Asia Food Impact
Asia Food Impact
Asia Food Impact
Suwaibah Ghaffar
Noodle Technologist, Interflour-UiTM R&D and Commercialisation Center
Malaysia
Vikram Kelkar
Director – International Business, Hexagon Nutrition
India
Herni Sutanto
Product Development & Quality Control Mgr,
PT. Indofood Sukses Makmur – Bogasari Flour Mills
Indonesia
Peter Tenido
Pilmico Foods
Philippines
Reviewers/Contributors:
Karen Codling,
Executive Director, East Asia Secretariat for FFI
Quentin Johnson,
FFI Training & Technical Support Group Coordinator
1
Executive Summary
In 2009 the World Health Organization (WHO) and partner organizations, including industry
experts, published technical guidelines on the fortification of industrially milled wheat and
maize flours with iron, zinc, folic acid, vitamin B12, and vitamin A.
The Flour Fortification Initiative (FFI) is a network of partners working together to make flour
fortification standard milling practice so that people worldwide get the nutrition needed to be
smarter, stronger and healthier. FFI builds alliances between governments and international
agencies, wheat and flour industries, and consumer and civic organizations.
FFI has convened a series of meetings and workshops in Asia to review the content and
implications of the 2009 WHO recommendations, and to consider how best to apply them in
the national health, industrial, and political environments.
Between August and October 2009, at the request of FFI, researchers in China, India, Indonesia,
Malaysia, the Philippines, and Sri Lanka conducted a series of studies to test whether flour
fortified per the WHO recommendations could be successfully used to produce foods
commonly consumed in Asian countries. Participating research institutions made fortified
flour as per the WHO recommendations, and they used this flour to make a range of commonly
eaten Asian wheat flour products, including fifteen different kinds of noodles and breads. All of
the fortification premixes included iron, folic acid, and vitamin B12, and some premixes also
included vitamin A, vitamin B1, vitamin B2, and zinc, depending on country norms. Tests were
run to assess impact on processing factors, sensory and physical attributes and, where feasible,
retention of the nutrients.
The results of the studies are summarized in this report by food product. For each food
product, the available data is presented for color, texture, nutrient retention, sensory
evaluation, and (for noodles) noodle crumb and sheet structure, water absorption and cook
yield.
Generally speaking, the effect of fortification on various types of noodles was only with regard
to color: grayish specks on the dough sheet, and slightly less bright or yellow noodles, were
considered minor and acceptable differences in all cases. The texture, noodle crumb and sheet
structure, water absorption and cook yield, and sensory evaluations (including taste, flavor,
and mouthfeel) of fortified noodles were similar to control noodles and acceptable in all cases.
Also generally speaking, the effect of fortification on bread products was only with regard to
color: grayish-brown spots were visible in some bread products or the bread was “less bright.”
Again, these differences were generally reported as “not significant” and acceptable. Other
aspects of breads, including texture, taste, aroma, chewiness, etc., were considered similar
between fortified and control breads, and the fortified breads ranked as acceptable or highly
acceptable.
The most significant constraint of these studies was the lack of comparability of the nutrient
retention data. Several factors contributed to this, including variation in study design,
laboratory methods and equipment across the six countries, and the wide variation that is
inherent in food testing.
2
Despite the constraints, and based on the information presented in this summary report, it is
reasonable to conclude that:
5. It appears possible to fortify common Asian wheat flour products as per the 2009 WHO
recommendations.
3
TABLE OF CONTENTS
BACKGROUND 5
OBJECTIVES 6
METHODOLOGY 7
RESULTS 9
4
Background
In 2009 the World Health Organization (WHO) and partner organizations, including industry
experts, published technical guidelines on the fortification of industrially milled wheat and
maize flours with iron, zinc, folic acid, vitamin B12, and vitamin A1 (Appendix 1).
The guidelines were formulated based on global evidence on minimum levels of fortification
needed to achieve a public health improvement, are presented for common ranges of flour
consumption, and are intended for flours milled in industrial roller mills (i.e. >20 metric tons/day
milling capacity.)2 Table 1 summarizes the average level of nutrients that WHO now recommends
considering adding to fortified wheat flour.
