Nutritional Biochemiistry
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A Knowledge-To-Action Approach to Food Fortification: Guiding Principles for the Design of Fortification Programs As a Means Of
Vol.4, No.10, 904-909 (2012) Health http://dx.doi.org/10.4236/health.2012.410138 A knowledge-to-action approach to food fortification: Guiding principles for the design of fortification programs as a means of effectively addressing micronutrient malnutrition Laura A. Rowe*, David M. Dodson Project Healthy Children, Cambridge, USA; *Corresponding Author: [email protected] Received 28 August 2012; revised 26 September 2012; accepted 5 October 2012 ABSTRACT clear and concise messages or frameworks that allow for scaling-up in changing, challenging, and dynamic envi- The gap that exists between research and the ronments [8]. dissemination and implementation of research This paper seeks to add to the already existing litera- findings has been well established. Food forti- ture on how to implement national food fortification pro- fication, one of the most cost-effective means of grams in a way that addresses the “knowing-doing” gap addressing micronutrient malnutrition, is no ex- by offering a streamlined model that facilitates moving ception. With decades of implementation experi- from evidence to application. Based on Project Healthy ence, there is need to strengthen mechanisms Children’s (PHC) experience assisting governments in that effectively broadcast proven strategies to the design and implementation of national food fortifica- promote the successful implementation of forti- tion programs in Rwanda and Malawi, in this paper we 1) fication programs in changing, challenging, and describe how nationwide, mandatory food fortification dynamic environments. This requires clear chan- programs, often missing from national agendas, are dis- nels of communication, well-defined in-country tinct in how they address the problem of malnutrition; leadership, and a streamlined and focused ap- and 2) document four core, arguably intangible and often proach that can be adapted to country-specific overlooked, principles needed to solidify engagement, contexts. -
The Speed and Metabolic Cost of Digesting a Blood Meal Depends on Temperature in a Major Disease Vector Marshall D
© 2016. Published by The Company of Biologists Ltd | Journal of Experimental Biology (2016) 219, 1893-1902 doi:10.1242/jeb.138669 RESEARCH ARTICLE The speed and metabolic cost of digesting a blood meal depends on temperature in a major disease vector Marshall D. McCue1,‡, Leigh Boardman2,*, Susana Clusella-Trullas3, Elsje Kleynhans2 and John S. Terblanche2 ABSTRACT and is believed to occur in all animals (reviewed in Jobling, 1983; The energetics of processing a meal is crucial for understanding McCue, 2006; Wang et al., 2006; Secor, 2009). Surprisingly, – energy budgets of animals in the wild. Given that digestion and its information on SDA among one of the largest taxonomic groups – associated costs may be dependent on environmental conditions, it is insects comes from very few studies (Table 1). Furthermore, the necessary to obtain a better understanding of these costs under SDA of insects remains poorly characterized in terms of the diverse conditions and identify resulting behavioural or physiological standard metrics used to characterize this phenomenon in other trade-offs. This study examines the speed and metabolic costs – in animals (e.g. magnitude, peak time, duration and coefficient). Given ’ cumulative, absolute and relative energetic terms – of processing a insects multiple roles as disease vectors, pests of agriculture, and as bloodmeal for a major zoonotic disease vector, the tsetse fly Glossina model taxa for evolutionary, climate and conservation-related brevipalpis, across a range of ecologically relevant temperatures (25, research, this constitutes a significant limitation for integrating 30 and 35°C). Respirometry showed that flies used less energy mechanistic understanding into population dynamics modelling, digesting meals faster at higher temperatures but that their starvation including population persistence and vulnerability to environmental tolerance was reduced, supporting the prediction that warmer change. -
Nutrition and Metabolism
