Biofortification is the idea of breeding crops to increase their nutritional value. This can be done either through conventional selective breeding, or through genetic engineering. Biofortification differs from ordinary fortification because it focuses on making plant foods more nutritious as the plants are growing, rather than having nutrients added to the foods when they are being processed. This is an important improvement on ordinary fortification when it comes to providing nutrients for the rural poor, who rarely have access to commercially fortified foods. As such, biofortification is seen as an upcoming strategy for dealing with deficiencies of micronutrients in low and middle-income countries. In the case of iron, the WHO estimated that biofortification could help cure the 2 billion people suffering from iron deficiency-induced anemia. [1]
Plants can be bred by selective breeding. In this method, plant breeders search seed or germplasm banks for existing varieties of crops which are naturally high in nutrients. They then crossbreed these high-nutrient varieties with high-yielding varieties of crops, to provide a seed with high yields and increased nutritional value. [2] Crops must be bred with sufficient amounts of nutrients to have a measurable positive impact on human health. As such, they must be developed with the involvement of nutritionists who study whether the consumers of the improved crop can absorb the extra nutrients, and the extent to which storage, processing, and cooking of the crops affect their available nutrient levels. [3] Bread wheat with high grain iron and zinc has been developed through radiation breeding. [4]
This method is prevalent at present, as it is less controversial than genetically engineering crops. HarvestPlus, a major NGO in the development of biofortified crops, primarily use conventional breeding techniques, and have not yet spent more than 15% of their research budget on genetically modified crops when conventional methods fail to meet nutritional requirements. [5] [6]
Golden rice is an example of a GM crop developed for its nutritional value. The latest version of golden rice contains genes from a common soil bacterium Erwinia and maize, and contains increased levels of beta-carotene which can be converted by the body into vitamin A. [7] Golden rice is being developed as a potential new way to address vitamin A deficiency. [8]
Deficiencies of various micronutrients, including vitamin A, zinc, and iron are common in low and middle-income countries and affect billions of people. These can lead to, amongst other symptoms, a higher incidence of blindness, a weaker immune system, stunted growth and impaired cognitive development. [1] The poor, particularly the rural poor, tend to subsist on a diet of staple crops such as rice, wheat and maize, which are low in these micronutrients, and most cannot afford or efficiently cultivate enough fruits, vegetables or meat products that are necessary to obtain healthy levels of these nutrients. [9] [10] As such, increasing the micronutrient levels in staple crops can help prevent and reduce the micronutrient deficiencies – in one trial in Mozambique, eating sweet potatoes biofortified with beta-carotene reduced the incidence of vitamin A deficiency in children by 24%. [11] In two separate randomized clinical trials in India, eating iron- and zinc- biofortified pearl millet was found to improve iron status among school-aged children [12] and was found to improve hemoglobin concentrations in younger male children, and in children ages 12-18 months who were iron-deficient at baseline. [13]
This approach may have advantages over other health interventions such as providing foods fortified after processing, or providing supplements. Although these approaches have proven successful when dealing with the urban poor, they tend to require access to effective markets and healthcare systems which often just do not exist in rural areas. [9] Biofortification is also fairly cost effective after an initial large research investment – where seeds can be distributed, the “implementation costs [of growing biofortified foods] are nil or negligible”, [14] as opposed to supplementation which is comparatively expensive and requires continued financing over time, which may be jeopardized by fluctuating political interest.
Research on this approach is being undertaken internationally, with major efforts ongoing in Brazil, China [15] and India. [16]
Researchers at the University of Warwick have been looking for ways to boost the low selenium levels in British grains, and have been working to help develop a grain to be used in making bread biofortified with selenium. [17]
Some people, while not opposed to biofortification itself, are critical of genetically modified foods, including biofortified ones such as golden rice.
There may occasionally be difficulties in getting biofortified foods to be accepted if they have different characteristics to their unfortified counterparts. For example, vitamin A enhanced foods are often dark yellow or orange in color – this for example is problematic for many in Africa, where white maize is eaten by humans and yellow maize is negatively associated with animal feed or food aid, [14] [18] or where white-fleshed sweet potato is preferred to its moister, orange-fleshed counterpart. [5] Some qualities may be relatively simple to mitigate or breed out of biofortified crops according to consumer demand, such as the moistness of the sweet potato, whereas others cannot be.