Table 1. Average levels of nutrients to consider adding to fortified wheat flour based on extraction,
fortificant compound, and estimated per capita flour availability.
1 WHO, FAO, UNICEF, GAIN, MI, and FFI.Recommendations on wheat and maize flour fortification. Meeting Report: Interim Consensus Statement.
Geneva, World Health Organization, 2009 (http://www.who.int/nutrition/publications/micronutrients/wheat_maize_fort.pdf).
2 http://www.foodandnutritionbulletin.org/downloads/FNB_v31n1_suppl_web.pdf
5
The Flour Fortification Initiative (FFI) is a network of partners working together to make flour
fortification standard milling practice so that people worldwide get the nutrition needed to be
smarter, stronger and healthier. FFI builds alliances between governments and international
agencies, wheat and flour industries, and consumer and civic organizations. FFI’s strategy is to
stimulate interaction among the partners so that together we can achieve results that none of
us could achieve independently. The goal of FFI is for 80% of the world's roller miller flour to
be fortified with at least iron or folic acid by 2015.
As of June 2010, sixty countries worldwide have legislation or decrees that mandate
fortification of one or more types of flour with either iron or folic acid. The fortified flour
produced in these countries, plus the flour that is fortified voluntarily, represents 30% of the
world’s wheat flour that is produced in large roller mills. In South and East Asia, two countries
(Indonesia and the Philippines) currently have legislation for mandatory wheat flour
fortification. Others- including India, China, Nepal, Mongolia, Bangladesh, Thailand, Vietnam,
and Cambodia- have legislation for voluntary fortification. Other countries in the region are
considering mandatory or voluntary fortification.
FFI has convened a series of meetings and workshops in Asia to review the content and
implications of the 2009 WHO recommendations, and to consider how best to apply them in
the national health, industrial, and political environments.
Between August and October 2009, researchers in China, India, Indonesia, Malaysia, the
Philippines, and Sri Lanka conducted a series of studies to test whether the 2009 WHO
recommendations could be successfully used to produce foods commonly consumed in Asian
countries. These studies were coordinated by FFI in collaboration with national teams.
Participating research institutions made fortified flour as per the WHO recommendations, and
they used this flour to make a range of commonly eaten Asian wheat flour products. Tests
were run to assess impact on processing factors, sensory and physical attributes and, where
feasible, retention of the nutrients.
This report summarizes the results of those research studies, and discusses the implications of
the 2009 WHO recommendations for selected common flour-based Asian foods.
Objectives
While there is considerable global experience in making Western foods with fortified flour,
there is less experience with foods that are particular to Asia.
The overall objective of the research studies was therefore to assess whether flour fortified as
per the 2009 WHO recommendations could be used to make flour-based products commonly
consumed in Asia. Specifically, researchers aimed to:
1. Examine the effects of fortified flour on processing and food technology, particularly
with regard to local recipes and processes for production;
2. Evaluate the sensory and physical attributes of the fortified flours and food products;
3. Evaluate the retention of nutrients in the final (cooked, ready to eat) food products.
6
Methodology
The FFI Secretariat coordinated and facilitated tests of Asian food products in six countries, to
assess whether flour fortified as per the 2009 WHO recommendations could be used to make
flour-based products commonly consumed in those countries, with no negative effect on
processing and food technology, nor on sensory or physical attributes. The six countries and
respective research agencies are listed in Table 2.
Table 2. Principal Investigators for testing of fortified flours.
Country Principal Investigator Researchers were asked to
compare food products made
China Chinese Center for Disease Control and Prevention with flour fortified as per the
2009 WHO recommendations,
India Hexagon Nutrition (P) Ltd.
and unfortified flour (or flour
Indonesia Indofood Sukses Makmur/Bogasari Flour Mills fortified to current national
voluntary or mandatory
Malaysia Interflour UiTM R&D and Commercialisation Center standards) with regard to as
many of the following
Sri Lanka Industrial Technology Institute parameters they were able to
Philippines Pilmico Foods Corporation
test: colour, texture, fortificant
level (before and after
preparation of the food),
noodle crumb and sheet structure during processing (for noodles), water absorption, cook yield,
sensory evaluation, and micronutrient content, especially folic acid and vitamin A, in the finished
product. Appendix 2 summarizes the various parameters tested and methods employed.
