Commenced in January 2007
Frequency: Monthly
Edition: International
Paper Count: 30165
The Effect of a Nutrient Fortified Oat Drink on Iron, Zinc, Vitamin A, and Vitamin C Status among Filipino Children

Authors: Imelda Angeles-Agdeppa, Anne C. Kurilich, Yashna Harjani, Mario V. Capanzana

Abstract:

The effectiveness of consuming a nutrient fortified oat drink on iron, zinc, vitamin A and vitamin C status was assessed among a cohort of school-aged Filipino children. Ultimate study implementation permitted only a within-subject comparison of change in nutritional status after four months of consuming a nutrient fortified oat drink. Thirty-eight anemic children (5-8 years) consumed an oat drink fortified with iron as NaFeEDTA, zinc, vitamin A and vitamin C for 120 days. Height, weight, serum nutrient levels, anemia status and dietary intake were assessed pre and post intervention. Thirty-four anemic children completed the intervention. After 4 months of intervention, prevalence of anemia decreased by 68% and significant improvements in iron and vitamin A status were observed. Results demonstrate the effectiveness of the fortified oat drink in alleviating anemia in young children and highlight the value of fortification programs

Keywords: Anemia, Children, Fortified Oat Drink, Nutrient status

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1054899

Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 1919

References:


[1] United Nations Environment Programme: GEO: Global Environmental Outlook-3: Past, present, and future perspectives. Earthscan, London 2002.
[2] FNRI-DOST, 2010: Food and Nutrition Research Institute- Department of Science and Technology (FNRI-DOST), "Philippine Nutrition. Facts and Figures 2008". DOST Complex, FNRI Bldg., Bicutan, Taguig City, Metro Manila, Philippines.
[3] Food and Nutrition Research Institute-Department of Science and Technology (FNRI-DOST). "Recommended Energy and Nutrient Intakes", 2002 edition, DOST Complex, FNRI Bldg., Bicutan, Taguig City, Metro Manila, Philippines.
[4] Nishayama S, Irisa K, Matsubasa TA. Higashi and I Matsuda, "Zinc status relates to Hematological Deficits in Middle aged Women", J. Am. College Nutr. 1198, 17:219-295.
[5] Griffiths M., "Communicating the benefits of micronutrientfortification", Food Nutr Bull 2003;24(4):S146-S150.
[6] Angeles-Agdeppa I.,Magsadia C., Capanzana M., "Fortified juice drink improved iron and zinc status of schoolchildren", Asia Pac j Clin Nutr 2011; 20 (4):535-543.
[7] Hazell, J. and I. T. Johnson, "Effect of food processing and fruit juice on in vitro estimated iron Availability from cereals, vegetables and fruits", J. Sci. Food Agri., 38: 78-82. 1987.
[8] Cook JD, Reddy MB, Burri J, Juillerat MA & Hurrell RF, "The influence of different cereal grains on iron absorption from infant cereal foods", American Journal of Clinical Nutrition 65,964┬▒969. 1997.
[9] Hurrell RF, Reddy MB, Burri J, Cook J. "An evaluation of EDTA compounds for iron fortification of cereal-based foods", British Journal of Nutrition, 84, 903┬▒910, 2000.
[10] World Health Organization/United Nations Children-s Fund/Helen Keller International. International Vitamin A Consultative Group. Control of Vitamin A Deficiency and Xerphthalmia. WHO Technical Series No. 672. Geneva, Switzerland. WHO. 1982. p.40.
[11] The Philippine Food Composition Tables. Food and Nutrition Research Institute, Department of Science and Technology. Bicutan Taguig. 1997.
[12] Coat-A-Count Ferritin IRMA, Diagnostic Products Corporation, Los Angeles, CA, USA.
[13] Furr HC, Tanumihardjo SA, Olson JA, "Training Manual for Assessing Vitamin A status by Use of Modified Relative Dose Response Assays" 1992. USA. p.20.
[14] Smith JC et al, "Direct Measurement of Zinc in Plasma by Atomic Absorption Spectroscopy", Clin Chem., vol 25:5, 1487-91, 1979.
[15] Butrimovitz GP and Purdy WC, "The Determination of Zinc in Blood Plasma by Atomic Absorption Spectrometry", Analytica Chimica Acta. 94: 63 -73, 1977.
