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Fortification, supplementation, and nutrient balance.
1Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. caballero@jhu.edu
European Journal of Clinical Nutrition
|August 30, 2003
Summary
Nutrient supplementation effectively addresses deficiencies but shows limited evidence for preventing chronic diseases in healthy people. Dietary patterns like the Mediterranean diet may offer better protection against conditions such as cardiovascular disease.
Area of Science:
- Nutritional Science
- Public Health
- Preventive Medicine
Background:
- Nutrient deficiencies are addressed via supplementation and food fortification.
- Supplementation and fortification are also used to reduce chronic disease risk in healthy populations.
- Diet-chronic disease links have driven interest in nutritional interventions for prevention.
Purpose of the Study:
- To evaluate the efficacy of nutrient supplementation and food fortification in preventing chronic diseases.
- To explore the role of dietary patterns in chronic disease risk reduction.
- To understand the impact of genetic heterogeneity on nutrient requirements.
Main Methods:
- Review of existing literature on nutrient supplementation and fortification efficacy.
- Analysis of studies linking dietary patterns to chronic disease outcomes.
- Consideration of genetic factors influencing individual nutrient needs.
Main Results:
- Supplementation effectively reduces micronutrient deficiencies globally.
- Evidence for supplementation preventing chronic diseases in healthy individuals is limited, except for folic acid in preventing neural tube defects.
- Dietary patterns, like the Mediterranean diet, are associated with reduced chronic disease risk, especially cardiovascular diseases.
Conclusions:
- Nutrient supplementation is crucial for deficiency correction but less proven for chronic disease prevention in the general healthy population.
- Personalized nutrition based on genetic variability may identify specific groups benefiting from targeted nutrient intake.
- Dietary patterns represent a promising strategy for chronic disease risk reduction.