Effectiveness evaluation of the food fortification program of Costa Rica: Impact on anemia prevalence and hemoglobin concentrations in women and children

American Journal of Clinical Nutrition

Volumn 101, Issue 1, 2015, Pages 210-217

  Martorell, Reynaldo ^a   Ascencio, Melany ^b   Tacsan, Luis ^b   Alfaro, Thelma ^c   Young, Melissa F ^a   Addo, O Yaw ^a   Dary, Omar ^d   Flores Ayala, Rafael ^a,e  

^a EMORY UNIVERSITY   (United States)

^b Dirección de Desarrollo Científico y Tecnológico en Salud Ministerio de Salud   (Costa Rica)

^c PROYECTO EPIDEMIOLÓGICO GUANACASTE   (Costa Rica)

^d UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT   (United States)

^e NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION   (United States)

Author keywords

Anemia; Costa Rica; Food fortification; Hemoglobin; Women and children

Indexed keywords

FERRITIN; FERROUS FUMARATE; HEMOGLOBIN; IRON; IRON GLYCINATE; FERROUS ION; GLYCINE; IRON INTAKE;

ADOLESCENT; ADULT; ANEMIA; ARTICLE; CHILD; COSTA RICA; FEMALE; FLOUR; FOOD FORTIFICATION PROGRAM; HEALTH PROGRAM; HUMAN; IRON DEFICIENCY; IRON DEFICIENCY ANEMIA; MAIZE; MILK; RICE; WHEAT; ADMINISTRATION AND DOSAGE; ANEMIA, IRON-DEFICIENCY; ANIMAL; BLOOD; DIET SUPPLEMENTATION; DIET THERAPY; HEALTH CARE POLICY; INFANT; IRON INTAKE; MALE; MANDATORY PROGRAM; MIDDLE AGED; NUTRITION; PRESCHOOL CHILD; PREVALENCE; PROGRAM EVALUATION; SENTINEL SURVEILLANCE; THERAPEUTIC USE; YOUNG ADULT;

TRITICUM AESTIVUM; ZEA MAYS;

ADOLESCENT; ADULT; ANEMIA, IRON-DEFICIENCY; ANIMALS; CHILD; CHILD, PRESCHOOL; COSTA RICA; FEMALE; FERROUS COMPOUNDS; FOOD, FORTIFIED; GLYCINE; HEMOGLOBINS; HUMANS; INFANT; IRON, DIETARY; MALE; MANDATORY PROGRAMS; MIDDLE AGED; NUTRITION POLICY; NUTRITION SURVEYS; PREVALENCE; PROGRAM EVALUATION; SENTINEL SURVEILLANCE; YOUNG ADULT;

EID: 84919633047     PISSN: 00029165     EISSN: 19383207     Source Type: Journal    
DOI: 10.3945/ajcn.114.097709     Document Type: Article

References (31)

