Consumption of Fortified Wheat Flour and Associations with Anemia and Low Serum Ferritin in Colombia

Background: Colombia’s mandatory wheat flour fortification program has yet to be evaluated. Objective: Examine associations between consumption of fortified wheat flour and low serum ferritin (LSF) and anemia prevalence. Materials and Methods: A secondary analysis of the 2005 national nutrition surv...

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Main Authors: Amy Fothergill, Zulma Y. Fonesca Centeno, Paul Rene Ocampo Téllez, Helena Pachón
格式: 文件
语言:Spanish
出版: Universidad de Antioquía 2019-11-01
丛编:Perspectivas en Nutrición Humana
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在线阅读:https://revistas.udea.edu.co/index.php/nutricion/article/view/336910
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author Amy Fothergill
Zulma Y. Fonesca Centeno
Paul Rene Ocampo Téllez
Helena Pachón
author_facet Amy Fothergill
Zulma Y. Fonesca Centeno
Paul Rene Ocampo Téllez
Helena Pachón
author_sort Amy Fothergill
collection DOAJ
description Background: Colombia’s mandatory wheat flour fortification program has yet to be evaluated. Objective: Examine associations between consumption of fortified wheat flour and low serum ferritin (LSF) and anemia prevalence. Materials and Methods: A secondary analysis of the 2005 national nutrition survey (ENSIN) was completed for 3988 children 2-4 y, 5669 children 5-12 y and 2053 non-pregnant women 13-49 y. The relationship between consumption (quartiles) of wheat flour containing food (WFCF) and LSF and anemia was examined using chi-square analyses and logistic regression models. Results: In adjusted models, controlling for socio-economic status, intake of animal-origin foods, and supplement use in the last 24 hours, a correlation was found between WFCF and anemia in the preschool aged group, when comparing the quartile of highest WFCF consumption with the lowest quartile (OR: 0.7, 95 % CI: 0.6-0.9). The prevalence of LSF was similar across all quartiles of WFCF consumption in all age groups. The highest prevalence of anemia was observed in the lowest WFCF consumption quartiles in all age groups, but was not significantly different in non-pregnant women 13-49 y. No association between WFCF and LSF was observed in adjusted or unadjusted models. Conclusions: In Colombia, consumption of wheat flour containing foods is associated with lower levels of anemia in pre-school aged children
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spelling doaj.art-c18dc8041e9a4f12b5d10f011c835d822022-12-22T00:06:01ZspaUniversidad de AntioquíaPerspectivas en Nutrición Humana0124-41082248-454X2019-11-0121215917110.17533/udea.penh.v21n2a03Consumption of Fortified Wheat Flour and Associations with Anemia and Low Serum Ferritin in ColombiaAmy Fothergill0Zulma Y. Fonesca Centeno1Paul Rene Ocampo Téllez2Helena Pachón3https://orcid.org/0000-0003-0599-3008Emory UniveristyUniversidad Nacional de ColombiaUniversidad Nacional de ColombiaEmory UniversityBackground: Colombia’s mandatory wheat flour fortification program has yet to be evaluated. Objective: Examine associations between consumption of fortified wheat flour and low serum ferritin (LSF) and anemia prevalence. Materials and Methods: A secondary analysis of the 2005 national nutrition survey (ENSIN) was completed for 3988 children 2-4 y, 5669 children 5-12 y and 2053 non-pregnant women 13-49 y. The relationship between consumption (quartiles) of wheat flour containing food (WFCF) and LSF and anemia was examined using chi-square analyses and logistic regression models. Results: In adjusted models, controlling for socio-economic status, intake of animal-origin foods, and supplement use in the last 24 hours, a correlation was found between WFCF and anemia in the preschool aged group, when comparing the quartile of highest WFCF consumption with the lowest quartile (OR: 0.7, 95 % CI: 0.6-0.9). The prevalence of LSF was similar across all quartiles of WFCF consumption in all age groups. The highest prevalence of anemia was observed in the lowest WFCF consumption quartiles in all age groups, but was not significantly different in non-pregnant women 13-49 y. No association between WFCF and LSF was observed in adjusted or unadjusted models. Conclusions: In Colombia, consumption of wheat flour containing foods is associated with lower levels of anemia in pre-school aged childrenhttps://revistas.udea.edu.co/index.php/nutricion/article/view/336910ferritinhemoglobinfortificationwheat flourenrichmenteffectivenessevaluation
spellingShingle Amy Fothergill
Zulma Y. Fonesca Centeno
Paul Rene Ocampo Téllez
Helena Pachón
Consumption of Fortified Wheat Flour and Associations with Anemia and Low Serum Ferritin in Colombia
Perspectivas en Nutrición Humana
ferritin
hemoglobin
fortification
wheat flour
enrichment
effectiveness
evaluation
title Consumption of Fortified Wheat Flour and Associations with Anemia and Low Serum Ferritin in Colombia
title_full Consumption of Fortified Wheat Flour and Associations with Anemia and Low Serum Ferritin in Colombia
title_fullStr Consumption of Fortified Wheat Flour and Associations with Anemia and Low Serum Ferritin in Colombia
title_full_unstemmed Consumption of Fortified Wheat Flour and Associations with Anemia and Low Serum Ferritin in Colombia
title_short Consumption of Fortified Wheat Flour and Associations with Anemia and Low Serum Ferritin in Colombia
title_sort consumption of fortified wheat flour and associations with anemia and low serum ferritin in colombia
topic ferritin
hemoglobin
fortification
wheat flour
enrichment
effectiveness
evaluation
url https://revistas.udea.edu.co/index.php/nutricion/article/view/336910
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