Purpose: To present a case study of the considerations of mandatory fortification with folic acid in Australia and New Zealand.
Methods: Review of published reports and consumer advocacy views.
Results: Australia and New Zealand jointly approved mandatory fortification of flour with folic acid to prevent neural tube defects in 2007. Fortification was fully implemented in Australia in 2009 and has resulted in reduction in NTD. At the last minute, industry lobbying led to the New Zealand government not proceeding with fortification. With continued consumer advocacy, mounting scientific evidence, and a change of government, approval was given in 2021 for mandatory fortification of flour with folic acid.
Conclusion: In large part as a response to consumer pressure, New Zealand has now joined with Australia (and around 70 other countries) in fortifying flour with folic acid for the prevention of NTD.
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http://dx.doi.org/10.1007/s00381-022-05823-x | DOI Listing |
Curr Dev Nutr
November 2024
Department of Nutrition, University of California, Davis, California, United States.
Background: Bouillon is commonly consumed in some countries where micronutrient deficiencies are prevalent, but it has not been widely adopted as a micronutrient fortification vehicle.
Objectives: We modeled the potential impacts of bouillon fortification on dietary micronutrient adequacy to inform future discussions around bouillon fortification programs.
Methods: We analyzed the dietary intake of women of reproductive age (WRA) and 1- to 5-y-old children from a national dietary survey in Cameroon, and "apparent intake" (using the nutrient density approach) of WRA, children, and men from 3 household surveys in Cameroon, Ghana, and Haiti.
Clin Nutr ESPEN
February 2025
Department of Nutrition, Faculty of Public Health, University of São Paulo, São Paulo, Brazil.
Background&aims: Folate and vitamin B12 are vitamins involved in one carbon metabolism. Carotid intima-media thickness (cIMT) is a non-invasive test and an early atherosclerosis marker. The relationship between these vitamins and cIMT is not well established.
View Article and Find Full Text PDFPublic Health Nutr
November 2024
Centre for Human Metabolomics, North-West University, Potchefstroom, North-West Province, South Africa.
Objective: Neural tube defects (NTD) are serious, life-threatening birth defects. Staple food fortification with folic acid (vitamin B) is a proven, effective intervention to reduce NTD birth prevalence. Mandatory food fortification with folic acid was implemented in South Africa (SA) in 2003.
View Article and Find Full Text PDFClin Nutr ESPEN
February 2025
Yoda Diagnostics Pvt Ltd, 6-3-862/A, Lal Bungalow add on, Ameerpet, Hyderabad, India. Electronic address:
Nestle Nutr Inst Workshop Ser
November 2024
Department of Pediatrics, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Micronutrient deficiencies in children can occur for multiple reasons, including poor access to food, particular dietary patterns or health conditions that may impact nutrient absorption and utilization. Reduced access to food for infants and young children can lead to malnutrition, increasing the risk of infectious diseases, poor growth, cognitive impairment, emotional dysfunction, and even death. Due to the limited foods available, children with malnutrition also often experience low micronutrient intake.
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