NUTRITION AND METABOLISM Metabolism - the sum of the chemical changes that occur in the cell and involve the breakdown (catabolism) and synthesis (anabolism) of stored energy sources. Basal Metabolic Rate is dened as the rate of energy production by the body measured under a dened set of conditions which is usually at rest (physical and mental), room temperature, 12 hours after a meal. The result is produced as a percentage of a standard value which is derived from studies of normal healthy people. Measurement of the metabolic rate takes place using a method called calorimetry. This may be done directly by measuring the amount of heat produced by the body in an Atwater chamber, the metabolic rate is the amount of heat produced per hour. More commonly the metabolic rate is determined indirectly by putting people on a closed circuit breathing system, with CO2 removed by a soda lime scrubber and the rate of oxygen consumption measured by change in volume. Oxygen consumption is proportional to the metabolic rate because most of the energy in the body is derived from oxidative phosphorylation, which uses a set amount of oxygen to produce a set amount of energy. For every litre of oxygen consumed the body produces (uses) 4.82 kcals of energy. If the oxygen consumption is 250ml/min (15L/hr) then the metabolic rate is 72.3 kcals/hr. This is often further rened by dividing the gure by the body surface area which for a 70kg male is 1.73m2. This gives an average BMR of approximately 40 kcal/m2/hr. -
Fortified Food and Supplements: Approaches for Long-Term Care Residents
ASK AN EXPERT DAVID PAPAZIAN/SHUTTERSTOCK.COM Fortified Food and Supplements: Approaches for Long-Term Care Residents By Julie Cavaliere, “To cure sometimes, to relieve often, to comfort always”. Ba.Sc., RD, Manager of –Hippocrates Dietary, Nutrition and ood and dining are key components of quality of life and Environmental Operations quality of care for residents in long-term care homes. for Sienna Senior Living The prevalence of protein energy under-nutrition for residents ranges from 23 per cent to 85 per cent, making malnutrition one of the most serious problems facing health professionals in long-term care. Malnutrition is associated with poor outcomes and is an indicator of risk for increased mortality. It has been found that most residents with evi- dence of malnutrition were on restricted diets that might discourage nutrient intake.1 Researchers, Nutrition Managers, and Registered Dietitians alike have been looking at ways and methods to fortify foods without increasing the volume of food consumed. What exactly is a fortified food? Health Canada defines food fortification as “a process by which vitamins, mineral nutrients and amino acids are added to foods to provide consumers with sufficient but not excessive amounts of certain nutrients in their diet.”2 There is both mandatory and voluntary fortification of foods at present. Mandatory fortification includes addition of vitamin A and D to milk, CANADIAN SOCIETY OF NUTRITION MANAGEMENT NEWS – WINTER 2018 11 for example. Meal replacements or nutritional supplements of a known food, cost, acceptance, not a normalized way of for the purposes of this article can be defined “a formulated eating, and no connection to the past. -
Guidelines on Food Fortification with Micronutrients
GUIDELINES ON FOOD FORTIFICATION FORTIFICATION FOOD ON GUIDELINES Interest in micronutrient malnutrition has increased greatly over the last few MICRONUTRIENTS WITH years. One of the main reasons is the realization that micronutrient malnutrition contributes substantially to the global burden of disease. Furthermore, although micronutrient malnutrition is more frequent and severe in the developing world and among disadvantaged populations, it also represents a public health problem in some industrialized countries. Measures to correct micronutrient deficiencies aim at ensuring consumption of a balanced diet that is adequate in every nutrient. Unfortunately, this is far from being achieved everywhere since it requires universal access to adequate food and appropriate dietary habits. Food fortification has the dual advantage of being able to deliver nutrients to large segments of the population without requiring radical changes in food consumption patterns. Drawing on several recent high quality publications and programme experience on the subject, information on food fortification has been critically analysed and then translated into scientifically sound guidelines for application in the field. The main purpose of these guidelines is to assist countries in the design and implementation of appropriate food fortification programmes. They are intended to be a resource for governments and agencies that are currently implementing or considering food fortification, and a source of information for scientists, technologists and the food industry. The guidelines are written from a nutrition and public health perspective, to provide practical guidance on how food fortification should be implemented, monitored and evaluated. They are primarily intended for nutrition-related public health programme managers, but should also be useful to all those working to control micronutrient malnutrition, including the food industry. -
