A Brief History of Food Fortification in the U.S.
According to the World Health Organization (WHO), food fortification is the practice of deliberately increasing the content of one or more micronutrients (i.e., vitamins and minerals) in a food or condiment to improve the nutritional quality of that food—thereby providing a public health benefit with minimal risk to individual health. But why would fortification be necessary? Over decades of research, fortification has been identified as one of the most cost-effective nutrition interventions available, particularly for low- and middle-income countries around the globe. In fact, the worldwide fortification of commonly consumed foods provides enhanced nutrient intake throughout the lifespan for populations that are at risk for widespread nutritional deficiencies. Even in wealthier countries, like the United States, fortification has led to positive health benefits for the entire population. In the U.S., micronutrient deficiency diseases like goiter, rickets, beriberi, and pellagra were once common health problems as recently as the 20th century. Thanks to systematic fortification within the U.S. food supply, these diseases have been virtually eliminated. Read on to learn more about the historical origins of food fortification in the U.S., as well as insights into fortification’s contributions to improved public health. But before we dive in, let’s define two food-related terms that are often used interchangeably but are slightly different: The 1920s: Iodine in Salt During the 1921 American Medical Association (AMA) convention, two Ohio doctors presented findings from their clinical trial demonstrating the effectiveness of sodium iodide treatments for the prevention of goiter in Akron schoolgirls. Prior to their study, research from Europe had also suggested an association between iodine deficiency and goiter (an enlarged thyroid gland). It was found that without iodine, the body could not properly make thyroid hormones, which often resulted in an unsightly neck goiter or, in more serious cases, neurocognitive impairments. Iodine deficiency generally occurs […]
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