Evidence map›Paper›PMID 32986887›Full record

ReviewAnnals of the New York Academy of Sciences2021

Calcium-fortified foods in public health programs: considerations for implementation.

Cristina Palacios, Gabriela Cormick, G Justus Hofmeyr, Maria Nieves Garcia-Casal, Juan Pablo Peña-Rosas, Ana Pilar Betrán

Open access · hybridAbstract readReview
In one paragraph

Review in Annals of the New York Academy of Sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Calcium supplementation for prevention of primary hypertension.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Calcium supplementation for prevention of primary hypertension.The Cochrane database of systematic reviews · 2021
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 5 countries.

Cristina PalaciosDepartment of Dietetics and Nutrition, Stempel School of Public Health, Florida International University, Miami, Florida.ORCID 0000-0001-9437-0376
Gabriela CormickDepartment of Mother and Child Health Research, Institute for Clinical Effectiveness and Health Policy (IECS-CONICET), Buenos Aires, Argentina.
G Justus HofmeyrUniversities of the Witwatersrand and Fort Hare, Alice, South Africa.
Maria Nieves Garcia-CasalDepartment of Nutrition and Food Safety, World Health Organization, Geneva, Switzerland.
Juan Pablo Peña-RosasDepartment of Nutrition and Food Safety, World Health Organization, Geneva, Switzerland.
Ana Pilar BetránWHO - UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
World Health Organization · CHConsejo Nacional de Investigaciones Científicas y Técnicas · ARFlorida International University · USUniversity of Fort Hare · ZA

Funding

World Health Organization 001
6 · The paper itself

Abstract

Low calcium intake is common worldwide and can result in nutritional rickets in children and osteomalacia in adults. Calcium-fortified foods could improve calcium intake. However, there is limited calcium fortification experience, with technical and practical issues that may hamper its adoption. The objective of this landscape review is to summarize these issues to help policymakers guide the planning and design of calcium fortification as a public health strategy. One challenge is the low bioavailability of calcium salts (∼20-40%); thus, large amounts need to be added to food to have a meaningful impact. Solubility is important when fortifying liquids and acidic foods. Calcium salts could change the flavor, color, and appearance of the food and may account for 70-90% of the total fortification cost. Safety is key to avoid exceeding the recommended intake; so the amount of added calcium should be based on the target calcium intake and the gap between inadequate and adequate levels. Monitoring includes the quality of the fortified food and population calcium intake using dietary assessment methods. Calcium fortification should follow regulations, implemented in an intersectorial way, and be informed by the right to health and equity. This information may help guide and plan this public health strategy.

Indexed as

CalciumFood, FortifiedNutrition PolicyPublic HealthDietHumansNutritional RequirementsCalciumcalciumfortificationimplementationprogram

Identifiers

PMID32986887
PMCPMC7891425
OpenAlexW3088696267

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.