Leyvraz Magali, Laillou Arnaud, Rahman Sabuktagin, Ahmed Tahmeed, Rahman Ahmed Shafiqur, Alam Nurul, Ireen Santhia, Panagides Dora
Global Alliance for Improved Nutrition (GAIN), Geneva 1211, Switzerland.
United Nations Children's Fund (UNICEF), Phnom Penh 12201, Cambodia.
Nutrients. 2015 Dec 2;7(12):9960-71. doi: 10.3390/nu7125511.
Bangladesh has experienced rapid economic growth and achieved major health improvements in the past decade, but malnutrition rates remain high. A nationally representative study conducted in 2011 assessed the dietary habits of 841 children 24-59 months old; 1428 children 6-14 years old; and 1412 non-pregnant, non-lactating women. The study's objective was to assess dietary intakes of key micronutrients and the consumption pattern of potentially fortifiable foods, and then to model the potential impact of fortification of key staple foods. The current intakes of several micronutrients, namely, iron, zinc, folate, vitamin A and vitamin B12, were found to be insufficient to meet the needs of Bangladesh's children and women. The fortification of rice with iron and zinc and edible oil with vitamin A has the potential to fill a significant part of the nutrient gap, as these are consumed widely and in significant amounts. Wheat flour and sugar are not as promising food vehicles in the Bangladeshi context, as they were consumed by a smaller portion of the population and in smaller amounts. In conclusion, fortification of rice and oil is recommended to address the large gap in micronutrient intakes.
孟加拉国在过去十年经历了快速的经济增长,并在健康方面取得了重大改善,但营养不良率仍然很高。2011年进行的一项具有全国代表性的研究评估了841名24至59个月大的儿童、1428名6至14岁的儿童以及1412名非孕、非哺乳期妇女的饮食习惯。该研究的目的是评估关键微量营养素的膳食摄入量以及潜在可强化食品的消费模式,然后模拟强化主要主食的潜在影响。研究发现,铁、锌、叶酸、维生素A和维生素B12等几种微量营养素的当前摄入量不足以满足孟加拉国儿童和妇女的需求。用铁和锌强化大米以及用维生素A强化食用油有可能填补很大一部分营养缺口,因为这些食品的消费量很大且范围广泛。在孟加拉国的情况下,小麦粉和糖作为强化食品载体的前景不太乐观,因为食用它们的人口比例较小且食用量也较少。总之,建议强化大米和食用油以解决微量营养素摄入量方面的巨大差距。