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dc.contributor.authorPachón, Helena
dc.date.accessioned2023-03-03T04:36:15Z
dc.date.available2023-03-03T04:36:15Z
dc.date.issued2021
dc.date.submitted2023-02-27T12:21:14Z
dc.identifierONIX_20230227_9781801461023_12
dc.identifierhttps://library.oapen.org/handle/20.500.12657/61488
dc.identifier.urihttps://directory.doabooks.org/handle/20.500.12854/97698
dc.description.abstractUsing 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.
dc.languageEnglish
dc.relation.ispartofseriesBurleigh Dodds Series in Agricultural Science
dc.rightsopen access
dc.subject.classificationbic Book Industry Communication::T Technology, engineering, agriculture::TV Agriculture & farming::TVK Agronomy & crop production::TVKC Cereal crops
dc.subject.classificationbic Book Industry Communication::T Technology, engineering, agriculture::TV Agriculture & farming::TVF Sustainable agriculture
dc.subject.classificationbic Book Industry Communication::T Technology, engineering, agriculture::TV Agriculture & farming::TVB Agricultural science
dc.subject.otherEnrichment
dc.subject.othernutrients
dc.subject.otherimpact
dc.subject.othereffectiveness
dc.subject.otherwheat flour
dc.titleWheat flour fortification and human health
dc.typechapter
oapen.identifier.doi10.19103/AS.2021.0087.23
oapen.relation.isPublishedBy7f047d73-123f-4ae5-87fd-34c46926a6f9
oapen.relation.isbn9781801461023
oapen.imprintBurleigh Dodds Science Publishing
oapen.pages66
oapen.place.publicationCambridge


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