In China, Indonesia, Malaysia, Philippines, and Sri Lanka, the fortificant premixes were produced
by Muhlenchemie GmBH & Co. KG. In India, the fortificant premixes were produced by Hexagon
Nutrition (P) Ltd. Both premix companies kindly donated the premix for use in this study.
Table 3. Nutrients from the tested premixes, and estimated flour consumption.
Philippines 1
Philippines 2
Indonesia 1
Indonesia 2
Source ,ppm
Sri Lanka 1
Sri Lanka 2
Sri Lanka 3
Malaysia 1
Malaysia 2
Compound
China 1
China 2
China 3
India 3
India 1
India 2
Iron NaFeEDTA 40 40 40 20 40 20
Ferrous fumarate 60 60 60 70 30
Ferrous sulphate 30 120
Electrolytic iron 60 60
Folic acid Folic acid 2.6 2.6 5 1.3 2.6 1.3
Vitamin Cyanocobalamin 0.02 0.02 0.04 0.01 0.02 0.01
B12
Vitamin A Vitamin A 5.9 3.0
palmitate
Zinc Zinc oxide 55 55 55 40
Thiamin B1 4.2 4.2 3.0 3.0
Riboflavin B2 6.7 4.0 3.0 3.0
Estimated consumption of flour 75-150 75-150 <75 150-300 75-150 150-300
(g/person/day)
7
Table 3 compares the nutrient content (ppm) of the fortified flours attributable to the
premixes, and the estimated per capita flour consumption (grams/day) in the respective
countries. The nutrient content of the various premixes took into consideration the estimated
flour consumption in the participating countries, the 2009 WHO recommendations, existing
standards in the countries, and potential standards. All premixes included iron, folic acid, and
vitamin B12, and some premixes also included vitamin A, vitamin B1, vitamin B2, and zinc.
Overall, the studies aimed to test the impact of the most comprehensive premix that the
country might use if the WHO recommendations were adopted.
For example, vitamin A was included in the premix tested in China and the Philippines. In
China it was included because there is evidence of vitamin A deficiency in the population but
no vitamin A supplementation policies. In the Philippines it was included because it is already
part of the mandatory fortification standard. Ferrous fumarate and ferrous sulphate levels in
the premix used in China are higher than the WHO recommendations but are in line with
current voluntary standards. Zinc was not included in the premix for the Philippines and India
as neither country is considering the inclusion of zinc. India and Sri Lanka tested a premix
using NaFeEDTA as the source of iron, because both countries have high consumption of high
extraction flour in some communities. Although the WHO recommendations do not include
specifications for vitamins B1 and B2, existing standards in several of the countries include
these vitamins. Hence B1 and B2 were included in the premix at levels currently used for
Malaysia, India, China and Sri Lanka.
Foods Countries
China India Indonesia Malaysia Sri Lanka Philippines
Wet noodles X X X X X
Dry noodles X
Instant noodles X X
Steamed bread X X X
Pan/Sandwich bread X X X X
Soft rolls X
Hard crust X
rolls/baguettes
Martabak X
Roti (canai) X X
Chapatti X
Puri X
Pittu X
Godamba roti X
String hoppers X
8
All noodles were made with flour and water, and in some cases, salt and sodium carbonate
were also added. Breads and other foods (e.g. chapatti, puri, pittu, godamba roti, and string
hoppers) were made with flour, water, and other ingredients (yeast, sugar, salt, egg, oil, skim
milk powder, shortening, shredded coconut, etc.) as per the local recipes.
