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Am J Clin Nutr 89: 539-544, 2009. First published December 23, 2008; doi:10.3945/ajcn.2008.27026
American Journal of Clinical Nutrition, doi:10.3945/ajcn.2008.27026
Vol. 89, No. 2, 539-544, February 2009

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© 2009 American Society for Clinical Nutrition

ORIGINAL RESEARCH COMMUNICATION

Optimization of a phytase-containing micronutrient powder with low amounts of highly bioavailable iron for in-home fortification of complementary foods

Barbara Troesch1,2,3, Ines Egli1,2,3, Christophe Zeder1,2,3, Richard F Hurrell1,2,3, Saskia de Pee1,2,3 and Michael B Zimmermann1,2,3

1 From the Laboratory for Human Nutrition, Institute of Food Science and Nutrition, ETH, Zurich, Switzerland (BT, IE, CZ, RFH, and MBZ); the World Food Program, Rome, Italy (SdP); the Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA (SdP); and the Division of Human Nutrition, Wageningen University, Wageningen, Netherlands (MBZ).

2 Supported by the Foundation Nutrition Industry (Basel, Switzerland), established by DSM Nutritional Products Ltd, and the ETH (Zürich, Switzerland).

3 Reprints not available. Address correspondence to B Troesch, Laboratory for Human Nutrition, ETHZ, Zürich ETH Zentrum, Schmelzbergstrasse 7, LFV D19.3, 8092 Zürich, Switzerland. E-mail: barbara.troesch{at}ilw.agrl.ethz.ch.

Background: In-home fortification of complementary foods with micronutrient powders containing low amounts of iron may be potentially safer than powders containing high amounts of iron. However, low iron doses have little nutritional effect, unless iron absorption is high.

Objective: The objective was to maximize iron absorption from a low-iron micronutrient powder for in-home fortification by testing combinations of iron as NaFeEDTA, ascorbic acid, and a microbial phytase active at gut pH. In addition, a recently proposed enhancer of iron absorption, L-{alpha}-glycerophosphocholine (GPC), was tested.

Design: In 6 separate iron-absorption studies using a crossover design, women (n = 101) consumed whole-maize porridge fortified with 3 mg stable isotope–labeled FeSO4 or NaFeEDTA with different combinations of enhancers added to the meals at the time of consumption. Incorporation of iron isotopes into erythrocytes 14 d later was measured.

Results: The addition of phytase when iron was present as either NaFeEDTA or FeSO4, with or without ascorbic acid, significantly increased iron absorption. The combined addition of phytase, ascorbic acid, and NaFeEDTA resulted in an absorption of 7.4%, compared with an absorption of 1.5% from FeSO4 without enhancers in the same meal (P < 0.001). The addition of ascorbic acid did not significantly increase iron absorption from NaFeEDTA, and the addition of calcium did not significantly inhibit iron absorption from NaFeEDTA in the presence of ascorbic acid. The addition of L-{alpha}-glycerophosphocholine did not significantly increase iron absorption.

Conclusion: Optimization of the micronutrient powder increased iron absorption from a highly inhibitory meal {approx}5-fold. This approach may allow for effective, untargeted in-home fortification of complementary foods with low amounts of highly bioavailable iron.




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