Impact of flour fortification with calcium on calcium intake: a simulation study in seven countries

Autores
Cormick, Gabriela; Betrán, Ana Pilar; Romero, Iris Beatriz; García Casal, María de las Nieves; Perez, Surya Macarena; Gibbons, Luz; Belizan, Jose
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Calcium intake is low in many countries, especially in low-income countries. Our objective was to perform a simulation exercise on the impact, effectiveness, and safety of a flour fortification strategy using the Intake Modelling, Assessment, and Planning Program. Modeling of calcium fortification scenarios was performed with available dietary intake databases from Argentina, Bangladesh, Italy, the Lao People's Democratic Republic (Lao PDR), Uganda, Zambia, and the United States. This theoretical exercise showed that simulating a fortification with 156 mg of calcium per 100 g of flour would decrease the prevalence of low calcium intake, and less than 2% of the individuals would exceed the recommended calcium upper limit (UL) in Argentina, Italy, Uganda, and Zambia. Bangladesh and the Lao PDR showed little impact, as flour intake is uncommon. By contrast, in the United States, this strategy would lead to some population groups exceeding the UL. This exercise should be replicated and adapted to each country, taking into account the updated prevalence of calcium inadequacy, flour consumption, and technical compatibility between calcium and the flour-type candidate for fortification. A fortification plan should consider the impact on all age groups to avoid the risk of exceeding the upper levels of calcium intake.
Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Universidad Nacional de La Matanza; Argentina
Fil: Betrán, Ana Pilar. Organizacion Mundial de la Salud; Argentina
Fil: Romero, Iris Beatriz. Universidad Nacional de La Matanza; Argentina
Fil: García Casal, María de las Nieves. Organizacion Mundial de la Salud; Argentina
Fil: Perez, Surya Macarena. Universidad Nacional de La Matanza; Argentina
Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Materia
ADEQUACY
CALCIUM INTAKE
CALCIUM RECOMMENDATIONS
FLOUR
FORTIFICATION
SIMULATION
UPPER LIMIT
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/185041
Acceder
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network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Impact of flour fortification with calcium on calcium intake: a simulation study in seven countriesCormick, GabrielaBetrán, Ana PilarRomero, Iris BeatrizGarcía Casal, María de las NievesPerez, Surya MacarenaGibbons, LuzBelizan, JoseADEQUACYCALCIUM INTAKECALCIUM RECOMMENDATIONSFLOURFORTIFICATIONSIMULATIONUPPER LIMIThttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Calcium intake is low in many countries, especially in low-income countries. Our objective was to perform a simulation exercise on the impact, effectiveness, and safety of a flour fortification strategy using the Intake Modelling, Assessment, and Planning Program. Modeling of calcium fortification scenarios was performed with available dietary intake databases from Argentina, Bangladesh, Italy, the Lao People's Democratic Republic (Lao PDR), Uganda, Zambia, and the United States. This theoretical exercise showed that simulating a fortification with 156 mg of calcium per 100 g of flour would decrease the prevalence of low calcium intake, and less than 2% of the individuals would exceed the recommended calcium upper limit (UL) in Argentina, Italy, Uganda, and Zambia. Bangladesh and the Lao PDR showed little impact, as flour intake is uncommon. By contrast, in the United States, this strategy would lead to some population groups exceeding the UL. This exercise should be replicated and adapted to each country, taking into account the updated prevalence of calcium inadequacy, flour consumption, and technical compatibility between calcium and the flour-type candidate for fortification. A fortification plan should consider the impact on all age groups to avoid the risk of exceeding the upper levels of calcium intake.Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Universidad Nacional de La Matanza; ArgentinaFil: Betrán, Ana Pilar. Organizacion Mundial de la Salud; ArgentinaFil: Romero, Iris Beatriz. Universidad Nacional de La Matanza; ArgentinaFil: García Casal, María de las Nieves. Organizacion Mundial de la Salud; ArgentinaFil: Perez, Surya Macarena. Universidad Nacional de La Matanza; ArgentinaFil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaBlackwell Publishing2021-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/185041Cormick, Gabriela; Betrán, Ana Pilar; Romero, Iris Beatriz; García Casal, María de las Nieves; Perez, Surya Macarena; et al.; Impact of flour fortification with calcium on calcium intake: a simulation study in seven countries; Blackwell Publishing; Annals of the New York Academy of Sciences; 1493; 1; 1-2021; 59-740077-8923CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1111/nyas.14550info:eu-repo/semantics/altIdentifier/doi/10.1111/nyas.14550info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T09:48:07Zoai:ri.conicet.gov.ar:11336/185041instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 09:48:07.916CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Impact of flour fortification with calcium on calcium intake: a simulation study in seven countries
title Impact of flour fortification with calcium on calcium intake: a simulation study in seven countries
spellingShingle Impact of flour fortification with calcium on calcium intake: a simulation study in seven countries
Cormick, Gabriela
ADEQUACY
CALCIUM INTAKE
CALCIUM RECOMMENDATIONS
FLOUR
FORTIFICATION
SIMULATION
