Connect with us

Malnutrition

Pros And Cons Of Food Fortification, An Effective Way To Address Micronutrient Deficiency

National Nutrition Month 2020 India: Food fortification, the practise of adding vital micronutrients to staple foods is a cost-effective way to address micronutrient deficiency but there are some limitations to this strategy

हिन्दी में पढ़े
National Nutrition Month: Advantages And Disadvantages Of Food Fortification, An Effective Way To Address Micronutrient Deficiency
Highlights
  • Food fortification does not change the characteristics of the food
  • It is not a substitute for good quality diet required for optimal health
  • Dietary diversity is the key to address micronutrient malnutrition: Mr Kar

New Delhi: Malnutrition is the primary reason behind 69 per cent of deaths of children below the age of five in India, according to a UNICEF’s The State of the World’s Children 2019 report. The report further states that every second child in India, under five years of age, is affected by some form of malnutrition. According to Mini Varghese, Country Director, Nutrition International, conditions arising from malnutrition can prevent brain development, body growth, immune systems from working effectively, and increases lifelong risk of disease and disability.

Also Read: All About Food Fortification And How It Can Make India A Healthy Country

The control of micronutrient deficiencies is an essential part of the overall effort to fight hunger and malnutrition. India has been implementing a variety of strategies to address anaemia and micronutrient deficiencies which include iron-folic acid supplementation, vitamin A supplementation, nutrition health education to encourage dietary diversity, and others. However, the anaemia levels continue to be high. This, therefore, requires the introduction of strategies such as food fortification which are evidence based, tried and tested in other parts of the world, explained Bishow Parajuli, Country Director, World Food Programme.

The World Health Organization defines food fortification as the practice of deliberately increasing the content of an essential micronutrient (vitamins and minerals) in food so as to improve the nutritional quality of the food supply and to provide a public health benefit with minimal risk to health.

For example, adding iodine and iron to edible salt. Similarly, other vital micronutrients can be added to staples like rice, wheat flour, oil, and milk. The reason behind choosing staple items is to reach a larger population.

But is food fortification a good way of inculcating micronutrients in one’s diet and address the problem of malnutrition? Experts believe that just as there are two sides to coin, there are two sides to every strategy. In this report, we bring to you both pros and cons of fortified food.

Also Read: National Nutrition Month: Can India Piggy Bank On Food Fortification To Achieve The Goal Of POSHAN Abhiyaan?

Advantages Of Food Fortification

Does Not Require Behaviour Change

Fortification can make frequently consumed foods or daily staples more nutritious without any change in the dietary habits of the consumers. The demand and consumption of staples like wheat flour, rice, milk, oil, and salt usually remains uninterrupted in every scenario and they are consumed across the population – from low to high income groups. This makes food staples a great vehicle to add micronutrients to improve the nutritional status of the general population, said Ms Varghese.

Provides Nutrition Without Any Change In Characteristics Of Food

Though micronutrients are added, fortification does not cause any change in the taste, aroma, texture, or appearance of the food. For example, for the fortification of rice, Fortified Rice Kernels (FRK) are manufactured by combining rice flour with required nutrients. FRK resemble the sheen, transparency, consistency and flavour of rice. These kernels are simply mixed with ordinary rice.

Also Read: POSHAN Maah 2020: Three Different Ways Of Food Fortification Explained

Maintain Body Stores Of Nutrients

According to the ‘Guidelines on food fortification with micronutrients’ issued by the WHO and Food and Agricultural Organization of the United Nations, if consumed on a regular and frequent basis, fortified foods will maintain body stores of nutrients more efficiently and more effectively than will intermittent supplements.

Fortified foods are also better at lowering the risk of the multiple deficiencies that can result from seasonal deficits in the food supply or a poor quality diet. This is an important advantage to growing children who need a sustained supply of micronutrients for growth and development, and to women of fertile age who need to enter periods of pregnancy and lactation with adequate nutrient stores. Fortification can be an excellent way of increasing the content of vitamins in breast milk and thus reducing the need for supplementation in postpartum women and infants, states the guidelines.

Cost-Effective Intervention

The overall costs of fortification are extremely low; the price increase is approximately 1 to 2 per cent of the total food value.

Nutrition International and University of Toronto have developed the Encapsulated Ferrous Fumarate-Double Fortified Salt (EFF-DFS) which has both iron and iodine. According to Ms Varghese, the DFS comes with a minimal incremental cost of Rs. 0.02 per person per day.

Also Read: Akshaya Patra Foundation Is Improving Nutritional Quality Of Mid-day Meals Through Fortification

Contain Natural Or Near Natural Levels Of Micronutrients

According to the WHO, fortification generally aims to supply micronutrients in amounts that approximate to those provided by a good, well-balanced diet. Consequently, fortified staple foods will contain natural or near natural levels of micronutrients, which may not necessarily be the case with supplements.

Disadvantages Of Food Fortification

Not A Substitute Of Good Nutrition

While fortified foods contain increased amounts of selected micronutrients, they are not a substitute for a good quality diet that supplies adequate amounts of energy, protein, essential fats and other food constituents required for optimal health.

Also Read: How SuPoshan Sanginis Are Spreading The Idea Of Nutrition And Supporting POSHAN Abhiyaan

Might Not Benefit Infants And Children

For the first six months of the life, exclusive breastfeeding is recommended. A child will get nutrition only if the lactating mother will be healthy and consumes adequate nutrition. After the six months, complementary feeding is initiated, wherein infants and children consume relatively small amounts of food.

