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Oumer A, Joy EJM, De Groote H, Broadley MR, Gashu D. Burden of selenium deficiency and cost-effectiveness of selenium agronomic biofortification of staple cereals in Ethiopia. Br J Nutr 2024; 132:1110-1122. [PMID: 39479900 PMCID: PMC11600287 DOI: 10.1017/s0007114524001235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 02/23/2024] [Accepted: 05/29/2024] [Indexed: 11/02/2024]
Abstract
Selenium (Se) deficiency among populations in Ethiopia is consistent with low concentrations of Se in soil and crops that could be addressed partly by Se-enriched fertilisers. This study examines the disease burden of Se deficiency in Ethiopia and evaluates the cost-effectiveness of Se agronomic biofortification. A disability-adjusted life years (DALY) framework was used, considering goiter, anaemia, and cognitive dysfunction among children and women. The potential efficiency of Se agronomic biofortification was calculated from baseline crop composition and response to Se fertilisers based on an application of 10 g/ha Se fertiliser under optimistic and pessimistic scenarios. The calculated cost per DALY was compared against gross domestic product (GDP; below 1-3 times national GDP) to consider as a cost-effective intervention. The existing national food basket supplies a total of 28·2 µg of Se for adults and 11·3 µg of Se for children, where the risk of inadequate dietary Se reaches 99·1 %-100 %. Cereals account for 61 % of the dietary Se supply. Human Se deficiency contributes to 0·164 million DALYs among children and women. Hence, 52 %, 43 %, and 5 % of the DALYs lost are attributed to anaemia, goiter, and cognitive dysfunction, respectively. Application of Se fertilisers to soils could avert an estimated 21·2-67·1 %, 26·6-67·5 % and 19·9-66·1 % of DALY via maize, teff and wheat at a cost of US$129·6-226·0, US$149·6-209·1 and US$99·3-181·6, respectively. Soil Se fertilisation of cereals could therefore be a cost-effective strategy to help alleviate Se deficiency in Ethiopia, with precedents in Finland.
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Affiliation(s)
- Abdu Oumer
- School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia
- Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
| | - Edward J. M. Joy
- Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, LondonWC1E 7HT, UK
- Rothamsted Research, Harpenden, HertfordshireAL5 2JQ, UK
| | - Hugo De Groote
- Sustainable Agrifood Systems Program, International Maize and Wheat Improvement Center (CIMMYT), Nairobi, Kenya
| | - Martin R. Broadley
- Rothamsted Research, Harpenden, HertfordshireAL5 2JQ, UK
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, LeicestershireLE12 5RD, UK
| | - Dawd Gashu
- Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
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Mutonhodza B, Manzeke-Kangara MG, Bailey EH, Matsungo TM, Chopera P. Maternal selenium deficiency was positively associated with the risk of selenium deficiency in children aged 6-59 months in rural Zimbabwe. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0003376. [PMID: 38990831 PMCID: PMC11239066 DOI: 10.1371/journal.pgph.0003376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Accepted: 05/24/2024] [Indexed: 07/13/2024]
Abstract
There is growing evidence showing the existence of selenium (Se) deficiency among women and children in sub-Saharan Africa. Unfortunately, the key drivers of Se deficiency are not clearly understood. This study assessed the determinants of Se deficiency among children aged 6-59 months and Women of Reproductive Age (WRA), in Zimbabwe. This cross-sectional biomarker study was conducted in selected districts in rural Zimbabwe (Murewa, Shamva, and Mutasa). Children aged 6-59 months (n = 683) and WRA (n = 683), were selected using a systematic random sampling approach. Venous blood samples were collected, processed, and stored according to World Health Organization (WHO) guidelines. Plasma selenium concentration was measured using inductively coupled plasma-mass spectrometry (ICP-MS). Anthropometric indices were assessed and classified based on WHO standards. Demographic characteristics were adapted from the Zimbabwe Demographic Health Survey standard questionnaire. Multiple logistic regression analysis showed that children whose mothers were Se deficient were 4 times more likely to be Se deficient compared to those whose mothers were Se adequate (OR = 4.25; 95% CI; 1.55-11.67; p = 0.005). Girl children were 3 times more likely to be Se deficient compared to boys (OR = 2.84; 95% CI; 1.08-7.51; p = 0.035). Women producing maize for consumption were 0.5 times more likely to be Se deficient than non-producers (OR = 0.47; 95% CI; 0.25-0.90; p = 0.022). The risk of Se depletion in children was amplified by maternal deficiency. Therefore, initiation of maternal multiple micronutrient supplementation from preconception through lactation is beneficial to both children and women.
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Affiliation(s)
- Beaula Mutonhodza
- Department of Nutrition, Dietetics and Food Sciences, University of Zimbabwe, Harare, Zimbabwe
| | | | - Elizabeth H. Bailey
- School of Biosciences, Sutton Bonington Campus, University of Nottingham, Loughborough, Leicestershire, United Kingdom
| | - Tonderayi M. Matsungo
- Department of Nutrition, Dietetics and Food Sciences, University of Zimbabwe, Harare, Zimbabwe
| | - Prosper Chopera
- Department of Nutrition, Dietetics and Food Sciences, University of Zimbabwe, Harare, Zimbabwe
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Mutonhodza B, Dembedza MP, Joy EJM, Manzeke-Kangara MG, Njovo H, Nyadzayo TK, Lark RM, Kalimbira AA, Bailey EH, Broadley MR, Matsungo TM, Chopera P. Urine Se concentration poorly predicts plasma Se concentration at sub-district scales in Zimbabwe, limiting its value as a biomarker of population Se status. Front Nutr 2024; 11:1288748. [PMID: 38385014 PMCID: PMC10879291 DOI: 10.3389/fnut.2024.1288748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 01/17/2024] [Indexed: 02/23/2024] Open
Abstract
Introduction The current study investigated the value of urine selenium (Se) concentration as a biomarker of population Se status in rural sub-Saharan Africa. Method Urine and plasma Se concentrations were measured among children aged 6-59 months (n = 608) and women of reproductive age (WRA, n = 781) living in rural Zimbabwe (Murehwa, Shamva, and Mutasa districts) and participating in a pilot national micronutrient survey. Selenium concentrations were measured by inductively coupled plasma-mass spectrometry (ICP-MS), and urine concentrations were corrected for hydration status. Results The median (Q1, Q3) urine Se concentrations were 8.4 μg/L (5.3, 13.5) and 10.5 μg/L (6.5, 15.2) in children and WRA, respectively. There was moderate evidence for a relationship between urine Se concentration and plasma Se concentration in children (p = 0.0236) and WRA (p = < 0.0001), but the relationship had poor predictive value. Using previously defined thresholds for optimal activity of iodothyronine deiodinase (IDI), there was an association between deficiency when indicated by plasma Se concentrations and urine Se concentrations among WRA, but not among children. Discussion Urine Se concentration poorly predicted plasma Se concentration at sub-district scales in Zimbabwe, limiting its value as a biomarker of population Se status in this context. Further research is warranted at wider spatial scales to determine the value of urine Se as a biomarker when there is greater heterogeneity in Se exposure.
