Current calcium fortification experiences: a review

Autores
Palacios, Cristina; Hofmeyr, G. Justus; Cormick, Gabriela; Garcia Casal, Maria Nieves; Peña Rosas, Juan Pablo; Betrán, Ana Pilar
Año de publicación
2020
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Low dietary calcium is very common in many populations, contributing to nutritional rickets/osteomalacia in children/adults and increasing the risk of several health problems. Calcium is a nutrient of concern as the recommended nutrient requirements are difficult to meet in the absence of dairy products. The provision of culturally acceptable calcium-fortified foods may improve calcium intake when it is a feasible and cost-effective strategy in a particular setting. This landscape review was conducted in 2019 and describes current calcium fortification efforts and lessons learned from these experiences. Worldwide, the United Kingdom is the only country where calcium fortification of wheat flour is mandatory. It is estimated that this fortified staple ingredient contributes to 13–14% of calcium intake of the British population. Other items voluntary fortified with calcium include maize flour, rice, and water. Current calcium fortification programs may lack qualified personnel/training, clear guidelines on implementation, regulation, monitoring/evaluation, and functional indicators. Also, the cost of calcium premix is high and the target groups may be hard to reach. There is a lack of rigorous evaluation, particularly in settings with multiple micronutrient programs implemented simultaneously, with low quality of the evidence. Further research is needed to assess the impact of calcium fortification programs.
Fil: Palacios, Cristina. Florida International University; Estados Unidos
Fil: Hofmeyr, G. Justus. No especifíca;
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
Fil: Garcia Casal, Maria Nieves. World Health Organization; Suiza
Fil: Peña Rosas, Juan Pablo. World Health Organization; Suiza
Fil: Betrán, Ana Pilar. World Health Organization; Suiza
Materia
CALCIUM
FORTIFICATION
GUIDELINES
MANDATORY
PROGRAM
VOLUNTARY
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/142207
Acceder
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network_name_str CONICET Digital (CONICET)
spelling Current calcium fortification experiences: a reviewPalacios, CristinaHofmeyr, G. JustusCormick, GabrielaGarcia Casal, Maria NievesPeña Rosas, Juan PabloBetrán, Ana PilarCALCIUMFORTIFICATIONGUIDELINESMANDATORYPROGRAMVOLUNTARYhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Low dietary calcium is very common in many populations, contributing to nutritional rickets/osteomalacia in children/adults and increasing the risk of several health problems. Calcium is a nutrient of concern as the recommended nutrient requirements are difficult to meet in the absence of dairy products. The provision of culturally acceptable calcium-fortified foods may improve calcium intake when it is a feasible and cost-effective strategy in a particular setting. This landscape review was conducted in 2019 and describes current calcium fortification efforts and lessons learned from these experiences. Worldwide, the United Kingdom is the only country where calcium fortification of wheat flour is mandatory. It is estimated that this fortified staple ingredient contributes to 13–14% of calcium intake of the British population. Other items voluntary fortified with calcium include maize flour, rice, and water. Current calcium fortification programs may lack qualified personnel/training, clear guidelines on implementation, regulation, monitoring/evaluation, and functional indicators. Also, the cost of calcium premix is high and the target groups may be hard to reach. There is a lack of rigorous evaluation, particularly in settings with multiple micronutrient programs implemented simultaneously, with low quality of the evidence. Further research is needed to assess the impact of calcium fortification programs.Fil: Palacios, Cristina. Florida International University; Estados UnidosFil: Hofmeyr, G. Justus. No especifíca;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; ArgentinaFil: Garcia Casal, Maria Nieves. World Health Organization; SuizaFil: Peña Rosas, Juan Pablo. World Health Organization; SuizaFil: Betrán, Ana Pilar. World Health Organization; SuizaBlackwell Publishing2020-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/142207Palacios, Cristina; Hofmeyr, G. Justus; Cormick, Gabriela; Garcia Casal, Maria Nieves; Peña Rosas, Juan Pablo; et al.; Current calcium fortification experiences: a review; Blackwell Publishing; Annals of the New York Academy of Sciences; 1484; 1; 9-2020; 55-730077-8923CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1111/nyas.14481info:eu-repo/semantics/altIdentifier/doi/10.1111/nyas.14481info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T09:53:36Zoai:ri.conicet.gov.ar:11336/142207instacron: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 09:53:37.189CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Current calcium fortification experiences: a review
title Current calcium fortification experiences: a review
spellingShingle Current calcium fortification experiences: a review
Palacios, Cristina
CALCIUM
FORTIFICATION