South African Food-Based Dietary Guidelines
ISSN 1607-0658 Food-Based Dietary Guidelines for South Africa S Afr J Clin Nutr 2013;26(3)(Supplement):S1-S164 FBDG-SA 2013 www.sajcn.co.za Developed and sponsored by: Distribution of launch issue sponsored by ISSN 1607-0658 Food-Based Dietary Guidelines for South Africa S Afr J Clin Nutr 2013;26(3)(Supplement):S1-S164 FBDG-SA 2013 www.sajcn.co.za Table of contents Cited as: Vorster HH, Badham JB, Venter CS. An 9. “Drink lots of clean, safe water”: a food-based introduction to the revised food-based dietary guidelines dietary guideline for South Africa Van Graan AE, Bopape M, Phooko D, for South Africa. S Afr J Clin Nutr 2013;26(3):S1-S164 Bourne L, Wright HH ................................................................. S77 Guest Editorial 10. The importance of the quality or type of fat in the diet: a food-based dietary guideline for South Africa • Revised food-based dietary guidelines for South Africa: Smuts CM, Wolmarans P.......................................................... S87 challenges pertaining to their testing, implementation and evaluation 11. Sugar and health: a food-based dietary guideline Vorster HH .................................................................................... S3 for South Africa Temple NJ, Steyn NP .............................................................. S100 Food-Based Dietary Guidelines for South Africa 12. “Use salt and foods high in salt sparingly”: a food-based dietary guideline for South Africa 1. An introduction to the revised food-based dietary Wentzel-Viljoen E, Steyn K, Ketterer E, Charlton KE ............ S105 guidelines for South Africa Vorster HH, Badham JB, Venter CS ........................................... S5 13. “If you drink alcohol, drink sensibly.” Is this 2. “Enjoy a variety of foods”: a food-based dietary guideline still appropriate? guideline for South Africa Jacobs L, Steyn NP................................................................ -
Approved: Tre Specific Dynamic Action of Fat and P
TRE SPECIFIC DYNAMIC ACTION OF CARBOHYD.RATF, " FAT AND P.ROJ!EIN IN FIVE WOMEN by P.:l.tricia Jo ~~IG.n.'lley Thesis submitted to the Graduate faculty of the Virginie. Fblytechnic Institute in candidacy for the degree of MAmR OF SCIENCE in RUMAN NllfRITION AND FOODS APPROVED: "Ms.cy W. Korsliind • June, 1966 Blacksburg, Virginia -2- TABLE OF CONTENTS Page ·LIST OF TABLES • • • • • • • • • • • • • • • • • • • • • • 3 LIST OF FIGURES . " . 4 ACKNOWLEDGEMENT • • . .. 5 Chapter 1. INTRODUCTION . 6 II. REVIEW OF LITERATURE • . 9 Summary of Specific Dynamic Action Theories . 9 Specific Dynamic Action of Carbohydrate . • 10 Specific Dynamic Action of Fat , • . 14 Specific Dynamic Action of Protein . .. 15 III. METHODS AND PROCEDURES . 18 Subjects . 18 Adminilt~ation of Food and Measurements . .. 19 Collection and Analysis of Expired Air • . 20 Calculations . • • . • • • . .- . .. 20 IV. RESULTS AND DISCUSSION • • • • • • . .. 21 Changes in Respiratory Quotient Following the Ingestion of Carbohydrate, Fat and Protein •• . 21 V;irr-;iations in He11t Production After Ingestion of Carbohydrate, Fat and Protein • • • 28 V. SUMMARY •••••• . 37 BIBLIOGRAPHY • . 38 VITA •• . ... 44 APPENDIX . 45 TABLE NUMBlll PAGE 1. Time required, aft•l' the inge•tion of carbohydrate by f tve women, to reach highest re•piratory quotient and highest heat production. • • • • • • • • • • • • • • • • 31 2. Maximum increaee in heat production in. four women after ingestion of fat and time required for _.ximum increase to occur •••••••••••••••••• • • 31 3. Ma;xt... tacreaee in heat production in five women after ingeatioa of protein and time required for maximwll increaee to occur. • • • • • • • • • • • •. • • • • • • • 35 -4- LIST OF FIGURES FIGURE NUMBER PAGE 1~ Changes in reepiratory quotient in five women 22 after ingestion of sucrose. -
The Unfinished Agenda for Food Fortification in Low-And Middle