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Affiliation(s)
- Beaula Mutonhodza
- Department of Nutrition, Dietetics and Food Sciences, University of Zimbabwe, Harare, Zimbabwe
| | - Mavis P. Dembedza
- Department of Nutrition, Dietetics and Food Sciences, University of Zimbabwe, Harare, Zimbabwe
| | - Edward J. M. Joy
- London School for Hygiene & Tropical Medicine, London, United Kingdom
- Rothamsted Research, West Common, Harpenden, United Kingdom
| | | | - Handrea Njovo
- National Nutrition Unit, Ministry of Health and Child Care of Zimbabwe, Harare, Zimbabwe
| | - Tasiana K. Nyadzayo
- National Nutrition Unit, Ministry of Health and Child Care of Zimbabwe, Harare, Zimbabwe
| | - R. Murray Lark
- School of Biosciences, University of Nottingham, Loughborough, United Kingdom
| | - Alexander A. Kalimbira
- Department of Human Nutrition and Health, Lilongwe University of Agriculture and Natural Resources, Lilongwe, Malawi
| | - Elizabeth H. Bailey
- School of Biosciences, University of Nottingham, Loughborough, United Kingdom
| | - Martin R. Broadley
- Rothamsted Research, West Common, Harpenden, United Kingdom
- School of Biosciences, University of Nottingham, Loughborough, United Kingdom
| | - Tonderayi M. Matsungo
- Department of Nutrition, Dietetics and Food Sciences, University of Zimbabwe, Harare, Zimbabwe
| | - Prosper Chopera
- Department of Nutrition, Dietetics and Food Sciences, University of Zimbabwe, Harare, Zimbabwe
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Wang Y, Yang Z, Chen G, Zhan L, Zhang M, Zhou M, Sheng W. Influencing factors of selenium transformation in a soil-rice system and prediction of selenium content in rice seeds: a case study in Ninghua County, Fujian Province. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2024; 31:995-1006. [PMID: 38030845 DOI: 10.1007/s11356-023-31193-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 11/19/2023] [Indexed: 12/01/2023]
Abstract
Selenium (Se) is an essential element for human and animal health and has antioxidant, anticancer, and antiviral effects. However, more than 100 million people in China do not have enough Se in their diets, resulting in a state of low Se in the human body. Since the absorption of Se by crop seeds depends not only on the Se content in soil, there are many omissions and misjudgments in the division of Se-rich producing areas. Soil pH, total iron oxide content (TFe2O3), soil organic matter (SOM), and P and S contents were the main factors affecting Se migration and transformation in the soil-rice system. In this study, we compared the performance of the back propagation neural network (BP network) and multiple linear regression (MLR) using 177 pairs of soil-rice samples. Our results showed that the BP network had higher accuracy than MLR. The accuracy and precision of the prediction data met the requirements, and the prediction data were reliable. Based on the Se data of surface paddy fields, 26,900 ha of Se-rich rice planting area was planned using this model, accounting for 77% of the paddy field area. In the planned Se-rich area for rice, the proportion of soil Se content greater than 0.4 mg·kg-1 was only 5.29%. Our research is of great significance for the development of Se-rich lands.
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Affiliation(s)
- Ying Wang
- School of Earth Sciences and Resources, China University of Geosciences, Beijing, 100083, China
- China Chemical Mingda Holding Group, Beijing, 100013, China
| | - Zhongfang Yang
- School of Earth Sciences and Resources, China University of Geosciences, Beijing, 100083, China.
- Key Laboratory of Ecological Geochemistry, Ministry of Natural Resources, Beijing, 100037, China.
| | - Guoguang Chen
- Nanjing Center, China Geological Survey, Nanjing, 210016, Jiangsu, China
| | - Long Zhan
- Nanjing Center, China Geological Survey, Nanjing, 210016, Jiangsu, China
| | - Ming Zhang
- Nanjing Center, China Geological Survey, Nanjing, 210016, Jiangsu, China
| | - Mo Zhou
- Nanjing Center, China Geological Survey, Nanjing, 210016, Jiangsu, China
| | - Weikang Sheng
- School of Earth Sciences and Resources, China University of Geosciences, Beijing, 100083, China
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Guja H, Belgiu M, Embibel L, Baye K, Stein A. Examining energy and nutrient production across the different agroecological zones in rural Ethiopia using statistical methods. Food Sci Nutr 2023; 11:7565-7580. [PMID: 38107096 PMCID: PMC10724589 DOI: 10.1002/fsn3.3676] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 08/26/2023] [Accepted: 08/29/2023] [Indexed: 12/19/2023] Open
Abstract
Poor-quality diets are of huge concern in areas where consumption is dominated by locally sourced foods that provide inadequate nutrients. In agroecologically diverse countries like Ethiopia, food production is also likely to vary spatially. Yet, little is known about how nutrient production varies by agroecology. Our study looked at the adequacy of essential nutrients from local production in the midland, highland, and upper highland agroecological zones (AEZs). Data were collected at the village level from the kebele agriculture office and at the farm and household levels through surveys in rural districts of the South Wollo zone, Ethiopia. Household data were acquired from 478 households, and crop samples were collected from 120 plots during the 2020 production year. Annual crop and livestock production across the three AEZs was converted into energy and nutrient supply using locally developed crops' energy and nutrient composition data. The total produced energy (kcal) met significant proportions of per capita energy demand in the highland and upper highland, while the supply had a 50% energy deficit in the midland. Shortfalls in per capita vitamin A supply decreased across the agroecological gradient from midland (46%) to upper highland (31%). The estimated shortfall in folate supply was significantly higher in the upper highlands (63%) and negligible in the highlands (2%). The risk of deficient iron and zinc supply was relatively low across all AEZs (<10%), but the deficiency risk of calcium was unacceptably high. Agroecology determines the choice of crop produced and, in this way, affects the available supply of energy and nutrients. Therefore, agroecological variations should be a key consideration when designing food system interventions dedicated to improving diets.
