Exploring the complementarity of fortification and dietary diversification to combat micronutrient deficiencies: A scoping review

Bechoff Aurélie, de Bruyn Julia, Alpha Arlène, Wieringa Frank T., Greffeuille Valérie. 2023. Exploring the complementarity of fortification and dietary diversification to combat micronutrient deficiencies: A scoping review. Current Developments in Nutrition, 7 (2):100033, 19 p.

https://doi.org/10.1016/j.cdnut.2023.100033

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Résumé : Achieving a balanced and diverse diet remains a challenge for many people, contributing to an ongoing burden of micronutrient deficiencies, particularly in low-income settings. Fortification or dietary diversification are common food-based approaches. We conducted a scoping review to: 1) find evidence on whether combined food–based strategies are more effective than single strategies, and 2) understand how strategies implemented together could complement each other to achieve optimal nutritional impact on populations. Peer-reviewed articles selected (n = 21) included interventions or observational studies (n = 13) and reviews (n = 8). We found little evidence of an added nutritional impact. On the other hand, it is apparent that fortification and dietary diversification target different types of settings (urban compared with rural) and foods (that is, low priced compared with highly priced). Further research is needed to understand the complementarity of these approaches and establish evidence of the effectiveness of combined strategies to foster policy adoption.

Mots-clés Agrovoc : diversification, oligo-élement, régime alimentaire, enrichissement des aliments en éléments nutritifs, carence en micronutriments, alimentation humaine

Mots-clés géographiques Agrovoc : Afrique au sud du Sahara

Mots-clés libres : Food diversity, Fortification, Biofortification, Hidden hunger, Nutritional impact, Integrated food-based strategies

Classification Agris : S30 - Régimes alimentaires et maladies nutritionnelles
S01 - Nutrition humaine - Considérations générales
S50 - Santé humaine

Champ stratégique Cirad : CTS 3 (2019-) - Systèmes alimentaires

Agences de financement européennes : European Commission

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