nutrients Review The Unfinished Agenda for Food Fortification in Low- and Middle-Income Countries: Quantifying Progress, Gaps and Potential Opportunities Penjani Mkambula 1,*, Mduduzi N. N. Mbuya 1,* , Laura A. Rowe 2 , Mawuli Sablah 3, Valerie M. Friesen 1 , Manpreet Chadha 4, Akoto K. Osei 5, Corinne Ringholz 6, Florencia C. Vasta 1 and Jonathan Gorstein 7 1 Global Alliance for Improved Nutrition, Rue de Varembé 7, 1202 Geneva, Switzerland; [email protected] (V.M.F.); [email protected] (F.C.V.) 2 Food Fortification Initiative, 1518 Clifton Road, Atlanta, GA 30322, USA; laura.rowe@ffinetwork.org 3 UNICEF, 3 UN Plaza, New York, NY 10017, USA; [email protected] 4 Nutrition International 180 Elgin St., Suite 1000, Ottawa, ON K2P 2K3, Canada; [email protected] 5 Helen Keller International, Regional Office for Africa, Dakar BP 29.898, Senegal; [email protected] 6 World Food Programme, Via Cesare Giulio Viola, 68, 00148 Rome, Italy; [email protected] 7 Iodine Global Network, Seattle, WA 98107, USA; [email protected] * Correspondence: [email protected] (P.M.); [email protected] Received: 31 December 2019; Accepted: 27 January 2020; Published: 29 January 2020 Abstract: Large-scale food fortification (LSFF) is a cost-effective intervention that is widely implemented, but there is scope to further increase its potential. Toidentify gaps and opportunities, we first accessed the Global Fortification Data Exchange (GFDx) to identify countries that could benefit from new fortification programs. Second, we aggregated Fortification Assessment Coverage Toolkit (FACT) survey data from 16 countries to ascertain LSFF coverage and gaps therein. Third, we extended our narrative review to assess current innovations. -
Specific Dynamic Action
Specific Dynamic Action ➢ The phenomenon of the extra heat production by the body, over and above the calculated caloric value, when a given food is metabolized by the body, is known as specific dynamic action (SDA). ➢ It is also known as calorigenic action or thermogenic action or thermic action (effect) of food. SDA for different foods ➢ For a food containing 25 g of protein, the heat production from the caloric value is 100 Cal (25 x 4 Cal). ➢ When 25 g protein is utilized by the body, 130 Cal of heat is liberated. ➢ The extra 30 Cal is the SDA of protein. ➢ SDA for protein, fat and carbohydrate 32%, 13% & 5%, ➢ Proteins possess the highest SDA while carbohydrates have the lowest. SDA for mixed diet ➢The presence of fats and carbohydrates reduces the SDA of proteins. ➢ Fats are most efficient in reducing SDA of foodstuffs. ➢ For a regularly consumed mixed diet, the SDA is around 10%. Significance of SDA ➢ For the utilization of foods by the body, certain amount of energy is consumed from the body stores. ➢ Expenditure by the body for the utilization of foodstuffs. ➢ It is the highest for proteins (30%) and lowest for carbohydrates (5%) & for mixed diet 10%. ➢ Additional 10% calories should be added to the total energy needs (of the body) towards SDA. ➢ The higher SDA for protein indicates that it is not a good source of energy. Mechanism of SDA ➢ SDA of foods is due to the energy required for digestion, absorption, transport, metabolism and storage of foods in the body. ➢ The SDA of proteins is primarily to meet the energy requirements for deamination, synthesis of urea, biosynthesis of proteins, synthesis of triacylglycerol (from carbon skeleton of amino acids). -
Measurement of Individual and Population Energetics of Marine Mammals
Marine Mammal Ecology and Conservation / 08-Boyd-Ch08 page 165 7:55pm OUP CORRECTED PROOF – Finals, 5/7/2010, SPi 8 Measurement of individual and population energetics of marine mammals Sara J. Iverson, Carol E. Sparling, Terrie M. Williams, Shelley L.C. Lang, and W. Don Bowen 8.1 Introduction The overriding currency of all animal life is energy. Animals have evolved strategies of energy acquisition and use, but these strategies also experience tradeoffs between energy allocated to maintenance, activities, growth, and reproduction and are central to our understanding of life histories and fitness. Thus ‘energetics’— the study of the metabolic requirements, energy use, and output of animals— underpins many areas of physiology, ecology, evolutionary, and population biology, and even ecosystem dynamics. Marine mammals pose many challenges for the study, interpretation, and com- parison of individual and population energetics. For instance, the ability to study captive animals is often restricted to