The Prevalence of Micronutrient Deficiencies and Inadequacies in the Middle East and Approaches to Interventions

被引:120
作者
Hwalla, Nahla [1 ]
Al Dhaheri, Ayesha Salem [2 ]
Radwan, Hadia [3 ]
Alfawaz, Hanan Abdullah [4 ]
Fouda, Mona A. [5 ,6 ]
Al-Daghri, Nasser Mohammed [7 ]
Zaghloul, Sahar [8 ]
Blumberg, Jeffrey B. [9 ]
机构
[1] Amer Univ Beirut, Fac Agr & Food Sci, Beirut 11072020, Lebanon
[2] United Arab Emirates Univ, Coll Food & Agr, Nutr & Hlth Dept, Al Ain, U Arab Emirates
[3] Univ Sharjah, Coll Hlth Sci, Clin Nutr & Dietet Dept, Sharjah, U Arab Emirates
[4] King Saud Univ, Coll Food Sci & Agr, Dept Food Sci & Nutr, Riyadh, Saudi Arabia
[5] King Saud Univ, Coll Med, Dept Med, Div Endocrinol, Riyadh, Saudi Arabia
[6] King Saud Univ, KSUMC, Riyadh, Saudi Arabia
[7] King Saud Univ, Coll Sci, Dept Biochem, Prince Mutaib Chair Biomarkers Osteoporosis, Riyadh, Saudi Arabia
[8] Natl Inst Nutr, Dept Nutr Requirements & Growth, Cairo, Egypt
[9] Tufts Univ, Jean Mayer USDA Human Nutr Res Ctr Aging, Friedman Sch Nutr Sci & Policy, Boston, MA 20111 USA
关键词
Middle East; micronutrient; deficiency; inadequacy; dietary supplementation; food fortification; VITAMIN-D DEFICIENCY; NEURAL-TUBE DEFECTS; CHRONIC DISEASE PREVENTION; FOLIC-ACID AWARENESS; BONE-MINERAL DENSITY; IRON-DEFICIENCY; HYPOVITAMINOSIS D; RISK-FACTORS; 25-HYDROXYVITAMIN D; PREGNANT-WOMEN;
D O I
10.3390/nu9030229
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Micronutrient deficiencies and inadequacies constitute a global health issue, particularly among countries in the Middle East. The objective of this review is to identify micronutrient deficits in the Middle East and to consider current and new approaches to address this problem. Based on the availability of more recent data, this review is primarily focused on countries that are in advanced nutrition transition. Prominent deficits in folate, iron, and vitamin D are noted among children/ adolescents, women of childbearing age, pregnant women, and the elderly. Reports indicate that food fortification in the region is sporadic and ineffective, and the use of dietary supplements is low. Nutrition monitoring in the region is limited, and gaps in relevant information present challenges for implementing new policies and approaches to address the problem. Government-sponsored initiatives are necessary to assess current dietary intakes/ patterns, support nutrition education, and to reduce food insecurity, especially among vulnerable population groups. Public-private partnerships should be considered in targeting micronutrient fortification programs and supplementation recommendations as approaches to help alleviate the burden of micronutrient deficiencies and inadequacies in the Middle East.
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页数:28
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