The impact of voluntary food fortification on micronutrient intakes and status in European countries: a review

dc.contributor.authorHennessy, Áine
dc.contributor.authorWalton, Janette
dc.contributor.authorFlynn, Albert
dc.contributor.funderDepartment of Agriculture, Food and the Marineen
dc.date.accessioned2017-03-03T12:52:21Z
dc.date.available2017-03-03T12:52:21Z
dc.date.issued2013-09-11
dc.date.updated2017-03-03T12:45:10Z
dc.description.abstractThis review aims to assess the efficacy and safety of voluntary fortification as an option to address the occurrence of inadequate micronutrient intakes in population subgroups in Europe. Although legislation is harmonised across the European Union, fortification practices and patterns of consumption of fortified foods vary considerably between countries. While the proportion of children consuming fortified foods is greater than adults, the proportion of dietary energy obtained from fortified foods is generally low (<10% in Ireland, where fortified foods are widely consumed). There are a few systematic studies on the overall nutritional impact of voluntary fortification, but there are several studies on the impact of fortified ready-to-eat breakfast cereals. The available evidence indicates that voluntary fortification can reduce the risk of sub-optimal intakes of a range of micronutrients at a population level and can also improve status for selected micronutrients (e.g. folate, vitamin D and riboflavin) in children and adults. Although concerns have been raised regarding the potential of food fortification to lead to unacceptably high micronutrient intakes, particularly for those consuming higher amounts of fortified foods, data from national surveys on total micronutrient intakes (including fortified foods) in Europe show that small proportions of the population, particularly children, may exceed the upper intake level (UL) for some micronutrients. The risk of adverse effects occurring in these individuals exceeding the UL by modest amounts is low. In conclusion, voluntary fortification practices have been shown to improve intake and status of key micronutrients in European Union population groups and do not contribute appreciably to risk of adverse effects.en
dc.description.sponsorshipDepartment of Agriculture, Food and the Marine, Ireland (Food for Health Research Initiative (2007–2012)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHennessy, Á., Walton, J. and Flynn, A. (2013) 'The impact of voluntary food fortification on micronutrient intakes and status in European countries: a review', Proceedings of the Nutrition Society, 72(4), pp. 433-440. doi:10.1017/S002966511300339Xen
dc.identifier.doi10.1017/S002966511300339X
dc.identifier.endpage440en
dc.identifier.issn0029-6651
dc.identifier.issued4en
dc.identifier.journaltitleProceedings of The Nutrition Societyen
dc.identifier.startpage433en
dc.identifier.urihttps://hdl.handle.net/10468/3742
dc.identifier.volume72en
dc.language.isoenen
dc.publisherCambridge University Pressen
dc.rights© The Authors 2013. Published by Cambridge University Press (CUP) on behalf of The Nutrition Societyen
dc.subjectFortificationen
dc.subjectMicronutrientsen
dc.subjectVitaminsen
dc.subjectMineralsen
dc.subjectMicronutrient adequacyen
dc.titleThe impact of voluntary food fortification on micronutrient intakes and status in European countries: a reviewen
dc.typeArticle (peer-reviewed)en
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