Micronutrients are essential dietary elements required by organisms in varying quantities to regulate physiological functions of cells and organs. [1] [2] Micronutrients support the health of organisms throughout life. [3] [4] [5]
In varying amounts supplied through the diet, micronutrients include such compounds as vitamins and dietary minerals. [3] [6] For human nutrition, micronutrient requirements are in amounts generally less than 100 milligrams per day, whereas macronutrients are required in gram quantities daily. [6] A multiple micronutrient powder of at least iron, zinc, and vitamin A was added to the World Health Organization's List of Essential Medicines in 2019. [7] Deficiencies in micronutrient intake commonly result in malnutrition. [3] [8]
Inadequate intake of essential nutrients predisposes humans to various chronic diseases, with some 50% of American adults having one or more preventable disease. [3] In the United States, foods poor in micronutrient content and high in food energy make up some 27% of daily calorie intake. [3] One US national survey (National Health and Nutrition Examination Survey 2003-2006) found that persons with high sugar intake consumed fewer micronutrients, especially vitamins A, C, and E, and magnesium. [3]
A 1994 report by the World Bank estimated that micronutrient malnutrition costs developing economies at least 5 percent of gross domestic product. [9] The Asian Development Bank has summarized the benefits of eliminating micronutrient deficiencies as follows:
Along with a growing understanding of the extent and impact of micronutrient malnutrition, several interventions have demonstrated the feasibility and benefits of correction and prevention. Distributing inexpensive capsules, diversifying to include more micronutrient-rich foods, or fortifying commonly consumed foods can make an enormous difference. Correcting iodine, vitamin A, and iron deficiencies can improve the population-wide intelligence quotient by 10–15 points, reduce maternal deaths by one-fourth, decrease infant and child mortality by 40 percent, and increase people's work capacity by almost half. The elimination of these deficiencies will reduce health care and education costs, improve work capacity and productivity, and accelerate equitable economic growth and national development. Improved nutrition is essential to sustain economic growth. Micronutrient deficiency elimination is as cost-effective as the best public health interventions and fortification is the most cost-effective strategy. [10]
Salt iodization is a major strategy for addressing iodine deficiency, which is a major cause of mental health problems. In 1990, less than 20 percent of households in developing countries were consuming iodized salt. [11] By 1994, international partnerships had formed in a global campaign for Universal Salt Iodization. By 2008, it was estimated that 72 percent of households in developing countries were consuming iodized salt, [12] and the number of countries in which iodine deficiency disorders were a public health concern reduced by more than half from 110 to 47 countries. [11]
Vitamin A deficiency is a major factor in causing blindness worldwide, particularly among children. [13] Global vitamin A supplementation efforts have targeted 103 priority countries. In 1999, 16 percent of children in these countries received two annual doses of vitamin A. By 2007, the rate increased to 62 percent. [14]
Fortification of staple foods with vitamin A has uncertain benefits on reducing the risk of subclinical vitamin A deficiency. [15]
Fortification of staple foods may improve serum zinc levels in the population. Other effects such as improving zinc deficiency, children's growth, cognition, work capacity of adults, or blood indicators are unknown. [16] Experiments show that soil and foliar application of zinc fertilizer can effectively reduce the phytate zinc ratio in grain. People who eat bread prepared from zinc-enriched wheat show a significant increase in serum zinc, suggesting that the zinc fertilizer strategy is a promising approach to address zinc deficiencies in humans.
Plants tend not to use vitamins, although minerals are required. [8] [17]
Some seven trace elements are essential to plant growth, although often in trace quantities.[ citation needed ]
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:
In the context of nutrition, a mineral is a chemical element. Some "minerals" are essential for life, but most are not. Minerals are one of the four groups of essential nutrients; the others are vitamins, essential fatty acids, and essential amino acids. The five major minerals in the human body are calcium, phosphorus, potassium, sodium, and magnesium. The remaining minerals are called "trace elements". The generally accepted trace elements are iron, chlorine, cobalt, copper, zinc, manganese, molybdenum, iodine, selenium, and bromine; there is some evidence that there may be more.
