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Improving the Accessibility of Healthy Produce

There is a clear dichotomy between how the impoverished citizens of developed and developing countries feed their families. In wealthier nations, families living below the poverty line buy cheaper food options. In many packaged and overly-processed foods, the possibility of unhealthy food preservatives and a surplus of calories is common. As a result, negative health effects ensue. In developing countries, impoverished citizens rely on easily cultivated and cheap foods to feed themselves. These products often do not have sufficient nutritional value to ensure a healthy lifestyle. In order to increase the accessibility of healthy produce, understanding the causes of income disparity and food restriction is necessary. Through this awareness, finding a solution to supply nutritious foods to those in need is possible.

Income and Food in Developed Countries

How one budgets their income is an essential factor when learning the impact of economic resources or the lack thereof on one’s daily health. An observational study conducted by BMC Public Health in the United States focused on the relationship between income and health. “Compared to lower-income households, higher-income households had significantly higher total vegetable scores, respectively, higher dairy scores and lower proportion of grocery dollars spent on frozen desserts,” said French, Tangney et. al in the study.

Overall, families with lower incomes purchased fewer vegetables, fewer dairy products and more frozen desserts compared to families with higher incomes. Thus, according to this study, individuals with lower incomes in developed countries are more likely to choose high caloric, less nutritious foods than their higher-income counterparts as these foods are more economically accessible to them than fresher, more nutritious foods. By understanding the results of this study, it is evident that the accessibility of healthy produce is limited to the wealthy members of society who can afford it.

Can Health Be Bought?

Compared to developed countries, developing nations struggle to provide protein-rich foods for their people. In these areas of the world, one’s income also dictates one’s food options. In developed countries, high-calorie foods are often cheaper than low-calorie food, yet in many developing nations, high-calorie and high-protein foods are more expensive. This can make it very difficult for low-income individuals to access necessary high-protein foods, such as eggs.

In Niger, egg calories are 23.3 times more expensive than calories from staple foods. In contrast, egg calories in the United States are 1.6 times as expensive as staple food calories. Diversifying one’s calorie intake is seemingly difficult due to one’s economic position. Consequently, one’s likelihood of contracting type two diabetes, heart disease or cancer also rises with high consumption of low nutrient food. Thus, the higher the price, the lower the accessibility of healthy produce and the higher chance of life-threatening diseases.

Solutions

Despite these issues, there are ways to end global hunger and poverty. Organizations all over the world are finding ways to help those in need. One nonprofit organization, A Growing Culture, is currently working to support farmers globally. By giving them a voice in the agricultural industry, farmers are able to gain back power.

In addition, the organization promotes sustainable agricultural methods. Through these goals, A Growing Culture has encouraged communication between farmers around the world. These conversations inspire the use of environmentally safe techniques, discussion of common struggles and shared desire to nourish the world. Organizations like these can go a long way to helping combat world hunger and improve. With the popularity of their mission, fighting industrial farming and decreasing the prices of daily foods is possible.

– Kristen Quinonez
Photo: Flickr

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Microparticles That Could Alleviate Global Malnutrition

Microparticles That Could Alleviate Global Malnutrition
According to the World Health Organization (WHO), iron deficiency is the most common consequence of poor nutrition worldwide. Every year, 2 million children die globally from malnutrition. Efforts to refortify foods date back to the early 20th century, but the technology to stabilize those nutrients in different foods has progressed slowly. In a breakthrough method of encapsulating micronutrients, researchers at MIT have discovered a way to refortify common foods by using biocompatible polymers that have shown in efficacy trials to prevent degradation while being stored or cooked. The new method would allow for better nutrient delivery and absorption. If there were microparticles that could alleviate global malnutrition, such a development, if scaled up, could provide many developing countries with more nutritious food and prevent malnutrition-related diseases that primarily affect children and pregnant women.

Micronutrient Malnutrition

Malnutrition primarily affects those living in developing countries and the malnourished often represent 30 percent of their population. Malnutrition presents itself in a variety of ways, but most notably through anemia, cognitive impairments and blindness. Roughly 2 billion people live in low-resource areas where infectious diseases compound the effects of malnutrition. The lack of micronutrients is a quiet and prolonged killer and can cause premature death and loss of economic activity. There is also a direct correlation between those with the least education and most iron-deficient in these countries.