Results
This section describes, for each food product, the impact of the fortified flour with regard to (as
applicable and available): color, texture, fortificant level (before and after preparation, i.e.
retention data), noodle crumb and sheet structure, water absorption, cook yield, and sensory
evaluation. Table 5 summarizes the impact of fortification on the processing and sensory
characteristics of the foods. Following Table 5, each food product is discussed in detail,
including the results of the retention studies.
Table 5: Summary of Results.
9
1. Wet noodles (China, Indonesia, Malaysia, Sri Lanka, Philippines)
a. Color. In China, flours 1 (NaFeEDTA) and 2 (ferrous sulphate) resulted in “less
color compared to the control; the researchers concluded that these differences
white” wet noodles whereas flour 3 (ferrous fumarate) caused a “slight yellow”
were overall acceptable. In Indonesia, flour 1 (NaFeEDTA) resulted in a slightly
darker color, but flour 2 (ferrous fumarate) gave a similar color to the control;
both fortified flour noodles had a similar speckledness to the control; flour 2 was
therefore recommended. In Sri Lanka, all three fortified flours (NaFeEDTA,
ferrous fumarate, and electrolytic iron) produced noodles that had an equally
good or better color than the control. In Malaysia, researchers measured the
color of the dough sheets of all three flours- control, fortified flours 1
(NaFeEDTA) and 2 (ferrous fumarate)- at 0 hours (fresh), after 24 hours storage
at room temperature, and after 1 minute par-boiling. No unacceptable color
differences (black/white, red/green, or blue/yellow) were observed between the
three dough sheets at any of the three times of measurement. In the Philippines,
fine grayish-brown spots were observed on the dough sheet of noodles made
with fortified flours 1 (NaFeEDTA) and 2 (ferrous fumarate); in comparing the
two flours, the crumb color of flour 1 was “slightly darker in color”, and flour 2
resulted in “brighter noodle strands”, but both were acceptable.
Figure 1. Control and fortified wet noodles in Indonesia.
10
Figure 2. Control and Fortified Yellow Alkaline Noodles in Malaysia.
Flour 1 NaFeEDTA
sulphate 120ppm
fumarate 70ppm
Flour 2 ferrous
Flour 3 ferrous
Control
Control
40ppm
Flour 1
Flour 2
Flour 3
LR%
LR%
LR%
LR%
Vit A 3.0 ppm -- 2.92 2.91 2.91 -- -- 1.63 44.1 1.18 59.3 1.60 45
Vit B1 3.0 ppm 1.15 4.54 4.58 3.86 .256 77.7 1.71 57.1 1.70 58.0 1.73 45.7
Vit B2 3.0 ppm .464 - 1.26 68.9 1.36 67.8 1.54 56.6
.30 2.87 3.08 2.77
54.7*
Vit B12 0.02 .0006 14.3 .0134 53.5 .0163 30.3 .014 59.9
.0007 .0282 .0232 .0350
ppm 4
Iron See 9.6 46.7 40.0 7.88 80.0 13.1 56.0 7.2
column 18.0 51.0 99.0 68.0
headings
Zinc 55 ppm 8.0 52.0 52.0 52.0 4.8 40.0 43.2 12.7 46.4 5.45 41.6 16.4
Note: *Losses are to be expected; therefore some errors in sampling, analysis and calculations may have occurred.
11
Table 7. Iron and folic acid content of Indonesian noodles.
Table 8. Nutrient content of wheat flour, noodles from unfortified flour, and noodles from fortified flours
1 and 2 in Malaysia.
Unfortified Noodles Noodles from Noodles from
dosage from
(Control) 60ppm)
12
Table 10. Iron content of fortified cooked noodles in Sri Lanka.
d. Noodle crumb and sheet structure. In Indonesia, flour 1 (NaFeEDTA) and flour
2 (ferrous fumarate) had a uniform crumb that was not significantly different
from that of the control. The noodle sheet color after 24 hours storage in room
temperature was not significantly different between the fortified flours and the
control in terms of brightness and yellowness, and noodle elasticity was also
similar in all three flours. In Malaysia, the unfortified control flour and both
fortified flours (NaFeEDTA and ferrous fumarate) resulted in noodles of a similar
crumb, which the researchers described as slightly yellow, moderately bright,
and crumbly for all three samples. The dough sheet for all three samples was
described as moderately tough texture and streaky appearance. In the
Philippines, fortified flour 1 (NaFeEDTA) resulted in a fine and uniform crumb
structure, whereas flour 2 (ferrous fumarate) gave a slightly bigger crumb
structure; both fortified flours resulted in fine grayish-brown spots on the dough
sheet structure.
