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Food is essential to life. As per World Health Organization (WHO), about two billion people worldwide suffer from micronutrient deficiencies also known as hidden hunger, because they are not getting essential daily dietary requirements. Fortified foods play a crucial role in addressing nutritional deficiencies and promoting overall health .Micronutrient malnutrition (MNM) is called “hidden hunger” due to its invisible vitamin-minerals deficiency symptoms in an individual (children and women).Different strategies such as dietary diversification, supplementation, biofortification, and food fortification are used to fight MNM; however, each method has its own merits and demerits. Therefore, this review discusses an alternate approach, “food-to-food fortification (FtFF),” for combating MNM through enriching the daily diet with essential micronutrients.Historical Nutrient supplementation of foods was mentioned for the first time in the year 400 B.C. by the Persian physician Melanpus, who suggested adding iron filings to drink to increase soldiers’ “potency.” In 1831 the French physician Boussingault urged adding iodine to salt to prevent goitre. However, it was between the First and Second World Wars (1924-1944) that supplementation was established with early examples including the addition of vitamins A and D to margarine, vitamin D to milk, and vitamins B1, B2,niacin ,iron to flour and bread.Fortification Food fortification is defined as the practice of adding vitamins and minerals to commonly consumed foods during processing to increase their nutritional value. It is a proven, safe and cost-effective strategy for improving diets and for the prevention and control of micronutrient deficiencies.The Purpose of Fortification
- To enhance the nutritional value of foods, compensating for deficiencies or meeting specific dietary requirements.
- To obtain fortified oils with enhanced nutritional and healthy properties, as well as with a higher shelf-life.
- To produce nutraceuticals and novel foods.
- To restore nutrients lost during food processing.
- To balance the total nutrient profile of a diet. Fortification is the process of adding nutrients or non-nutrient bioactive components to edible products (e.g., food, food constituents, or supplements). It can be used to correct or prevent widespread nutrient intake shortfalls and associated deficiencies. It was identified as the strategy by WHO and FAO for decreasing the incidence of nutrient deficiencies at the global level. The technological methods used in food fortification, such as micronutrient addition, encapsulation techniques, and biofortification. Fortification and biofortification are food enrichment technologies that differ in their approach; where in the former, fortificants are added directly to the food during processing, but the latter involves fortification at the production level of the food. Biofortification is defined as the cost effective process to improve the concentration and bioavailability of the nutrients in crops through genetic engineering or conventional plant breeding. Thus bringing agricultural and nutrition science together for reducing malnutrition by increasing levels of nutrients like iron, pro- vitamin A, selenium and zinc in foods at no additional cost to consumers. Most of the staple crops are deficient in essential nutrients required for normal growth. Fortified foods Fortified foods are an easy way to provide the proper nutritional requirements in the diet. Fortified staples wheat flour, milk, edible oil and salt can help in enriching the diets with essential micronutrients. Infant formulas, tea ,beverages, cereal and cereals products. Micronutrients and Importance • Commonly fortified nutrients include vitamins such as A, D, B-vitamins (like folic acid), and minerals like iron and calcium. • These nutrients are vital for various physiological functions, including immune function, bone health, and cognitive development. • Public health impact of food fortification depends on the quantity of micronutrients recommended for fortification and the daily consumption of the fortified food which serves as the vehicle for the nutrients. The quantity consumed should be sufficient to match the dietary requirements of micronutrients and the bioavailability of the fortificants. Examples of fortified foods 1-Fortifying salt with iodine, for example, prevents irreversible brain damage in young children, while fortifying flour with iron and folic acid helps protect against iron deficiency anaemia, a major cause of maternal death, and neural tube defects, respectively. 2-cereal grain fortification. 3-fortification of edible oils. 4-margarine and ghee. Fortified foods are completely safe for consumers and that the benefits are enormous. The amount of vitamins and minerals added to a specific food is usually set at a proportion of the individual’s daily requirement and is usually less than one-third of the total recommended dietary allowance (RDA). Fortification is always strictly monitored and by implementing stringent quality-control measures, companies can ensure that there is no excessive intake of a specific vitamin or mineral. NB: RDA is defined as the average daily dietary nutrient intake level sufficient to meet the requirement of nearly all healthy individuals of a specific age and gender group
- Fortified foods play a critical role in combating widespread nutritional deficiencies, particularly in vulnerable populations.
- Prevention of Diseases: Fortification has been linked to the prevention of diseases, such as neural tube defects due to folic acid fortification and rickets due to vitamin D fortification.
- Global Initiatives: Many countries have implemented mandatory fortification programs to improve public health outcomes, showcasing the widespread recognition of its benefits. Future Directions in Fortification • Collaboration with Organizations to implement and monitor fortification programs worldwide. • Innovation in Delivery Systems for fortification : (technologies), such as bioencapsulation, nanotechnology, and genetically modified organisms (GMOs), to enhance nutrient stability and bioavailability. • Personalized Nutrition: personalized fortification tailored to individuals' specific nutritional needs and genetic (genetic nutrition). • sustainable fortification strategies :that minimize environmental impact, reduce food waste, and promote biodiversity in agricultural production.
Original text
Food is essential to life. As per World Health
Organization (WHO), about two billion people worldwide
suffer from micronutrient deficiencies also known
as hidden hunger, because they are not getting essential
daily dietary requirements.
