Food security is a growing concern worldwide. More than 1 billion people are estimated to lack sufficient dietary energy availability, and at least twice that number suffer micronutrient deficiencies. Because indicators inform action, much current research focuses on improving food insecurity measurement. Yet estimated prevalence rates and patterns remain tenuous because measuring food security, an elusive concept, remains difficult.

https://science.sciencemag.org/content/sci/327/5967/825.full.pdf

Measuring Food Insecurity

Micronutrients are essential to sustain life and for optimal physiological function. Widespread global micronutrient deficiencies (MNDs) exist, with pregnant women and their children under 5 years at the highest risk. Iron, iodine, folate, vitamin A, and zinc deficiencies are the most widespread MNDs, and all these MNDs are common contributors to poor growth, intellectual impairments, perinatal complications, and increased risk of morbidity and mortality. Iron deficiency is the most common MND worldwide and leads to microcytic anemia, decreased capacity for work, as well as impaired immune and endocrine function. Iodine deficiency disorder is also widespread and results in goiter, mental retardation, or reduced cognitive function. Adequate zinc is necessary for optimal immune function, and deficiency is associated with an increased incidence of diarrhea and acute respiratory infections, major causes of death in those <5 years of age. Folic acid taken in early pregnancy can prevent neural tube defects. Folate is essential for DNA synthesis and repair, and deficiency results in macrocytic anemia. Vitamin A deficiency is the leading cause of blindness worldwide and also impairs immune function and cell differentiation. Single MNDs rarely occur alone; often, multiple MNDs coexist. The long-term consequences of MNDs are not only seen at the individual level but also have deleterious impacts on the economic development and human capital at the country level. Perhaps of greatest concern is the cycle of MNDs that persists over generations and the intergenerational consequences of MNDs that we are only beginning to understand. Prevention of MNDs is critical and traditionally has been accomplished through supplementation, fortification, and food-based approaches including diversification. It is widely accepted that intervention in the first 1,000 days is critical to break the cycle of malnutrition; however, a coordinated, sustainable commitment to scaling up nutrition at the global level is still needed. Understanding the epidemiology of MNDs is critical to understand what intervention strategies will work best under different conditions.

/pdf/the-epidemiology-of-global-micronutrient-deficiencies-25uuiypoa9.pdf

The Epidemiology of Global Micronutrient Deficiencies

https://www.mito-medizin.de/app/download/5798942685/Mitochondrial_dysfunction.pdf

Mitochondrial dysfunction and molecular pathways of disease.

Zinc (Zn) still represents an important health problem in developing countries, caused mainly by inadequate dietary intake. A large consumption of cereal-based foods with small concentrations and low bioavailability of Zn is the major reason behind this problem. Modern cultivars of cereals have inherently very small concentrations of Zn and cannot meet the human need for Zn. Today, up to 50% of wheat-cultivated soil globally is considered poor in bioavailable Zn. Agricultural strategies that are used to improve the nutritional value of crop plants are known as biofortification strategies. They include genetic biofortification, which is based on classical plant breeding and genetic engineering for larger nutrient concentrations, and greater agronomic biofortification, which is based on optimized fertilizer applications. This review focuses on agronomic biofortification with Zn, which has proved to be very effective for wheat and also other cereal crops including rice. Molecular and genetic research into Zn uptake, transport and grain deposition in cereals are critically important for identifying ‘bottlenecks’ in the biofortification of food crops with Zn. Transgenic plants with large Zn concentrations in seeds are often tested under controlled laboratory or glasshouse conditions with sufficient available Zn in the growth medium for the entire growth period. However, they might not always show the same performance under ‘real-world’ conditions with limited chemical availability of Zn and various stress factors such as drought. What purpose can an upgraded transport and storage system serve if the amount of goods to be transported and stored is limited anyway? Given the fact that the Zn concentrations required to achieve a measurable impact on human health are well above those required to avoid any loss of yield from Zn deficiency, providing crop plants with sufficient Zn through the soil and foliar fertilizer strategy under field conditions is critically important for biofortification efforts.

https://onlinelibrary.wiley.com/doi/pdf/10.1111/ejss.12437

Agronomic biofortification of cereals with zinc: a review

http://eprints.icrisat.ac.in/40/1/Biofortified_crops_to_alleviate_micronutrient_malnutrition.pdf

Biofortified crops to alleviate micronutrient malnutrition

http://bvsper.paho.org/texcom/nutricion/1198AJC.pdf

Joseph M Hunt

Papers

Micronutrient deficiencies and gender: social and economic costs