Document Detail

Fortification of the diet as a strategy for preventing iron deficiency.
MedLine Citation:
PMID:  2485579     Owner:  NLM     Status:  MEDLINE    
Progress in the fortification of food with iron is reviewed in the light of the different circumstances prevailing in the developed and developing world. Although fortification programmes are well established in developed countries many were not based on sound principles and there is no good evidence that they have proved effective. The important steps in establishing a fortification programme include accurate establishment of the need for iron fortification in a particular group or population, the choice of an appropriate combination of food vehicle and iron compound which is both stable and acceptable, and confirmation that the iron in the chosen blend is bioavailable and in different dietary settings. Only after the successful completion of controlled field trials using the chosen combination is the establishment of a regional or national fortification programme worthwhile. These points are illustrated by the success of field trials in the developing world, at least one of which has led to the implementation of a national programme directed to infants and children. Finally, a case study is described in which these principles were followed in the planning and execution of a successful field trial in an iron deficient Indian population in South Africa. The vehicle was curry powder and the iron compound Fe(111)EDTA.
A P MacPhail; T H Bothwell
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Publication Detail:
Type:  Clinical Trial; Journal Article; Review    
Journal Detail:
Title:  Acta paediatrica Scandinavica. Supplement     Volume:  361     ISSN:  0300-8843     ISO Abbreviation:  Acta Paediatr Scand Suppl     Publication Date:  1989  
Date Detail:
Created Date:  1990-11-07     Completed Date:  1990-11-07     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  0173166     Medline TA:  Acta Paediatr Scand Suppl     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  114-24     Citation Subset:  IM    
Joint University, University of the Witwatersrand Medical School, Parktown, Johannesburg, South Africa.
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MeSH Terms
Anemia, Hypochromic / prevention & control*
Double-Blind Method
Food, Fortified*
Iron / administration & dosage*
South Africa
Reg. No./Substance:

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