1
|
Yunus FM, Jalal C, Das A, Afsana K, Podder R, Vandenberg A, DellaValle DM. Consumption of Iron-Fortified Lentils Is Protective against Declining Iron Status among Adolescent Girls in Bangladesh: Evidence from a Community-Based Double-Blind, Cluster-Randomized Controlled Trial. J Nutr 2024:S0022-3166(24)00153-6. [PMID: 38458577 DOI: 10.1016/j.tjnut.2024.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 02/29/2024] [Accepted: 03/04/2024] [Indexed: 03/10/2024] Open
Abstract
BACKGROUND In many low-income countries, iron deficiency (ID) and its anemia (IDA) pose significant health challenges, particularly among females and girls. Finding sustainable and effective solutions to address this issue is critical. OBJECTIVES This study aimed to evaluate the efficacy of incorporating iron-fortified lentils (IFLs) into the diets of rural Bangladeshi adolescent girls on their body iron (Fe) status. METHODS A community-based, double-blind, cluster-randomized controlled trial involved n = 1195 girls aged 10-17 y. A total of 48 adolescent clubs (n = ∼27 girls each) were randomized into 3 groups: 1) 200 g cooked IFLs, 2) 200 g cooked noniron-fortified lentils (NIFLs), and 3) a control group with no lentils (usual dietary intake). The intervention, administered 5 days a week for 85 feeding days, provided ∼8.625 mg Fe from each serving of IFLs and 2.625 mg from NIFLs. Blood samples collected at baseline, midpoint (42 feeding days), and endpoint (85 feeding days) assessed key Fe and inflammation biomarkers. Statistical analyses were filtered for inflammation. RESULTS Although all groups experienced a decline in Fe status over time, the IFL group exhibited a significantly reduced decline in serum ferritin (sFer -7.2 μg/L), and total body iron (TBI -0.48 mg/kg) level compared with NIFL (sFer -14.3 μg/L and TBI -1.36 mg/kg) and usual intake group (sFer -12.8 μg/L and TBI -1.33 mg/kg). Additionally, those in the IFL group had a 57% reduced risk of developing clinical ID (sFer <15 μg/L) compared with the usual intake group. CONCLUSIONS Our findings suggest that incorporating IFLs into the diet can help mitigate a decline in sFer, indicating a positive impact on the body Fe status of adolescent girls. This research underscores the potential role of fortified foods in addressing ID and IDA in vulnerable populations, emphasizing the significance of food-based interventions in public health. TRIAL REGISTRATION NUMBER This trial was registered at the clinicaltrials.gov on May 24, 2018 (https://clinicaltrials.gov/study/NCT03516734?locStr=Bangladesh&country=Bangladesh&distance=50&cond=Anemia&intr=Iron%20fortified%20lentils&rank=1) as NCT03516734.
Collapse
Affiliation(s)
- Fakir Md Yunus
- College of Pharmacy and Nutrition, The University of Saskatchewan, Saskatoon, SK, Canada; Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada
| | - Chowdhury Jalal
- Evaluation and Strategic Research, Nutrition International, Ottawa, ON, Canada
| | - Anupom Das
- Civil Surgeon Office, Ministry of Health and Family Welfare, Jashore, Bangladesh
| | - Kaosar Afsana
- James P Grant School of Public Health, BRAC University, Mohakhali, Dhaka, Bangladesh
| | - Rajib Podder
- College of Agriculture and Bio-resources, The University of Saskatchewan, Saskatoon, SK, Canada
| | - Albert Vandenberg
- College of Agriculture and Bio-resources, The University of Saskatchewan, Saskatoon, SK, Canada
| | - Diane M DellaValle
- Department of Health and Human Performance, King's College, Wilkes-Barre, PA, United States.
| |
Collapse
|
2
|
Agbasi JC, Ezugwu AL, Omeka ME, Ucheana IA, Aralu CC, Abugu HO, Egbueri JC. More about making profits or providing safe drinking water? A state-of-the-art review on sachet water contamination in Nigeria. JOURNAL OF ENVIRONMENTAL SCIENCE AND HEALTH. PART C, TOXICOLOGY AND CARCINOGENESIS 2024:1-43. [PMID: 38439577 DOI: 10.1080/26896583.2024.2319009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/06/2024]
Abstract
Public health concerns on surface and groundwater contamination worldwide have increased. Sachet water contamination has also raised serious concerns across many developing countries. While previous studies attempted to address this issue, this review takes a different approach by utilizing a comprehensive analysis of physicochemical parameters, heavy metals, and microbial loads tested in sachet water across Nigeria's six geopolitical zones, within the period of 2020-2023. In this review study, over 50 articles were carefully analyzed. Collected data unveiled regional variations in the quality of sachet water across Nigeria. Noteworthy concerns revolve around levels of pH, total hardness, magnesium, calcium, nickel, iron, lead, mercury, arsenic, and cadmium. Fecal contamination was also identified as a significant issue, with the prevalence of several pathogens like Escherichia coli, Salmonella typhi, Enterobacter cloacae, Staphylococcus aureus, and Enterococcus faecalis. The manufacturing, delivery, storage, and final sale of sachet water, as well as poor environmental hygiene, were identified as potential contamination sources. The intake of contaminated sachet water exposes the citizens to waterborne and carcinogenic diseases. While the sachet water industry keeps growing and making profits, it is apparent that improvement calls made by previous studies, regarding the quality of water produced, have not been paid serious attention.
