TY  - BOOK
AU  - Pachn̤,Helena
TI  - Wheat flour fortification and human health
T2  - Burleigh Dodds Series in Agricultural Science
SN  - 9781801461023
PY  - 2021///
CY  - Cambridge
PB  - Burleigh Dodds Science Publishing
KW  - Agricultural science
KW  - bicssc
KW  - Cereal crops
KW  - Sustainable agriculture
KW  - effectiveness
KW  - Enrichment
KW  - impact
KW  - nutrients
KW  - wheat flour
N1  - Open Access
N2  - Using varied study designs (none of which can confirm causality), investigators assessed the health impact of wheat flour fortification after it was implemented at large scale in countries. Folic acid was the most studied nutrient and the most studied outcomes were neural tube defects, cancer, folate status, folate deficiency, anemia, iron deficiency, iron status, hemoglobin and iron-deficiency anemia (IDA). For all of these outcomes except IDA, the majority of studies showed improvements after fortification. For some of the outcomes (cancer, anemia, hemoglobin, folate deficiency), there were studies that indicated health outcomes worsened after fortification. The discrepant results for cancer may be due to years since fortification initiated and sample size differences. The preponderance of the evidence suggests that wheat flour fortification improves many health outcomes. Because fortification may also be associated with negative health outcomes such as cancer, health monitoring should continue to assess these outcomes in countries with fortification
UR  - https://library.oapen.org/bitstream/id/17b9ab32-3b71-49af-8974-5ac3df3ba0b9/9781801461023_web.pdf
UR  - https://library.oapen.org/handle/20.500.12657/61488
ER  -