f. Cook yield. In Indonesia, the cook yield of flour 1 (NaFeEDTA) was 154.2%, flour
2 (ferrous fumarate) was 152.4% and the control flour was 149.0% (no
3 Sri Lankan researchers calculated % Loss during processing with the formula:%Loss in added Fe = [((Total Fe in fortified
flour – Fe in control flour)- (Total Fe in fortified product – total Fe in control product)) x 100] / (Total Fe in fortified flour – Fe
in control flour)
13
significant differences). The measurement compared the weight of 100g
uncooked noodles to the weight of the same noodles after 1 minute boiling. In
Malaysia, there were no significant differences in terms of cook yield of noodles
produced using fortified flours 1 (NaFeEDTA) and 2 (ferrous fumarate)
compared to the control. In the Philippines, the cooked yield of fresh noodles
was 498.55 grams and 500.5 grams for fortified flours 1 (NaFeEDTA) and 2
(ferrous fumarate) respectively, a yield that is comparable to unfortified noodles.
14
b. Texture. In Malaysia, the texture of instant noodles made from the control, and
fortified flours 1 (NaFeEDTA) and 2 (ferrous fumarate) was similar and
acceptable, as evaluated by both the Texture Analyzer and the sensory panel. In
the Philippines, there was no significant difference in the firmness of the noodle
strands from flours 1 (NaFeEDTA) and 2 (ferrous fumarate).
(NaFeEDTA, 60ppm)
ppm
40ppm)
d. Noodle crumb and sheet structure. In Malaysia, the unfortified control flour
and both fortified flours (NaFeEDTA and ferrous fumarate) resulted in instant
noodles of a similar crumb, which the researchers described as slightly yellow,
moderately bright, and crumbly for all three samples. The dough sheet for all
three samples (control, flours 1 and 2) was described as moderately tough
texture and streaky appearance. In the Philippines, fortified flour 1 (NaFeEDTA)
resulted in a fine and uniform crumb structure, whereas flour 2 (ferrous
15
fumarate) gave a slightly bigger crumb structure; both fortified flours resulted in
fine grayish-brown spots on the dough sheet structure.
Table 14. Peroxide values of fortified instant noodles after 1 year storage.
All samples, except for the unfortified control, exceeded the standard PV limit set for noodles in
Japan (PV <30 mequiv O2/kg), indicating that fortification seems to cause some rancidity after
4Gatoh N and S Wada (2006). The importance of peroxide value in assessing food quality and food safety. J American Oil
Chemists’ Society. 83:473-474.
16
one year of storage. The PV of the noodles fortified with ferrous fumarate and folic acid was
the lowest compared to other fortified samples. The PV was highest in the sample fortified
with electrolytic iron plus folic acid. These results suggest that wheat flour products with a
long shelf life are better fortified with ferrous fumarate, followed by ferrous sulphate and then
electrolytic iron. These results are considered indicative, with no replicates
b. Texture. In
China, steamed
buns from all
four flours -
fortified flours
1 (NaFeEDTA), 2 (ferrous sulphate), and 3 (ferrous fumarate), and the control
flour- were equally smooth in appearance. In Indonesia, the texture of steamed
buns from fortified flours 1 (NaFeEDTA) and 2 (ferrous fumarate) was similar to
that of the buns from the control flour. In the Philippines, steamed buns from
fortified flours 1 (NaFeEDTA) and 2 (ferrous fumarate) scored “4” (on a 5 point
scale) with regard to grain and texture.
17
Table 15. Nutrient content of steamed bread in China, Loss Rates (LR) in %.