Where this is the case, care must be taken to convince the local farmers and consumers that the crop in question is worth growing and consuming. This can be done through improving the cultivation qualities of the plant, for example making the orange sweet-potato mature earlier than its white-fleshed cousin so it can be taken to market earlier. It can also be done through public health education, making the benefits of eating biofortified foods apparent to consumers. Trials suggest that the rural poor “will consume biofortified versions of food staples even if the color of the food has been changed…if they are educated as to the benefit”. [19] While other micronutrients such as zinc or iron can be added to crops without noticeably changing their taste or appearance, [5] some researchers emphasize the importance of ensuring that consumers do not think that their food has been altered without their authorization or knowledge. [14]
Some have criticized biofortification programs because they may encourage “further simplification of human diets and food systems”, [20] because “[biofortification is] a strategy that aims to concentrate more nutrients in few staple foods [which] may contribute to further simplifying diets already overly dependent on a few carbohydrate staples.” [21] This may seem irresponsible, as lack of access to a diverse and balanced diet is the major cause of malnutrition. As a result these critics urge caution, and the use of biofortification as part of a larger strategy involving diversification of foods in low and middle-income countries. [22] Advocates of biofortification accept this as a long term strategy, but state that substantially increasing diet diversity will take “many decades and untold billions of dollars”, [23] and that biofortification could be an effective strategy to help reduce micronutrient malnutrition.
A nutrient is a substance used by an organism to survive, grow and reproduce. The requirement for dietary nutrient intake applies to animals, plants, fungi and protists. Nutrients can be incorporated into cells for metabolic purposes or excreted by cells to create non-cellular structures such as hair, scales, feathers, or exoskeletons. Some nutrients can be metabolically converted into smaller molecules in the process of releasing energy such as for carbohydrates, lipids, proteins and fermentation products leading to end-products of water and carbon dioxide. All organisms require water. Essential nutrients for animals are the energy sources, some of the amino acids that are combined to create proteins, a subset of fatty acids, vitamins and certain minerals. Plants require more diverse minerals absorbed through roots, plus carbon dioxide and oxygen absorbed through leaves. Fungi live on dead or living organic matter and meet nutrient needs from their host.
Human nutrition deals with the provision of essential nutrients in food that are necessary to support human life and good health. Poor nutrition is a chronic problem often linked to poverty, food security, or a poor understanding of nutritional requirements. Malnutrition and its consequences are large contributors to deaths, physical deformities, and disabilities worldwide. Good nutrition is necessary for children to grow physically and mentally, and for normal human biological development.
Vitamin deficiency is the condition of a long-term lack of a vitamin. When caused by not enough vitamin intake it is classified as a primary deficiency, whereas when due to an underlying disorder such as malabsorption it is called a secondary deficiency. An underlying disorder can have 2 main causes:
Golden rice is a variety of rice produced through genetic engineering to biosynthesize beta-carotene, a precursor of vitamin A, in the edible parts of the rice. It is intended to produce a fortified food to be grown and consumed in areas with a shortage of dietary vitamin A. Genetically modified golden rice can produce up to 23 times as much beta-carotene as the original golden rice.
Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is "a deficiency, excess, or imbalance of energy, protein and other nutrients" which adversely affects the body's tissues and form. Malnutrition is not receiving the correct amount of nutrition.
Micronutrients are essential dietary elements required by organisms in varying quantities to regulate physiological functions of cells and organs. Micronutrients support the health of organisms throughout life.
Food fortification or enrichment is the process of adding micronutrients to food. It can be carried out by food manufacturers, or by governments as a public health policy which aims to reduce the number of people with dietary deficiencies within a population. The predominant diet within a region can lack particular nutrients due to the local soil or from inherent deficiencies within the staple foods; the addition of micronutrients to staples and condiments can prevent large-scale deficiency diseases in these cases.
Vitamin A deficiency (VAD) or hypovitaminosis A is a lack of vitamin A in blood and tissues. It is common in poorer countries, especially among children and women of reproductive age, but is rarely seen in more developed countries. Nyctalopia is one of the first signs of VAD, as the vitamin has a major role in phototransduction; but it is also the first symptom that is reversed when vitamin A is consumed again. Xerophthalmia, keratomalacia, and complete blindness can follow if the deficiency is more severe.
Zinc deficiency is defined either as insufficient zinc to meet the needs of the body, or as a serum zinc level below the normal range. However, since a decrease in the serum concentration is only detectable after long-term or severe depletion, serum zinc is not a reliable biomarker for zinc status. Common symptoms include increased rates of diarrhea. Zinc deficiency affects the skin and gastrointestinal tract; brain and central nervous system, immune, skeletal, and reproductive systems.
