Components of Successful Staple Food Fortification Programs: Lessons From Latin America

Food and Nutrition Bulletin

Volumn 38, Issue 3, 2017, Pages 384-404

  Martorell, Reynaldo ^a   de Romaña, Daniel López ^b  

^a EMORY UNIVERSITY   (United States)

^b MICRONUTRIENT INITIATIVE   (Canada)

Author keywords

anemia; food fortification; impact evaluation; neural tube defects; vitamin A

Indexed keywords

ANEMIA; LITERATURE REVIEW; MONITORING SYSTEM; QUALITY CONTROL; QUESTIONNAIRE SURVEY; SUGAR; SUSTAINABILITY; TRACE ELEMENT; VITAMIN; VULNERABILITY; WHEAT;

CHILE; COSTA RICA; GUATEMALA [CENTRAL AMERICA]; LATIN AMERICA;

TRITICUM AESTIVUM;

ADULT; CHILD NUTRITION; DIET THERAPY; FEMALE; FORTIFIED FOOD; HUMAN; INFANT; IRON DEFICIENCY ANEMIA; MALE; MATERNAL NUTRITION; NEURAL TUBE DEFECT; NEWBORN; PRESCHOOL CHILD; SOUTH AMERICA;

ADULT; ANEMIA, IRON-DEFICIENCY; CHILD NUTRITIONAL PHYSIOLOGICAL PHENOMENA; CHILD, PRESCHOOL; FEMALE; FOOD, FORTIFIED; HUMANS; INFANT; INFANT, NEWBORN; MALE; MATERNAL NUTRITIONAL PHYSIOLOGICAL PHENOMENA; NEURAL TUBE DEFECTS; SOUTH AMERICA;

EID: 85030260027     PISSN: 03795721     EISSN: 15648265     Source Type: Journal    
DOI: 10.1177/0379572117707890     Document Type: Review

References (28)

1. Horton S, Alderman H, Rivera J., Hunger and malnutrition. Copenhagen Consensus 2008: Malnutrition and Hunger. In: Lomborg B, ed. Global Crisis, Global Solutions. Cambridge, UK: Cambridge University Press; 2009; 305–333.
2. Das JK, Salam RA, Kumar R, Bhutta ZA. Micronutrient fortification of food and its impact on women and child health: a systematic review. Syst Rev. 2013;2:67.
3. Food Fortification Initiative. http://www.ffinetwork.org/global_progress/index.php. Published August 2015. Accessed August 15, 2016.
4. Hurrell R, Ranum P, de Pee 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(1 suppl):S7–S21.
5. Victora CG, Barros FC, Assunção MC, Restrepo-Méndez 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–S26.
6. Pachón H, Spohrer R, Mei Z, Serdula MK. Evidence of the effectiveness of flour fortification programs on iron status and anemia: a systematic review. Nutr Rev. 2016;73(11):780–795.
7. Barkley JS, Wheeler KS, Pachón H. Anaemia prevalence may be reduced among countries that fortify flour. Br J Nutr. 2015;114(2):265-273.
8. 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(10):1796–1801.
9. Arroyave G, Aguilar JR, Flores M, Guzmán MA. Evaluation of Sugar Fortification with Vitamin A at the National Level. PAHO Sci. Publ. No. 384. Washington, DC: Pan American Health Organization; 1979.
10. Martorell R, Ascencio M, Tacsan L. Effectiveness evaluation of the food fortification program of Costa Rica: impact on anemia prevalence and hemoglobin concentrations in women and children. Am J Clin Nutr. 2015;101(1):210–217.
11. Hertrampf E, Cortés F. National food-fortification program with folic acid in Chile. Food Nutr Bull. 2008;29(2 suppl):S231–S237.
12. Barquera S, Campos I, Rivera JA. Mexico attempts to tackle obesity: the process, results, push backs and future challenges. Obesity Rev. 2013;14(suppl 2):69–78.
13. Arroyave G. Vitamin A deficiency control in Central America. In: Bauernfeind CJ, ed. Vitamin A Deficiency and Its Control. Orlando, FL: Academic Press; 1986.
14. Arroyave G, Mejía LA. Five decades of vitamin A studies in the region of Central America and Panama. Food Nutr Bull. 2010;31(1):118–129.
15. Institute of Medicine. Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. Washington, DC: The National Academies Press; 2006. doi:10.17226/11537.
16. Mejía LA, Arroyave G. The effect of vitamin A fortification of sugar on iron metabolism in preschool children in Guatemala. Am J Clin Nutr. 1982;36(1):87–93.
17. Mora JO, Dary O, Chinchilla D, Arroyave G. Vitamin A Sugar Fortification in Central America. Experience and Lessons Learned. Arlington, VA: MOST, The USAID Micronutrient Program; 2000.
18. Dary O, Martínez C, Guamuch M., Sugar fortification with vitamin A in Guatemala: The program’s successes and pitfalls. In: Freire WB, ed. Nutrition and an Active Life. From Knowledge to Action. Washington, DC: Pan American Health Organization; 2005.
19. Instituto de Nutrición de Centro América y Panamá (INCAP). Informe del Sistema de Vigilancia Epidemiológica de Salud y Nutrición-SIVESNU-2013, Documento de trabajo; Guatemala: INCAP; Noviembre de 2015.
20. Tacsan-Chen L, Ascencio-Rivera M. The Costa Rican experience: reduction of neural tube defects following food fortification programs. Nutr Rev. 2004;62(6 pt 2):S40–S43.
21. Imhoff-Kunsch B, Flores R, Dary O, Martorell R. Wheat flour fortification is unlikely to benefit the neediest in Guatemala. J Nutr. 2007;137(4):1017–1022.
22. Stevens GA, Finucane MM, De-Regil LM, ; 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 Glob Health. 2013;1(1):e16–e25.
23. UNICEF, FFI. Monitoring of Flour Fortification: The Case of Chile. New York, NY: UNICEF; 2014. http://www.ffinetwork.org/monitor/Documents/ChileCS.pdf. Accessed April 22, 2016.
24. Hertrampf E, Cortés F. Folic acid fortification of wheat flour: Chile. Nutr Rev. 2004;62(6):S44–S48.
25. Hertrampf E, Cortés F, Erickson JD. Consumption of folic acid fortified bread improves folate status in women of reproductive age in Chile. J. Nutr. 2003;133(10):3166–3169.
26. Llanos A, Hertrampf E, Cortés F, Pardo A, Grosse SD, Uauy R. Cost-effectiveness of a folic acid fortification program in Chile. Health Policy. 2007;83(2-3):295–303.
27. Castillo-Lancellotti C, Margozzini P, Valdivia G. Nivel sérico de folato y vitamina B12 en adultos mayores chilenos. Resultados de la Encuesta Nacional de Salud ENS 2009-2010. Rev Med Chile. 2013;141(9):1107–1116.
28. Home Fortification—Technical Advisory. Planning for Program Implementation of Home Fortification with Micronutrient Powders (MNP); A Step-By-Step Manual, 2015. http://www.hftag.org/resource/hf-tag-planning-for-implementation-manual-may-2015-pdf/ Accessed April 22, 2016.