Health Canada's proposed discretionary fortification policy is misaligned with the nutritional needs of Canadians

Journal of Nutrition

Volumn 139, Issue 10, 2009, Pages 1980-1986

  Sacco, Jocelyn E ^a   Tarasuk, Valerie ^a  

^a UNIVERSITY OF TORONTO   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ASCORBIC ACID; CALCIUM; FOLIC ACID; MAGNESIUM; NICOTINIC ACID; RETINOL;

ADULT; AGED; ARTICLE; CALCIUM INTAKE; CANADA; DIETARY INTAKE; FEMALE; FOOD INTAKE; GROUPS BY AGE; HEALTH CARE POLICY; HEALTH SURVEY; HUMAN; MALE; MEAL; NUTRIENT AVAILABILITY; NUTRITIONAL DEFICIENCY; NUTRITIONAL REQUIREMENT; POPULATION; PREVALENCE; UNITED STATES;

ADOLESCENT; ADULT; AGED; AVITAMINOSIS; CANADA; CHILD; CHILD, PRESCHOOL; FEMALE; FOOD, FORTIFIED; HUMANS; INFANT; MALE; MIDDLE AGED; MODELS, BIOLOGICAL; NATIONAL HEALTH PROGRAMS; NUTRITION POLICY; NUTRITIONAL REQUIREMENTS; PUBLIC POLICY; YOUNG ADULT;

EID: 70349327584     PISSN: 00223166     EISSN: 15416100     Source Type: Journal    
DOI: 10.3945/jn.109.109637     Document Type: Article

References (34)