Animal source foods (ASF) include many food items that come from an animal source such as fish, meat, dairy, eggs and honey. Many individuals consume little ASF or even none for long periods of time by either personal choice or necessity, as ASF may not be accessible or available to these people.
Micronutrient deficiency is defined as the sustained insufficient supply of vitamins and minerals needed for growth and development, as well as to maintain optimal health. Since some of these compounds are considered essentials, micronutrient deficiencies are often the result of an inadequate intake. However, it can also be associated to poor intestinal absorption, presence of certain chronic illnesses and elevated requirements.
Antinutrients are natural or synthetic compounds that interfere with the absorption of nutrients. Nutrition studies focus on antinutrients commonly found in food sources and beverages. Antinutrients may take the form of drugs, chemicals that naturally occur in food sources, proteins, or overconsumption of nutrients themselves. Antinutrients may act by binding to vitamins and minerals, preventing their uptake, or inhibiting enzymes.
Nutrition International formerly known as the Micronutrient Initiative (MI) is an international non-profit agency based in Canada that works to eliminate vitamin and mineral deficiencies in developing countries. Although, it is often only required by the body in very small amounts. Vitamin and minerals also known as micronutrients support an array of critical biological functions including growth, immune function and eye function as well as foetal development of the brain, the nervous system, and the skeletal system. Micronutrient deficiency is a form of malnutrition and is a recognized health problem in many developing countries. Globally, more than two billion people live with vitamin and mineral deficiencies.
Malnutrition continues to be a problem in the Republic of South Africa, although it is not as common as in other countries of Sub-Saharan Africa.
Yellow cassava is a new, yellow-fleshed breed of one of the most popular root crops in the tropics. Regular cassava is a staple crop in tropical countries which 300 million people rely upon for at least 10% of their daily caloric intake, in 15 African countries "In the Democratic Republic of the Congo, cassava is estimated to provide more than 1000 kcal/day to over 40 million people". Three yellow root cassava varieties, UMUCASS 36, UMUCASS 37, and UMUCASS 38, are being grown in Nigeria for their high concentrations of β-carotene. β-carotene is a precursor to Vitamin A. Vitamin A deficiency is a major issue, especially in Africa. Nigeria in particular sees a prevalence of Vitamin A deficiency in nearly one third of children under five years old. Since cassava is a major food staple, yellow cassava shows great potential to alleviate Vitamin A deficiency in Africa.
Artificial rice is a grain product made to resemble rice. It is usually made from broken rice, sometimes with the addition of other cereals, and often fortified with micronutrients, including minerals, such as iron and zinc, and vitamins, such as vitamin A and vitamin B.
Environmental enteropathy is an acquired small intestinal disorder characterized by gut inflammation, reduced absorptive surface area in small intestine, and disruption of intestinal barrier function. EE is most common amongst children living in low-resource settings. Acute symptoms are typically minimal or absent. EE can lead to malnutrition, anemia, stunted growth, impaired brain development, and impaired response to oral vaccinations.
A staple food, food staple, or simply staple, is a food that is eaten often and in such quantities that it constitutes a dominant portion of a standard diet for an individual or a population group, supplying a large fraction of energy needs and generally forming a significant proportion of the intake of other nutrients as well. For humans, a staple food of a specific society may be eaten as often as every day or every meal, and most people live on a diet based on just a small variety of food staples. Specific staples vary from place to place, but typically are inexpensive or readily available foods that supply one or more of the macronutrients and micronutrients needed for survival and health: carbohydrates, proteins, fats, minerals, and vitamins. Typical examples include grains, seeds, nuts and root vegetables. Among them, cereals, legumes and tubers account for about 90% of the world's food calorie intake.
Child health and nutrition in Africa is concerned with the health care of children through adolescents in the various countries of Africa. The right to health and a nutritious and sufficient diet are internationally recognized human rights that are protected by international treaties. Millennium Development Goals (MDGs) 1, 4, 5 and 6 highlight, respectively, how poverty, hunger, child mortality, maternal health, the eradication of HIV/AIDS, malaria, tuberculosis and other diseases are of particular significance in the context of child health.
Howarth E. "Howdy" Bouis, is an American economist whose work has focused on agriculture, nutrition outcomes, and reducing micronutrient malnutrition, also known as hidden hunger. He is the founder and former director of HarvestPlus, a global non-profit agricultural research program. Bouis was awarded the World Food Prize in 2016 for his pioneering work on biofortification.