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Affiliation(s)
- Habtamu Guja
- Faculty of Geo‐information Science and Earth Observation (ITC)University of TwenteEnschedeThe Netherlands
- Center for Food Science and Nutrition, College of Natural and Computational SciencesAddis Ababa UniversityAddis AbabaEthiopia
| | - Mariana Belgiu
- Faculty of Geo‐information Science and Earth Observation (ITC)University of TwenteEnschedeThe Netherlands
| | - Lidya Embibel
- Center for Food Science and Nutrition, College of Natural and Computational SciencesAddis Ababa UniversityAddis AbabaEthiopia
| | - Kaleab Baye
- Center for Food Science and Nutrition, College of Natural and Computational SciencesAddis Ababa UniversityAddis AbabaEthiopia
| | - Alfred Stein
- Faculty of Geo‐information Science and Earth Observation (ITC)University of TwenteEnschedeThe Netherlands
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Hailu K, Joy EJM, Ferguson EL, Bailey EH, Wilson L, Davis K, Broadley MR, Gashu D. Dietary selenium intake among Ethiopian children in areas known for selenium spatial variability. Front Nutr 2023; 10:1250002. [PMID: 37908299 PMCID: PMC10613729 DOI: 10.3389/fnut.2023.1250002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 09/18/2023] [Indexed: 11/02/2023] Open
Abstract
Introduction There is spatial variability of selenium (Se) in soil and crops in Ethiopia. We assessed the Se content of food items, breast milk, and urine among infants in Ethiopia from two areas with contrasting Se concentrations in soils. Methods Dietary Se intakes among children (6-23 months) were evaluated using a weighed food record on two non-consecutive days. Also, spot urine samples from children and breast milk samples from their mothers were collected to determine Se concentration. Selenium concentrations in the samples were analyzed using an inductively coupled plasma mass spectrometer (ICP-MS). Results Injera (prepared from teff and mixtures of other cereals) with a legume-based stew were the most frequently consumed foods by the children in both areas, followed by pasta. Overall, the Se concentration (mean ± SD) of food items, breast milk (12.2 ± 3.9 μg/L vs. 3.39 ± 1.5 μg/L), and urine samples (22.5 ± 11.5 μg/L vs. 3.0 ± 1.9 μg/L) from East Amhara were significantly higher than the corresponding samples from West Amhara (p < 0.001). The total Se intakes by the study children from East Amhara and West Amhara were 30.2 [IQ 25%, 14.2; IQ 75%, 54.1] and 7.4 [IQR 25%, 4.2; IQ 75%, 10.6] μg day-1, respectively; 31.5% of children from East Amhara and 92% of children from West Amhara were at risk of inadequate Se intakes. Urinary Se excretion accounted for 53 and 39% of daily dietary Se intake in East Amhara and West Amhara, respectively. Dietary Se intake was positively correlated with urinary Se excretion in East Amhara (r = 0.56; p < 0.001) but not among samples from West Amhara (r = 0.16; p ≥ 0.05), suggesting greater physiological Se conservation in a state of deficiency. Conclusion There is spatial variability of Se in foods, breast milk, and urine in Ethiopia, suggesting the need for implementation of targeted agronomic interventions that enhance Se concentrations in the edible portion of plant foods.
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Affiliation(s)
- Kaleab Hailu
- Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
- Department of Food Science and Applied Nutrition, Addis Ababa Science and Technology University, Addis Ababa, Ethiopia
| | - Edward J. M. Joy
- Department of Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom
- School of Biosciences, University of Nottingham, Loughborough, United Kingdom
| | - Elaine L. Ferguson
- Department of Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Elizabeth H. Bailey
- Sustainable Soils and Crops Department, Rothamsted Research, Harpenden, United Kingdom
| | - Lolita Wilson
- Sustainable Soils and Crops Department, Rothamsted Research, Harpenden, United Kingdom
| | - Kenneth Davis
- Sustainable Soils and Crops Department, Rothamsted Research, Harpenden, United Kingdom
| | - Martin R. Broadley
- School of Biosciences, University of Nottingham, Loughborough, United Kingdom
- Sustainable Soils and Crops Department, Rothamsted Research, Harpenden, United Kingdom
| | - Dawd Gashu
- Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
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Teklu D, Gashu D, Joy EJM, Lark RM, Bailey EH, Wilson L, Amede T, Broadley MR. Impact of zinc and iron agronomic biofortification on grain mineral concentration of finger millet varieties as affected by location and slope. Front Nutr 2023; 10:1159833. [PMID: 37215208 PMCID: PMC10195999 DOI: 10.3389/fnut.2023.1159833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 04/13/2023] [Indexed: 05/24/2023] Open
Abstract
Background Food crop micronutrient concentrations can be enhanced through agronomic biofortification, with the potential to reduce micronutrient deficiencies among rural population if they have access to fertilizers. Here we reported the impact of agronomic biofortification on finger millet grain zinc (Zn) and iron (Fe) concentration. Methods A field experiment was conducted in farmers' fields in Ethiopia in two locations; over two seasons in one district (2019 and 2020), and over a single season (2019) in a second district. The experimental design had 15 treatment combinations comprising 3 finger millet varieties and 5 soil-applied fertilizer treatments: (T1) 20 kg ha-1 FeSO4 + 25 kg ha-1 ZnSO4 + NPKS; (T2) 25 kg ha-1 ZnSO4 + NPKS; (T3) NPKS; (T4) 30% NPKS; (T5) 20 kg ha-1 FeSO4 + NPKS. The treatments were studied at two slope positions (foot and hill), replicated four times in a randomized complete block design. Results Grain Zn concentration increased by 20% in response to Fe and Zn and by 18.9% due to Zn addition. Similarly, grain Fe concentration increased by 21.4% in T1 and 17.8% in T5 (Fe). Zinc fertilizer application (p < 0.001), finger millet variety (p < 0.001), and an interaction of Fe and Zn had significant effect on grain Zn concentration. Iron fertilizer (p < 0.001) and interactive effect of Fe fertilizer and finger millet variety (p < 0.01) had significant effects on grain Fe concentration. Location but not slope position was a source of variation for both grain Zn and Fe concentrations. Conclusion Soil application of Zn and Fe could be a viable strategy to enhance grain Zn and Fe concentration to finger millet grain. If increased grain Zn and Fe is bioavailable, it could help to combat micronutrient deficiencies.
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Affiliation(s)
- Demeke Teklu
- Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
| | - Dawd Gashu
- Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
| | - Edward J. M. Joy
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom
- Sustainable Soil and Crop, Rothamsted Research, Hertfordshire, United Kingdom
| | - R. Murray Lark
- School of Bioscience, University of Nottingham, Sutton Bonington Campus, Leicestershire, United Kingdom
| | - Elizabeth H. Bailey
- School of Bioscience, University of Nottingham, Sutton Bonington Campus, Leicestershire, United Kingdom
| | - Lolita Wilson
- School of Bioscience, University of Nottingham, Sutton Bonington Campus, Leicestershire, United Kingdom
| | - Tilahun Amede
- Alliance for a Green Revolution in Africa (AGRA), Sustainably Growing Africa’s Food Systems, Nairobi, Kenya
| | - Martin R. Broadley
- Sustainable Soil and Crop, Rothamsted Research, Hertfordshire, United Kingdom
- School of Bioscience, University of Nottingham, Sutton Bonington Campus, Leicestershire, United Kingdom
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Belay A, Gashu D, Joy EJM, Lark MR, Chagumaira C, Zerfu D, Ander LE, Young SD, Bailey EH, Broadley MR. Mineral micronutrient status and spatial distribution among the Ethiopian population. Br J Nutr 2022; 128:2170-2180. [PMID: 35109956 PMCID: PMC9661372 DOI: 10.1017/s0007114522000319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Revised: 01/15/2022] [Accepted: 01/24/2022] [Indexed: 12/30/2022]
Abstract
Multiple micronutrient deficiencies are widespread in Ethiopia. However, the distribution of Se and Zn deficiency risks has previously shown evidence of spatially dependent variability, warranting the need to explore this aspect for wider micronutrients. Here, blood serum concentrations for Ca, Mg, Co, Cu and Mo were measured (n 3102) on samples from the Ethiopian National Micronutrient Survey. Geostatistical modelling was used to test spatial variation of these micronutrients for women of reproductive age, who represent the largest demographic group surveyed (n 1290). Median serum concentrations were 8·6 mg dl-1 for Ca, 1·9 mg dl-1 for Mg, 0·4 µg l-1 for Co, 98·8 µg dl-1 for Cu and 0·2 µg dl-1 for Mo. The prevalence of Ca, Mg and Co deficiency was 41·6 %, 29·2 % and 15·9 %, respectively; Cu and Mo deficiency prevalence was 7·6 % and 0·3 %, respectively. A higher prevalence of Ca, Cu and Mo deficiency was observed in north western, Co deficiency in central and Mg deficiency in north eastern parts of Ethiopia. Serum Ca, Mg and Mo concentrations show spatial dependencies up to 140-500 km; however, there was no evidence of spatial correlations for serum Co and Cu concentrations. These new data indicate the scale of multiple mineral micronutrient deficiency in Ethiopia and the geographical differences in the prevalence of deficiencies suggesting the need to consider targeted responses during the planning of nutrition intervention programmes.
