Effectiveness of Food Fortification in Improving Nutritional Status of Mothers and Children in Indonesia

Nikmah Utami Dewi and Trias Mahmudiono
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Nikmah Utami Dewi: Department of Nutrition, Faculty of Public Health, University of Tadulako, Palu 94148, Indonesia
Trias Mahmudiono: Department of Nutrition, Faculty of Public Health, University of Airlangga, Surabaya 60115, Indonesia

IJERPH, 2021, vol. 18, issue 4, 1-12

Abstract: Food fortification programs have been conducted in several countries to overcome micronutrient deficiency and related problems with various degrees of effectiveness. Available information regarding the success of food fortification programs in some developing countries, including Indonesia, is still limited. Thus, this study conducts a systematic review of the effects of food fortification of mothers and children using biochemical and anthropometric measures focusing on linear growth. Three databases were used in the literature search, namely PubMed, Science Direct and Google Scholar. Fifteen articles were included for analysis from 517 studies found consisting of Indonesian and English articles published from 2000 to June 2020. Fortification of iron, vitamin A, and iodine can increase the level of hemoglobin, serum ferritin, and serum retinol and median urine iodine excretion, especially in toddlers and schoolchildren. However, multinutrient fortification interventions were associated with various effects on hemoglobin, serum ferritin, and serum retinol but a positive association was found with linear growth indicators in the form of body length for age. The effectiveness of food fortification in reducing the prevalence of stunting still needs more and stronger evidence through studies with large sample size and longer duration.

Keywords: fortification; Indonesia; nutritional status; stunting (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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