The Dietary Reference Intake (DRI) is a system of nutrition recommendations from the National Academy of Medicine (NAM) of the National Academies. It was introduced in 1997 in order to broaden the existing guidelines known as Recommended Dietary Allowances. The DRI values differ from those used in nutrition labeling on food and dietary supplement products in the U.S. and Canada, which uses Reference Daily Intakes (RDIs) and Daily Values (%DV) which were based on outdated RDAs from 1968 but were updated as of 2016.
Iodised salt is table salt mixed with a minute amount of various salts of the element iodine. The ingestion of iodine prevents iodine deficiency. Worldwide, iodine deficiency affects about two billion people and is the leading preventable cause of intellectual and developmental disabilities. Deficiency also causes thyroid gland problems, including endemic goitre. In many countries, iodine deficiency is a major public health problem that can be cheaply addressed by purposely adding small amounts of iodine to the sodium chloride salt.
Food fortification is the addition of micronutrients to food products. Food enrichment specifically means adding back nutrients lost during food processing, while fortification includes adding nutrients not naturally present. Food manufacturers and governments have used these practices since the 1920s to help prevent nutrient deficiencies in populations. Common nutrient deficiencies in a region often result from local soil conditions or limitations of 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.
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.
Iodine deficiency is a widespread problem in western, southern and eastern parts of China, as their iodized salt intake level is much lower than the average national level. Iodine deficiency is a range of disorders that affect many different populations. It is estimated that IDDs affect between 800 million and 2 billion people worldwide; countries have spent millions of dollars in implementing iodized salt as a means to counteract the iodine deficiencies prevalent today. With China accounting for "40% of the total population", it bears a large portion of those who are iodine deficient.
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.
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.
Nutrition International, formerly the Micronutrient Initiative (MI), is an international not for profit agency based in Canada that works to eliminate vitamin and mineral deficiencies in developing countries. Although 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.
Vegan nutrition refers to the nutritional and human health aspects of vegan diets. A well-planned vegan diet is suitable to meet all recommendations for nutrients in every stage of human life. Vegan diets tend to be higher in dietary fiber, magnesium, folic acid, vitamin C, vitamin E, and phytochemicals; and lower in calories, saturated fat, iron, cholesterol, long-chain omega-3 fatty acids, vitamin D, calcium, zinc, and vitamin B12.
Undernutrition in children, occurs when children do not consume enough calories, protein, or micronutrients to maintain good health. It is common globally and may result in both short and long term irreversible adverse health outcomes. Undernutrition is sometimes used synonymously with malnutrition, however, malnutrition could mean both undernutrition or overnutrition. The World Health Organization (WHO) estimates that malnutrition accounts for 54 percent of child mortality worldwide, which is about 1 million children. Another estimate, also by WHO, states that childhood underweight is the cause for about 35% of all deaths of children under the age of five worldwide.
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.
Vitamin B3, colloquially referred to as niacin, is a vitamin family that includes three forms, or vitamers: niacin (nicotinic acid), nicotinamide (niacinamide), and nicotinamide riboside. All three forms of vitamin B3 are converted within the body to nicotinamide adenine dinucleotide (NAD). NAD is required for human life and people are unable to make it within their bodies without either vitamin B3 or tryptophan. Nicotinamide riboside was identified as a form of vitamin B3 in 2004.
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.
The Food Fortification Initiative (FFI) is an organization that promotes the fortification of industrially milled flours and cereals. FFI assists country leaders in promoting, planning, implementing, and monitoring the fortification of industrially milled wheat flour, maize flour, and rice. FFI is the only global organization focused exclusively on these three widely consumed grains. FFI operates in approximately thirty countries worldwide and tracks food fortification progress for 196 countries.