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超越有效性——实施强化计划的困境。柬埔寨鱼类和酱油铁强化质量的案例研究。

Beyond Effectiveness--The Adversities of Implementing a Fortification Program. A Case Study on the Quality of Iron Fortification of Fish and Soy Sauce in Cambodia.

作者信息

Laillou Arnaud, Pfanner Simon, Chan Theary, Chea Chantum, Mam Borath, Sambath Pol, Vonthanak Saphoon, Wieringa Frank

机构信息

United Nations Children's Fund (UNICEF), No. 11 Street 75, Sangkat Sraschark, Phnom Penh 12100, Cambodia.

Reproductive and Child Health Alliance (RACHA), No. 160 Street 71, Tonle Bassac, Chamkar Mon, Phnom Pen 12100, Cambodia.

出版信息

Nutrients. 2016 Feb 17;8(2):94. doi: 10.3390/nu8020094.

DOI:10.3390/nu8020094
PMID:26901222
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4772057/
Abstract

Fortification of fish and soy sauces is a cost-effective strategy to deliver and increase iron intake in the Cambodian diet, as both are widely consumed by the entire population. In order to qualify as fortified sauces recognized by international regulations, iron content must be between 230 and 460 mg/L, whilst nitrogen and salt should contain no less than 10 g/L and 200 g/L respectively. This survey aims to analyze the progress of the fortification program. Through a better understanding of its obstacles and successes, the paper will then consider approaches to strengthen the program. Two hundred and fifty two samples were collected from 186 plants and 66 markets in various provinces. They were then analyzed for iron, nitrogen and salt content. The study demonstrates that 74% of fortified fish and soy sauces comply with Cambodian regulations on iron content. 87% and 53.6% of the collected samples do not have adequate level of nitrogen and salt content, respectively. The paper will discuss additional efforts that need to be implemented to ensure the sustainability of the project, including the need to: (i) comply with International Codex; (ii) adopt mandatory legislation; and (iii) ensure enforcement.

摘要

对鱼露和酱油进行强化是一种经济有效的策略,可增加柬埔寨饮食中铁的摄入量,因为这两种食品被全体民众广泛食用。为了符合国际法规认可的强化酱油标准,铁含量必须在230至460毫克/升之间,而氮和盐的含量应分别不少于10克/升和200克/升。本次调查旨在分析强化计划的进展情况。通过更好地了解其障碍和成功之处,本文将进而探讨加强该计划的方法。从各省的186家工厂和66个市场收集了252个样本。然后对它们的铁、氮和盐含量进行了分析。研究表明,74%的强化鱼露和酱油符合柬埔寨的铁含量规定。所采集样本中,分别有87%和53.6%的氮和盐含量不足。本文将讨论为确保该项目的可持续性需要采取的额外措施,包括需要:(i)遵守国际食品法典标准;(ii)通过强制性立法;以及(iii)确保执法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/459c/4772057/5d9edc6b4417/nutrients-08-00094-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/459c/4772057/eb20ba600e5f/nutrients-08-00094-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/459c/4772057/1f1e2c9d9488/nutrients-08-00094-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/459c/4772057/68afd40ef9bd/nutrients-08-00094-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/459c/4772057/5d9edc6b4417/nutrients-08-00094-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/459c/4772057/eb20ba600e5f/nutrients-08-00094-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/459c/4772057/1f1e2c9d9488/nutrients-08-00094-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/459c/4772057/68afd40ef9bd/nutrients-08-00094-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/459c/4772057/5d9edc6b4417/nutrients-08-00094-g004.jpg

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本文引用的文献

1
Low Prevalence of Iron and Vitamin A Deficiency among Cambodian Women of Reproductive Age.柬埔寨育龄妇女中铁和维生素A缺乏症的低患病率。
Nutrients. 2016 Apr 1;8(4):197. doi: 10.3390/nu8040197.
2
Fish sauce, soy sauce, and vegetable oil fortification in Cambodia: where do we stand to date?柬埔寨的鱼露、酱油和植物油强化:目前我们进展如何?
Food Nutr Bull. 2013 Jun;34(2 Suppl):S62-71. doi: 10.1177/15648265130342S108.
3
Iron interventions for women and children in low-income countries.在低收入国家为妇女和儿童进行铁干预。
硫胺素缺乏症:诊断、流行情况以及全球控制规划路线图。
Ann N Y Acad Sci. 2018 Oct;1430(1):3-43. doi: 10.1111/nyas.13919. Epub 2018 Aug 27.
4
Estimated Nutritive Value of Low-Price Model Lunch Sets Provided to Garment Workers in Cambodia.柬埔寨制衣工人低价套餐的营养价值评估。
Nutrients. 2017 Jul 21;9(7):782. doi: 10.3390/nu9070782.
J Nutr. 2011 Apr 1;141(4):756S-762S. doi: 10.3945/jn.110.128793. Epub 2011 Mar 2.
4
Efficacy of iron-fortified Ultra Rice in improving the iron status of women in Mexico.铁强化超级大米对改善墨西哥女性铁营养状况的功效。
Food Nutr Bull. 2008 Jun;29(2):140-9. doi: 10.1177/156482650802900208.
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Dual fortification of salt with iron and iodine in women and children in rural Ghana.加纳农村地区妇女和儿童食用铁碘双强化盐的情况。
East Afr Med J. 2007 Oct;84(10):473-80. doi: 10.4314/eamj.v84i10.9565.
6
Efficacy of iron-fortified whole maize flour on iron status of schoolchildren in Kenya: a randomised controlled trial.铁强化全玉米粉对肯尼亚学童铁营养状况的影响:一项随机对照试验。
Lancet. 2007 May 26;369(9575):1799-1806. doi: 10.1016/S0140-6736(07)60817-4.
7
The use of NaFeEDTA-fortified fish sauce is an effective tool for controlling iron deficiency in women of childbearing age in rural Vietnam.使用富铁乙二胺四乙酸钠的鱼露是控制越南农村育龄妇女缺铁情况的有效手段。
J Nutr. 2005 Nov;135(11):2596-601. doi: 10.1093/jn/135.11.2596.