Food Balance Sheet Data Research Articles

Mandatory large-scale food fortification programmes can reduce the estimated prevalence of inadequate zinc intake by up to 50% globally

Large-scale food fortification (LSFF) can increase dietary micronutrient intake and improve micronutrient status. Here we used food balance sheet data from the Food and Agriculture Organization of the United Nations to estimate current country-specific prevalences of inadequate zinc intake. We assessed the potential effects of improving existing LSFF programmes for cereal grains or implementing new programmes in 40 countries where zinc deficiency is a potential public health problem. Accounting for LSFF programmes as currently implemented, 15% of the global population (1.13 billion individuals) is estimated to have inadequate zinc intake. In countries where zinc deficiency is a potential public health problem, the implementation of high-quality mandatory LSFF programmes that include zinc as a fortificant would substantially increase the availability of zinc in the national food supply, reducing the estimated prevalence of inadequate zinc intake by up to 50% globally. Investments in strong LSFF programmes could have a substantial impact on population zinc status.

The Nutrition Transition and the Double Burden of Malnutrition in Sub-Saharan African Countries: How Do These Countries Compare with the Recommended LANCET COMMISSION Global Diet?

Over the last two decades, many sub-Saharan African (SSA) countries have undergone dietary and nutrition transitions fuelled by rapid urbanisation, economic development, and globalisation. The aim of the current study was to examine outcomes of the nutrition transition and the epidemiologic transition in SSA countries in terms of food intake, health, and socioeconomic and development factors. Food balance sheet data-specifically, per capita energy intake per day and per capita gram intake per day-from the CountrySTAT framework of the Food and Agricultural Organization (FAO) were analysed for major food commodities. Additionally, selected health and development indicators supplied by UNICEF, the WHO and the World Bank were analysed. Four dietary patterns emerged. The diet of the southern African/island cluster (South Africa, Mauritius, Eswatini, Namibia, Cabo Verde, and the outlier Seychelles) resembles a Westernised diet, with median values high on sugar/sweeteners, alcohol, meat, animal fats, eggs, and dairy. On the other hand, the diet of countries in the other three clusters appears to be more traditional, with countries in the desert/semi-arid cluster consuming more cereals and pulses/tree nuts, countries in the tropical coastal cluster consuming more fish and vegetable oils, and countries in the equatorial cluster consuming more starchy roots and fruit and vegetables. The resulting median values of health indicators also indicate a higher prevalence of non-communicable diseases in the southern African/island cluster, whereas stunting and anaemia are higher in the other three clusters. SSA countries are in different stages of the nutrition transition. By superimposing clusters generated using macronutrient intake values on a map of the climatic regions in Africa, one can clearly see the importance of climate on the availability of food and food intake patterns. Climate change presents a great challenge to healthy eating, as the link between climate regions and diets is illustrated.

Trends in per Capita Food and Protein Availability at the National Level of the Southeast Asian Countries: An Analysis of the FAO's Food Balance Sheet Data from 1961 to 2018.

We aimed to analyze the temporal trends in the per capita food (kcal/day/person) and protein (g/day/person) availability at the national level in the Southeast Asian (SEA) countries from 1961 to 2018. To avoid intercountry variations and errors, we used a dataset derived from the FAO’s old and new food balance sheets. We used the joinpoint model and the jump model to analyze the temporal trends. The annual percentage change (APC) was computed for each segment of the trends. Per capita food and protein availability in the SEA countries increased significantly by 0.8% per year (54.0%) and 1.1% per year (85.1%), respectively, from 1961 to 2018. During the 1960s, 1970s, and 1980s the per capita food availability in mainland SEA did not change significantly and was less than 2200 kcal/person/day. Since the early 1990s, food availability increased appreciably in the mainland SEA countries, except for Cambodia, which has experienced the increasing trend from the late 1990s. Distinct from the mainland, maritime SEA countries showed an up–down–up growth trend in their per-capita food availability from 1961 to 2018. Food-availability growth slowed down for Brunei (since the mid-1980s) and Malaysia (since mid-the 1990s) whereas it increased for Indonesia (1.5% per year), Timor-Leste (0.9% per year), and the Philippines (0.8% per year). Per capita protein availability trends in the mainland SEA countries were similar to the countries’ per capita food availability trends. Since the late 1980s, Thailand and since the late 1990s, other mainland SEA countries experienced a significant growth in their per capita protein availability. Since the late 1990s, per capita protein availability in Vietnam increased markedly and reached the highest available amount in the SEA region, following Brunei and Myanmar. Per capita protein availability increased almost continuously among the maritime SEA countries, except for Timor-Leste. Marked inequality did exist between maritime and mainland SEA countries in per capita food-availability growth till the mid-1990s. Considerable increases in per capita food availability have occurred in most of the SEA countries, but growth is inadequate for Timor-Leste and Cambodia.

