Effectiveness of Food Fortification in Improving Nutritional Status of Mothers and Children in Indonesia

Dewi et al., 2021 | Int J Environ Res Public Health | Systematic Review

Citation

Dewi Nikmah Utami, Mahmudiono Trias. Effectiveness of Food Fortification in Improving Nutritional Status of Mothers and Children in Indonesia. Int J Environ Res Public Health. 2021-Feb-22;18(4). doi:10.3390/ijerph18042133

Abstract

Food fortification programs have been conducted in several countries to overcome micronutrient deficiency and related problems with various degrees of effectiveness. Available information regarding the success of food fortification programs in some developing countries, including Indonesia, is still limited. Thus, this study conducts a systematic review of the effects of food fortification of mothers and children using biochemical and anthropometric measures focusing on linear growth. Three databases were used in the literature search, namely PubMed, Science Direct and Google Scholar. Fifteen articles were included for analysis from 517 studies found consisting of Indonesian and English articles published from 2000 to June 2020. Fortification of iron, vitamin A, and iodine can increase the level of hemoglobin, serum ferritin, and serum retinol and median urine iodine excretion, especially in toddlers and schoolchildren. However, multinutrient fortification interventions were associated with various effects on hemoglobin, serum ferritin, and serum retinol but a positive association was found with linear growth indicators in the form of body length for age. The effectiveness of food fortification in reducing the prevalence of stunting still needs more and stronger evidence through studies with large sample size and longer duration.

Key Findings

The effectiveness of food fortification in reducing the prevalence of stunting still needs more and stronger evidence through studies with large sample size and longer duration.

Outcomes Measured

  • Requires manual extraction

Population

Field Value
Population See abstract
Sample Size 517
Age Range See abstract
Condition deficiency

MeSH Terms

  • Child
  • Female
  • Food, Fortified
  • Humans
  • Indonesia
  • Micronutrients
  • Mothers
  • Nutritional Status

Evidence Classification

  • Level: Systematic Review
  • Publication Types: Journal Article, Systematic Review
  • Vertical: vitamin-a

Provenance


Source extracted via PubMed E-utilities API on 2026-04-09