last few years. One of the main reasons is the realization that micronutrient malnutrition contributes substantially to the global burden of disease. Furthermore, although micronutrient malnutrition is more frequent and severe in the developing world and among disadvantaged populations, it also represents a public health problem in some industrialized countries. Measures to correct micronutrient deficiencies aim at ensuring consumption of a balanced diet that is adequate in every nutrient. Unfortunately, this is far from being achieved everywhere since it requires universal access to adequate food and appropriate dietary habits. Food fortification has the dual advantage of being able to deliver nutrients to large segments of the population without requiring radical changes in food consumption patterns.

Guidelines on food fortification with micronutrients

Iodine-deficiency disorders

Minerals and vitamins in food staples eaten widely by the poor may be increased either through conventional plant breeding or through use of transgenic techniques, a process known as biofortification. HarvestPlus seeks to develop and distribute cultivars of food staples (rice [Oryza sativa L.], wheat [Triticum aestivum L.], maize [Zea mays L.], cassava [Manihot esculenta Crantz], pearl millet [Pennisetum americanum Leeke], beans [Phaseolus vulgaris L.], sweet potato [Ipomoea batatas L.]) that are high in Fe, Zn, and provitamin A through an interdisciplinary global alliance of scientific institutions and implementing agencies in developing and developed countries. Biofortified crops offer a rural-based intervention that, by design, initially reaches these more remote populations, which comprise a majority of the undernourished in many countries, and then penetrates to urban populations as production surpluses are marketed. Thus, biofortification complements fortification and supplementation programs, which work best in centralized urban areas and then reach into rural areas with good infrastructure. Initial investments in agricultural research at a central location can generate high recurrent benefits at low cost as adapted biofortified cultivars become widely available in countries across time at low recurrent costs. Overall, three things must happen for biofortification to be successful. First, the breeding must be successful—high nutrient density must be combined with high yields and high profitability. Second, efficacy must be demonstrated—the micronutrient status of human subjects must be shown to improve when consuming the biofortified cultivars as normally eaten. Third, the biofortified crops must be adopted by farmers and consumed by those suffering from micronutrient malnutrition in significant numbers.

Biofortification - a sustainable agricultural strategy for reducing micronutrient malnutrition in the global south.

Breeding for micronutrient density in edible portions of staple food crops: conventional approaches

This review tracks the life cycle impacts of malnutrition in the developing world highlighting the dynamics of cause and consequence and then considers what can be done to break the cycle. It focuses on the five major nutrition problems in Asia and the Pacific region: low birth weight childhood growth failure anemia iodine deficiency disorders and vitamin A deficiency. This is followed by a comprehensive review of existing knowledge of the efficacy of key "nutrition interventions" for preventing or alleviating these conditions the effectiveness of large scale programs and the process to be adopted for selecting and prioritizing options.

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A Kareem

Papers

Iodination of irrigation water as a method of supplying iodine to a severely iodine-deficient population in Xinjiang, China.