Efficiency and Resource Implications of Food Losses and Waste in sub-Saharan Africa

Reducing the huge level of food losses and waste is arguably one of the sustainable ways of closing the food requirement gap in developing countries. Examining selected sub-Saharan Africa countries and utilizing the Food and Agriculture Organization of the United Nations’ Food Balance Sheet data, this study suggests that these countries lose over 29% (58.8 million tons) of the primary equivalent component of food. Exploiting the rich data on water and land footprints of food commodities, this study also identified considerable losses in resources – 21% of total water use and 15% of cropland use – associated with the food supply chain losses, with noticeable implications for agricultural sustainability.

Temporal Trends in Apparent Energy and Macronutrient Intakes in the Diet in Bangladesh: A Joinpoint Regression Analysis of the FAO's Food Balance Sheet Data from 1961 to 2017.

We analyzed the temporal trends and significant changes in apparent energy and macronutrient intakes in the Bangladeshi diet from 1961 to 2017. Due to the lack of a long-running national dietary intake dataset, this study used the Food and Agriculture Organization (FAO)’s old and new food balance sheet dataset. We used the joinpoint regression model and jump model to analyze the temporal trends in apparent energy and macronutrient intakes. The annual percentage change (APC) was computed for each segment of the trends. Bangladesh has experienced a late energy revolution in their dietary history. During the 1960s, 1970s, 1980s, and 1990s, Bangladesh was suffering from substantive calorie deficits, where in apparent energy intake was less than 2200 kcal/day/person. Since the late 1990s, Bangladesh has made significant progress in raising the apparent energy consumption in the diet. Since the late 1970s, apparent fat intake started to increase significantly at a marked rate (APC = 2.16), whereas since the early 1990s, protein intake increased significantly by 1.33% per year. Plant sources have mostly governed the protein and fat intake trends in the Bangladeshi diet since 1960, whereas animal sources began to contribute significantly in protein intake since 1990 (APC = 3.43) and in fat intake since 2000 (APC = 2.88). Bangladesh overcame the substantive calorie deficit condition in the diet from the late 1990s. Excessive carbohydrate intake along with imbalanced and low-quality protein and fat intakes have been the central features in the diet in Bangladesh.

Exploration of strategic food vehicles for vitamin D fortification in low/lower-middle income countries

We previously identified 7 low/lower-middle income countries (LMICs; Afghanistan, Pakistan, India, Mongolia, Yemen, Nigeria, Tunisia) which have excess burden of vitamin D deficiency and could benefit enormously from food fortification with vitamin D. A key challenge is finding a suitable industrially-manufactured food vehicle that is consumed in sufficient amounts by the population at-risk. We used FAO Food Balance Sheet data (from 2003-2013) to model the potential impact of four different food vehicles (edible plant-based oil, wheat flour, maize flour, and milk), and at different addition levels, on the average per capita vitamin D supply in all 7 LMICs. Daily per capita supply for ˜95 foods was calculated and vitamin D supply determined using dietary analysis software with no addition and following stepwise additions of vitamin D to the four food vehicles. The daily per capita vitamin D supply without fortification ranged from 0.4 to 3.3 μg (≤2 μg/d in six LMICs). We applied a vitamin D intake of 5 μg/d as a benchmark because it maintains serum 25-hydroxyvitamin D ≥ 25 nmol/L in ˜90% of individuals. Modelling showed that fortifying edible oil with vitamin D at the 7.5 μg/100 g (guideline) and 15 μg/100 g levels allowed vitamin D supply in 1 and 3 of the 7 LMICs, respectively, to attain ≥5 μg/d (range: 5.8–11.0 μg/d). Fortifying milk at the 1.0 μg/100 g and 2.0 μg/100 g guideline levels, allowed 2 and 3 LMICs, respectively, to attain ≥5 μg/d (range: 5.2–9.8 μg/d). Fortifying wheat flour at the 1.4 μg/100 g (guideline) and 2.8 μg/100 g allowed 5 and 6 LMICs, respectively, to attain ≥5 μg/d (range: 5.3–18.6 μg/d). Maize flour had low impact due to consumption levels. In conclusion, using these levels of addition, at least one food vehicle was able to increase per capita vitamin D supply to ≥5 μg/d in each of the LMICs.

