Micronutrient deficiencies in South Asia – Current status and strategies

Akhtar, Saeed; Atukorala, Sunethra; Arlappa, Nimmathota

doi:10.1016/j.tifs.2013.02.005

Cited by 50 publications

(33 citation statements)

References 49 publications

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“…Anaemia in children increases the risk of mortality, infection, impaired cognitive disorder and impaired physical development. 1 From a life-course perspective, anaemia can start in-utero with inadequate maternal nutrition and can lead to poorer mental and physical development of a child, school absenteeism, and ultimately loss of productivity. 2 In the long term, anaemia can also lead to impaired reproductive performance, and provoke pregnancy complications.…”

Section: Introductionmentioning

confidence: 99%

“…3 While Africa has the highest prevalence of anaemia among pre-school children, Asia has the greatest number of schoolchildren with reported prevalence to be 75% in India, 65% in Pakistan and 55% in Bangladesh. 1 The anaemia burden in Nepal is high, and it is of public health concern. Only 32% of the pre-school children were provided with iron rich foods.…”

Section: Introductionmentioning

confidence: 99%

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Moderate-to-severe anaemia among children aged 6–59 months in Nepal: An analysis from Nepal Demographic and Health Survey, 2011

Khanal

Karkee

Adhikari

et al. 2016

Clinical Epidemiology and Global Health

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Child Factors Prevalence Nepal a b s t r a c t Introduction: Anaemia among children is one of the major nutrition-related morbidities in developing countries. Surveillance of moderate-to-severe anaemia is recommended for the assessment of burden of anaemia in countries with high burden of anaemia. The objective of this study was to identify the factors associated with moderate-to-severe anaemia among the children aged 6-59 months in Nepal based on Nepal Demographic and Health Survey (NDHS) 2011.Methods: This study used the dataset from the NDHS 2011. The information of last-born children whose haemoglobin was measured during the survey was used for analysis in this study. The factors associated with moderate-to-severe anaemia among children were examined using Chi-square test and logistic regression. Complex Sample Analysis was used to account for the study design and sampling.Results: Of the 1605 last-born children aged 6-59 months, 343 (odds ratio (OR) 20.4%; 95% confidence interval (CI) 17.9-23.2%) had moderate-to-severe anaemia. Almost half (49.1%) of the children had some degree of anaemia. Mothers' education, anaemia, ethnicity and children's age were significantly associated with moderate-to-severe anaemia among children. The mothers, who had no education (OR 3.362; 95% CI 1.485-7.611), who were suffering from anaemia (OR 3.278; 95% CI 1.884-5.704) and who were from disadvantaged Dalit ethnic groups (OR 1.739; 95% CI 1.133-2.669) were more likely to have their infants with anaemia. Similarly younger infants aged 6-11 months were more likely (OR 3.477; 95% CI 2.412-5.012) to suffer from anaemia.Conclusion: There was comparatively a high prevalence of anaemia in children aged 6-59 months. Proper treatment for mothers' anaemia with special attention on less educated and from disadvantaged ethnic groups will help reduce the anaemic status in children.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Moderate-to-severe anaemia among children aged 6–59 months in Nepal: An analysis from Nepal Demographic and Health Survey, 2011

Khanal

Karkee

Adhikari

et al. 2016

Clinical Epidemiology and Global Health

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“…; Akhtar et al . ). Food fortification, dietary modification, public health and disease control measures, and income generation programs have been identified as long‐term effective approaches for combating iron deficiency (Ahluwalia ; Allen et al .…”

Section: Introductionmentioning

confidence: 97%

“…Among these, food fortification has gained tremendous popularity among nations facing micronutrient deficiencies because this is more economical, cost‐effective and socially acceptable (Akhtar et al . ). Food fortification is mainly of five types, viz.…”

Section: Introductionmentioning

confidence: 97%

Effect of whey protein‐iron based edible coating on the quality of Paneer and process optimisation

Jotarkar

Panjagari

Singh

et al. 2017

Int J of Dairy Tech

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Whey protein concentrate (WPC)‐based edible coating containing one of the four different iron salts was used to enhance the nutritional quality of Paneer in the study. Ferric ammonium citrate containing WPC coating solutions decreased the L* but increased a* and b*. Principal component analysis identified three significant principal components that accounted for 88.85% of the variation in the sensory and instrumental colour data. Response surface methodology predicted that maximum iron content in Paneer (93.5 ppm) could be achieved with 100 mL of dipping volume, 1.5 cm of cube size and 10‐min dipping time as processing parameters.

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“…Further, anemia is accountable for more than 115,000 maternal deaths globally per annum (Akhtar et al . , ). Keeping in view the severity of the issue, present research was designed to improve the nutritional status of polished rice using the novel concept of edible fortified coatings.…”

Section: Introductionmentioning

confidence: 99%

Effect of Storage on Cooking Quality Attributes and Fortificants Stability in Edible-Coated Iron-Folate Fortified Basmati Rice

Ahmed

Butt

Sharif

et al. 2015

Journal of Food Processing and Preservation

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Instant study was conducted to elucidate the impact of storage on the quality attributes of edible‐coated iron‐folate fortified basmati rice. Purposely, methyl cellulose and pectin‐based edible coatings were developed embedded with NaFeEDTA (20 and 40 ppm) and FeSO4 (30 and 50 ppm), applied on rice grains, stored at room temperature and assessed for quality attributes. From the results, it was observed that progression in storage led to decreased amylose contents ranging from 25.31 ± 0.83 at 0 day to 22.74 ± 0.79 g/100 g at the 90th day. Likewise, alkali spreading factor lowered from 4.23 ± 0.02 to 3.79 ± 0.02 at initiation to termination of study. Likewise, elongation (1.93 ± 0.01 to 2.50 ± 0.02), volume expansion ratio (3.55 ± 0.02 to 3.89 ± 0.01) and water absorption ratios (3.05 ± 0.02 to 3.74 ± 0.02) were improved significantly during storage. Likewise, significant variations in folic acid level were also reported during storage. It can be concluded that aging resulted in improved eating and cooking quality of stored edible‐coated fortified rice. Practical Applications Rice is one of the leading dietary staples used across the world by a large number of consumers. Additionally, there has been an alarming increase in micronutrient deficiencies that pose serious threat to the well‐being of individuals. The present research is a way forward to suggest some novel fortification method to address nutritional insecurities. Moreover, authors have attempted to relate the effects of coating on eating or cooking quality attributes of developed fortified rice. Also, the effect of coating on vitamin and mineral retention has also been studied. It is highly hoped that edible‐coatings‐based fortification is a way forward to accommodate an array of micronutrients that can help address the ever increasing rat of micronutrient deficiencies with minimum quality deterioration. Furthermore, the nutrition industry is expected to flourish by the launch of such health‐promoting, food‐based commodities.

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Micronutrient deficiencies in South Asia – Current status and strategies

Cited by 50 publications

References 49 publications

Moderate-to-severe anaemia among children aged 6–59 months in Nepal: An analysis from Nepal Demographic and Health Survey, 2011

Moderate-to-severe anaemia among children aged 6–59 months in Nepal: An analysis from Nepal Demographic and Health Survey, 2011

Effect of whey protein‐iron based edible coating on the quality of Paneer and process optimisation

Effect of Storage on Cooking Quality Attributes and Fortificants Stability in Edible-Coated Iron-Folate Fortified Basmati Rice

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