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Oct 8 Nutritive Aspects of Foods (Part 2)(1)

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    Complementary Proteins

    Proteins that do not share the same

    amino acid deficits

    Example:

    corn (maize) & black beans

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    % Total Iron Intake

    Animal foods 30

    Plant foods 45Added Fe (non-heme) 25 (fortification, enrichment)

    eme Fe ! - "2

    #on-heme Fe $$ - 3

    Distribution of Fe in typical diets (!"!)

    Q: IIn vegetarian diets, what proportion of iron is non-heme iron ?

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    #bsorption of non$heme(inor%anic) iron

    'ariable (beteen people and beteen foods)

    Enhanced by Fe deficiency

    Can be influenced by meal composition:

    &e'orted enhancers &e'orted Inhiitors

    ascoric acid 'htates

    meats tea

    milk * cheese *

    milk *

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    Am + lin #tr 2000

    hat is the ma%nitude of effect of meal composition

    on Fe absorption under *real+ meal conditions ,

    American Journal of Clinical Nutrition, 2000

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    Reddy et al, Am J Clin Nutr 2000

    Efect o meal composition on non-heme Fe a

    .ata reflect 4 test meals 'er s/ect, $-"5 s/ects 'er treatment

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    Reddy et al, Am J Clin Nutr 2000

    Effect of meal composition on non$heme Fe absorption (con-t)

    Fe status indicator

    ad.for Fe status

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    Effect of meal composition on non$heme Fe absorption (con-t)

    &edd et al, Am + lin #tr 2000/esults:

    1nl "%of the ariailit in non-heme Fe asor'tion as e'lained

    dietary factors

    The onl im'ortant dietar factors ere animal foods6 'htate

    .ietar factors 'ls iron stats(serm ferritin) acconted

    for aot 50%of the ariailit

    Conclusion:

    *dietary factors make a small contribution to determinin%

    the amount of iron absorbed0 and some unknon physiolo%ic

    factors contribute the ma.ority of 1ariation+

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    Fortification or enrichment of foods with iron

    7ost common form8 9lemental iron (Fe0, 'oder)

    :o solilit (as Fe ;2), t8

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    8ioa1ailability

    and

    nutrition labelin%

    hat does *93 ;

    of Daily 'alue+

    mean ,

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    1989 (10thEd) RDA (Recommended Dietary=asis for the > .ail ?ale @

    Premeno'asal omen8 "5 m dietar food Fe B daAdlt men "0 m dietar food Fe B da

    9his 1alue is applied to all foods

    Aeraephysiolo%ical "C5 m asored Fe B da (omen)

    need for Fe 8 "C0 m asored Fe B da (men) (sfficient to re'lace

    dail Fe loss)

    ?o much foodFe is re@uired to pro1ide

    9!A (or 9!3) m% absorbedFe , #nser: 9A m% (or 93 m%)

    ?o ere these 1alues deri1ed ,

    (")

    (2)

    RDA

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    9lemental

    iron 'oder

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    Dalter et al, +C #trition 2004

    Iron asor'tion (% of dose)

    Fe(;2)-ascorate5! 2"% "2 E 3 %

    (in ater)9lemental iron 'oder Fe(0)5$ 2C4 % " E 5 %

    (in corn tortillas)

    7ean &ane

    >or data cast a dismal otlook on the likelihood that the se

    of (redced iron) in this matri old im'roe the iron stats

    of the 'o'lation@

    Bioavailability (in people) of Fe powdercommonly sedto fortify foods

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    9lemental

    iron 'oder

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    "0% of .ail ?ale "0% of "5 m food Fe

    24 m food FeB serin of Dheaties (Fe content)

    &.A ('remeno'asal omen) "5 m food FeB da

    amont of dietar (food) Fe considered eGialent to

    9!A m% absorbedFe (the aerae 'hsioloical need)

    =HT8 Actalasor'tion of elemental ('oder) Fe 2C4 %

    Asored Fe B serin Dheaties 2C4 % of 24 m Fe

    0C5$ m asored Fe B serin Dheaties

    3$% of the dail 'hsioloical need

    hat does *93 ; of Daily 'alue+ mean ,

    > % .ail ?ale@ % of the "$ &.Aper ser1in%

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    Actual nutritional value (for Fe) is lower than labeled b

    (a) use of low bioavailability form of Fe

    (b) a!!lication of a sin"le Fe bioavailability val

    Elemental

    Bron poder

    #$utritional %alue& ' #$utrient ontent#* + #,io

    In this case:

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    ow important is low bioavailabilityr nutritional value or a single ood

    .e'ends on di1ersity of food sourcesin the diet 8

    !he lower the dietary diversity, the more important

    these isses become"

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    In East Africa, anemia affects more than half of the children inRwanda, where 33% of women of reproductive age are anemic. Bothbush and climbing beans are prime sources of protein andmicronutrients in the Rwandan diet. Bean research began in the first

    phase of Harvestlus !"##3$"##&, with the International 'enter for(ropical Agriculture and its national research partners assa)ing morethan *,### bean genot)pes. (he) found varieties with more thantwice the iron content of popular cultivars. lant breeders have usedthese naturall) iron$rich varieties to s)stematicall) elevate the ironcontent of bean cultivars with each breeding c)cle, while maintaining

    or enhancing important agronomic traits. (he) have successfull)developed biofortified varieties that meet +#% of the iron targetand have superior agronomic traits.

