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Fortification@bhutan
1. FOOD FORTIFICATION
Dr. S. K. Goyal
Assistant Professor
(Agricultural Process & Food Engineering)
Deptt. of Farm Engineering
Institute of Agricultural Sciences,
Banaras Hindu University,
Varanasi โ 221005 (U.P.), INDIA
2. To be discussed
โข Food fortification facts
โข Why food fortification
โข Hidden hunger (micronutrients deficiencies)
โข Why rice fortification
โข Rice fortification
โข Process of rice fortification
โข Scope and opportunities in rice fortification
โข Wheat flour fortification
โข Indian fortified products
โข Micro nutrients used in WFF
3. Food Fortification Facts (FFFs)
โข Food Fortification has been used around the world since the
1920s as a safe and effective means of improving public
health.
โข It provides nutritional benefit without requiring consumers to
change eating habits or purchase patterns.
โข In India, FSSAI has mandated standards of Fortification for
staple products such as salt, wheat flour, rice, milk and oil.
โข FSSAI has also created a logo for fortification which will help
consumers identify the fortified food commodities in an easy,
straight forward manner.
4. The Logo
โข The square represents completeness.
โข The plus sign (+) is about adding extra nutrition and vitamins
to daily meals, to adding more to life.
โข And the ring around the letter 'F' illustrates the ring of good
health, protection and an active life.
About The Color
โข The Colour Blue symbolizes purity and good health.
6. Definitions
Fortification
โข Adding vitamins and minerals to food materials during preparation/
processing
โข May include nutrients naturally in the grain or additional nutrients
โข Addition may meet or exceed natural levels
โข Designed for mass populations
Supplementation
โข Nutrients provided in liquid or pill form
โข Usually in doses higher than found in fortified food
โข Designed for specific target groups (i.e. women or children)
10. Why Food Fortification?
Fortified foods help to fill in the nutritional
gaps in our diet. They can deliver vitamins and
minerals to large portions of the population
without requiring large changes in our
behaviour or diet.
10
16. Problems occur due to micronutrients
deficiencies
โข Global burden of Diseases
โข Lower productivity
โข 1.6 Billion around the World are affected
โข 3 million death annually
โข Lower & Middle income countries are
most effected
โข Birth defects
โข Low Economic growth
17. WHYRICEFORTIFICATIONโฆ.?
โข Commonly eaten by Target groups
โข Affordable
โข Available all year long
โข Process is technically feasible and
economical (Extrusion Technology)
โข Versatile food processing technology
โข Cost effective & Sustainable Solution
36. INDIAN SCENARIO
โข Successfully Installed Pilot scale rice Fortification units in 5
states
โข Govt of Indian Planning to Introduce rice fortification in about
130 districts by early next year
โข There are tremendous opportunities for FRK for both social
safety network (S.S.N) and open market in INDIA
โข S.S.N : ICDS (Integrated Child Devel. Sch.), MDM (Mid day
Meal, 30,000 MT FRK required per year),PDS (Public
distribution system) around 35.5 MT of Rice is being supplied
through this system per year.
โข It is estimated about 4,00,000 MT of FRK Required for S.S.N
โข Open Market: 60 Million MT per year (So there is a Scope of
6,00,000 MT of Fortified rice kernel.
45. Why Wheat Flour Fortify?
โข Health and Economic Benefits
โข Prevent iron deficiency, neural tube birth defects, and
other health concerns
โข Improve the national economy by increasing productivity
and decreasing healthcare expenditures
FFI photo
46. Overview: Wheatโs Natural Iron
โข Bran contains 55% of wheatโs
natural iron
โข Germ contains 5% of wheatโs
natural iron
The bran and germ are primarily
used for animal feed.
Percentages calculated from USDA Nutritional Database
Image courtesy of the Wheat Foods Council
Bran
Germ
Endosperm
50. Overview: Fortification Process
Powdered vitamins and minerals are added to flour during
the milling process using equipment called feeders.
A large mill may use a โfeeder bankโ
such as this set of four. One feeder is
for fortification and three are for other
flour improvers.
Photo courtesy of Research Products Company
Smaller mills may use a
single feeder for
fortification.
Photo copyright: David Snyder / CDC
Foundation
51. Impact on Health: Iron
Burden of Deficiency
โข Reduced productivity
โข Iron deficiency anemia
โข Undeveloped mental
capacity
โข Maternal mortality
โข Pre-term births
Health Benefits
โข Increased productivity
โข Fully developed mental
skills
โข Improved maternal and
child health
โIron deficiency affects more people than any other condition, constituting a
public health condition of epidemic proportions.โ
-World Health Organization
http://www.who.int/nutrition/topics/ida/en/
52. Each year of flour
fortification is
associated with a
2.4% decrease in
anemia.
Barkley, J., Wheeler, K., and Pachรณn, H. Anaemia prevalence may be reduced among countries that fortify
flour. British Journal of Nutrition, 2015. 114, pp 265-273. doi:10.1017/S0007114515001646.
2.4%
โข Year 1
2.4%
โข Year 2
2.4%
โข Year 3,
etc.