Collapse
Affiliation(s)
- Johnson C Agbasi
- Department of Geology, Chukwuemeka Odumegwu Ojukwu University, Uli, Anambra State, Nigeria
| | - Arinze Longinus Ezugwu
- Department of Pure and Industrial Chemistry, University of Nigeria, Nsukka, Enugu State, Nigeria
| | - Michael Ekuru Omeka
- Department of Geology, University of Calabar, P.M.B. 1115, Calabar, Cross River State, Nigeria
| | - Ifeanyi Adolphus Ucheana
- Department of Pure and Industrial Chemistry, University of Nigeria, Nsukka, Enugu State, Nigeria
- Central Science Laboratory, University of Nigeria, Nsukka, Enugu State, Nigeria
| | | | - Hillary Onyeka Abugu
- Department of Pure and Industrial Chemistry, University of Nigeria, Nsukka, Enugu State, Nigeria
| | - Johnbosco C Egbueri
- Department of Geology, Chukwuemeka Odumegwu Ojukwu University, Uli, Anambra State, Nigeria
| |
Collapse
|
3
|
Morton CM, Pullabhotla H, Bevis L, Lobell DB. Soil micronutrients linked to human health in India. Sci Rep 2023; 13:13591. [PMID: 37604890 PMCID: PMC10442378 DOI: 10.1038/s41598-023-39084-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 07/20/2023] [Indexed: 08/23/2023] Open
Abstract
Trace soil minerals are a critical determinant of both crop productivity and the mineral concentration of crops, therefore potentially impacting the nutritional status of human populations relying on those crops. We link health data from nearly 0.3 million children and one million adult women across India with over 27 million soil tests drawn from a nationwide soil health program. We find that soil zinc availability is positively associated with children's linear height growth, and soil iron availability is positively associated with hemoglobin levels. The link between soil zinc and childhood stunting is particularly robust-a one standard deviation increase in satisfactory soil zinc tests is associated with approximately 11 fewer children stunted per 1000. We also find that this zinc-stunting relationship is strongest in wealthier households. Our results suggest that soil mineral availability impacts human nutritional status and health in at least some areas of India, and that agronomic fortification may be a beneficial intervention.
Collapse
Affiliation(s)
- Claire M Morton
- Mathematical and Computational Science Program, Stanford University, Stanford, USA.
| | | | - Leah Bevis
- Department of Agricultural, Environmental and Development Economics, Ohio State University, Columbus, USA
| | - David B Lobell
- Department of Earth System Science and Center on Food Security and the Environment, Stanford University, Stanford, USA
| |
Collapse
|
4
|
Noubactep C, Kenmogne-Tchidjo JF, Vollmer S. Iron-fortified water: a new approach for reducing iron deficiency anemia in resource-constrained settings. Sci Rep 2023; 13:13565. [PMID: 37604937 PMCID: PMC10442336 DOI: 10.1038/s41598-023-40600-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 08/14/2023] [Indexed: 08/23/2023] Open
Abstract
A new approach for fortification of drinking water is presented for combating iron deficiency anemia (IDA) worldwide. The idea is to leach Fe from a bed containing granular metallic iron (Fe0), primarily using ascorbic acid (AA). AA forms very stable and bioavailable complexes with ferrous iron (FeII). Calculated amounts of the FeII-AA solution can be added daily to the drinking water of households or day-care centers for children and adults (e.g. hospitals, kindergartens/schools, refugee camps) to cover the Fe needs of the populations. Granular Fe0 (e.g., sponge iron) in filters is regarded as a locally available Fe carrier in low-income settings, and, AA is also considered to be affordable in low-income countries. The primary idea of this concept is to stabilize FeII from the Fe0 filter by using an appropriate AA solution. An experiment showed that up to 12 mg Fe can be daily leached from 1.0 g of a commercial sponge iron using a 2 mM AA solution. Fe fortification of safe drinking water is a practicable, affordable and efficient method for reducing IDA in low-income communities.
Collapse
Affiliation(s)
- Chicgoua Noubactep
- Centre for Modern Indian Studies (CeMIS), Universität Göttingen, Waldweg 26, 37073, Göttingen, Germany.