1. Joyce T, Hannon EM, Kiely M, Flynn A. Analysis of the impact of fortified food consumption on overall dietary quality in Irish adults. Br J Nutr. 2009;101:431-439
2. Hannon EM, Kiely M, Flynn A. The impact of voluntary fortification of foods on micronutrient intakes in Irish adults. Br J Nutr. 2007;97:1177-1186 (Pubitemid 46925371)
3. Sichert-Hellert W, Kersting M, Alexy U, Manz F. Ten-year trends in vitamin and mineral intake from fortified food in German children and adolescents. Eur J Clin Nutr. 2000;54:81-86 (Pubitemid 30102778)
4. Wagner KH, Blauensteiner D, Schmid I, Elmadfa I. The role of fortified foods-situation in Austria. Forum Nutr. 2005;57:84-90.
5. Berner LA, Clydesdale FM, Douglass JS. Fortification contributed greatly to vitamin and mineral intakes in the United States, 1989-1991. J Nutr. 2001;131:2177-2183
6. Sichert-Hellert W, Kersting M, Manz F. Changes in time-trends of nutrient intake from fortified and non-fortified food in German children and adolescents -15 year results of the DONALD study. Eur J Nutr. 2001;40:49-55. (Pubitemid 32843535)
7. Thane CW, Bolton-Smith C. Food fortification in the UK: Impact on calcium intake in young people aged 4-18 years. Proc Nutr Soc. 2003;62:84A.
8. FDA. 21 CFR Subpart B. 104.20 Fortification Policy. Washington (DC): FDA; 1993.
9. Subar AF, Bowering J. The contribution of enrichment and fortification to nutrient intake of women. J Am Diet Assoc. 1988;88:1237-1245 (Pubitemid 18246725)
10. European Parliament. Regulation (EC) no 1925/2006 of the European parliament and of the council of 20 December 2006 on the addition of vitamins and minerals and of certain other substances to foods. Official Journal of the European Union. 2006;49:26-38.
11. Codex Alimentarius Commission. General principles for the addition of essential nutrients to foods. CAC/GL 09-1987. Rome: WHO and the FAO of the United Nations; 1991.
12. Health Canada. Addition of vitamins and minerals to foods: Health Canada's proposed policy and implementation plans. 2005 [cited 2009 Apr 30]. Available from: http://www.hc-sc.gc.ca/fnan/nutrition/vitamin/fortification- final-doc-1-eng.php.
13. Natural Health Products Directorate and Food Directorate. Classification of products at the natural health product interface: products in food formats, version 1.0. Ottawa: Health Canada; Mar 2009. Report No.: H164-108/2009E-PDF.
14. Natural Health Products Directorate, Health Canada. Product licensing information: processing of food-like NHPs fortified with vitamins and minerals. NHPD Monthly Communiqué. [Serial on the internet]. 2006 [updated 2006 Sept 12; cited 2009 Apr 30]. Available from: http://www.hc-sc.gc.ca/dhpmps/ prodnatur/bulletins/-communiques/communique-sept06-eng.php.
15. Office of Nutrition Policy and Promotion, Health Products and Food Branch. Canadian Community Health Survey (CCHS) Cycle 2.2, Nutrition (2004). A guide to accessing and interpreting the data. Ottawa: Health Canada; 2006. Report No.:H164-20/2006E2006.
16. Statistics Canada. Canadian Community Health Survey (CCHS) Cycle 2.2 (2004). Nutrition - general health (including vitamin & mineral supplements) and 24-hour dietary recall components user guide. Ottawa: Statistics Canada; 2008.
17. Health Canada, Statistics Canada. Canadian Community Health Survey (CCHS) Cycle 2.2, Nutrition (2004). Nutrient intakes from food. Provincial, regional and national summary data tables. 1st vol. Ottawa: Health Canada; 2007. Report No.: H164-45/1-2007E-PDF.
18. Health Canada, Statistics Canada. Canadian Community Health Survey (CCHS) Cycle 2.2, Nutrition (2004). Nutrient intakes from food. Provincial, regional and national summary data tables. 2nd vol. Ottawa: Health Canada; 2008. Report No.: H164-45/2-2008E-PDF.
19. Canadian Food Inspection Agency (CFIA). Guide to food labelling and advertising: reference amounts and serving sizes, table 6-13 [homepage on the Internet] [updated 2009 Jan 29; cited 2009 Apr 30]. Available from: http://www.inspection.gc.ca/english/fssa/labeti/guide/ch6e.shtml#6.2.
20. National Health and Nutrition Examination Survey data [homepage on the Internet]. Hyattsville (MD): U.S. Department of Health and Human Services, CDC; 2008 [updated 2009 Apr 29; cited 2009 Apr 30]. Available from: http://www.cdc.gov/nchs/about/major/nhanes/nhanes2005-2006/exam05-06.htm.
21. USDA. The USDA food and nutrient database for dietary studies, 3.0-documentation and user guide. Beltsville (MD): Agricultural Research Service; 2008.
22. Institute of Medicine. Dietary reference intakes: applications in dietary assessment. Washington, DC: National Academy Press; 2000.
23. Institute of Medicine. Dietary reference intakes for vitamin A, vitamin K, arsenic, boron, chromium, copper, iron, manganese, molybdenum, nickel, silicon, vanadium, zinc. Washington, DC: National Academy Press; 2002.
24. Institute of Medicine. Dietary reference intakes for vitamin C, vitamin E, selenium and carotenoids. Washington, DC: National Academy Press; 2000.
25. Institute of Medicine. Dietary reference intakes for thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, pantothenic acid, biotin and choline. Washington, DC: National Academy Press; 1998.
26. Institute of Medicine. Dietary reference intakes for calcium, phosphorus, magnesium, vitamin D, and fluoride Washington, DC: National Academy Press; 1997.
27. Statistics Canada. Table 105-2011. Past-month vitamin and mineral supplements consumption, by age group and sex, household population aged 1 and over, Canadian Community Health Survey (CCHS 2.2), Canada and provinces, occasional, CANSIM [database on the Internet]. Ottawa: Statistics Canada [updated 2007 Sep 20; cited 2009 Apr 30]. Available from: http://cansim2. statcan.gc.ca/cgi-win/cnsmcgi.exe?Lang=E&CNSMFi= CII/CII-1-eng.htm.
28. Garriguet D. Under-reporting of energy intake in the Canadian community health survey. Health Rep. 2008;19:37-45.
29. Garriguet D. Impact of identifying plausible respondents on the underreporting of energy intake in the Canadian community health survey. Health Rep. 2008;19:47-55.
30. Institute of Medicine. Dietary reference intakes: guiding principles for nutrition labeling and fortification. Washington, DC: National Academy Press; 2003.
31. Johnson-Down L, L'Abbe MR, Lee NS, Gray-Donald K. Appropriate calcium fortification of the food supply presents a challenge. J Nutr. 2003;133:2232-2238 (Pubitemid 36841546)
32. Hirvonen T, Tapanainen H, Valsta L, Hannila ML, Aro A, Pietinen P. Efficacy and safety of food fortification with calcium among adults in Finland. Public Health Nutr. 2006;9:792-797 (Pubitemid 46211754)
33. Suojanen A, Raulio S, Ovaskainen M-L. Liberal fortification of foods: the risks. A study relating to Finland. J Epidemiol Community Health. 2002;56:259-264 (Pubitemid 34261198)
34. Boclé J-C, Vanrullen I, Touvier M, Lioret S, editors. Specification for the selection of a nutrient-vector food pair. Paris: Agence Française de Sécurité Sanitaire des Aliments; 2004.