Flour 2 ferrous
Flour 3 ferrous
NaFeEDTA
fumarate
sulphate
120ppm
Control
Control
40ppm
70ppm
Flour 1
Flour 1
Flour 2
Flour 3
LR%
LR%
LR%
LR%
Vit A 3.0 ppm -- 2.92 2.91 2.91 -- -- 2.69 7.95 2.52 13.4 2.27 22.1
Vit B1 3.0 ppm 1.15 4.54 4.58 3.86 .912 20.7 3.43 25.7 3.66 19.9 3.40 8.34
Vit B2 3.0 ppm .300 2.87 3.08 2.77 .660 -120.0* 2.98 9.88 3.07 13.2 2.46 27.1
Vit B12 0.02 .0007 .0282 .0232 .0350 .0007 0 .0283 -0.4* .0228 1.87 .0230 34.9
ppm
Iron See
18.0 51.0 99.0 68.0 15.6 13.3 46.8 5.45 96.0 0.74 64.8 1.60
column
headings
Zinc 55 ppm 8.0 52.0 52.0 52.0 7.2 10.0 55.2 -6.2* 52.8 -1.5* 49.2 4.55
Note: *Losses are to be expected; therefore some errors in sampling, analysis and calculations may have occurred.
Table 16. Iron and folic acid content of Indonesian steamed bread.
18
d. Sensory evaluation. In China, researchers report that steamed buns
from fortified flours had a better structure than buns from the control
flour. The buns from all four flours- fortified flours 1 (NaFeEDTA), 2
(ferrous sulphate), and 3 (ferrous fumarate), and the control flour-
had a mildly slimy feel in the mouth. The buns from flours 2 (ferrous
sulphate) and 3 (ferrous fumarate) had an odd taste, but this
difference was considered to be within the acceptable range. In
Indonesia, the taste and aroma of buns from fortified flours 1
(NaFeEDTA) and 2 (ferrous fumarate) was similar to that of the
control buns. In the Philippines, buns from flours 1 (NaFeEDTA) and 2
(ferrous fumarate) had no unusual odor or taste; the chewiness of the
flour 1 bun was “just right”, and the flour 1 bun was “a little doughy”.
20
Table 18. Iron and folic acid content of Indonesian pan bread.
Expected dosage Pan bread from Pan bread from Pan bread from
from fortification unfortified flour fortified flour A fortified flour B
(ppm) (Control) (NaFeEDTA, 40ppm) (ferrous fumarate,
60ppm)
Table 19. Nutrient content of wheat flour, unfortified sandwich bread, and fortified sandwich
bread from flours 1 and 2 in Malaysia.
40ppm)
21
Table 21. Iron content of fortified pan bread in Sri Lanka.
Expected dosage from Soft rolls from fortified flour Soft rolls from fortified flour
fortification (ppm) 1 (NaFeEDTA 40ppm) 2 (ferrous fumarate 60ppm)
Folic Acid (ppm) 5.0 3.6 3.6
Iron (ppm) See column headings 38.7 55.7
Vitamin A (ppm) 5.9 3.5 3.4
22
6. Hard crust rolls/baguette (Philippines)
a. Color. The color of the dough from both fortified flours (NaFeEDTA and
ferrous fumarate) was normal but with grayish-brown spots visible.
7. Martabak (Indonesia)
a. Color. The color of martabak made from fortified flour 1 (NaFeEDTA)
was slightly darker than the control, whereas the martabak from fortified
flour 2 (ferrous fumarate) was slightly brighter than the control; the
differences were not significant.
b. Texture. The
Figure 7. Martabak from fortified flours and control flour in Indonesia. texture of
martabak
made from
fortified flour
1 was similar
to that of the
control flour
martabak; the
texture of
martabak from
fortified flour
2 was less
compact,
compared to
the control,
C: Control (*Segitiga Biru – unfortified)
A: Segitiga Biru + 600ppm ELCOvit 29439
but the
B: Segitiga Biru + 400ppm ELCOvit 29440
*Name brand for multipurpose application
differences
(Martabak) were not
significant.