- Department of Water and Environmental Science and Engineering, Nelson Mandela African Institution of Science and Technology, P.O. Box 447, Arusha, Tanzania.
- Faculty of Science and Technology, Campus of Banekane, Université des Montagnes, P.O. Box 208, Bangangté, Cameroon.
- School of Earth Science and Engineering, Hohai University, Fo Cheng Xi Road 8, Nanjing, 211100, China.
| | | | - Sebastian Vollmer
- Centre for Modern Indian Studies (CeMIS), Universität Göttingen, Waldweg 26, 37073, Göttingen, Germany
| |
Collapse
|
5
|
Mutonhodza B, Dembedza MP, Lark MR, Joy EJM, Manzeke-Kangara MG, Njovo H, Nyadzayo TK, Kalimbira AA, Bailey EH, Broadley MR, Matsungo TM, Chopera P. Anemia in children aged 6-59 months was significantly associated with maternal anemia status in rural Zimbabwe. Food Sci Nutr 2023; 11:1232-1246. [PMID: 36911837 PMCID: PMC10003031 DOI: 10.1002/fsn3.3157] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 11/07/2022] [Accepted: 11/11/2022] [Indexed: 12/07/2022] Open
Abstract
Globally, anemia is a public health problem affecting mostly women of reproductive age (WRA, n = 452) and children aged 6-59 months (n = 452) from low- and lower-middle-income countries. This cross-sectional study assessed the prevalence and determinants of anemia in WRA and children aged 6-59 months in rural Zimbabwe. The venous blood sample was measured for hemoglobin utilizing a HemoCue machine. Anthropometric indices were assessed and classified based on World Health Organization standards. Socioeconomic characteristics were assessed. The median (±inter quartile range (IQR)) age of WRA was 29 ± 12 years and that for children was 29 ± 14 months. The prevalence of anemia was 29.6% and 17.9% in children and WRA, respectively, while the median (±IQR) hemoglobin levels were 13.4 ± 1.8 and 11.7 ± 1.5 g/dl among women and children, respectively. Multiple logistic regression analysis was used to assess determinants of anemia. Anemia in children was significantly associated with maternal anemia (odds ratio (OR) = 2.02; 95% CI 1.21-3.37; p = .007) and being a boy (OR = 0.63; 95% CI 0.41-0.95; p = .029), while anemia in WRA was significantly associated with the use of unimproved dug wells as a source of drinking water (OR = 0.36; 95% CI 0.20-0.66; p = .001) and lack of agricultural land ownership (OR = 0.51; 95% CI 0.31-0.85; p = .009). Anemia is a public health problem in the study setting. The positive association between maternal and child anemia reflects the possibility of cross-generational anemia. Therefore, interventions that focus on improving preconceptual and maternal nutritional status may help to reduce anemia in low-income settings.
Collapse
Affiliation(s)
- Beaula Mutonhodza
- Department of Nutrition, Dietetics and Food Sciences University of Zimbabwe Harare Zimbabwe
| | - Mavis P Dembedza
- Department of Nutrition, Dietetics and Food Sciences University of Zimbabwe Harare Zimbabwe
| | - Murray R Lark
- School of Biosciences, Sutton Bonington Campus University of Nottingham Loughborough, Leicestershire UK
| | - Edward J M Joy
- London School for Hygiene & Tropical Medicine London UK.,Rothamsted Research Harpenden UK
| | | | - Handrea Njovo
- National Nutrition Unit Ministry of Health and Child Care of Zimbabwe Harare Zimbabwe
| | - Tasiana K Nyadzayo
- National Nutrition Unit Ministry of Health and Child Care of Zimbabwe Harare Zimbabwe
| | - Alexander A Kalimbira
- Department of Human Nutrition and Health Lilongwe University of Agriculture and Natural Resources Lilongwe Malawi
| | - Elizabeth H Bailey
- School of Biosciences, Sutton Bonington Campus University of Nottingham Loughborough, Leicestershire UK
| | - Martin R Broadley
- School of Biosciences, Sutton Bonington Campus University of Nottingham Loughborough, Leicestershire UK.,Rothamsted Research Harpenden UK
| | - Tonderayi M Matsungo
- Department of Nutrition, Dietetics and Food Sciences University of Zimbabwe Harare Zimbabwe
| | - Prosper Chopera
- Department of Nutrition, Dietetics and Food Sciences University of Zimbabwe Harare Zimbabwe
| |
Collapse
|
6
|
Sema AI, Bhattacharyya J. Biochar derived from waste bamboo shoots for the biosorptive removal of ferrous ions from aqueous solution. J INDIAN CHEM SOC 2022. [DOI: 10.1016/j.jics.2022.100791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
|