Equity implications of rice fortification: a modelling study from Nepal
| العنوان: | Equity implications of rice fortification: a modelling study from Nepal |
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| المؤلفون: | Helen Harris-Fry, Macharaja Maharjan, Dharma S Manandhar, Naomi Saville |
| المصدر: | Public Health Nutrition |
| بيانات النشر: | Cambridge University Press (CUP), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Gender Equity, Male, Vitamin, Fortification, Population, Nutritional Status, Medicine (miscellaneous), Riboflavin, Cobalamin, Toxicology, chemistry.chemical_compound, Nepal, Pregnancy, Nutritional adequacy, medicine, Humans, Micronutrients, education, Interventions, education.field_of_study, Nutrition and Dietetics, business.industry, Nutritional Requirements, Public Health, Environmental and Occupational Health, Oryza, Equity, Diets, Pyridoxine, Micronutrient, Diet, chemistry, Rice fortification, Food, Fortified, Female, business, Niacin, Research Paper, medicine.drug |
| الوصف: | Objective:To model the potential impact and equity impact of fortifying rice on nutritional adequacy of different subpopulations in Nepal.Design:Using 24-h dietary recall data and a household consumption survey, we estimated: rice intakes; probability of adequacy (PA) of eight micronutrients commonly fortified in rice (vitamin A, niacin (B3), pyridoxine (B6), cobalamin (B12), thiamin (B1), folate (B9), Fe and Zn) plus riboflavin (B2), vitamin C and Ca and mean probability of adequacy (MPA) of these micronutrients. We modelled: no fortification; fortification of purchased rice, averaged across all households and in rice-buying households only. We compared adequacy increases between population subgroups.Setting:(i) Dhanusha and Mahottari districts of Nepal (24-h recall) and (ii) all agro-ecological zones of Nepal (consumption data).Participants:(i) Pregnant women (n 128), mothers-in-law and male household heads; (ii) households (n 4360).Results:Unfortified diets were especially inadequate in vitamins B12, A, B9, Zn and Fe. Fortification of purchased rice in rice-purchasing households increased PA > 0·9 for thiamin, niacin, B6, folate and Zn, but B12 and Fe remained inadequate even after fortification (PA range 0·3–0·9). Pregnant women’s increases exceeded men’s for thiamin, niacin, B6, folate and MPA; men had larger gains in vitamin A, B12 and Zn. Adequacy improved more in the hills (coefficient 0·08 (95 % CI 0·05, 0·10)) and mountains (coefficient 0·07 (95 % CI 0·01, 0·14)) but less in rural areas (coefficient −0·05 (95 % CI −0·09, −0·01)).Conclusions:Consumption of purchased fortified rice improves adequacy and gender equity of nutrient intake, especially in non-rice-growing areas. |
| وصف الملف: | application/pdf |
| تدمد: | 1475-2727 1368-9800 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8251b1e4e0932b437ee1650b68c8b67bTest https://doi.org/10.1017/s1368980020001020Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8251b1e4e0932b437ee1650b68c8b67b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14752727 13689800 |
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