Bouis Howarth
World Rev Nutr Diet. 2018;118:112-122. doi: 10.1159/000484342. Epub 2018 Apr 13.
Fundamentally, the prevalence of mineral and vitamin deficiencies is high in developing countries due to the fact that agricultural systems do not produce sufficient foods rich in minerals and vitamins. Biofortification involves breeding staple food crops to increase their micronutrient content, targeting staple foods widely consumed by low-income families globally. In so doing, biofortification contributes to solving the underlying problem of mineral and vitamin deficiencies by increasing the amount of iron, zinc, and provitamin A produced by food systems. When HarvestPlus first started in 2003, there was much doubt among a range of stakeholders, that biofortification would work. First, we had to prove to the plant science community that higher target levels iron, zinc, and provitamin A could be bred into high-yielding, profitable varieties. Presently, over 150 varieties of 12 biofortified crops have passed the agronomic tests of varietal release committees in 30 developing countries. In 3-5 years, biofortified varieties will be available to farmers and consumers in an additional 25 countries. The nutrition community initially questioned the efficacy of biofortified crops - would the levels of retained nutrients and absorption be high enough? HarvestPlus has commissioned 15 efficacy trials, all undertaken in developing countries. While 5 of these studies are still in process, there is already sufficient positive published evidence for iron and provitamin A. Can adoption of biofortified crops by farmers be scaled up, and a public health impact demonstrated? HarvestPlus estimates that 20 million farmers and consumers presently grow and consume biofortified crops in 8 target countries. The final and major challenge is to mainstream biofortification into the fabric of "business-as-usual" of a range of organizations - public and private agricultural research, institutions that focus on bringing improved agricultural technologies to farmers including multi-lateral lending institutions, private companies, non-governmental organizations, and the policies and programs of national governments, regional organizations, and UN agencies.
从根本上说,发展中国家矿物质和维生素缺乏症的患病率很高,原因是农业系统无法产出足够富含矿物质和维生素的食物。生物强化是指培育主粮作物,以增加其微量营养素含量,目标是全球低收入家庭广泛食用的主食。这样一来,生物强化通过增加食物系统产出的铁、锌和维生素A原的量,有助于解决矿物质和维生素缺乏这一根本问题。2003年HarvestPlus项目刚启动时,众多利益相关者对生物强化是否可行存在诸多疑虑。首先,我们必须向植物科学界证明,可以将更高目标水平的铁、锌和维生素A原培育到高产、盈利的品种中。目前,12种生物强化作物的150多个品种已通过30个发展中国家品种审定委员会的农艺测试。在3至5年内,另外25个国家的农民和消费者也将能够获得生物强化品种。营养学界最初质疑生物强化作物的功效——留存营养素的水平和吸收率是否足够高?HarvestPlus已委托开展了15项功效试验,所有试验均在发展中国家进行。虽然其中5项研究仍在进行中,但关于铁和维生素A原已有足够的积极公开证据。农民对生物强化作物的采用能否扩大规模,并证明其对公共卫生有影响?HarvestPlus估计,目前在8个目标国家有2000万农民和消费者种植和食用生物强化作物。最后也是主要的挑战是将生物强化纳入一系列组织(包括公共和私营农业研究机构、专注于向农民推广改良农业技术的机构,如多边贷款机构、私营公司、非政府组织)以及各国政府、区域组织和联合国机构的政策与项目的“常规业务”架构中。