[16] Gunter EW, Miller DT, "Laboratory procedures used by the Division of Environmental Health Laboratory Sciences, Center for Environmental Health, Centers for Disease Control, for the Hispanic Health and Nutrition Examination Survey (HHANES)". Atlanta, GA: Centers for Disease Control, 1986; 24-26.
[17] Dawson - Saunders B, Trapp RG, "Basic and Clinical Biostatistics, A Lange Medical Book; Prentice Hall International Inc" 2nd ed., USA. 1994.
[18] Norman GR and Streiner DL, "Biostatistics: The Bare Essentials". Rev Ed, Farrel,1994.
[19] World Health Organization, "Iron Deficiency Anemia. Assessment, Prevention and Control. A Guide for Program Managers", 2001.
[20] World Health Organization/United Nations Children-s Fund/Helen Keller International, International Vitamin A Consultative Group, "Control of Vitamin A Deficiency and Xerophthalmia" WHO Technical Series No. 672. Geneva, Switzerland. p.40, 1982.
[21] International Zinc Nutrition Consultative Group (IZINCG), 2004.
[22] WHO & FAO of the United Nations, "Guidelines on food fortification with micronutrients, 2006.
[23] Stoltzfus RJ, Mullany L, Black RE., "Iron deficiency anaemia. In: Comparative quantification of health risks: Global and regional burden of disease attribution to selected major risk factors", Vol 1. Geneva: World Health Organization, 2004:163-209.
[24] Aukett MA, Parks YA, Scott PH, et al., "Treatment with iron increases weight gain and psychomotor development", Arch Dis Child. 61:849, 1986.
[25] Rassanee Sungthong Md. Ladda Mo-suwan MD and Changsuvivatwong MD, PhD, "Effects of hemoglobin and serum ferritin on cognitive function in schoolchildren", Asia Pacific J Clin Nutr. 11 (2): 117-122, 2002.
[26] Beard JL., "Iron biology in immune function, muscle metabolism and neuronal functioning", J Nutr. 131:568S-80S. 2001.
[27] Bhaskaram C, Reddy V., "Cell-mediated immunity in iron and vitamin deficient children", British Medical Journal, 3:522,1975.
[28] WHO. Global health risks. Mortality and burden of disease attributable to selected major risk factors. Geneva: WHO; 2009.
[29] Sun J, Huang J, Li W, Wang L, Wang A, Huo J, Chen J, Chen C., "Effects of wheat flour fortified with different iron fortificants on iron status and anemia prevalence in iron deficient anemic students in Northern China", Asia Pac J Clin Nutr 16:116-21, 2007.
[30] Andang-o PE, Osendarp SJ, Ayah R, West CE, Mwaniki DL, De Wolf CA, Kraaijenhagen R, Kok FJ, Verhoef H., "Efficacy of iron-fortified whole maize flour on iron status of school children in Kenya: a randomised controlled trial", Lancet 369:1799-806, 2007.
[31] Zhang H, Onning G, Oste R, Gramatkovski E, Hulthen L., "Improved iron bioavailability in an oat-based beverage: the combined effect of citric acid addition, dephytinization and iron supplementation", Eur J Nutr 46:95-102, 2007.
[32] A. Zlotkin, S., Arthur, P., Antwi, K. Y. & Yeung, G., "Home- Fortification with Iron and Zinc Sprinkles of Iron Sprinkles alone successfully treats anemia in infants and young children", The Journal of Nutrition, vol. 133, pg. 1075-80, 2003.
[33] Van Thuy P, Berger J, Davidsson L, Khan NC, Lam NT, Cook JD, Hurrell RF, Khoi HH., "Regular consumption of NaFeEDTA-fortified fish sauce improves iron status and reduces the prevalence of anemia in anemic Vietnamese women", Am J Clin Nutr 78:284-90, 2003.
[34] Van Thuy P, Berger J, Nakanishi Y, Khan NC, Lynch S, Dixon P., "The use of NaFeEDTA- fortified fish sauce is an effective tool for controlling iron deficiency in women of childbearing age in rural Vietnam", J Nutr 135:2596-601, 2005.
[35] Fishman, S.M., Christian, P. & West, K.P., "The role of vitamins in the prevention and control of anemia", Public Health Nutr. 3:125-150, 2000.
[36] Mejia LA, Chew F., "Hematological effect of supplementing anemic children with vitamin A alone and in combination with iron", Am J Clin Nutr.48:595-600, 1988.
[37] Trinidad PT, Kurilich A., Mallillin AC, Walcyzk T, Sagum RS, Singh NN, Harjani Y, De Leon MP, Capanzana MV, Fletcher J., "Iron absorption from fortified oat drinks", The FASEB Journal, 26:lb352, 2012.