Integration to implementation and the micronutrient forum: A coordinated approach forglobal nutrition. Case study application: Safetyand effectiveness of iron interventions

Daniel J. Raiten, Lynnette M. Neufeld, Luz Maria De-Regil, Sant Rayn Pasricha, Ian Darnton-Hill, Richard Hurrell, Laura E. Murray-Kolb, K. Madhavan Nair, Terry Wefwafwa, Roland Kupka, Modou Cheyassin Phall, Fayrouz A.Sakr Ashour

Research output: Contribution to journalReview article

4 Citations (Scopus)

Abstract

Paramount among the challenges to our ability to address the role of food and nutrition in health promotion and disease prevention is how to design and implement context-specific interventions and guidance. The Integration to Effective Implementation (I-to-I) concept is intended to address the complexities of the global health context through engagement of the continuum of stakeholders involved in the food and nutrition enterprise. The 2014 Micronutrient Forum (MNF) Global Conference held in Addis Ababa, Ethiopia, in June 2014 offered the opportunity to apply the I-to-I approach with the use of current concerns about the safety and effectiveness of interventions to prevent and treat iron deficiency (ID) as a case study. ID is associated with a range of adverse outcomes, especially in pregnant and nonpregnant women, infants, and primary school-age children. Strategies to combat ID include iron supplementation, multiple micronutrient powders, and food-based interventions to enhance dietary iron intake. Recent reports indicate potential increased adverse risks when iron is provided in areas with high infection burdens (e.g., malaria). This paradox has weakened iron intervention programs. Furthermore, the selection and interpretation of available biomarkers for assessing iron nutrition have been found to be compromised by the inflammatory process. These issues highlight the need for a comprehensive approach that considers basic biology, assessment, interventions, and howthese can be translated into appropriate programs and policies. The application of the I-to-I with the use of the MNF offered an opportunity to explore how that might be achieved.

Original languageEnglish (US)
Pages (from-to)135-148
Number of pages14
JournalAdvances in Nutrition
Volume7
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Micronutrients
dietary minerals
Iron
iron
nutrition
case studies
Food
Dietary Iron
Ethiopia
health promotion
elementary schools
Health Promotion
disease prevention
Powders
Malaria
Pregnant Women
stakeholders
malaria
Biomarkers
biomarkers

All Science Journal Classification (ASJC) codes

  • Food Science
  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Raiten, Daniel J. ; Neufeld, Lynnette M. ; De-Regil, Luz Maria ; Pasricha, Sant Rayn ; Darnton-Hill, Ian ; Hurrell, Richard ; Murray-Kolb, Laura E. ; Nair, K. Madhavan ; Wefwafwa, Terry ; Kupka, Roland ; Phall, Modou Cheyassin ; Ashour, Fayrouz A.Sakr. / Integration to implementation and the micronutrient forum : A coordinated approach forglobal nutrition. Case study application: Safetyand effectiveness of iron interventions. In: Advances in Nutrition. 2016 ; Vol. 7, No. 1. pp. 135-148.
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abstract = "Paramount among the challenges to our ability to address the role of food and nutrition in health promotion and disease prevention is how to design and implement context-specific interventions and guidance. The Integration to Effective Implementation (I-to-I) concept is intended to address the complexities of the global health context through engagement of the continuum of stakeholders involved in the food and nutrition enterprise. The 2014 Micronutrient Forum (MNF) Global Conference held in Addis Ababa, Ethiopia, in June 2014 offered the opportunity to apply the I-to-I approach with the use of current concerns about the safety and effectiveness of interventions to prevent and treat iron deficiency (ID) as a case study. ID is associated with a range of adverse outcomes, especially in pregnant and nonpregnant women, infants, and primary school-age children. Strategies to combat ID include iron supplementation, multiple micronutrient powders, and food-based interventions to enhance dietary iron intake. Recent reports indicate potential increased adverse risks when iron is provided in areas with high infection burdens (e.g., malaria). This paradox has weakened iron intervention programs. Furthermore, the selection and interpretation of available biomarkers for assessing iron nutrition have been found to be compromised by the inflammatory process. These issues highlight the need for a comprehensive approach that considers basic biology, assessment, interventions, and howthese can be translated into appropriate programs and policies. The application of the I-to-I with the use of the MNF offered an opportunity to explore how that might be achieved.",
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Raiten, DJ, Neufeld, LM, De-Regil, LM, Pasricha, SR, Darnton-Hill, I, Hurrell, R, Murray-Kolb, LE, Nair, KM, Wefwafwa, T, Kupka, R, Phall, MC & Ashour, FAS 2016, 'Integration to implementation and the micronutrient forum: A coordinated approach forglobal nutrition. Case study application: Safetyand effectiveness of iron interventions', Advances in Nutrition, vol. 7, no. 1, pp. 135-148. https://doi.org/10.3945/an.115.008581

Integration to implementation and the micronutrient forum : A coordinated approach forglobal nutrition. Case study application: Safetyand effectiveness of iron interventions. / Raiten, Daniel J.; Neufeld, Lynnette M.; De-Regil, Luz Maria; Pasricha, Sant Rayn; Darnton-Hill, Ian; Hurrell, Richard; Murray-Kolb, Laura E.; Nair, K. Madhavan; Wefwafwa, Terry; Kupka, Roland; Phall, Modou Cheyassin; Ashour, Fayrouz A.Sakr.

In: Advances in Nutrition, Vol. 7, No. 1, 01.01.2016, p. 135-148.

Research output: Contribution to journalReview article

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T2 - A coordinated approach forglobal nutrition. Case study application: Safetyand effectiveness of iron interventions

AU - Raiten, Daniel J.

AU - Neufeld, Lynnette M.

AU - De-Regil, Luz Maria

AU - Pasricha, Sant Rayn

AU - Darnton-Hill, Ian

AU - Hurrell, Richard

AU - Murray-Kolb, Laura E.

AU - Nair, K. Madhavan

AU - Wefwafwa, Terry

AU - Kupka, Roland

AU - Phall, Modou Cheyassin

AU - Ashour, Fayrouz A.Sakr

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N2 - Paramount among the challenges to our ability to address the role of food and nutrition in health promotion and disease prevention is how to design and implement context-specific interventions and guidance. The Integration to Effective Implementation (I-to-I) concept is intended to address the complexities of the global health context through engagement of the continuum of stakeholders involved in the food and nutrition enterprise. The 2014 Micronutrient Forum (MNF) Global Conference held in Addis Ababa, Ethiopia, in June 2014 offered the opportunity to apply the I-to-I approach with the use of current concerns about the safety and effectiveness of interventions to prevent and treat iron deficiency (ID) as a case study. ID is associated with a range of adverse outcomes, especially in pregnant and nonpregnant women, infants, and primary school-age children. Strategies to combat ID include iron supplementation, multiple micronutrient powders, and food-based interventions to enhance dietary iron intake. Recent reports indicate potential increased adverse risks when iron is provided in areas with high infection burdens (e.g., malaria). This paradox has weakened iron intervention programs. Furthermore, the selection and interpretation of available biomarkers for assessing iron nutrition have been found to be compromised by the inflammatory process. These issues highlight the need for a comprehensive approach that considers basic biology, assessment, interventions, and howthese can be translated into appropriate programs and policies. The application of the I-to-I with the use of the MNF offered an opportunity to explore how that might be achieved.

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