    - t ti i- t ti i

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    -ron oncentration in-ron oncentration in

    .ta!le ro!.ta!le ro!

    as onsumed in m"/"as onsumed in m"/"

    Philippines Rwanda MexicoIndia

    Rice ,eans ,eans

    mg/kg

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    ,ean ,u3et,ean ,u3etRwandaRwanda

    Adult female universitystudents

    18456 years old7ivin" on cam!us of $Ri"h -ron : 11; sub? anemiaHaas, 2013

    R lt f th R dR lt f th R de

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    Results from the RwandaResults from the Rwanda

    ,ean rial,ean rial

    Bhole .am!le (n'5C>)Bhole .am!le (n'5C>)

    han"

    e

    in

    iron

    sta

    tus

    (endline

    minusbase

    Haas, 2013

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    Cornell Participants in HarvestPlus

    ProfC +ere aas, .iision of #tritional

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    Examples of enhancers and inhibitors of nutrient bioa1ailability

    Ascoric acid8 enhances asor'tion of non-heme (inoranic) iron

    Fe;3 Fe;2

    Insolle (solle, asorale form)

    as Fe(1)3

    not asored, ecreted in feces

    Ascoric acid(redcin aent)

    Phtic acid 6 oalic acid8

    ind 6 inhiit asor'tion of

    a, Fe

    'htic acid

    1alic acid

    a;

    ;

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    Polentaas 're'ared from sal- or lo-'htate corn arietiesC!J# or !0Jn as added drin 're'aration

    Fie adlts s/ectsK crossoer desin

    Adams et al, 2002K Am + lin #tr

    Jinc absorption is hi%her from lo$phytate cornthan con1entional corn (sin%le test meal)

    lo 'htate conentional corn corn

    http://www.ajcn.org/content/vol76/issue3/images/large/12688.A1.jpeghttp://www.ajcn.org/content/vol76/issue3/images/large/12688.A1.jpeg
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    -arotene

    bser1ed absorption from 1e%etables "-"0%bser1ed absorption from oils 20-50%

    Limiting factor in absorption efficiency:

    release rom the ood matrix during digestion,solubilization in lipid

    Absorption of -carotene from vegetables is enhanced by:

    .mall !article si=e (hi"h surface / volume rati

    ooin" (disru!ts @ber matri !ermits moredi"estion by en=ymes)

    ( Pro-itamin A carotenoid )

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    -arotene (contined)

    Vitamin A equivalence of food -carotene

    unnown or most speci!c oods

    Current assumptions:

    1;? absor!tion of 4carotene (avera"e for fo 0? of absorbed 4carotene converted to vit$et 15 m" food 4carotene ' 1 m" vitamin A

    [Prior to 22: ! mg -carotene " # mg vitamin A$

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    =asic

    meal

    ; fat

    ; de-ormin

    dr

    ; -rich

    food ; food

    ; fat

    ; dr

    De$ormin%0 dietary $carotene0 and added fat impro1e

    1itamin # status in Bndonesian children

    L+alal et al, "$, A+#K 3k interention in children 3- r M &ed seet 'otato

    Bmpro1ement inserum 1itamin #

    F li id

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    Folic acid (a ater soluble 1itamin)

    Relative bioavailability of folate from di3ere

    re!orted in the literature

    %ood &ean 'g( )ange*anana +2 - #,+

    Liver 22 - #.

    Cabbage ,/ - #2/0pinach !. 2! - 11

    range 3uice . 21 - ,#

    note 1ariation 7

    urrent assum!tionsAbsor!tion of food folate 0?Absor!tion of synthetic (forti@cant) folate

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    "ummary o ma#or pointsregarding bioavailability

    "ome foods may be hea1ily fortified0 but ith a form of lo bioa1ailability

    utrition labels on specific foods may o1er$ or underestimate the actualnutritional1alue of some nutrients

    8ioa1ailability is impacted by many factors0 some unknon

    8ioa1ailability 1aries %reatly (a) beteen nutrients0

    (b) for the same nutrient from different food sources0

    and (c) beteen persons

    8ioa1ailability increases in importance as dietary di1ersity

    decreases

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    First 7etter of 7ast $ame

    screen

    - : G

    F :

    : E

    A 4 ,

    7 : 2

    $ : R

    . :

    4 H

    relim 1 2ean8C !ts (6?)

    2edian 8; !ts

    (68?)


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