Temporal Trends in Apparent Food Consumption in Bangladesh: A Joinpoint Regression Analysis of FAO's Food Balance Sheet Data from 1961 to 2013.

We analyzed the temporal trends and significant changes in apparent food consumption or availabilityin Bangladesh from 1961 to 2013. Due to the lack of a long-term national dietary intake dataset, this study used data derived from the FAO’s food balance sheets. We used joinpoint regression analysis to identify significant changes in the temporal trends. The annual percent change (APC) was computed for each segment of the trends. Apparent intake of starchy roots, eggs, fish, vegetables, milk, and vegetable oils significantly has increased (p < 0.05) in the Bangladeshi diet since 1961; whereas cereals changed by merely 4.65%. Bangladesh has been experiencing three structural changes in their dietary history after the Liberation War, though the intake level has been grossly inadequate. Initially, since the late-1970s, apparent vegetable oils intake increased at a market rate (APC = 7.53). Subsequently, since the early-1990s, the real force behind the structural change in the diet has been the increasing trends in the apparent intake of fish (APC = 5.05), eggs (APC = 4.65), and meat (APC = 1.54). Lastly, since the early 2000s, apparent intakes of fruits (APC = 20.44), vegetables (APC = 10.58), and milk (APC = 3.55) increased significantly (p <0.05). This study result reveals and quantifies the significant secular changes in the dietary history of Bangladesh from 1961 to 2013. Bangladesh has experienced inadequate but significant structural changes in the diet in the late-1970s, early-1990s, and early-2000s. Overabundance of cereals and inadequate structural changes in the diet may have caused the increasing prevalence of overweightness and emergence of diet-related, non-communicable diseases in Bangladesh.

Changes in EU Food Supply and the Activities of the European Platform for Action on Diet, Physical Activity and Health

This paper presents the changes in food supply in selected EU Member states and average EU+ after the establishment of the European Platform for Action in the field of Diet, Physical Activity and Health in 2005. The per capita annual supply of vegetables, fruits, pulses, sugar &amp; sweeteners and the daily values of calories and fat are analysed based on FAO Food Balance Sheet (FBS) data. The supply of vegetables in the EU has decreased since 2005 while that of fruits, pulses and sugar &amp; sweeteners, as well as energy and fat have not changed significantly. The 313 voluntary commitments of Platform members, aimed at promoting healthier food choices and life styles in the region do not seem to have had a significant impact on food supply at population level. Firmer policy measures, incl. fiscal regulations are needed to support these voluntary actions. Sustainability issues should be included in the health-oriented initiatives as food choices contribute not only to the health of individuals but also of the environment as a whole.

Thiamine deficiency disorders: diagnosis, prevalence, and a roadmap for global control programs.