53. Results of Insufficient Folic Acid
(vitamin B9)
โข Children born with neural tube
birth defects (NTDs) such as
spina bifida
โข Permanently disabling or fatal
โข More than 300,000 NTDs
occur every year globally*
* Global Report on Birth Defects, March of Dimes Birth Defects Foundation, 2006
Photo from the International Federation for Spina Bifida and
Hydrocephalus
54. Impact of Fortifying with Folic Acid
โข Reduce risk of NTDs 31% to 78%
โข Healthcare savings from averted
surgeries and therapy
โข Annual net savings:
o 2.3 million international dollars in
Chile
o 40.6 million rand in South Africa
o 603 million US dollars in the United
States
Risk reduction from Blencowe, H: Folic acid to reduce neonatal mortality form neural tube disorders. International Journal of Epidemiology. April
2010 (suppl_1):i110-i121
Cost benefit data from:
Llanos, A., et. al., Cost-effectiveness of a Folic Acid Fortification Program in Chile. Health Policy 83 2007:295-303.
Sayed, A., et.al., Decline in the Prevalence of Neural Tube Defects Following Folic Acid Fortifcation and Its Cost-Benefit in South Africa. Birth
Defects Research 82 2008:211-216.
Grosse, S., et. al., Retrospective Assessment of Cost Savings From Prevention. American Journal of Preventive Medicine , 2016
Photo from istock
55. Minerals and Vitamins
Used in Flour Fortification
Minerals Vitamins
โข Iron
โข Zinc
โข Folic Acid (B9)
โข Thiamine (B1)
โข Riboflavin (B2)
โข Niacin (B3)
โข B12
โข Vitamin A
โข Vitamin D
56. Types of Iron Used In Fortification
Elemental Iron
(reduced iron or electrolytic iron)
Ferrous Sulfate
Ferrous Fumarate
Sodium Iron EDTA (NaFeEDTA)
Ethylenediamine tetraacetic acid
4 types of iron recommended by the WHO for wheat flour fortification
57. Factors for Choosing Iron Compound
โข Bioavailability (absorption)
o Water soluble compounds have the highest relative bioavailability
because they are very soluble in gastric juices.
o The size, shape and surface area of the iron particle affects
bioavailability, as does composition of food made with fortified
flour.
โข Sensory changes
o High levels of some iron compounds could cause coloration or
rancidity of the flour.
โข Cost:
o Highly bioavailable forms of iron are more expensive, but less is
needed per metric ton of flour for fortification to have a health
impact.
โข Magnets:
o Iron salts (ferrous sulfate, ferrous fumarate and iron EDTA) will not
be attracted to magnets that may be used in milling process
58. Other Minerals in Flour Fortification
Zinc
โข Zinc oxide is most
commonly used
โข Inexpensive
โข No sensory concerns
โข Use higher levels in high-
extraction flours due to
higher phytic acid content
Calcium
โข Calcium sulfate and
calcium carbonate are
both used
โข No sensory concerns
โข Not included in premix
with other nutrients
because levels are far
higher than other nutrient
additions
โข Not usually included in
fortification standards
59. B Vitamins in Flour Fortification
Folic Acid (B9)
โข Folic acid is preferred
source
โข No sensory concerns
โข Relatively stable with
some loss from exposure
to light and food
preparation
โข More bioavailable than
B9 in natural food
sources
Thiamine (B1)
โข Thiamine mononitrate is
preferred source
โข No sensory concerns
โข Susceptible to losses
from exposure to light
and heat and alkaline
conditions (pH over 7)
60. B Vitamins in Flour Fortification
Riboflavin (B2)
โข Orange crystalline
powder
โข Use only food grade
material exceeding 97%
purity
โข Unstable in light
Niacin (B3)
โข Commonly used source:
nicotinic acid (commonly
just called niacin) and
nicotinamide.
โข No sensory concerns
โข Nicotinic acid can cause
reddening in the skin on
exposure
โข Both niacin compounds
are very stable in heat
and light
61. B Vitamins in Flour Fortification
Pyrodoxine (B6)
โข Pyrodoxine
hydrochloride is
preferred source
โข No sensory
concerns
โข Stable to heat, but
sensitive to UV
light.
Cobalamin (B12)
โข Cyanocobalamin is common
source
โข No sensory concerns
โข Relatively stable in heat, but
unstable in alkali and strong
acidic environments
โข Difficult and expensive to test
for the small amounts used in
fortification
โข More bioavailable than B12 in
natural food sources
62. Other Vitamins in Flour Fortification
Vitamin A
โข Retinyl acetate and retinyl palmitate are recommended.
โข Beta-caroteneโs yellow color makes it undesirable for
flour.
โข Available in encapsulated forms that do not cause
sensory concerns
โข Significant losses can occur on storage if the
encapsulation and antioxidant protection system is poor.
A standard stability test at 45ยฐC on the raw material
should show losses no greater than 20% after 21 days.
โข Countries often fortify edible oil or sugar rather than flour
with vitamin A.
63. Other Vitamins in Flour Fortification
Vitamin D
โข Form used in fortification: D3 Cholecalciferol
โข Countries often fortify dairy products with vitamin D in
combination with vitamin A
โข Currently only a few countries fortify flour with vitamin D