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Affiliation(s)
- Adamu Belay
- Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
- Food Science and Nutrition Research Directorate, Ethiopian Public Health Institute, Gulele Sub City, Addis Ababa, Ethiopia
| | - Dawd Gashu
- Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
| | - Edward J. M. Joy
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | - Murray R. Lark
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, Leicestershire, UK
| | - Christopher Chagumaira
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, Leicestershire, UK
| | - Dilnesaw Zerfu
- Food Science and Nutrition Research Directorate, Ethiopian Public Health Institute, Gulele Sub City, Addis Ababa, Ethiopia
| | - Louise E. Ander
- Inorganic Geochemistry, Centre for Environmental Geochemistry, British Geological Survey, Nottingham, UK
| | - Scott D. Young
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, Leicestershire, UK
| | - Elizabeth H. Bailey
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, Leicestershire, UK
| | - Martin R. Broadley
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, Leicestershire, UK
- Rothamsted Research, West Common, Harpenden, Hertfordshire, UK
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Mutonhodza B, Joy EJM, Bailey EH, Lark MR, Kangara MGM, Broadley MR, Matsungo TM, Chopera P. Linkages between soil, crop, livestock, and human selenium status in Sub-Saharan Africa: a scoping review. Int J Food Sci Technol 2022; 57:6336-6349. [PMID: 36605250 PMCID: PMC9804181 DOI: 10.1111/ijfs.15979] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Accepted: 07/11/2022] [Indexed: 01/07/2023]
Abstract
Selenium (Se) is essential for human health, however, data on population Se status and agriculture-nutrition-health linkages are limited in sub-Saharan Africa (SSA). The scoping review aims to identify linkages between Se in soils/crops, dietary Se intakes, and livestock and human Se status in SSA. Online databases, organisational websites and grey literature were used to identify articles. Articles were screened at title, abstract and full text levels using eligibility criteria. The search yielded 166 articles from which 112 were excluded during abstract screening and 54 full text articles were assessed for eligibility. The scoping review included 34 primary studies published between 1984 and 2021. The studies covered Se concentrations in soils (n = 7), crops (n = 9), animal tissues (n = 2), livestock (n = 3), and human Se status (n = 15). The evidence showed that soil/crop Se concentrations affected Se concentration in dietary sources, dietary Se intake and biomarkers of Se status. Soil types are a primary driver of human Se status and crop Se concentration correlates positively with biomarkers of Se dietary status. Although data sets of Se concentrations exist across the food system in SSA, there is limited evidence on linkages across the agriculture-nutrition nexus. Extensive research on Se linkages across the food chain is warranted.
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Affiliation(s)
- Beaula Mutonhodza
- Department of Nutrition, Dietetics and Food SciencesUniversity of ZimbabweP.O. Box MP167, Mt PleasantHarareZimbabwe
| | - Edward J. M. Joy
- London School for Hygiene and Tropical MedicineKeppel StreetLondonWC1E 7HTUK
- Rothamsted ResearchWest CommonHarpendenAL5 2JQUK
| | - Elizabeth H. Bailey
- School of BiosciencesUniversity of NottinghamSutton Bonington CampusLoughboroughLeicestershireLE12 5RDUK
| | - Murray R. Lark
- School of BiosciencesUniversity of NottinghamSutton Bonington CampusLoughboroughLeicestershireLE12 5RDUK
| | | | - Martin R. Broadley
- Rothamsted ResearchWest CommonHarpendenAL5 2JQUK
- School of BiosciencesUniversity of NottinghamSutton Bonington CampusLoughboroughLeicestershireLE12 5RDUK
| | - Tonderayi M. Matsungo
- Department of Nutrition, Dietetics and Food SciencesUniversity of ZimbabweP.O. Box MP167, Mt PleasantHarareZimbabwe
| | - Prosper Chopera
- Department of Nutrition, Dietetics and Food SciencesUniversity of ZimbabweP.O. Box MP167, Mt PleasantHarareZimbabwe
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Estimates of Dietary Mineral Micronutrient Supply from Staple Cereals in Ethiopia at a District Level. Nutrients 2022; 14:nu14173469. [PMID: 36079728 PMCID: PMC9459787 DOI: 10.3390/nu14173469] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 08/18/2022] [Accepted: 08/19/2022] [Indexed: 11/20/2022] Open
Abstract
Recent surveys have revealed substantial spatial variation in the micronutrient composition of cereals in Ethiopia, where a single national micronutrient concentration values for cereal grains are of limited use for estimating typical micronutrient intakes. We estimated the district-level dietary mineral supply of staple cereals, combining district-level cereal production and crop mineral composition data, assuming cereal consumption of 300 g capita−1 day−1 proportional to district-level production quantity of each cereal. We considered Barley (Hordeum vulgare L.), maize (Zea mays L.), sorghum (Sorghum bicolor (L.) Moench), teff (Eragrostis tef (Zuccagni) Trotter), and wheat (Triticum aestivum L.) consumption representing 93.5% of the total cereal production in the three major agrarian regions. On average, grain cereals can supply 146, 23, and 7.1 mg capita−1 day−1 of Ca, Fe, and Zn, respectively. In addition, the Se supply was 25 µg capita−1 day−1. Even at district-level, cereals differ by their mineral composition, causing a wide range of variation in their contribution to the daily dietary requirements, i.e., for an adult woman: 1–48% of Ca, 34–724% of Fe, 17–191% of Se, and 48–95% of Zn. There was considerable variability in the dietary supply of Ca, Fe, Se, and Zn from staple cereals between districts in Ethiopia.
