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Updated: Jun 19, 2026

The Caco-2 Cell Bioassay for Measurement of Food Iron Bioavailability
Published on: April 28, 2022
Iron-fortified rice is as efficacious as supplemental iron drops in infants and young children
Mark A Beinner1, Gustavo Velasquez-Meléndez, Milene C Pessoa
1School of Nursing and Nutrition, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil, 30130-100. mark@enf.ufmg.br
Insights
Fortified rice effectively improved iron status in mildly anemic children in Brazil. Micronized ferric pyrophosphate rice boosted iron stores and reduced anemia, offering a viable alternative to iron drops.
Area of Science:
- Public Health Nutrition
- Micronutrient Fortification
- Pediatric Anemia
Background:
- Iron deficiency anemia is a significant public health issue in low- and middle-income countries, particularly affecting infants and young children.
- Improving iron status in young children remains a challenge in regions like Brazil.
Purpose of the Study:
- To evaluate the efficacy of rice fortified with micronized ferric pyrophosphate (MFP) in improving iron status among mildly anemic children aged 6-24 months.
- To compare the effectiveness of MFP-fortified rice with standard iron drops for anemia treatment.
Main Methods:
- A 5-month, double-blind, home-based randomized trial was conducted in Brazil with 175 mildly anemic children.
- One group received MFP-fortified rice (Ultra Rice technology), while the control group received non-fortified rice and iron drops.
- Serum ferritin (SF) and hemoglobin (Hb) concentrations were measured at baseline and after 5 months.
Main Results:
- At baseline, 73.1% had iron deficiency and 100% had anemia.
- After 5 months, both groups showed increased SF and Hb levels, with significantly greater improvements in the fortified rice group (P < 0.01).
- Adults could not differentiate the taste, smell, or appearance of cooked fortified rice from unfortified rice.
Conclusions:
- Home-based consumption of MFP-fortified rice effectively increased iron stores and reduced anemia in mildly anemic young children.
- Fortifying rice with iron presents a promising strategy to improve iron status in populations where rice is a dietary staple for young children.
- This approach may be as effective as providing iron drops, with potential for wider reach and better adherence.
Abstract:
How to improve iron status among infants and young children is of continued concern in low- to middle-income countries, including Brazil. In a double blind, 5-mo, home-based, randomized trial in Brazil, we gave one group of mildly anemic 6- to 24-mo-old children (n = 175) rice fortified with micronized ferric pyrophosphate using the Ultra Rice technology and a placebo solution (URG) and another group identical nonfortified rice and iron drops. We instructed parents on the correct dosage of iron drops and to feed their children rice as they normally would. We measured serum ferritin (SF) and hemoglobin (Hb) concentrations at baseline and at 5 mo. At baseline, the prevalences of iron deficiency and anemia in the total sample were 73.1 and 100%, respectively. At 5 mo, SF and Hb increased in both groups, although the change in the URG was larger (P < 0.01). Adult participants were unable to distinguish cooked fortified rice from unfortified rice in terms of smell, color, or taste. As rice is normally consumed at home, MPF-fortified rice increased iron stores and reduced anemia in a group of mildly anemic children 6-24 mo old. In populations where young children are routinely fed approximately 100 g of cooked rice daily, fortifying it with iron may improve iron status at least as well as providing free iron drops.
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