They are less likely to be able to obtain their recommended intakes of all micronutrients from universally fortified staples or condiments alone. Fortified complementary foods may be appropriate for these age groups, recommended WHO.

Fails To Cater To The Poorest Segment of The Population

Poorest segments of the general population have restricted access to fortified foods in the open markets due to low purchasing power and an underdeveloped distribution channel. To address this, Mr Parajuli suggests government food safety nets like public distribution system (PDS) to adopt staple food fortification strategies.

This will help ensure delivery of adequate nutrients to all sections of the population as is being encouraged in India, said Mr Parajuli.

Also Read: What Is NOVA Classification Of Food And How It Can Help In Making An Informed Choice?

Not A Long Term Solution

Basanta Kumar Kar recipient of the Global Nutrition Leadership Award believes that food fortification is a short and medium term measure. For long term sustainability, dietary diversity is the key to address micronutrient malnutrition.

In its guidelines, FSSAI (Food Safety and Standards Authority of India) has also titled food fortification as a ‘complementary strategy’ rather than a ‘replacement of balanced, diversified diets’ to address malnutrition. As explained by FSSAI, fortification only bridges the gap between the need and actual consumption of required micronutrients through food.

Can Have Detrimental Effects

‘Excess of anything is bad’. The old proverb is a guide for doing anything in moderation. According to Mr Kar, fortified foods as a public health measure should be promoted after analysing the efficacies and micronutrient status of the population. Excess dosages of vitamins and minerals in some cases can have harmful effects.

Also Read: Why Protecting Health And Nutrition Rights Of Children During COVID-19 Is Important For India, Experts Speak

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene.  

World

26,10,35,501Cases
22,18,42,204Active
3,39,98,278Recovered
51,95,019Deaths
Coronavirus has spread to 196 countries. The total confirmed cases worldwide are 26,10,35,501 and 51,95,019 have died; 22,18,42,204 are active cases and 3,39,98,278 have recovered as on November 28, 2021 at 3:39 am.

India

3,45,72,523 8,774Cases
1,05,6911,328Active
3,39,98,278 9,481Recovered
4,68,554 621Deaths
In India, there are 3,45,72,523 confirmed cases including 4,68,554 deaths. The number of active cases is 1,05,691 and 3,39,98,278 have recovered as on November 28, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

66,33,612 507

11,905 248

64,80,799 738

1,40,908 17

Kerala

51,29,359 4,741

49,152 957

50,40,528 5,144

39,679 554

Karnataka

29,95,285 322

6,783 143

29,50,306 176

38,196 3

Tamil Nadu

27,24,731 740

8,382 36

26,79,895 765

36,454 11

Andhra Pradesh

20,72,446 248

2,158 5

20,55,856 253

14,432

Uttar Pradesh

17,10,373 5

86 5

16,87,377 9

22,910 1

West Bengal

16,14,152 701

7,820 27

15,86,882 717

19,450 11

Delhi

14,40,834 27

290 11

14,15,448 37

25,096 1

Odisha

10,48,492 264

2,222 6

10,37,864 255

8,406 3

Chhattisgarh

10,06,733 27

326 7

9,92,814 20

13,593

Rajasthan

9,54,741 26

187 13

9,45,599 13

8,955

Gujarat

8,27,382 28

291 17

8,16,999 45

10,092

Madhya Pradesh

7,93,120 23

112 9

7,82,480 14

10,528

Haryana

7,71,654 11

159 1

7,61,441 10

10,054

Bihar

7,26,212 3

39 6

7,16,510 9

9,663

Telangana

6,75,479 160

3,545 11

6,67,946 148

3,988 1

Assam

6,16,435 123

2,720 71

6,07,624 189

6,091 5

Punjab

6,03,190 17

313 22

5,86,284 39

16,593

Jharkhand

3,49,216 20

109 0

3,43,967 20

5,140

Uttarakhand

3,44,183 14

150 6

3,36,626 8

7,407

Jammu And Kashmir

3,36,386 149

1,724 5

3,30,189 141

4,473 3

Himachal Pradesh

2,26,941 82

809 18

2,22,287 97

3,845 3

Goa

1,78,839 40

275 9

1,75,183 31

3,381

Mizoram

1,34,279 358

4,117 110

1,29,672 466

490 2

Puducherry

1,28,860 35

326 5

1,26,662 30

1,872

Manipur

1,25,117 19

673 1

1,22,474 18

1,970 2

Tripura

84,784 13

89 9

83,874 3

821 1

Meghalaya

84,414 20

308 27

82,635 44

1,471 3

Chandigarh

65,443 5

52 4

64,571 1

820

Arunachal Pradesh

55,269 9

37 4

54,952 5

280

Sikkim

32,211 4

114 5

31,694 9

403

Nagaland

32,100 4

135 1

31,269 5

696

Ladakh

21,494 27

249 6

21,032 21

213

Dadra And Nagar Haveli

10,683

1 0

10,678

4

Lakshadweep

10,394

28 1

10,315 1

51

Andaman And Nicobar Islands

7,680 2

5 2

7,546

129

Coronavirus Outbreak: Full CoverageTesting CentresFAQs

Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Highlights From The 12-Hour Telethon

Leaving No One Behind

Mental Health

Environment

Join Us