Evidence map›Paper›PMID 37016819›Full record

ArticleFood and nutrition bulletin2023

Coverage, Apparent Consumption, and Monthly Use of Packaged Maize Flour in Morogoro Region, Tanzania.

Emily Teachout, Jorge Rosenthal, Erin Smith, Gwao Omari Gwao, Paula Kawiche, Vincent Assey, Felix Brooks-Church, Anne Wanlund, Meredith Moore, Mary August and 4 more

Abstract read
In one paragraph

Article in Food and nutrition bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
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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

14 authors.

Emily TeachoutNational Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jorge RosenthalNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0001-5850-1228
Erin SmithHelen Keller International, Dar es Salaam, Tanzania.
Gwao Omari GwaoHelen Keller International, Dar es Salaam, Tanzania.
Paula KawicheHelen Keller International, Dar es Salaam, Tanzania.
Vincent AsseyTanzania Food and Nutrition Centre, Dar es Salaam, Tanzania.ORCID 0000-0003-2502-0633
Felix Brooks-ChurchSANKU, Project Healthy Children, Dar es Salaam, Tanzania.
Anne WanlundSANKU, Project Healthy Children, Dar es Salaam, Tanzania.
Meredith MooreNational Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Mary AugustTanzania National Bureau of Statistics, Dodoma, Tanzania.
Hilda RazzaghiNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Michael CannonNational Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Rogath KishimbaTanzania Ministry of Health, Dodoma, Tanzania Emily Teachout and Jorge Rosenthal are co-first authors.
Jennifer WilliamsNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

introductionTanzania aimed to reduce micronutrient deficiencies and neural tube defects by introducing mandatory fortification of large-scale packaged wheat and maize flour but not for small- and medium-scale mills.

objectivesAscertain the proportion of the population in Morogoro region, Tanzania, that consumes packaged maize flour from small-, medium- and large-mills; and understand the impact of monthly apparent purchase and consumption of packaged flour.

methodsIn 2018, a regional, multistage cluster probability study was conducted among residents in Morogoro region living in households that reported consuming maize flour. Interviews collected information on sociodemographic factors and patterns of household flour consumption. Weighted medians estimated daily apparent flour consumption and the estimated average requirement (EAR), according to age.

resultsInformation was collected on 711 households. Packaged maize flour was purchased 10-12 months of the year by 22.9% of households, 6-9 months by 17.6% of households, 1-5 months by 25.1% of households, and 34.4% did not purchased maize flour. Median apparent daily consumption of maize flour was 209.7 g/d/adult male equivalent (AME). Apparent median daily consumption of maize flour was 230.1 g/d/AME in rural areas and 176.2 g/d/AME in urban areas; 228.7 g/d/AME among males and 196.4 g/d/AME among females. If all packaged maize flour were fortified according to standards, those consuming packaged maize flour 10-12 months of the year would apparently consume 199.9 µg folic acid/d representing 49.7% of daily EAR requirements.

conclusionsFortifying packaged maize flour at small-, medium- and large-mills is a promising strategy for increasing access to micronutrients, including folic acid.

Indexed as

FlourZea maysAdultFemaleFolic AcidFood, FortifiedHumansMaleMicronutrientsTanzaniaFolic AcidMicronutrientsfolic acid apparent consumptionMorogoro regionpackaged maize flour apparent consumption and monthly useTanzania

Identifiers

PMID37016819
PMCPMC10634350

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Registered trials

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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.