GUIDELINES
MANDATORY
PROGRAM
VOLUNTARY
title_short Current calcium fortification experiences: a review
title_full Current calcium fortification experiences: a review
title_fullStr Current calcium fortification experiences: a review
title_full_unstemmed Current calcium fortification experiences: a review
title_sort Current calcium fortification experiences: a review
dc.creator.none.fl_str_mv Palacios, Cristina
Hofmeyr, G. Justus
Cormick, Gabriela
Garcia Casal, Maria Nieves
Peña Rosas, Juan Pablo
Betrán, Ana Pilar
author Palacios, Cristina
author_facet Palacios, Cristina
Hofmeyr, G. Justus
Cormick, Gabriela
Garcia Casal, Maria Nieves
Peña Rosas, Juan Pablo
Betrán, Ana Pilar
author_role author
author2 Hofmeyr, G. Justus
Cormick, Gabriela
Garcia Casal, Maria Nieves
Peña Rosas, Juan Pablo
Betrán, Ana Pilar
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv CALCIUM
FORTIFICATION
GUIDELINES
MANDATORY
PROGRAM
VOLUNTARY
topic CALCIUM
FORTIFICATION
GUIDELINES
MANDATORY
PROGRAM
VOLUNTARY
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Low dietary calcium is very common in many populations, contributing to nutritional rickets/osteomalacia in children/adults and increasing the risk of several health problems. Calcium is a nutrient of concern as the recommended nutrient requirements are difficult to meet in the absence of dairy products. The provision of culturally acceptable calcium-fortified foods may improve calcium intake when it is a feasible and cost-effective strategy in a particular setting. This landscape review was conducted in 2019 and describes current calcium fortification efforts and lessons learned from these experiences. Worldwide, the United Kingdom is the only country where calcium fortification of wheat flour is mandatory. It is estimated that this fortified staple ingredient contributes to 13–14% of calcium intake of the British population. Other items voluntary fortified with calcium include maize flour, rice, and water. Current calcium fortification programs may lack qualified personnel/training, clear guidelines on implementation, regulation, monitoring/evaluation, and functional indicators. Also, the cost of calcium premix is high and the target groups may be hard to reach. There is a lack of rigorous evaluation, particularly in settings with multiple micronutrient programs implemented simultaneously, with low quality of the evidence. Further research is needed to assess the impact of calcium fortification programs.
Fil: Palacios, Cristina. Florida International University; Estados Unidos
Fil: Hofmeyr, G. Justus. No especifíca;
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
Fil: Garcia Casal, Maria Nieves. World Health Organization; Suiza
Fil: Peña Rosas, Juan Pablo. World Health Organization; Suiza
Fil: Betrán, Ana Pilar. World Health Organization; Suiza
description Low dietary calcium is very common in many populations, contributing to nutritional rickets/osteomalacia in children/adults and increasing the risk of several health problems. Calcium is a nutrient of concern as the recommended nutrient requirements are difficult to meet in the absence of dairy products. The provision of culturally acceptable calcium-fortified foods may improve calcium intake when it is a feasible and cost-effective strategy in a particular setting. This landscape review was conducted in 2019 and describes current calcium fortification efforts and lessons learned from these experiences. Worldwide, the United Kingdom is the only country where calcium fortification of wheat flour is mandatory. It is estimated that this fortified staple ingredient contributes to 13–14% of calcium intake of the British population. Other items voluntary fortified with calcium include maize flour, rice, and water. Current calcium fortification programs may lack qualified personnel/training, clear guidelines on implementation, regulation, monitoring/evaluation, and functional indicators. Also, the cost of calcium premix is high and the target groups may be hard to reach. There is a lack of rigorous evaluation, particularly in settings with multiple micronutrient programs implemented simultaneously, with low quality of the evidence. Further research is needed to assess the impact of calcium fortification programs.
publishDate 2020
dc.date.none.fl_str_mv 2020-09
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/11336/142207
Palacios, Cristina; Hofmeyr, G. Justus; Cormick, Gabriela; Garcia Casal, Maria Nieves; Peña Rosas, Juan Pablo; et al.; Current calcium fortification experiences: a review; Blackwell Publishing; Annals of the New York Academy of Sciences; 1484; 1; 9-2020; 55-73
0077-8923
CONICET Digital
CONICET
url http://hdl.handle.net/11336/142207
identifier_str_mv Palacios, Cristina; Hofmeyr, G. Justus; Cormick, Gabriela; Garcia Casal, Maria Nieves; Peña Rosas, Juan Pablo; et al.; Current calcium fortification experiences: a review; Blackwell Publishing; Annals of the New York Academy of Sciences; 1484; 1; 9-2020; 55-73
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.14481
info:eu-repo/semantics/altIdentifier/doi/10.1111/nyas.14481
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv 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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