1. Stevens GA, Finucane MM, De-Regil LM, Paciorek CJ, Flaxman SR, Branca F, Peña-Rosas JP, Bhutta ZA, Ezzati M, on behalf of Nutrition Impact Model Study Group (Anaemia). Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: a systematic analysis of population-representative data. Lancet Global Health 2013;1:e16-25.
2. Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, Ezzati M, Grantham-McGregor S, Katz J, Martorell R. Uauy R, the Maternal and Child Nutrition Study Group. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet 2013;382:427-51.
3. Horton S, Alderman H, Rivera J. Hunger and malnutrition. Copenhagen consensus 2008: Malnutrition and Hunger. In: Lomborg B, editor. Global crises, global solutions. Cambridge (United Kingdom): Cambridge University Press; 2009. p. 305-33.
4. Das JK, Salam RA, Kumar R, Bhutta ZA. Micronutrient fortification of food and its impact on woman and child health: a systematic review. Syst Rev 2013;2:67.
5. Eichler K, Wieser S, Rüthemann I, Brügger U. Effects of micronutrient fortified milk and cereal food for infants and children: a systematic review. BMC Public Health 2012;12:506.
6. Gera T, Sachdev HS, Boy E. Effect of iron-fortified foods on hematologic and biological outcomes: systematic review of randomized controlled trials. Am J Clin Nutr 2012;96:309-24.
7. Hurrell R, Ranum P, de Pee S, Biebinger R, Hulthen L, Johnson Q, Lynch S. Revised recommendations for iron fortification of wheat flour and an evaluation of the expected impact of current national wheat flour fortification programs. Food Nutr Bull 2010;31:S7-21.
8. Victora CG, Barros FC, Assunçã o MC, Restrepo-Mé ndez MC, Matijasevich A, Martorell R. Scaling up maternal nutrition programs to improve birth outcomes: a review of implementation issues. Food Nutr Bull 2012;33(2 Suppl):S6-26.
9. Rivera JA, Shamah T, Villalpando S, Monterrubio E. Effectiveness of a large-scale iron-fortified milk distribution program on anemia and iron deficiency in low-income young children in Mexico. Am J Clin Nutr 2010;91:431-9.
10. Assunção MC, Santos IS, Barros AJ, Gigante DP, Victora CG. Flour fortification with iron has no impact on anaemia in urban Brazilian children. Public Health Nutr 2012;15:1796-801.
11. Shadish WR, Cook TD, Campbell DT. The one-group pretest-posttest design: experimental and quasi-experimental designs for generalized causal inference. New York: Houghton Mifflin; 2002.
12. Ministerio de Salud Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud. Encuesta Nacional de Nutrición, 1996 [Internet]. Fascículo 2.Micronutrientes. San José (Costa Rica); 1997 [cited 2014 Oct 27]. Available from: http://www.ministeriodesalud.go.cr/index.php/centro-deinformacion/material-publicado/descargas/doc-download/25-en-cuesta-nacional-de-nutricion-fasciculo-micronutrientes.
13. Ministerio de Salud. Instituto Costarricense de Investigación y Enseñ anza en Nutrición y Salud, Caja Costarricense de Seguro Social, Instituto Nacional de Estadística y Censos, INCAP/OPS [Internet]. Encuesta Nacional de Nutrición 2008. Manual Operativo. San José (Costa Rica); 2008 [cited 2014 Oct 27]. Available from: http://www.ministeriodesalud.go.cr/index.php/centro-de-informacion/material-publicado/descargas/doc-download/626-encuesta-nacional-de-nutricion-2008-manualoperativo.
14. Ministerio de Salud. Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud, Caja Costarricense de Seguro Social, Ministerio de Educación Pública. Desarrollo de Comunidades Centinelas sobre alimentacion y nutricion [Internet]. Apendice No. 2. Módulo de Micronutrients. San José (Costa Rica); 2000 [cited 2014 Oct 27]. Available from: http://www.ministeriodesalud.go.cr/index.php/centro-de-informacion/material-publicado/descargas/doc-download/387-desarrollo-de-comunidades-centinela-sobre-alimentacion-y-nutricion-micronutrientes-.
15. Azim W, Parveen S. Comparison of photometric cyanmethemoglobin and automated methods for hemoglobin estimation. J Ayub Med Coll Abbottabad 2002;14:22-3.
16. Siemens Medical Solutions Diagnostics. Immulite/Immulite 1000 Ferritin. PILKFE-8 [Internet]. 2006 [cited 2014 Oct 27]. Available from: http://www.healthcare.siemens.co.kr/immunoassay/systems/immulite-1000-immunoassay-system/assays.