UPPER LIMIT
title_short Impact of flour fortification with calcium on calcium intake: a simulation study in seven countries
title_full Impact of flour fortification with calcium on calcium intake: a simulation study in seven countries
title_fullStr Impact of flour fortification with calcium on calcium intake: a simulation study in seven countries
title_full_unstemmed Impact of flour fortification with calcium on calcium intake: a simulation study in seven countries
title_sort Impact of flour fortification with calcium on calcium intake: a simulation study in seven countries
dc.creator.none.fl_str_mv Cormick, Gabriela
Betrán, Ana Pilar
Romero, Iris Beatriz
García Casal, María de las Nieves
Perez, Surya Macarena
Gibbons, Luz
Belizan, Jose
author Cormick, Gabriela
author_facet Cormick, Gabriela
Betrán, Ana Pilar
Romero, Iris Beatriz
García Casal, María de las Nieves
Perez, Surya Macarena
Gibbons, Luz
Belizan, Jose
author_role author
author2 Betrán, Ana Pilar
Romero, Iris Beatriz
García Casal, María de las Nieves
Perez, Surya Macarena
Gibbons, Luz
Belizan, Jose
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv ADEQUACY
CALCIUM INTAKE
CALCIUM RECOMMENDATIONS
FLOUR
FORTIFICATION
SIMULATION
UPPER LIMIT
topic ADEQUACY
CALCIUM INTAKE
CALCIUM RECOMMENDATIONS
FLOUR
FORTIFICATION
SIMULATION
UPPER LIMIT
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Calcium intake is low in many countries, especially in low-income countries. Our objective was to perform a simulation exercise on the impact, effectiveness, and safety of a flour fortification strategy using the Intake Modelling, Assessment, and Planning Program. Modeling of calcium fortification scenarios was performed with available dietary intake databases from Argentina, Bangladesh, Italy, the Lao People's Democratic Republic (Lao PDR), Uganda, Zambia, and the United States. This theoretical exercise showed that simulating a fortification with 156 mg of calcium per 100 g of flour would decrease the prevalence of low calcium intake, and less than 2% of the individuals would exceed the recommended calcium upper limit (UL) in Argentina, Italy, Uganda, and Zambia. Bangladesh and the Lao PDR showed little impact, as flour intake is uncommon. By contrast, in the United States, this strategy would lead to some population groups exceeding the UL. This exercise should be replicated and adapted to each country, taking into account the updated prevalence of calcium inadequacy, flour consumption, and technical compatibility between calcium and the flour-type candidate for fortification. A fortification plan should consider the impact on all age groups to avoid the risk of exceeding the upper levels of calcium intake.
Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Universidad Nacional de La Matanza; Argentina
Fil: Betrán, Ana Pilar. Organizacion Mundial de la Salud; Argentina
Fil: Romero, Iris Beatriz. Universidad Nacional de La Matanza; Argentina
Fil: García Casal, María de las Nieves. Organizacion Mundial de la Salud; Argentina
Fil: Perez, Surya Macarena. Universidad Nacional de La Matanza; Argentina
Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
description Calcium intake is low in many countries, especially in low-income countries. Our objective was to perform a simulation exercise on the impact, effectiveness, and safety of a flour fortification strategy using the Intake Modelling, Assessment, and Planning Program. Modeling of calcium fortification scenarios was performed with available dietary intake databases from Argentina, Bangladesh, Italy, the Lao People's Democratic Republic (Lao PDR), Uganda, Zambia, and the United States. This theoretical exercise showed that simulating a fortification with 156 mg of calcium per 100 g of flour would decrease the prevalence of low calcium intake, and less than 2% of the individuals would exceed the recommended calcium upper limit (UL) in Argentina, Italy, Uganda, and Zambia. Bangladesh and the Lao PDR showed little impact, as flour intake is uncommon. By contrast, in the United States, this strategy would lead to some population groups exceeding the UL. This exercise should be replicated and adapted to each country, taking into account the updated prevalence of calcium inadequacy, flour consumption, and technical compatibility between calcium and the flour-type candidate for fortification. A fortification plan should consider the impact on all age groups to avoid the risk of exceeding the upper levels of calcium intake.
publishDate 2021
dc.date.none.fl_str_mv 2021-01
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/185041
Cormick, Gabriela; Betrán, Ana Pilar; Romero, Iris Beatriz; García Casal, María de las Nieves; Perez, Surya Macarena; et al.; Impact of flour fortification with calcium on calcium intake: a simulation study in seven countries; Blackwell Publishing; Annals of the New York Academy of Sciences; 1493; 1; 1-2021; 59-74
0077-8923
CONICET Digital
CONICET
url http://hdl.handle.net/11336/185041
identifier_str_mv Cormick, Gabriela; Betrán, Ana Pilar; Romero, Iris Beatriz; García Casal, María de las Nieves; Perez, Surya Macarena; et al.; Impact of flour fortification with calcium on calcium intake: a simulation study in seven countries; Blackwell Publishing; Annals of the New York Academy of Sciences; 1493; 1; 1-2021; 59-74
0077-8923
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1111/nyas.14550
info:eu-repo/semantics/altIdentifier/doi/10.1111/nyas.14550
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Blackwell Publishing
publisher.none.fl_str_mv Blackwell Publishing
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.13397

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