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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Nikmah Utami Dewi & Trias Mahmudiono, 2021. "Effectiveness of Food Fortification in Improving Nutritional Status of Mothers and Children in Indonesia," IJERPH, MDPI, vol. 18(4), pages 1-12, February.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:2133-:d:503746
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    Cited by:

    1. Celia Burgaz & Vanessa Gorasso & Wouter M. J. Achten & Carolina Batis & Luciana Castronuovo & Adama Diouf & Gershim Asiki & Boyd A. Swinburn & Mishel Unar-MunguĂ­a & Brecht Devleesschauwer & Gary Sacks, 2023. "The effectiveness of food system policies to improve nutrition, nutrition-related inequalities and environmental sustainability: a scoping review," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 15(5), pages 1313-1344, October.

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