a few of the smaller marine mammal species. Although opportunities in the wild may be greater, there remain serious limits to our abilities to study species in remote locations (e.g. polar bears, Ursus maritimus,in the high arctic), in unstable habitats (e.g. ice-associated pinnipeds in the Bering and Chukchi Seas), or due to endangered status (e.g. monk seals, Monachus spp., southern sea otters, Enhydra lutris nereis, and vaquita, Phocoena sinus). As a group, cetaceans pose further difficulties because of their limited accessibility and large size. Adaptive insulation (blubber) is important in temperature management (Iverson 2009a) and the presence of this comparatively inert tissue can add complexity to the issue of defining the metabolically relevant body mass in marine mammals. -
Beverage Fortification
June 2013 US$39.00 SPECIAL REPORT Beverage Fortification: Enhancing Nutritional Quality & Consumer Appeal Years ago, fortification was implemented in staple items such as flour and milk as an effective strategy to help stave off widespread disease resulting from malnourishment. With today's increasingly savvy consumers looking to glean nutritional benefits in everything from tea and juice to bottled water, beverage fortification has taken on a whole new life. by Cathianne Leonardi and Frank Del Corso Beverage Fortification: Enhancing Nutritional Quality & Consumer Appeal According to the World Health Organization (WHO), food fortification is the practice of deliberately increasing content of an essential micronutrient in a food, so as to improve the nutritional quality of the food supply and provide a public health benefit with minimal risk to health. Historically, foods have been fortified to prevent diseases. More recently in the United States and other developed countries, fortification of foods and beverages has shifted to deliver benefits making the user feel, perform or even look better. This report examines the changing market of fortification in the United States—from one where the main driver is preventing diseases in the masses, to one where the driver is adding function for a niche market. Strategies are also explored for beverage scientists to create great-tasting drinks to meet the demands of this new market. Introduction and History of Fortification by Cathianne Leonardi umans traditionally fortify their bodies with nutrients found in food. We demonstrate increased understanding of nature by modifying H our food supply in favor of desired qualities. Activities including seed selection, propagation and invention of species by artificial selection and hybridization have long been established as beneficial in yielding increasing food supplies required to nourish a boundless growth in population. -
Food Fortification
THE 2008 UGANDA FOOD CONSUMPTION SURVEY Determining the Dietary Patterns of Ugandan Women and Children PHIL HARVEY ZO RAMBELOSON OMAR DARY MAY 2010 FOOD FORTIFICATION This study was made possible by the generous support of the American people through the United States Agency for International Development (USAID) under the terms of Cooperative Agreement No. GHS-A-00-05-00012-00, and by support from the Global Alliance for Improved Nutrition (GAIN) and the World Food Programme (WFP). The contents are the responsibility of the Academy for Educational Development (AED) and do not necessarily represent the views of USAID, the United States Government, WFP, or GAIN. Recommended Citation: Harvey, Phil, Zo Rambeloson and Omar Dary. The 2008 Uganda Food Consumption Survey: Determining the Dietary Patterns of Ugandan Women and Children. A2Z: The USAID Micronutrient and Child Blindness Project, AED, Washington D.C., 2010. Copies of the Study can be obtained from: A2Z: The USAID Micronutrient and Child Blindness Project AED 1825 Connecticut Ave., NW Washington D.C., 20009-5721 Tel: 202-884-8000 Fax: 202-884-8432 E-mail: [email protected] Website: www.a2zproject.org Acknowledgments We thank the authors, Phil Harvey, independent consultant, and Zo Rambeloson and Omar Dary, A2Z-AED, for their valuable contributions in the drafting of this report. We also wish to acknowledge the important contributions of the study’s principle investigator, Associate Professor William Kyamuhangire, and co-investigators Professor Joyce Kikafunda and Dr. Archileo Kaaya, from Makerere University Department of Food Science and Technology. Their efforts went beyond the terms of their contract to organize and carry out the field work of this study.