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Kumssa DB, Mossa AW, Amede T, Ander EL, Bailey EH, Botoman L, Chagumaira C, Chimungu JG, Davis K, Gameda S, Haefele SM, Hailu K, Joy EJM, Lark RM, Ligowe IS, McGrath SP, Milne A, Muleya P, Munthali M, Towett E, Walsh MG, Wilson L, Young SD, Haji IR, Broadley MR, Gashu D, Nalivata PC. Cereal grain mineral micronutrient and soil chemistry data from GeoNutrition surveys in Ethiopia and Malawi. Sci Data 2022; 9:443. [PMID: 35879373 PMCID: PMC9314434 DOI: 10.1038/s41597-022-01500-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Accepted: 06/28/2022] [Indexed: 01/07/2023] Open
Abstract
The dataset comprises primary data for the concentration of 29 mineral micronutrients in cereal grains and up to 84 soil chemistry properties from GeoNutrition project surveys in Ethiopia and Malawi. The work provided insights on geospatial variation in the micronutrient concentration in staple crops, and the potential influencing soil factors. In Ethiopia, sampling was conducted in Amhara, Oromia, and Tigray regions, during the late-2017 and late-2018 harvest seasons. In Malawi, national-scale sampling was conducted during the April-June 2018 harvest season. The concentrations of micronutrients in grain were measured using inductively coupled plasma mass spectrometry (ICP-MS). Soil chemistry properties reported include soil pH; total soil nitrogen; total soil carbon (C); soil organic C; effective cation exchange capacity and exchangeable cations; a three-step sequential extraction scheme for the fractionation of sulfur and selenium; available phosphate; diethylenetriaminepentaacetic acid (DTPA)-extractable trace elements; extractable trace elements using 0.01 M Ca(NO3)2 and 0.01 M CaCl2; and isotopically exchangeable Zn. These data are reported here according to FAIR data principles to enable users to further explore agriculture-nutrition linkages.
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Affiliation(s)
- D B Kumssa
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
| | - A W Mossa
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
| | - T Amede
- International Crop Research Institute for the Semi-Arid Tropics (ICRISAT), ILRI Sholla Campus, P.O. Box 5689, Addis Ababa, Ethiopia
| | - E L Ander
- Centre for Environmental Geochemistry, British Geological Survey, Keyworth, Nottinghamshire, NG12 5GG, UK
| | - E H Bailey
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
| | - L Botoman
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Bunda College, P.O. Box 219, Lilongwe, Malawi
- The Department of Agricultural Research Services, P.O. Box 30779, Lilongwe, Malawi
| | - C Chagumaira
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Bunda College, P.O. Box 219, Lilongwe, Malawi
- Future Food Beacon, University of Nottingham, Sutton Bonington Campus, Nottinghamshire, LE12 5RD, UK
- Rothamsted Research, Harpenden, Hertfordshire, AL5 2JQ, UK
| | - J G Chimungu
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Bunda College, P.O. Box 219, Lilongwe, Malawi
| | - K Davis
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
| | - S Gameda
- International Maize and Wheat Improvement Centre (CIMMYT), ILRI Sholla Campus, P.O. Box 5689, Addis Ababa, Ethiopia
| | - S M Haefele
- Rothamsted Research, Harpenden, Hertfordshire, AL5 2JQ, UK
| | - K Hailu
- Centre for Food Science and Nutrition, Addis Ababa University, P.O. Box 1176, Addis Ababa, Ethiopia
- Addis Ababa Science and Technology University, Addis Ababa, Ethiopia
| | - E J M Joy
- Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK
| | - R M Lark
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
- Future Food Beacon, University of Nottingham, Sutton Bonington Campus, Nottinghamshire, LE12 5RD, UK
| | - I S Ligowe
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Bunda College, P.O. Box 219, Lilongwe, Malawi
- The Department of Agricultural Research Services, P.O. Box 30779, Lilongwe, Malawi
| | - S P McGrath
- Rothamsted Research, Harpenden, Hertfordshire, AL5 2JQ, UK
| | - A Milne
- Rothamsted Research, Harpenden, Hertfordshire, AL5 2JQ, UK
| | - P Muleya
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
| | - M Munthali
- The Department of Agricultural Research Services, P.O. Box 30779, Lilongwe, Malawi
| | - E Towett
- World Agroforestry (ICRAF), United Nations Avenue, P.O. Box 30677, Nairobi, Kenya
| | - M G Walsh
- Africa Soil Information Service, Selian Agricultural Research Institute, P.O. Box 2704, Arusha, Tanzania
| | - L Wilson
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
| | - S D Young
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
| | - I R Haji
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK
| | - M R Broadley
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK.
- Rothamsted Research, Harpenden, Hertfordshire, AL5 2JQ, UK.
| | - D Gashu
- Centre for Food Science and Nutrition, Addis Ababa University, P.O. Box 1176, Addis Ababa, Ethiopia
| | - P C Nalivata
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Bunda College, P.O. Box 219, Lilongwe, Malawi
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12
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Botoman L, Chagumaira C, Mossa AW, Amede T, Ander EL, Bailey EH, Chimungu JG, Gameda S, Gashu D, Haefele SM, Joy EJM, Kumssa DB, Ligowe IS, McGrath SP, Milne AE, Munthali M, Towett E, Walsh MG, Wilson L, Young SD, Broadley MR, Lark RM, Nalivata PC. Soil and landscape factors influence geospatial variation in maize grain zinc concentration in Malawi. Sci Rep 2022; 12:7986. [PMID: 35568698 PMCID: PMC9107474 DOI: 10.1038/s41598-022-12014-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 05/03/2022] [Indexed: 11/25/2022] Open
Abstract
Dietary zinc (Zn) deficiency is widespread globally, and in particular among people in sub-Saharan Africa (SSA). In Malawi, dietary sources of Zn are dominated by maize and spatially dependent variation in grain Zn concentration, which will affect dietary Zn intake, has been reported at distances of up to ~ 100 km. The aim of this study was to identify potential soil properties and environmental covariates which might explain this longer-range spatial variation in maize grain Zn concentration. Data for maize grain Zn concentrations, soil properties, and environmental covariates were obtained from a spatially representative survey in Malawi (n = 1600 locations). Labile and non-labile soil Zn forms were determined using isotopic dilution methods, alongside conventional agronomic soil analyses. Soil properties and environmental covariates as potential predictors of the concentration of Zn in maize grain were tested using a priori expert rankings and false discovery rate (FDR) controls within the linear mixed model (LMM) framework that informed the original survey design. Mean and median grain Zn concentrations were 21.8 and 21.5 mg kg−1, respectively (standard deviation 4.5; range 10.0–48.1). A LMM for grain Zn concentration was constructed for which the independent variables: soil pH(water), isotopically exchangeable Zn (ZnE), and diethylenetriaminepentaacetic acid (DTPA) extractable Zn (ZnDTPA) had predictive value (p < 0.01 in all cases, with FDR controlled at < 0.05). Downscaled mean annual temperature also explained a proportion of the spatial variation in grain Zn concentration. Evidence for spatially dependent variation in maize grain Zn concentrations in Malawi is robust within the LMM framework used in this study, at distances of up to ~ 100 km. Spatial predictions from this LMM provide a basis for further investigation of variations in the contribution of staple foods to Zn nutrition, and where interventions to increase dietary Zn intake (e.g. biofortification) might be most effective. Other soil and landscape factors influencing spatially dependent variation in maize grain Zn concentration, along with factors operating over shorter distances such as choice of crop variety and agronomic practices, require further exploration beyond the scope of the design of this survey.
