Brazilians’ experiences with iron fortification
Evidence of effectiveness for reducing inadequate iron intakes with fortified flour policy
Bibliographic Data
| ID | 15095401 |
|---|---|
| Authors | Diva Aliete Dos Santos Vieira (0000-0003-4080-3425, Universidade de São Paulo), Josiane Steluti (0000-0001-7629-4189, Universidade de São Paulo), Eliseu Verly Junior (0000-0002-1101-8746, Universidade do Estado do Rio de Janeiro), Eliseu Verly-Jr, Dirce Maria Marchioni, Dirce Maria Lobo Marchioni (0000-0002-6810-5779, Universidade de São Paulo), Regina Mara Fisberg (0000-0002-4490-9035, Universidade de São Paulo, corresponding author) |
| Year | 2017 |
| Volume | 20 |
| Issue | 2 |
| Pages | 363-370 |
| Publication date | 2017-02-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980016001981 |
| PMID | 27531390 |
| OpenAlex | W2517144487 |
| Language | EN |
| Citations received | 2 |
| References cited | 19 |
Objective To assess Fe intake, calculate the prevalence of inadequate Fe intake and identify food contributors to Fe intake during 2003 and 2008 in a population-based study, reflecting before and after the mandatory fortification of flour with Fe. Design Two cross-sectional population-based studies conducted in 2003 and 2008. Dietary intake was evaluated by 24 h recall and the Software for Intake Distribution Estimation (PC-SIDE) was used to estimate within-person variance and prevalence of inadequate Fe intake. The statistical analysis was conducted considering the complex survey design. Setting São Paulo, Brazil. Subjects Adolescents, adults and elderly adults of both sexes, interviewed in 2003 ( n 2386) and 2008 ( n 1661). Results The Fe intake mean increased in all populations in the post-fortification period. A reduction of over 90 % was observed in the prevalence of inadequate Fe intake among men for all age groups analysed. When evaluating women, despite the substantial reduction (over 63 %), prevalence of inadequate Fe intake remained high (34 %) in those aged 19–50 years. Major food contributors to Fe intake before fortification were beans, beef, vegetables and dairy. There was an alteration in the contributors in the post-fortification period, with bread, beef, beans and biscuits as main contributors. Conclusions The mandatory fortification with Fe significantly furthered the reduction in the prevalence of inadequacy, except among women of reproductive age, and changed the main contributors to this nutrient in the studied population. Therefore, monitoring of Fe addition in flour is essential to assess compliance to the fortified flour policy and to guarantee a safe Fe intake for all the population
Biology · Dietary Reference Intake · Environmental health · Food fortification · Fortification · Nutrient · Population · Child Nutrition and Water Access · Demography · Folate and B Vitamins Research · Iron Metabolism and Disorders · Medicine · Food Science
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| Unique citing works | 2 |
|---|---|
| Citations per year | 0,25 |
| Citation span | 2018 - 2021 (4) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |