Effect of consumption of food cooked in aluminium or stainless-steel pots on Bangladeshi children with calcium-deficient rickets: an eight month trial

Cimma, J. P.; Arnaud, Josiane; Labarère, José; Guillard, Olivier; Nugues, F.; Marrauld, Annie; Durand, C.; Farvacque, Jean-Marie; Bottari, Serge P.; Haque, Shahidul

doi:10.1016/s0946-672x(04)80026-9

Cited by 7 publications

(3 citation statements)

References 12 publications

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“…104 In a trial testing the effect of using aluminum cooking pots on children's calcium and vitamin D status, calcium concentrations were unchanged and vitamin D status decreased. 105 The importance of fish to calcium intake in Bangladesh is recognized, particularly in rural areas where the landscape is permeated by smallscale aquaculture. 106 Wide-scale cultivation of small fish in local ponds, fish farms, or rice fields has been suggested as a cost-effective and sustainable strategy for improving calcium and other micronutrients' status in Bangladesh, 107-109 but this has yet to be widely adopted.…”

Section: Food-based Interventionsmentioning

confidence: 99%

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Calcium Deficiency in Bangladesh

2016

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Background Bangladesh incurs among the highest prevalence of stunting and micronutrient deficiencies in the world, despite efforts against diarrheal disease, respiratory infections, and protein energy malnutrition which have led to substantial and continuous reductions in child mortality over the past 35 years. Although programs have generally paid more attention to other micronutrients, the local importance of calcium to health has been less recognized. Objective To synthesize available information on calcium deficiency in Bangladesh in order to inform the design of an effective national calcium program. Methods We searched 3 online databases and a multitude of survey reports to conduct a narrative review of calcium epidemiology in Bangladesh, including population intake, determinants and consequences of deficiency, and tested interventions, with particular reference to young children and women of childbearing age. This was supplemented with secondary analysis of a national household survey in order to map the relative extent of calcium adequacy among different demographics. Results Intake of calcium is low in the general population of Bangladesh, with potentially serious and persistent effects on public health. These effects are especially pertinent to young children and reproductive-age women, by virtue of increased physiologic needs, disproportionately poor access to dietary calcium sources, and a confluence of other local determinants of calcium status in these groups. Conclusion A tablet supplementation program for pregnant women is an appealing approach for the reduction in preeclampsia and preterm birth. Further research is warranted to address the comparative benefit of different promising approaches in children for the prevention of rickets.

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Section: Food-based Interventionsmentioning

confidence: 99%

“…104 In a trial testing the effect of using aluminum cooking pots on children’s calcium and vitamin D status, calcium concentrations were unchanged and vitamin D status decreased. 105…”

Section: Interventionsmentioning

confidence: 99%

Calcium Deficiency in Bangladesh

2016

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“…Many food-based interventions such as homestead gardening intervention, provision of ready-touse-supplementary food with locally available ingredients, wide-scale cultivation of small fish, and educational training have already been implemented in Bangladesh [29][30][31][32] to prevent calcium deficiency. Nonetheless, these initiatives' sustainability is a concern; rather, home fortification seems to be an effective, affordable, and less expensive alternative way.…”

Section: Discussionmentioning

confidence: 99%

Improving Calcium Status of Women: Results of a Study of Bio-Availability of Calcium From Slaked Lime Fortified Rice

et al. 2022

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Background: Fortification of rice with slaked lime is an acceptable and inexpensive way to combat calcium (Ca) deficiency. However, bioavailability of calcium after intake of slaked lime fortified rice is yet to be investigated. Objective: To measure the fractional absorption of Ca (FAC) from slaked lime fortified cooked rice. Design: We conducted an experimental study using stable isotopes of Ca to measure FAC during a single morning test meal containing rice fortified with slaked lime. Participants (n = 22) were given slaked lime fortified rice 3 times a day for 4 days. On the morning of the fifth day, the participants were served the same amount of rice as previous the 4 days at the breakfast test meal with an accurately measured amount of 44Ca stable isotope oral tracer followed by an intravenous injection of 42Ca. Urine was collected over the next 24 hours in 3 consecutive 8-hour pools. Fractional absorption of Ca was calculated from the measurement of the relative enrichment of the of each administered tracer 44Ca and 42Ca using inductively coupled plasma mass spectrometry. Results: The mean Ca concentration in the test meal was 879.5 ± 152.9 µg/g with a coefficient of variance (CV) of 17.2%. Although Ca absorption efficiency decreases with higher calcium intake, the total amount of calcium absorbed from test meal using FAC = 0.391 calculated from the third 8-hour urine pool was 69.0 (CV of 15.6) mg. Conclusions: We showed that one-fifth of daily calcium recommendation for women of reproductive age could be met by ingesting ∼200 g cooked slake fortified rice.

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