23
c. Retention of nutrients. The iron content of martabak is shown in
Table 24.
Figure 8. Roti canai from fortified flours and control flour in Malaysia.
24
estimated the iron content of roti from three fortified flours, and the
respective losses during processing (Table 26).
Unfortified Roti canai from Roti canai from Roti canai from
fortification
ppm
40ppm) 60ppm)
Zinc (mg/kg) 55 3 4 32 30
25
9. Chapatti (India)
a. Color. The color of chapattis from fortified atta flours 1 (NaFeEDTA), 2
(ferrous sulphate), and 3 (electrolytic iron) was slightly darker than the
control, but no spots were observed particular to the fortified flour.
b. Texture. Chapatti made from fortified flour 2 (ferrous sulphate) was
more dense than chapatti from fortified flours 1 (NaFeEDTA) and 3
(electrolytic iron), or the control. No holes or cracking were observed
upon roasting the chapattis made from the 3 fortified flours or the control.
26
Table 27. Nutrient Analysis of Fortified Chapattis and Puris in India.
Sample: Flour 1 (NaFeEDTA, 20ppm)
b. Texture. Puris made from the three fortified flours were more dense
than puri from the control flour. No holes or cracks were observed in
any of the puris upon frying.
Figure 10. Control and Fortified Puris in India.
27
d. Water absorption. Puri made from fortified flour 2 (ferrous sulphate)
absorbed significantly less oil than the other fortified flours or the
control, but the lesser oil content did not affect the taste and chewability
of flour 2 puri compared to puris from other fortified and control flours.
e. Cook yield. The sizes and weights of puris made from fortified flours 1,
2, and 3 and the control, were similar.
c. Retention. Researchers
estimated the iron content
of pittu samples and the
respective losses during processing (Table 28).
28
Table 28. Iron content of fortified pittu in Sri Lanka.
29
13. String hoppers (Sri Lanka)
a. Color. The color of string Figure 13. String hoppers from Sri Lanka.
hoppers made from
fortified flours 1
(NaFeEDTA), 2 (ferrous
fumarate), and 3
(electrolytic iron) and the
control flour were all
accepted in the category of
“moderately liked”. When
compared, the color of the
string hoppers from flour 3
was liked the best, and that
from flour 1 was liked the
least.
30
Discussion and Conclusions
The wide (and growing) variety of commonly consumed food products made with
wheat flour in Asia has warranted the studies summarized in this report. Flour
fortification is already ongoing in some of the largest flourmills in Asia. The 2009
recommendations from WHO aim to ensure that past, current, and future
investments in flour fortification will be optimized in terms of their positive impacts
on the health of consumers. The types and levels of nutrients added should not
impart negative consequences on the processing or organoleptic/sensory
characteristics of the flour nor the products made from it.
A remarkably wide variety of noodles and breads exist across Asia. While it is
common in the West for fortified flours to be used in the production of pasta and
breads, the recipes (and modes of preparation) that are particular to Asia warrant
independent investigation as to the effects of fortification. The research represented
in this report is for the most commonly consumed wheat flour products in the six
countries.
Generally speaking, the effect of fortification on various types of noodles was only
with regard to color: grayish specks on the dough sheet, and slightly less bright or
yellow noodles, were considered minor and acceptable differences in all cases. The
texture, noodle crumb and sheet structure, water absorption and cook yield, and
sensory evaluations (including taste, flavor, and mouthfeel) of fortified noodles were
similar to control noodles and acceptable in all cases.
The effect of fortification on bread products was also primarily with regard to
color: grayish-brown spots were visible in some bread products, or the bread was
“less bright”. Again, these differences were generally reported as “not significant”
and acceptable. Other aspects of breads, including texture, taste, aroma, chewiness,
etc., were considered similar between fortified and control breads, and the fortified
breads ranked as acceptable or highly acceptable.
Grayish specks in the dough (for noodles and bread) or bread products themselves
were generally considered acceptable by the researchers and panelists. It’s
important to note that the cause of these specks is unknown, and not necessarily
related to the iron in the fortification premix, as the specks are not always observed,
even when iron is present. If specks are a cause for concern for producers or
consumers, further investigation may be warranted.