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Affiliation(s)
- L Botoman
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Bunda College Campus, P.O. Box 219, Lilongwe, Malawi.,The Department of Agricultural Research Services, P.O. Box 30779, Lilongwe 3, Malawi
| | - C Chagumaira
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Bunda College Campus, P.O. Box 219, Lilongwe, Malawi.,School of Biosciences, University of Nottingham, Sutton Bonington Campus, Nottinghamshire, LE12 5RD, UK.,Future Food Beacon, University of Nottingham, Sutton Bonington Campus, Nottinghamshire, LE12 5RD, UK.,Rothamsted Research, Harpenden, Hertfordshire, AL5 2JQ, UK
| | - A W Mossa
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Nottinghamshire, LE12 5RD, UK
| | - T Amede
- Alliance for Green Revolution in Africa (AGRA), o/C, ILRI, Guidoshola, P.O. Box 5689, Addis Ababa, Ethiopia
| | - E L Ander
- Centre for Environmental Geochemistry, British Geological Survey, Keyworth, Nottinghamshire, NG12 5GG, UK
| | - E H Bailey
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Nottinghamshire, LE12 5RD, UK
| | - J G Chimungu
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Bunda College Campus, P.O. Box 219, Lilongwe, Malawi
| | - S Gameda
- International Maize and Wheat Improvement Center (CIMMYT), ILRI Sholla Campus, P.O. Box 5689, Addis Ababa, Ethiopia
| | - D Gashu
- Centre for Food Science and Nutrition, Addis Ababa University, P.O. Box 1176, Addis Ababa, Ethiopia
| | - S M Haefele
- Rothamsted Research, Harpenden, Hertfordshire, AL5 2JQ, UK
| | - E J M Joy
- Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK
| | - D B Kumssa
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Nottinghamshire, LE12 5RD, UK
| | - I S Ligowe
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Bunda College Campus, P.O. Box 219, Lilongwe, Malawi.,The Department of Agricultural Research Services, P.O. Box 30779, Lilongwe 3, Malawi
| | - S P McGrath
- Rothamsted Research, Harpenden, Hertfordshire, AL5 2JQ, UK
| | - A E Milne
- Rothamsted Research, Harpenden, Hertfordshire, AL5 2JQ, UK
| | - M Munthali
- The Department of Agricultural Research Services, P.O. Box 30779, Lilongwe 3, Malawi
| | - E Towett
- World Agroforestry (ICRAF), United Nations Avenue, P.O. Box 30677, Nairobi, Kenya
| | - M G Walsh
- Africa Soil Information Service, Selian Agricultural Research Institute, P.O. Box 2704, Arusha, Tanzania
| | - L Wilson
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Nottinghamshire, LE12 5RD, UK
| | - S D Young
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Nottinghamshire, LE12 5RD, UK
| | - M R Broadley
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Nottinghamshire, LE12 5RD, UK.,Rothamsted Research, Harpenden, Hertfordshire, AL5 2JQ, UK
| | - R M Lark
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, Nottinghamshire, LE12 5RD, UK.,Future Food Beacon, University of Nottingham, Sutton Bonington Campus, Nottinghamshire, LE12 5RD, UK
| | - P C Nalivata
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Bunda College Campus, P.O. Box 219, Lilongwe, Malawi.
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Sisay BG, Tamirat H, Sandalinas F, Joy EJM, Zerfu D, Belay A, Mlambo L, Lark M, Ander EL, Gashu D. Folate Deficiency Is Spatially Dependent and Associated with Local Farming Systems among Women in Ethiopia. Curr Dev Nutr 2022; 6:nzac088. [PMID: 35669042 PMCID: PMC9154233 DOI: 10.1093/cdn/nzac088] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 04/09/2022] [Accepted: 04/22/2022] [Indexed: 11/30/2022] Open
Abstract
Background Folate is essential for the synthesis and integrity of DNA, normal cell formation, and body growth. Folate deficiency among women of reproductive age (WRA) increases the risk of poor birth outcomes including neural tube defect (NTD)-affected pregnancies. Folate status is largely dependent on dietary intakes. Objectives We aimed to explore the spatial distribution of biomarkers of folate status and their association with farming systems among nonpregnant WRA in Ethiopia. Methods Serum and RBC folate concentration data were derived from the Ethiopia National Micronutrient Survey of 2015. The spatial dependencies of folate concentration of WRA were investigated and its relation with the dominant local farming system was explored. Results The median serum folate and RBC folate concentrations were 12.3 nmol/L and 567.3 nmol/L, respectively. The national prevalence of folate deficiency using homocysteine concentration as a metabolic indicator based on serum and RBC folate concentration was 11.6% and 5.7%, respectively. The majority of women (77.9%) had low RBC folate concentrations consistent with increased risk of NTD-affected pregnancies. Folate nutrition was spatially dependent at distances of ≤ 300 km. A marked variability in folate concentration was observed between farming systems: greater RBC folate concentration (median: 1036 nmol/L) was found among women from the Lake Tana fish-based system, whereas the lowest RBC folate concentration (median: 386.7 nmol/L) was observed in the highland sorghum chat mixed system. Conclusions The majority (78%) of WRA in Ethiopia had low folate status potentially increasing the risk of NTD-affected pregnancies. These findings may help national and subnational nutrition intervention strategies to target the most affected areas in the country.