Fortified foods play a crucial role in addressing
nutritional deficiencies and promoting overall health .Micronutrient malnutrition (MNM) is called “hidden hunger” due
to its invisible vitamin-minerals deficiency symptoms in an individual
(children and women).Different strategies such as dietary
diversification, supplementation, biofortification, and food fortification
are used to fight MNM; however, each method has its own merits and
demerits. Therefore, this review discusses an alternate approach,
“food-to-food fortification (FtFF),” for combating MNM through
enriching the daily diet with essential micronutrients.Historical
Nutrient supplementation of foods was mentioned
for the first time in the year 400 B.C. by the Persian physician
Melanpus, who suggested adding iron filings to drink to
increase soldiers’ “potency.”
In 1831 the French physician Boussingault urged
adding iodine to salt to prevent goitre. However, it was between
the First and Second World Wars (1924-1944) that
supplementation was established with early examples including
the addition of vitamins A and D to margarine, vitamin D to milk,
and vitamins B1, B2,niacin ,iron to flour and bread.Fortification
Food fortification is defined as the practice of adding vitamins
and minerals to commonly consumed foods during processing to
increase their nutritional value.
It is a proven, safe and cost-effective strategy for improving diets and
for the prevention and control of micronutrient deficiencies.The Purpose of Fortification
- To enhance the nutritional value of foods, compensating for deficiencies or
meeting specific dietary requirements. - To obtain fortified oils with enhanced nutritional and healthy properties, as
well as with a higher shelf-life. - To produce nutraceuticals and novel foods.
- To restore nutrients lost during food processing.
- To balance the total nutrient profile of a diet.
Fortification is the process of adding nutrients or non-nutrient
bioactive components to edible products (e.g., food, food constituents,
or supplements). It can be used to correct or prevent widespread
nutrient intake shortfalls and associated deficiencies.
It was identified as the strategy by WHO and FAO for decreasing the
incidence of nutrient deficiencies at the global level.
The technological methods used in food fortification, such as
micronutrient addition, encapsulation techniques, and biofortification.
Fortification and biofortification are food enrichment technologies that differ in
their approach; where in the former, fortificants are added directly to the food
during processing, but the latter involves fortification at the production level of
the food.
Biofortification is defined as the cost effective process to improve the
concentration and bioavailability of the nutrients in crops through genetic
engineering or conventional plant breeding. Thus bringing agricultural and nutrition
science together for reducing malnutrition by increasing levels of nutrients like iron, pro-
vitamin A, selenium and zinc in foods at no additional cost to consumers. Most of the
staple crops are deficient in essential nutrients required for normal growth.
Fortified foods
Fortified foods are an easy way to provide the proper
nutritional requirements in the diet. Fortified staples wheat flour,
milk, edible oil and salt can help in enriching the diets with
essential micronutrients.
Infant formulas, tea ,beverages, cereal and cereals products.
Micronutrients and Importance
• Commonly fortified nutrients include vitamins such as A, D, B-vitamins
(like folic acid), and minerals like iron and calcium.
• These nutrients are vital for various physiological functions, including
immune function, bone health, and cognitive development.
• Public health impact of food fortification depends on the quantity of
micronutrients recommended for fortification and the daily consumption of
the fortified food which serves as the vehicle for the nutrients. The
quantity consumed should be sufficient to match the dietary requirements
of micronutrients and the bioavailability of the fortificants.
Examples of fortified foods
1-Fortifying salt with iodine, for example, prevents irreversible brain damage in young
children, while fortifying flour with iron and folic acid helps protect against iron deficiency
anaemia, a major cause of maternal death, and neural tube defects, respectively.
2-cereal grain fortification.
3-fortification of edible oils.
4-margarine and ghee.
Fortified foods are completely safe for consumers and that
the benefits are enormous. The amount of vitamins and minerals
added to a specific food is usually set at a proportion of the
individual’s daily requirement and is usually less than one-third
of the total recommended dietary allowance (RDA). Fortification
is always strictly monitored and by implementing stringent
quality-control measures, companies can ensure that there is no
excessive intake of a specific vitamin or mineral.
NB: RDA is defined as the average daily dietary nutrient intake level sufficient to meet the requirement of nearly
all healthy individuals of a specific age and gender group
- Fortified foods play a critical role in combating widespread nutritional
deficiencies, particularly in vulnerable populations. - Prevention of Diseases: Fortification has been linked to the prevention of
diseases, such as neural tube defects due to folic acid fortification and rickets
due to vitamin D fortification. - Global Initiatives: Many countries have implemented mandatory fortification
programs to improve public health outcomes, showcasing the widespread
recognition of its benefits.
Future Directions in Fortification
• Collaboration with Organizations to implement and monitor
fortification programs worldwide.
• Innovation in Delivery Systems for fortification :
(technologies), such as bioencapsulation, nanotechnology,
and genetically modified organisms (GMOs), to enhance
nutrient stability and bioavailability.
• Personalized Nutrition: personalized fortification tailored to
individuals' specific nutritional needs and genetic (genetic
nutrition).
• sustainable fortification strategies :that minimize
environmental impact, reduce food waste, and promote
biodiversity in agricultural production.
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