Thiamine is an essential micronutrient that plays a key role in energy metabolism. Many populations worldwide may be at risk of clinical or subclinical thiamine deficiencies, due to famine, reliance on staple crops with low thiamine content, or food preparation practices, such as milling grains and washing milled rice. Clinical manifestations of thiamine deficiency are variable; this, along with the lack of a readily accessible and widely agreed upon biomarker of thiamine status, complicates efforts to diagnose thiamine deficiency and assess its global prevalence. Strategies to identify regions at risk of thiamine deficiency through proxy measures, such as analysis of food balance sheet data and month‐specific infant mortality rates, may be valuable for understanding the scope of thiamine deficiency. Urgent public health responses are warranted in high‐risk regions, considering the contribution of thiamine deficiency to infant mortality and research suggesting that even subclinical thiamine deficiency in childhood may have lifelong neurodevelopmental consequences. Food fortification and maternal and/or infant thiamine supplementation have proven effective in raising thiamine status and reducing the incidence of infantile beriberi in regions where thiamine deficiency is prevalent, but trial data are limited. Efforts to determine culturally and environmentally appropriate food vehicles for thiamine fortification are ongoing.

Freshwater fish for nutrition security in India: Evidence from FAO data

Abstracts The nutritional dimension is integral to the concept of food security. A wide range of food commodities are required to fulfill nutritional security need of the people. Animal proteins which include milk, fish, meat and egg are essentially required for nutritionally balanced diets which are available from diverse food commodities. The fish in general and freshwater fish in particular are among the fast growing sectors with increasing contributions in the nutrition security of Indian consumers. The present paper analyses relative role of fish in the nutritional security of India based on the food balance sheet data of FAO available for the period 1961–2013. The apparent fish consumption per capita per year in India has increased primarily due to increase in freshwater fish availability from 0.7 kg/cap/year in 1961–3.48 kg/cap/year in 2013, enabling increase in the overall fish availability from 1.9 to 5.04 kg/cap/year during this period. During 1961–2013, contributions of freshwater fish to non-vegetarian protein, animal protein and total protein increased from 9.1 to 27.2, 3.3–8.7 and 0.4–1.7%, respectively

A half-century of production-phase greenhouse gas emissions from food loss & waste in the global food supply chain

Research on loss & waste of food meant for human consumption (FLW) and its environmental impact typically focuses on a single or small number of commodities in a specific location and point in time. However, it is unclear how trends in global FLW and potential for climate impact have evolved. Here, by utilising the Food and Agriculture Organization's food balance sheet data, we expand upon existing literature. Firstly, we provide a differentiated (by commodity, country and supply chain stage) bottom-up approach; secondly, we conduct a 50-year longitudinal analysis of global FLW and its production-phase greenhouse gas (GHG) emissions; and thirdly, we trace food wastage and its associated emissions through the entire food supply chain. Between 1961 and 2011 the annual amount of FLW by mass grew a factor of three – from 540Mt to 1.6Gt; associated production-phase (GHG) emissions more than tripled (from 680Mt to 2.2Gt CO2e). A 44% increase in global average per capita FLW emissions was also identified – from 225kg CO2e in 1961 to 323kg CO2e in 2011. The regional weighting within this global average changing markedly over time; in 1961 developed countries accounted for 48% of FLW and less than a quarter (24%) in 2011. The largest increases in FLW-associated GHG emissions were from developing economies, specifically China and Latin America – primarily from increasing losses in fruit and vegetables. Over the period examined, cumulatively such emissions added almost 68Gt CO2e to the atmospheric GHG stock; an amount the rough equivalent of two years of emissions from all anthropogenic sources at present rates. Building up from the most granular data available, this study highlights the growth in the climate burden of FLW emissions, and thus the need to improve efficiency in food supply chains to mitigate future emissions.

A Recipe for Democracy? The Spread of the European Diet and Political Change

This paper reveals the relationship between the improvement in human diet and the transition to democracy. The spread of a ‘European diet’ with a historically unprecedented high proportion of animal protein in the daily calorie intake is considered one of the factors of regime change since 1992. In contrast to other studies, I regard European diet as an outcome of a long historical transformation and show that an improvement in nutrition preceded regime change. Data on nutrient consumption around the world are from the Food balance sheet data from FAOSTAT. Based on this data I was able to define a European diet as containing animal-protein rich items (mostly, meat and dairy), alcohol beverages and sugar. Using OLS, factor analysis and SEM, the direct and indirect effects of the European diet on the chance of a transition to democracy were tested. The findings reveal that an improvement in diet affects regime change, but not vice versa

