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

The Journal of Nutrition
|November 6, 2009
PubMed

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.

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