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Iron and zinc deficiencies in China: what is a feasible and cost-effective strategy?

  • Guansheng Ma (a1) (a2), Ying Jin (a1), Yanping Li (a1) (a2), Fengying Zhai (a1), Frans J Kok (a2), Evert Jacobsen (a2) and Xiaoguang Yang (a1)
  • DOI: http://dx.doi.org/10.1017/S1368980007001085
  • Published online: 01 June 2008
Abstract
Abstract

In order to prioritise interventions for micronutrient deficiencies in China, the populations affected by iron and zinc deficiencies were assessed based on data from the 2002 China National Nutrition and Health Survey. The costs and cost-effectiveness of supplementation, food diversification and food fortification were estimated using the standard World Health Organization ingredients approach. Results indicated that 30% of children (<2 years), adults (>60 years), pregnant and lactating women, and 20% of women of reproductive age were anaemic, some 245 million people. Approximately 100 million people were affected by zinc deficiency (zinc intake inadequacy and stunting), the majority living in rural areas. Among interventions on iron and zinc deficiency, biofortification showed the lowest costs per capita, I$0.01 (international dollars), while dietary diversification through health education represented the highest costs at I$1148. The cost-effectiveness of supplementation, food fortification and dietary diversification for iron deficiency alone was I$179, I$66 and I$103 per disability-adjusted life-year (DALY), respectively. Data for biofortification were not available. For zinc deficiency, the corresponding figures were I$399, I$153 and I$103 per DALY, respectively. In conclusion, iron and zinc deficiencies are of great public health concern in China. Of the two long-term intervention strategies, i.e. dietary diversification and biofortification with improved varieties, the latter is especially feasible and cost-effective for rural populations. Supplementation and fortification can be used as short-term strategies for specific groups.

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Corresponding author: Email mags@chinacdc.net.cn
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1J Bryce , C Boschi-Pinto , K Shibuya , RF Black . WHO estimates of the causes of death in children. Lancet 2005; 365: 11471152.

5E Pollitt . Iron deficiency and cognitive function. Annual Review of Nutrition 1993; 13: 521537.

13W Willett . Nutritional Epidemiology, 2nd ed. New York: Oxford University Press, 1998.

16PJ White , MR Broadley . Biofortifying crops with essential mineral elements. Trends in Plant Science 2005; 10: 586592.

30G Ma , Y Jin , J Piao , JF Kok , G Bonnema , E Jacobsen . Phytate, calcium, iron and zinc contents and their molar ratio in foods commonly consumed in China. Journal of Agricultural and Food Chemistry 2005; 53: 1028510290.

31G Ma , Y Li , Y Jin , F Zhai , FJ Kok , X Yang . Phytate intake and molar ratios of phytate to zinc, iron and calcium in the diets of people in China. European Journal of Clinical Nutrition 2007; 61: 368374.

34CJ Murray , DB Evans , A Acharya , RM Baltussen . Development of WHO guidelines on generalized cost-effectiveness analysis. Health Economics 2000; 9: 235251.

36CJ Murray , JA Lauer , RC Hutubessy , L Niessen , N Tomijima , A Rodgers , Effectiveness and cost of interventions to lower systolic blood pressure and cholesterol: a global and regional analysis on reduction of cardiovascular-disease risk. Lancet 2003; 361: 717725.

43D Suharno , CE West , Muhilal, D Karyadi , JG Hautvast . Supplementation with vitamin A and iron for nutritional anaemia in pregnant women in West Java, Indonesia. Lancet 1993; 342: 13251328.

49W Mertz . Food fortification in the United States. Nutrition Reviews 1997; 55: 4449.

50MA Honein , LJ Paulozzi , TJ Mathews , JD Erickson , LY Wong . Impact of folic acid fortification of the US food supply on the occurrence of neural tube defects. JAMA: Journal of the American Medical Association 2001; 285: 29812986.

51JG Ray , C Meier , MJ Vermeulen , S Boss , PR Wyatt , DE Cole . Association of neural tube defects and folic acid food fortification in Canada. Lancet 2002; 360: 20472048.

54J Chen , X Zhao , X Zhang , S Yin , J Piao , J Huo , Studies on the effectiveness of NaFeEDTA-fortified soy sauce in controlling iron deficiency: a population-based intervention trial. Food and Nutrition Bulletin 2005; 26: 177186.

59RM Welch . Biotechnology, biofortification, and global health. Food and Nutrition Bulletin 2005; 26: 419421.

60B Caballero . Fortification, supplementation, and nutrient balance. European Journal of Clinical Nutrition 2003; 57: S76S78.

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  • ISSN: 1368-9800
  • EISSN: 1475-2727
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