WHO has worked to tackle the causes of malnutrition using solutions such as promoting dietary diversification with enhanced iron absorption and supplementation, noting that solutions must meet the local population needs. Since many of these communities lack more than one vital micronutrient, efforts to supplement the diet can address multiple deficiencies, such as lack of folate, vitamins A and B12. Part of their plan includes programs that aim to eradicate infectious diseases that contribute to anemia, including schistosomiasis, hookworm, HIV, malaria and tuberculosis. Doing so would help end the cycle of poverty that many communities face due to disease and malnutrition.

Microparticles That Could Alleviate Global Malnutrition

The lead authors of the MIT study are Aaron Anselmo and Xian Xu, as well as graduate student Simone Buerkli from ETH Zurich. In the study, they claim to have developed a new way of refortifying foods using a biocompatible polymer microparticle. What is most notable about this new technology for supplementing foods is that the encapsulated micronutrients will not degrade during cooking or storage. Researchers selected the polymer BMC out of the 50 different polymers they tested, after trying them on laboratory rats and later on women. The same polymer is already classified in the United States as a dietary supplement safe for consumption. The next step for the researchers is to advance clinical trials in developing countries with local participants.

The researchers were able to encapsulate 11 different micronutrients using polymer BMC, such as vitamins A, C, B2, zinc, niacin, biotin and iron. They were able to successfully encapsulate combinations of up to four micronutrients at a time. Even after boiling encapsulated micronutrients for hours in a lab, they remained unharmed. Researchers also found that the new microparticles remained stable after experiencing exposure to oxidizing chemicals in fruits and vegetables as well as ultraviolet light. The polymers become soluble in acidic conditions (such as the stomach) and the micronutrients released. An initial trial did not yield a high absorption rate, so researchers boosted the iron sulfate from 3 to 18 percent and were successfully able to achieve high absorption rates, which was on par with typical iron sulfate. This trial added encapsulate iron to flour and used it to bake bread.

History and Limitations of Food Fortification

In its Guidelines on Food Fortification with Micronutrients in 2006, the Food and Agriculture Organization (FAO) of the WHO noted that the most common deficiencies were in iodine, vitamin A and iron, representing 0.8 million deaths annually. Developed nations typically do not experience these levels of malnutrition because they have access to a variety of foods that are rich in micronutrients, such as meat and dairy products. Underdeveloped countries consume mostly monocultures of cereals, tubers and roots. Prior to the 1980s, developed countries focused their efforts on protein-energy malnutrition. While protein-based foods did help to improve nutrition, it was the addition of iodine to foods in the 1990s that helped prevent degenerative characteristics such as brain damage and mental retardation in childhood.

To combat micronutrient malnutrition, WHO promotes greater access to a variety of quality foods for all affected groups. In addition to a more diverse diet, they strategize to create policies and programs with governments and organizations to educate the public on good nutrition, diversify food production and deliverability, implement measures to guarantee food safety and provide supplementation. Having the support of the food industry has been essential since the beginning of the 20th century to include these guidelines in their production of food. Salt iodization in the 1920s expanded from developed countries to nearly the entire world. However, a number of challenges have remained for the refortification of foods.

For example, early on in the fight against malnutrition, a lack of quality evaluation programs on the efficacy of food refortification left nutritionists wondering if the empirical improvements for certain populations were due to supplementation or a combination of socioeconomic facts and public health improvements. Analyzing the data with a comprehensive efficacy trial became the norm in an effort to better gauge the efficacy of their efforts. Other issues remain such as interactions of nutrients, the stability of polymers, correct levels of nutrients, physical properties of ingredients and how well customers receive the food. For instance, in large amounts, calcium inhibits iron absorption while vitamin C has the opposite effect in refortified foods.

Implications of the Study

The MIT study, funded by the Bill and Melinda Gates Foundation, modeled its research on the success of refortifying food with iodized salt from the past, incorporating micronutrients into a diet that would not require people to change their consumption habits. According to researchers, the next phase will be to replicate the study in a developing country with malnutrition to see if the microparticles can feasibly enter residents’ diets. They are seeking approval from the WHO Expert Committee on Food Additives. If successful, they will scale up manufacturing of the nutrient additive in the form of a powdered micronutrient.

The initiative could lead to a significant decline in global cases of nutrient deficiencies thereby reducing the effects of anaemia and other preventable diseases due to a poor immune system. By no means would it represent the first technological advance in refortifying foods and increasing access to nutrition, but the addition of microparticles that could alleviate global malnutrition may help many developing nations end a cycle of poverty that disease has perpetuated for generations, increasing their health and productivity in the process.

– Caleb Cummings
Photo: Flickr