Retail Sugar From One Zambian Community Does Not Meet Statutory Requirements for Vitamin A Fortification

Industrial food fortification is a major strategy to improve dietary micronutrient intakes and prevent deficiencies. Zambia introduced mandatory sugar fortification with vitamin A, at a target of 10 mg/kg, in 1998. Representative surveys conducted since that time do not support marked improvement in...

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Autores principales: Greene, MD, Kabaghe, G, Musonda, M, Palmer, AC
Formato: Journal Article
Lenguaje:Inglés
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://hdl.handle.net/10568/171083
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author Greene, MD
Kabaghe, G
Musonda, M
Palmer, AC
author_browse Greene, MD
Kabaghe, G
Musonda, M
Palmer, AC
author_facet Greene, MD
Kabaghe, G
Musonda, M
Palmer, AC
author_sort Greene, MD
collection Repository of Agricultural Research Outputs (CGSpace)
description Industrial food fortification is a major strategy to improve dietary micronutrient intakes and prevent deficiencies. Zambia introduced mandatory sugar fortification with vitamin A, at a target of 10 mg/kg, in 1998. Representative surveys conducted since that time do not support marked improvement in vitamin A status.To describe vitamin A concentrations in retail sugar, as well as vendor practices, perceptions of fortified foods, and sugar use practices.We conducted a census of sugar vendors in one Zambian community, capturing information on vendors, available brands and packaging options, and storage conditions. We purchased all brands and package types of sugar available at each vendor. In a 15% subsample, we conducted semi-structured interviews with vendor–consumer pairs. We tested 50% of sugar samples at random for vitamin A using an iCheck portable fluorimeter.The distribution of vitamin A in sugar in market samples was highly skewed, with a median of 3.1 mg/kg (25th-75th percentiles: 1.8-5.5) and a range from 0.2 to 29.9 mg/kg. Only 11.3% of samples met the 10 mg/kg statutory requirement. Sugar was primarily repackaged and sold in small quantities, with rapid turnover of stocks. Perceptions of fortification by vendors and consumers were generally positive.Vitamin A in fortified sugar fell well below statutory requirements. Our data point to challenges at regional depot and/or poor adherence to fortification standards at the factory level. A renewed commitment to monitoring and enforcement will be required for Zambia to benefit from a food fortification strategy.
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spelling CGSpace1710832025-02-19T14:31:27Z Retail Sugar From One Zambian Community Does Not Meet Statutory Requirements for Vitamin A Fortification Greene, MD Kabaghe, G Musonda, M Palmer, AC retinol biofortification sugar deficiencies Industrial food fortification is a major strategy to improve dietary micronutrient intakes and prevent deficiencies. Zambia introduced mandatory sugar fortification with vitamin A, at a target of 10 mg/kg, in 1998. Representative surveys conducted since that time do not support marked improvement in vitamin A status.To describe vitamin A concentrations in retail sugar, as well as vendor practices, perceptions of fortified foods, and sugar use practices.We conducted a census of sugar vendors in one Zambian community, capturing information on vendors, available brands and packaging options, and storage conditions. We purchased all brands and package types of sugar available at each vendor. In a 15% subsample, we conducted semi-structured interviews with vendor–consumer pairs. We tested 50% of sugar samples at random for vitamin A using an iCheck portable fluorimeter.The distribution of vitamin A in sugar in market samples was highly skewed, with a median of 3.1 mg/kg (25th-75th percentiles: 1.8-5.5) and a range from 0.2 to 29.9 mg/kg. Only 11.3% of samples met the 10 mg/kg statutory requirement. Sugar was primarily repackaged and sold in small quantities, with rapid turnover of stocks. Perceptions of fortification by vendors and consumers were generally positive.Vitamin A in fortified sugar fell well below statutory requirements. Our data point to challenges at regional depot and/or poor adherence to fortification standards at the factory level. A renewed commitment to monitoring and enforcement will be required for Zambia to benefit from a food fortification strategy. 2017-12 2025-01-29T12:57:41Z 2025-01-29T12:57:41Z Journal Article https://hdl.handle.net/10568/171083 en Limited Access SAGE Publications Greene, MD; Kabaghe, G; Musonda, M; Palmer, AC 2017. Retail Sugar From One Zambian Community Does Not Meet Statutory Requirements for Vitamin A Fortification. Food and Nutrition Bulletin 38(4): 594-598. https://doi.org/10.1177/0379572117733841
spellingShingle retinol
biofortification
sugar
deficiencies
Greene, MD
Kabaghe, G
Musonda, M
Palmer, AC
Retail Sugar From One Zambian Community Does Not Meet Statutory Requirements for Vitamin A Fortification
title Retail Sugar From One Zambian Community Does Not Meet Statutory Requirements for Vitamin A Fortification
title_full Retail Sugar From One Zambian Community Does Not Meet Statutory Requirements for Vitamin A Fortification
title_fullStr Retail Sugar From One Zambian Community Does Not Meet Statutory Requirements for Vitamin A Fortification
title_full_unstemmed Retail Sugar From One Zambian Community Does Not Meet Statutory Requirements for Vitamin A Fortification
title_short Retail Sugar From One Zambian Community Does Not Meet Statutory Requirements for Vitamin A Fortification
title_sort retail sugar from one zambian community does not meet statutory requirements for vitamin a fortification
topic retinol
biofortification
sugar
deficiencies
url https://hdl.handle.net/10568/171083
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AT palmerac retailsugarfromonezambiancommunitydoesnotmeetstatutoryrequirementsforvitaminafortification