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Affiliation(s)
- Binyam G Sisay
- Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
| | - Hasset Tamirat
- Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
| | - Fanny Sandalinas
- Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom
| | - Edward J M Joy
- Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom
| | - Dilenesaw Zerfu
- Food Science and Nutrition Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - Adamu Belay
- Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
- Food Science and Nutrition Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - Liberty Mlambo
- School of Biosciences, University of Nottingham, Loughborough, United Kingdom
| | - Murray Lark
- School of Biosciences, University of Nottingham, Loughborough, United Kingdom
| | - E Louise Ander
- School of Biosciences, University of Nottingham, Loughborough, United Kingdom
- Inorganic Geochemistry, Centre for Environmental Geochemistry, British Geological Survey, Nottingham, United Kingdom
| | - Dawd Gashu
- Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
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14
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Gashu D, Nalivata PC, Amede T, Ander EL, Bailey EH, Botoman L, Chagumaira C, Gameda S, Haefele SM, Hailu K, Joy EJM, Kalimbira AA, Kumssa DB, Lark RM, Ligowe IS, McGrath SP, Milne AE, Mossa AW, Munthali M, Towett EK, Walsh MG, Wilson L, Young SD, Broadley MR. The nutritional quality of cereals varies geospatially in Ethiopia and Malawi. Nature 2021; 594:71-76. [PMID: 34012114 PMCID: PMC8172382 DOI: 10.1038/s41586-021-03559-3] [Citation(s) in RCA: 75] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Accepted: 04/15/2021] [Indexed: 02/04/2023]
Abstract
Micronutrient deficiencies (MNDs) remain widespread among people in sub-Saharan Africa1-5, where access to sufficient food from plant and animal sources that is rich in micronutrients (vitamins and minerals) is limited due to socioeconomic and geographical reasons4-6. Here we report the micronutrient composition (calcium, iron, selenium and zinc) of staple cereal grains for most of the cereal production areas in Ethiopia and Malawi. We show that there is geospatial variation in the composition of micronutrients that is nutritionally important at subnational scales. Soil and environmental covariates of grain micronutrient concentrations included soil pH, soil organic matter, temperature, rainfall and topography, which were specific to micronutrient and crop type. For rural households consuming locally sourced food-including many smallholder farming communities-the location of residence can be the largest influencing factor in determining the dietary intake of micronutrients from cereals. Positive relationships between the concentration of selenium in grain and biomarkers of selenium dietary status occur in both countries. Surveillance of MNDs on the basis of biomarkers of status and dietary intakes from national- and regional-scale food-composition data1-7 could be improved using subnational data on the composition of grain micronutrients. Beyond dietary diversification, interventions to alleviate MNDs, such as food fortification8,9 and biofortification to increase the micronutrient concentrations in crops10,11, should account for geographical effects that can be larger in magnitude than intervention outcomes.
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Affiliation(s)
- D Gashu
- Centre for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
| | - P C Nalivata
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Lilongwe, Malawi
| | - T Amede
- International Crop Research Institute for the Semi-Arid Tropics (ICRISAT), Addis Ababa, Ethiopia
| | - E L Ander
- Centre for Environmental Geochemistry, British Geological Survey, Keyworth, UK
| | - E H Bailey
- School of Biosciences, University of Nottingham, Sutton Bonington, UK
| | - L Botoman
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Lilongwe, Malawi
- The Department of Agricultural Research Services, Lilongwe, Malawi
| | - C Chagumaira
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Lilongwe, Malawi
- School of Biosciences, University of Nottingham, Sutton Bonington, UK
- Future Food Beacon, University of Nottingham, Sutton Bonington, UK
- Sustainable Agriculture Sciences Department, Rothamsted Research, Harpenden, UK
| | - S Gameda
- International Maize and Wheat Improvement Center (CIMMYT), Addis Ababa, Ethiopia
| | - S M Haefele
- Sustainable Agriculture Sciences Department, Rothamsted Research, Harpenden, UK
| | - K Hailu
- Centre for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia
- Department of Food Science and Applied Nutrition, Addis Ababa Science and Technology University, Addis Ababa, Ethiopia
| | - E J M Joy
- Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK
| | - A A Kalimbira
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Lilongwe, Malawi
| | - D B Kumssa
- School of Biosciences, University of Nottingham, Sutton Bonington, UK
| | - R M Lark
- School of Biosciences, University of Nottingham, Sutton Bonington, UK
- Future Food Beacon, University of Nottingham, Sutton Bonington, UK
| | - I S Ligowe
- Lilongwe University of Agriculture and Natural Resources (LUANAR), Lilongwe, Malawi
- The Department of Agricultural Research Services, Lilongwe, Malawi
| | - S P McGrath
- Sustainable Agriculture Sciences Department, Rothamsted Research, Harpenden, UK
| | - A E Milne
- Sustainable Agriculture Sciences Department, Rothamsted Research, Harpenden, UK
| | - A W Mossa
- School of Biosciences, University of Nottingham, Sutton Bonington, UK
| | - M Munthali
- The Department of Agricultural Research Services, Lilongwe, Malawi
| | - E K Towett
- World Agroforestry (ICRAF), Nairobi, Kenya
| | - M G Walsh
- Africa Soil Information Service, Selian Agricultural Research Institute, Arusha, Tanzania
| | - L Wilson
- School of Biosciences, University of Nottingham, Sutton Bonington, UK
| | - S D Young
- School of Biosciences, University of Nottingham, Sutton Bonington, UK
| | - M R Broadley
- School of Biosciences, University of Nottingham, Sutton Bonington, UK.
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Global Trends (1961-2017) in Human Dietary Potassium Supplies. Nutrients 2021; 13:nu13041369. [PMID: 33921853 PMCID: PMC8074176 DOI: 10.3390/nu13041369] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Revised: 04/12/2021] [Accepted: 04/16/2021] [Indexed: 11/29/2022] Open
Abstract
Background: Potassium (K) is an essential mineral and major intracellular electrolyte involved in the regulation of blood pressure, muscle contraction and nerve transmission in humans. Major dietary sources of K include fruits and vegetables, starchy roots and tubers, and whole grains. The aim of this study was to assess and report: (i) the sufficiency of K in national food systems globally, (ii) to quantify the contribution from food groups, and (iii) to explore spatial and temporal trends in the period of 1961–2017. Methods: Food supply and demography (1961–2017), K composition and K requirement data were combined to estimate per capita human dietary supplies of potassium (DSK), adequate intake of K (AIK) and K sufficiency ratio (KSR) at national, regional, continental and global levels. Results and Discussion: Globally, the mean ± SD. DSK (mg capita−1 d−1) increased from 2984 ± 915 in 1961 to 3796 ± 1161 in 2017. There was a wide range in DSK between geographical regions and across years, with particularly large increases in east Asia, where DSK increased from <3000 to >5000 mg capita−1 day−1. Roots and tubers contributed the largest dietary source of K, providing up to 80% of DSK in most regions. At the global level, throughout the 57-year period, the population-weighted KSR was <1 based on the 2006 Institute of Medicine AIK recommendation, while it was >1 based on the 2019 National Academies of Science and the 2016 European Union AIK recommendation. While KSR ≥ 1 shows sufficiency of DSK, KSR < 1 does not indicate K deficiency risk. Conclusion: Due to the absence of a Recommended Daily Allowance (RDA) for K, this study used the ratio of DSK:AIK (i.e., KSR) to assess dietary K sufficiency. Estimates of dietary K sufficiency are, therefore, highly sensitive to the AIK reference value used and this varied greatly based on different institutions and years. To quantify the risk of dietary K deficiency, bridging the data gap to establish an RDA for K should be a global research priority.