Low Circulating Amino Acids and Protein Quality: An Interesting Piece in the Puzzle of Early Childhood Stunting

Low Circulating Amino Acids and Protein Quality: An Interesting Piece in the Puzzle of Early Childhood Stunting

A Novel Approach for Determining the Environmental Impacts of Individual Food Choices in the United States

USDA and DHHS excluded sustainability as a topic for consideration in developing the 2015 Dietary Guidelines for Americans, contrary to recommendations by an expert advisory committee. While significant progress has been made in Europe and elsewhere in documenting the environmental impacts of different diets, very little work on this has been undertaken in the US, which might help explain their decision. To address this gap, we developed a novel approach to study the environmental impacts of individual food choices in the US. Individual 24‐hour recall data (N=28,276) from the National Health and Nutrition Examination Survey for 2005–2010 were converted to commodity form using resources from the US Environmental Protection Agency. There were 2.63 million food item/recipe components consumed by these individuals on the two days of recall, and these were converted to 461 different commodities. The environmental impacts of these food commodities – principally greenhouse gas emissions – were obtained from a comprehensive review of published life cycle assessment (LCA) studies. The LCA approach assesses inputs and outputs in the production, distribution, and consumption of products, and has seen increased application to foods in recent years. By matching the food choices of individuals to environmental impacts, we can quantify the impact of dietary choices on greenhouse gas emissions and other environmental impacts. Using aggregate agricultural food balance sheet data, we previously estimated mean greenhouse gas emissions from the U.S. diet to be 5.0 kg of carbon dioxide equivalents per person per day. The approach reported here will allow us to refine that estimate, and analyze the variation in the US population of this outcome by demographic and socio‐economic characteristics, as well as by diet knowledge and health behaviors. This cross‐disciplinary research demonstrates an approach that can inform future policy discussions regarding dietary recommendations and their potential impacts on sustainability.Support or Funding InformationThis work was supported by the Wellcome Trust (grant # 106854/Z/15/Z).

Global Expanded Nutrient Supply (GENuS) Model: A New Method for Estimating the Global Dietary Supply of Nutrients.

Insufficient data exist for accurate estimation of global nutrient supplies. Commonly used global datasets contain key weaknesses: 1) data with global coverage, such as the FAO food balance sheets, lack specific information about many individual foods and no information on micronutrient supplies nor heterogeneity among subnational populations, while 2) household surveys provide a closer approximation of consumption, but are often not nationally representative, do not commonly capture many foods consumed outside of the home, and only provide adequate information for a few select populations. Here, we attempt to improve upon these datasets by constructing a new model—the Global Expanded Nutrient Supply (GENuS) model—to estimate nutrient availabilities for 23 individual nutrients across 225 food categories for thirty-four age-sex groups in nearly all countries. Furthermore, the model provides historical trends in dietary nutritional supplies at the national level using data from 1961–2011. We determine supplies of edible food by expanding the food balance sheet data using FAO production and trade data to increase food supply estimates from 98 to 221 food groups, and then estimate the proportion of major cereals being processed to flours to increase to 225. Next, we estimate intake among twenty-six demographic groups (ages 20+, both sexes) in each country by using data taken from the Global Dietary Database, which uses nationally representative surveys to relate national averages of food consumption to individual age and sex-groups; for children and adolescents where GDD data does not yet exist, average calorie-adjusted amounts are assumed. Finally, we match food supplies with nutrient densities from regional food composition tables to estimate nutrient supplies, running Monte Carlo simulations to find the range of potential nutrient supplies provided by the diet. To validate our new method, we compare the GENuS estimates of nutrient supplies against independent estimates by the USDA for historical US nutrition and find very good agreement for 21 of 23 nutrients, though sodium and dietary fiber will require further improvement.

Effect of increased concentrations of atmospheric carbon dioxide on the global threat of zinc deficiency: a modelling study.