17. World Health Organization. Iron deficiency anaemia: assessment, prevention, and control: a guide for programme managers [Internet]. Geneva (Switzerland): World Health Organization; 2001 [cited 2014 Oct 27]. WHO/NHD/01.3. Available from: http://apps.who.int/iris/bitstream/10665/66914/1/WHO-NHD-01.3.pdf?ua=1.
18. Bowman AW, Azzalini A. R package 'sm': nonparametric smoothing methods (version 2.2-5). Vienna (Austria): 2013.
19. Bowman AW, Azzalini A. Applied smoothing techniques for data analysis: the kernel approach with S-plus illustrations. Oxford (United Kingdom): Oxford University Press; 1997.
20. Imhoff-Kunsch B, Flores R, Dary O, Martorell R. Wheat flour fortification is unlikely to benefit the neediest in Guatemala. J Nutr 2007; 137:1017-22.
21. Institute of Medicine. Dietary Reference Intakes: for vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium and zinc. Washington (DC): National Academy of Sciences; 2001.
22. Allen L, de Benoist B, Dary O, Hurrell R, editors. WHO guidelines on food fortification with micronutrients. Department of Nutrition for Health and Development. Geneva (Switzerland): World Health Organization; 2006.
23. World Health Organization. Focusing on anaemia: towards an integrated approach for effective anaemia control [Internet]. Joint statement by the World Health Organization and the United Nations Children's Fund. [cited 2014 Oct 27]. Available from: http://whqlibdoc.who.int/hq/2004/anaemiastatement.pdf.
24. Ministerio de Salud. Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud, Caja Costarricense de Seguro Social, Instituto Costarricense de Estadísta y Censos, Instituto Costarricense sobre Drogras, Instituto Nacional de Estadística y Censos. Encuesta Nacional de Nutrición 2008-2009 [Internet]. Fascículo 5: Parásitos Intestinales. San José (Costa Rica); 2010 [cited 2014 Oct 27]. Available from: http://www.ministeriodesalud.go.cr/index.php/centro-de-informacion/material-publicado/descargas/doc-download/1048-encuesta-nacional-de-nutricion-2008-2009parasitos-intestinales.
25. van Stuijvenberg ME, Smuts CM, Wolmarans P, Lombard CJ, Dhansay MA. The efficacy of ferrous bisglycinate and electrolytic iron as fortificants in bread in iron-deficient school children. Br J Nutr 2006;95:532-8.
26. Comisión Intersectorial de Gu?ás Alimentarias para Costa Rica. Actualización de lineamientos té cnicos para la elaboración de las Gu?ás Alimentarias de la población costarricense [Internet]. San José (Costa Rica); 2007 [cited 2014 Oct 27]. Available from: http://www.ministeriodesalud.go.cr/gestores-en-salud/guiasalimentarias/actualizacion%20lineamientos.pdf.
27. Piccoli NB, Grede N, de Pee S, Singhkumarwong A, Roks E, Moench-Pfanner R, Bloem MW. Rice fortification: its potential for improving micronutrient intake and steps required for implementation at scale. Food Nutr Bull 2012;33(4 Suppl):S360-72.
28. Ministerio de Salud. Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud, Caja Costarricense de Seguro Social, Instituto Costarricense de Estadísta y Censos, Instituto Costarricense sobre Drogras. Encuesta Nacional de Nutrición 2008-2009 [Internet]. Fascículo 2: Micronutrientes. San José (Costa Rica); 2012 [cited 2014 Oct 27]. Available from: http://www.ministeriodesalud.go.cr/index.php/centro-de-informacion/material-publicado/descargas/doc-download/1030-encuesta-nacional-de-nutricion-2008-2009-micronutrientes.
29. WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr 2006;450S:S76-85.
30. Palmieri MS, Méndez HC, Delgado HV, Flores RA, Palma de Fulladolsa P. Ha crecido Centroamé rica? Análisis de la situación antropométrica-nutricional en niños menores de 5 años de edad en Centroamé rica y República Dominicana para el periodo 1965-2006. Monograf?á, Programa Regional de Seguridad Alimentaria y Nutricional para Centroamé rica. Managua (Nicaragua): PRESANCA; 2009.
31. Ministerio de Salud, Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud, Caja Costarricense de Seguro Social, Instituto Costarricense de Estadísta y Censos, Instituto Costarricense sobre Drogras, Instituto Nacional de Estadística y Censos. Encuesta Nacional de Nutricion 2008-2009 [Internet]. Antropometr?á. San José (Costa Rica): 2010. Available from: http://www.ministeriodesalud.go.cr/index.php/centro-de-informacion/material-publicado/descargas/doc-download/1028-encuesta-nacional-de-nutricion-2008-2009-antropometria.