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Billions Worldwide Consume Inadequate Levels of Micronutrients Critical to Human Health

More than half of the global population consumes inadequate levels of several micronutrients essential to health, including calcium, iron, and vitamins C and E, according to a new study by researchers at Harvard T.H. Chan School of Public Health, UC Santa Barbara, and the Global Alliance for Improved Nutrition. It’s the first study to provide global estimates of inadequate consumption of 15 micronutrients critical to human health.

Micronutrient deficiencies are one of the most common forms of malnutrition globally, and each deficiency carries its own health consequences, from adverse pregnancy outcomes, to blindness, to increased susceptibility to infectious diseases. Previous research has estimated the amounts of micronutrients available to and consumed by people; this study evaluates whether these intakes meet the requirements recommended for human health and looks at the inadequacies specifically facing males and females across their lifespans.

"Our study is a big step forward," says colead author Chris Free, PhD, research professor at UC Santa Barbara. "Not only because it’s the first to estimate inadequate micronutrient intakes for 34 age-sex groups in nearly every country but also because it makes these methods and results easily accessible to researchers and practitioners."

The researchers used data from the Global Dietary Database, the World Bank, and dietary recall surveys in 31 countries to compare nutritional requirements with nutritional intake among the populations of 185 countries. (They have made this data, as well as code for analysis, freely available.) They divided populations into males and females belonging to 17 age groups: 0 to 80 in five-year spans, as well as an 80+ group. The assessment studied 15 vitamins and minerals: calcium, iodine, iron, riboflavin, folate, zinc, magnesium, selenium, thiamin, niacin, and vitamins A, B6, B12, C, and E.

The study found significant intake inadequacies for nearly all of the evaluated micronutrients, excluding fortification as a potential source of additional nutrients. Inadequate intake was especially prevalent for iodine (68% of the global population), vitamin E (67%), calcium (66%), and iron (65%). More than half of people consumed inadequate levels of riboflavin, folate, and vitamins C and B6. Intake of niacin was closest to sufficient, with 22% of the global population consuming inadequate levels, followed by thiamin (30%) and selenium (37%).

Estimated inadequate intakes were higher for women than men for iodine, vitamin B12, iron, and selenium within the same country and age groups. Conversely, more men consumed inadequate levels of calcium, niacin, thiamin, zinc, magnesium, and vitamins A, C, and B6 compared with women. While patterns of micronutrient inadequacy emerged more clearly on the basis of sex, the researchers also observed that males and females ages 10 to 30 were most prone to low levels of calcium intake, especially in South and East Asia and sub-Saharan Africa. Calcium intake was also low across North America, Europe, and Central Asia.

"These results are alarming," says Ty Beal, PhD, senior technical specialist at the Global Alliance for Improved Nutrition. "Most people—even more than previously thought, across all regions and countries of all incomes—are not consuming enough of multiple essential micronutrients. These gaps compromise health outcomes and limit human potential on a global scale."

"The public health challenge facing us is immense, but practitioners and policymakers have the opportunity to identify the most effective dietary interventions and target them to the populations most in need," adds senior author Christopher Golden, an associate professor of nutrition and planetary health at Harvard Chan School.

The researchers note that a lack of available data, especially on individual dietary intake worldwide, may have limited their findings.

Source: Harvard T.H. Chan School of Public Health