Increasing concentrations of atmospheric carbon dioxide (CO2) lower the content of zinc and other nutrients in important food crops. Zinc deficiency is currently responsible for large burdens of disease globally, and the populations who are at highest risk of zinc deficiency also receive most of their dietary zinc from crops. By modelling dietary intake of bioavailable zinc for the populations of 188 countries under both an ambient CO2 and elevated CO2 scenario, we sought to estimate the effect of anthropogenic CO2 emissions on the global risk of zinc deficiency. We estimated per capita per day bioavailable intake of zinc for the populations of 188 countries at ambient CO2 concentrations (375-384 ppm) using food balance sheet data for 2003-07 from the Food and Agriculture Organization. We then used previously published data from free air CO2 enrichment and open-top chamber experiments to model zinc intake at elevated CO2 concentrations (550 ppm, which is the concentration expected by 2050). Estimates developed by the International Zinc Nutrition Consultative Group were used for country-specific theoretical mean daily per-capita physiological requirements for zinc. Finally, we used these data on zinc bioavailability and population-weighted estimated average zinc requirements to estimate the risk of inadequate zinc intake among the populations of the different nations under the two scenarios (ambient and elevated CO2). The difference between the population at risk at elevated and ambient CO2 concentrations (ie, population at new risk of zinc deficiency) was our measure of impact. The total number of people estimated to be placed at new risk of zinc deficiency by 2050 was 138 million (95% CI 120-156). The people likely to be most affected live in Africa and South Asia, with nearly 48 million (32-63) residing in India alone. Global maps of increased risk show significant heterogeneity. Our results indicate that one heretofore unquantified human health effect associated with anthropogenic CO2 emissions will be a significant increase in the human population at risk of zinc deficiency. Our country-specific findings can be used to help guide interventions aimed at reducing this vulnerability. Bill & Melinda Gates Foundation, Winslow Foundation.

Natural resources - food nexus: food-related environmental footprints in the mediterranean countries.

Immediate action is required in the Mediterranean to address environmental degradation that is mainly driven by consumption patterns. Increasing stress on biological and social systems is put by unsustainable consumption patterns. Food consumption patterns are important drivers of environment degradation. The objective of this review paper is to explore natural resources-food nexus in the Mediterranean region by highlighting the environmental footprints of the current consumption and production patterns. Secondary data from different sources such as FAOSTAT, the World Bank, Water Footprint Network (WFN), and Global Footprint Network were used to analyze the situation in 21 Mediterranean countries. The region faces many environmental challenges, e.g., land degradation, water scarcity, environment pollution, biodiversity loss, and climate change. The current consumption patterns imply high ecological, carbon, and water footprints of consumption and unfavorable national virtual-water balances. Food Balance Sheets data show that the contribution of vegetal and animal-based food product groups to food supply is variable among the Mediterranean countries. This has implications also in terms of the WF of food supply, which was calculated for Bosnia, Egypt, Italy, Morocco, and Turkey. The WF of the current diet resulted lower than that of the proposed Mediterranean one in the case of Italy. There is a strong scientific evidence supporting assumption that it is so also for other Mediterranean countries. The Mediterranean is characterized by a high resource use intensity that is further exacerbated by food losses and waste (FLW). In fact, FLW implies the loss of precious resources (water, land, energy) and inputs (fertilizers). Therefore, it is crucial to increase adherence to the traditional Mediterranean diet and to reduce FLW in order to foster transition to more sustainable food consumption patterns thus reducing pressure on the scarce resources of the Mediterranean region.

Estimating the Global Prevalence of Zinc Deficiency: Results Based on Zinc Availability in National Food Supplies and the Prevalence of Stunting