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Zinc deficiency is highly prevalent and spatially dependent over short distances in Ethiopia. Sci Rep 2021; 11:6510. [PMID: 33753836 PMCID: PMC7985319 DOI: 10.1038/s41598-021-85977-x] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Accepted: 03/05/2021] [Indexed: 01/31/2023] Open
Abstract
Zinc (Zn) is an essential nutrient for human health. In Ethiopia, a high prevalence of Zn deficiency has been reported. To explore demographic variation and spatial dependencies in the Zn status of the Ethiopian population, we analyzed archived serum samples (n = 3373) from the 2015 Ethiopian National Micronutrient Survey (ENMS), a cross-sectional survey of young children, school-age children, women of reproductive age (WRA) and men conducted in all 9 regions and two city administration of Ethiopia. Serum Zn concentrations, measured using inductively coupled plasma-mass spectrometry (ICPMS), were compared to thresholds based on age, sex, fasting status, and time of blood collection, after adjusting for inflammation status. Median serum Zn concentration of the population was 57.5 μg dL-1. Overall, it is estimated that 72% of the population was Zn deficient, with high prevalence in all demographic groups. Spatial statistical analysis showed that there was spatial dependence in Zn status of WRA at distances of up to 45 km. Zinc deficiency is spatially dependent over short distances. Although WRA in most areas are likely to be Zn deficient, prevalence of deficiency varies at regional scale and between rural and urban inhabitants, suggesting there is scope to explore drivers of this variation, prioritize nutritional interventions, and to design more representative surveillance programs.
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Botoman L, Nalivata PC, Chimungu JG, Munthali MW, Bailey EH, Ander EL, Lark RM, Mossa A, Young SD, Broadley MR. Increasing zinc concentration in maize grown under contrasting soil types in Malawi through agronomic biofortification: Trial protocol for a field experiment to detect small effect sizes. PLANT DIRECT 2020; 4:e00277. [PMID: 33103047 PMCID: PMC7578695 DOI: 10.1002/pld3.277] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Revised: 09/15/2020] [Accepted: 09/20/2020] [Indexed: 05/27/2023]
Abstract
The prevalence of micronutrient deficiencies including zinc (Zn) is widespread in Malawi, especially among poor and marginalized rural populations. This is due to low concentrations of Zn in most staple cereal crops and limited consumption of animal source foods. The Zn concentration of cereal grain can be increased through application of Zn-enriched fertilizers; a process termed agronomic biofortification or agro-fortification. This trial protocol describes a field experiment which aims to assess the potential of agronomic biofortification to improve the grain Zn concentration of maize, the predominant staple crop of Malawi. The hypotheses of the study are that application of Zn-enriched fertilizers will create a relatively small increase in the concentration of Zn in maize grains that will be sufficient to benefit dietary supplies of Zn, and that the effectiveness of agronomic biofortification will differ between soil types. The study will be conducted at three sites, Chitedze, Chitala, and Ngabu Agricultural Research Stations, in Lilongwe, Salima, and Chikwawa Districts respectively. These three sites represent locations in the Central and Southern Regions of Malawi. At each site, two different sub-sites will be used, each corresponding to one of two agriculturally important soil types of Malawi, Lixisols, and Vertisols. Within each sub-site, three Zn fertilizer rates (1, 30, and 90 kg/ha) will be applied to experimental plots using standard soil application methods, in a randomized complete block design. The number of replicates at plot level has been informed by a power analysis from pilot study data, assuming that a minimum 10% increase in Zn concentration of grain at 90 kg/ha relative to the concentration at 1 kg/ha is of interest. Grain mass (yield), stover mass, and both stover and grain Zn concentrations will be measured at harvest. A second year of cropping will be used to establish whether there are any residual benefits to grain Zn concentration. The potential for Zn agronomic biofortification will be communicated to relevant academic and government stakeholders through a peer review journal article and a briefing paper.
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Affiliation(s)
- Lester Botoman
- Crop and Soil Sciences DepartmentLilongwe University of Agriculture and Natural Resources (LUANAR)Bunda CampusLilongweMalawi
- Department of Agricultural Research ServicesChitedze Agricultural Research StationLilongweMalawi
| | - Patson C. Nalivata
- Crop and Soil Sciences DepartmentLilongwe University of Agriculture and Natural Resources (LUANAR)Bunda CampusLilongweMalawi
| | - Joseph G. Chimungu
- Crop and Soil Sciences DepartmentLilongwe University of Agriculture and Natural Resources (LUANAR)Bunda CampusLilongweMalawi
| | - Moses W. Munthali
- Department of Agricultural Research ServicesChitedze Agricultural Research StationLilongweMalawi
| | | | - E. Louise Ander
- Inorganic GeochemistryCentre for Environmental GeochemistryBritish Geological SurveyNottinghamUK
| | - R. Murray Lark
- School of BiosciencesUniversity of NottinghamLoughboroughUK
| | | | - Scott D. Young
- School of BiosciencesUniversity of NottinghamLoughboroughUK
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Zia MH, Ahmed I, Bailey EH, Lark RM, Young SD, Lowe NM, Joy EJM, Wilson L, Zaman M, Broadley MR. Site-Specific Factors Influence the Field Performance of a Zn-Biofortified Wheat Variety. FRONTIERS IN SUSTAINABLE FOOD SYSTEMS 2020; 4. [DOI: 10.3389/fsufs.2020.00135] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2024] Open
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19
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Selenium Deficiency Is Widespread and Spatially Dependent in Ethiopia. Nutrients 2020; 12:nu12061565. [PMID: 32471236 PMCID: PMC7353016 DOI: 10.3390/nu12061565] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Revised: 05/17/2020] [Accepted: 05/19/2020] [Indexed: 12/18/2022] Open
Abstract
Selenium (Se) is an essential element for human health and livestock productivity. Globally, human Se status is highly variable, mainly due to the influence of soil types on the Se content of crops, suggesting the need to identify areas of deficiency to design targeted interventions. In sub-Saharan Africa, including Ethiopia, data on population Se status are largely unavailable, although previous studies indicated the potential for widespread Se deficiency. Serum Se concentration of a nationally representative sample of the Ethiopian population was determined, and these observed values were combined with a spatial statistical model to predict and map the Se status of populations across the country. The study used archived serum samples (n = 3269) from the 2015 Ethiopian National Micronutrient Survey (ENMS). The ENMS was a cross-sectional survey of young and school-age children, women and men. Serum Se concentration was measured using inductively coupled plasma mass spectrometry (ICPMS). The national median (Q1, Q3) serum Se concentration was 87.7 (56.7, 123.0) μg L−1. Serum Se concentration differed between regions, ranging from a median (Q1, Q3) of 54.6 (43.1, 66.3) µg L−1 in the Benishangul-Gumuz Region to 122.0 (105, 141) µg L−1 in the Southern Nations, Nationalities, and Peoples’ Region and the Afar Region. Overall, 35.5% of the population were Se deficient, defined as serum Se < 70 µg L−1. A geostatistical analysis showed that there was marked spatial dependence in Se status, with serum concentrations greatest among those living in North-East and Eastern Ethiopia and along the Rift Valley, while serum Se concentrations were lower among those living in North-West and Western Ethiopia. Selenium deficiency in Ethiopia is widespread, but the risk of Se deficiency is highly spatially dependent. Policies to enhance Se nutrition should target populations in North-West and Western Ethiopia.
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