Generally speaking, we can say that the fortified foods in all country studies did
retain a notable proportion of nutrients throughout processing. Studies in China and
31
Sri Lanka were designed to calculate loss rates of nutrients (the loss of added iron
due to cooking or baking, etc). Studies in India, Indonesia, Malaysia, and the
Philippines were not designed to calculate loss rates, as they didn’t analyze nutrients
in the flours (or doughs), only the foods. Philippines and India did not analyze
control (unfortified) flour. It should also be noted that for the analysis of iron
content, atomic absorption spectrophotometry (AAS) will detect not only the iron
added by fortification, but also the intrinsic iron in the flour and any other
ingredients. This may explain why, in some cases, the iron content of the foods is
higher than the expected dosage of added iron in the fortified flours.
While these six research studies examined the retention of nutrients in the foods
prepared with various fortified flours, it should also be noted that the bioavailability
(or the body’s ability to absorb the nutrient) is not the same for all iron fortificants.
The researchers didn’t examine bioavailability; many studies have done so in the
past. Generally speaking, NaFeEDTA is the most bioavailable of all the iron forms,
and electrolytic iron is the least bioavailable. This is a key issue with regard to
effectiveness and achieving the intended benefits for public health, so much so that
the WHO 2009 recommendations propose only NaFeEDTA, but no other iron
fortificant, for high extraction flour.
As with any research, there were constraints. Researchers were given limited time
in which to conduct their studies. The comparative nature of this summary report is
limited by the fact that researchers in each of the six countries employed different
study designs and methods of analysis. Furthermore, not all parameters could be
tested in all countries, which also limited the comparability of findings. In some
cases, there were difficulties with measuring retention of nutrients in the final food
products, and therefore suspected errors in the reported findings are not presented
in this document, but warrant further investigation.
The retention data in this report demonstrates the wide variations that can occur in
food testing, and that making standards for fortified foods rather than flours can be
problematic and complicated. The analyses presented are only a snapshot of one set
of data, whereas several samples would have to be run to make it statistically
relevant. The fact that multiple laboratories and different equipment and
procedures were used adds to this variability.
Despite the constraints, and based on the information presented in this summary
report, it is reasonable to conclude that:
32
4. Micronutrients appear to be retained throughout the food preparation
process; and
5. It appears possible to fortify common Asian wheat flour products as per the
2009 WHO recommendations.
33
Appendix 1: WHO 2009 Recommendations
34
35
36
Appendix 2: Test Parameters and Methodology
37
Cook yield Weights of Weights of Weight of Weight of Weight of Not tested
foods food noodles after noodles noodles
measured measured boiling after boiling after boiling
with
electronic
scale
Sensory Subjective 7-member Subjective Subjective Subjective Subjective
Evaluation examination untrained evaluation by evaluation evaluation evaluation
by panel used trained by trained by by trained
researchers 5-point panelists panelists researchers panelists
Hedonic
scale
Micronutrient China India Indonesia Malaysia Philippines Sri Lanka
content:
Iron AAS Atomic AAS ICP-OES AAS AOAC
Absorption / (Inductively Offical
Colorimetric Coupled Method of
Methods Plasma- Analysis
Optical (2000),
Emission Method
Spectrometry) 944.02,
methods Iron in
were used. Flour,
To determine spectrophoto-
the heavy metric
metals level, method
AOAC ( Chapter
methods were 32.1.09)
used (AOAC,
1984).
Folic Acid Microbiologic HPLC HPLC AOAC 960 46/ HPLC Not tested
al assay Microassay
Turbimetric
Method
Vitamin B12 HPLC HPLC Not tested AOAC 960 46/ Not tested Not tested
Microassay
Turbimetric
Method
Vitamin A HPLC N/A N/A N/A HPLC N/A
38
Thiamin (B1) Colorimetry N/A Not tested In-house N/A Not tested
method
based on
AOAC 942
23, 970.65
and HPLC
39