BackgroundAdequate zinc nutrition is essential for adequate growth, immunocompetence and neurobehavioral development, but limited information on population zinc status hinders the expansion of interventions to control zinc deficiency. The present analyses were conducted to: (1) estimate the country-specific prevalence of inadequate zinc intake; and (2) investigate relationships between country-specific estimated prevalence of dietary zinc inadequacy and dietary patterns and stunting prevalence.Methodology and Principal FindingsNational food balance sheet data were obtained from the Food and Agriculture Organization of the United Nations. Country-specific estimated prevalence of inadequate zinc intake were calculated based on the estimated absorbable zinc content of the national food supply, International Zinc Nutrition Consultative Group estimated physiological requirements for absorbed zinc, and demographic data obtained from United Nations estimates. Stunting data were obtained from a recent systematic analysis based on World Health Organization growth standards. An estimated 17.3% of the world’s population is at risk of inadequate zinc intake. Country-specific estimated prevalence of inadequate zinc intake was negatively correlated with the total energy and zinc contents of the national food supply and the percent of zinc obtained from animal source foods, and positively correlated with the phytate: zinc molar ratio of the food supply. The estimated prevalence of inadequate zinc intake was correlated with the prevalence of stunting (low height-for-age) in children under five years of age (r = 0.48, P<0.001).Conclusions and SignificanceThese results, which indicate that inadequate dietary zinc intake may be fairly common, particularly in Sub-Saharan Africa and South Asia, allow inter-country comparisons regarding the relative likelihood of zinc deficiency as a public health problem. Data from these analyses should be used to determine the need for direct biochemical and dietary assessments of population zinc status, as part of nationally representative nutritional surveys targeting countries estimated to be at high risk.

Using Reference Nutrient Density Goals with Food Balance Sheet Data to Identify Likely Micronutrient Deficits for Fortification Planning in Countries in the Western Pacific Region

Collection of nationwide food consumption data at the individual level is the preferred option for planning fortification programs. However, such data are seldom collected in low-income countries. In contrast, Food Balance Sheets (FBS), published annually for approximately 180 countries, may provide a source of national data for program planning. To explore the use of micronutrient densities from FBS data to identify likely deficits for eight micronutrients in national diets. Micronutrient densities in the daily available food supply per capita were calculated from the micronutrient contents of 95 food commodities in 17 Western Pacific Region countries. Densities were compared with reference nutrient density goals developed to ensure that at least 95% of individuals, irrespective of life-stage group, are likely to have adequate intakes. Of the eight micronutrients, Cambodia and Korea D.P.R. had likely deficits for six; China, Fiji, Kiribati, Korea Republic, Lao P.D.R., Philippines, Solomon Islands, Vanuatu, and Viet Nam had likely deficits for five; Brunei Darussalam, Malaysia, Mongolia, New Zealand, and Papua New Guinea had likely deficits for four; and New Caledonia had likely deficits for three. The most frequent deficits were for iron, zinc, and calcium (all countries), followed by vitamin B2 and vitamin A (n = 13), vitamin B1 (n = 2), and vitamin B12 (n = 1). The nutrient density approach could be applied to FBS data for ranking countries according to likely micronutrient deficits, but it provides no information on distribution of nutrient supply for fortification program planning. The approach described here could be applied to data from Household Consumption and Expenditures Surveys (HCES) to characterize households at greatest risk.

Is inclusive government more humane? Perspective on food availability in Pakistan

PurposeIn view of the paradox of soaring malnutrition prevalence in an agrarian economy like Pakistan, political and economic pundits are of the opinion that Pakistan may face acute shortage of food in future if its political managers do not take holistic approach to address the issue. The form of government system is one such dimension of this approach. Pakistan has witnessed different forms of government system. The purpose of this paper is to assess the food availability situation under different regimes in Pakistan since 1972.Design/methodology/approachThe paper uses log‐lin growth model to make out if form of the government may affect the level of food availability in Pakistan.FindingsThe data indicate lot of variations between different regimes. Over the years consistent and positive public policies for demographic management brought down the population growth rate. It was expected that positive demographic development coupled with supplementary policies will provide space to ensure sufficient food and standard nutrition to the people but this variable also could not contribute according to expectations. Prevailing inequity in society along with inconsistent policies and mismanagement of resources are generally quoted as the main reasons for this misfortune. However, the paper demonstrates that vertical power structure and absence of inclusive political system is an additional reason of continuing food deprivation in Pakistan.Research limitations/implicationsFor the purpose of this analysis the authors use the food balance sheet data of Food and Agriculture Organization of United Nations, and hence assume all limitations of this database.Practical implicationsThis paper points out another reason to have inclusive form of the government in Pakistan: to reduce food deprivation.Originality/valueThis paper is the first of its kind to assess the availability of food to the citizens of Pakistan under different regimes.