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      Agri-nutrition research: Revisiting the contribution of maize and wheat to human nutrition and health

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          Highlights

          • Current agri-nutrition research focuses on micronutrient malnutrition and stunting.

          • The dietary contribution of many essential bioactive food components is understated.

          • Cereals are rich in bioactives such as dietary fibre that have major health benefits.

          • Research should address the full health benefits of cereals like maize and wheat.

          • Agri-nutrition studies should be multidisciplinary and whole food systems-oriented.

          Abstract

          Research linking agriculture and nutrition has evolved since the mid-20th century. The current focus is on child-stunting, dietary diversity and ‘nutrient-rich’ foods in recognition of the growing burdens of malnutrition and non-communicable diseases. This article concerns the global dietary and health contribution of major cereals, specifically maize and wheat, which are often considered not to be ‘nutrient-rich’ foods. Nevertheless, these cereals are major sources of dietary energy, of essential proteins and micronutrients, and diverse non-nutrient bioactive food components. Research on bioactives, and dietary fibre in particular, is somewhat ‘siloed’, with little attention paid by the agri-nutrition research community to the role of cereal bioactives in healthy diets, and the adverse health effects often arising through processing and manufacturing of cereals-based food products.

          We argue that the research agenda should embrace the whole nutritional contribution of the multiple dietary components of cereals towards addressing the triple burden of undernutrition, micronutrient malnutrition, overweight/obesity and non-communicable diseases. Agri-nutrition and development communities need to adopt a multidisciplinary and food systems research approach from farm to metabolism. Agriculture researchers should collaborate with other food systems stakeholders on nutrition-related challenges in cereal production, processing and manufacturing, and food waste and losses. Cereal and food scientists should also collaborate with social scientists to better understand the impacts on diets of the political economy of the food industry, and the diverse factors which influence local and global dietary transitions, consumer behavioural choices, dietary change, and the assessment and acceptance of novel and nutritious cereal-based products.

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          Most cited references93

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          Crops that feed the world 10. Past successes and future challenges to the role played by wheat in global food security

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            Operationalizing dietary diversity: a review of measurement issues and research priorities.

            Dietary diversity (DD) is universally recognized as a key component of healthy diets. There is still, however, a lack of consensus on how to measure and operationalize DD. This article reviews published literature on DD, with a focus on the conceptual and operational issues related to its measurement in developing countries. Findings from studies of the association between DD and individual nutrient adequacy, child growth and/or household socioeconomic factors are summarized. DD is usually measured using a simple count of foods or food groups over a given reference period, but a number of different groupings, classification systems and reference periods have been used. This limits comparability and generalizability of findings. The few studies that have validated DD against nutrient adequacy in developing countries confirm the well-documented positive association observed in developed countries. A consistent positive association between dietary diversity and child growth is also found in a number of countries. Evidence from a multicountry analysis suggests that household-level DD diversity is strongly associated with household per capita income and energy availability, suggesting that DD could be a useful indicator of food security. The nutritional contribution of animal foods to nutrient adequacy is indisputable, but the independent role of animal foods relative to overall dietary quality for child growth and nutrition remains poorly understood. DD is clearly a promising measurement tool, but additional research is required to improve and harmonize measurement approaches and indicators. Validation studies are also needed to test the usefulness of DD indicators for various purposes and in different contexts.
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              Is Open Access

              Affordability of the EAT– Lancet reference diet: a global analysis

              Summary Background The EAT–Lancet Commission drew on all available nutritional and environmental evidence to construct the first global benchmark diet capable of sustaining health and protecting the planet, but it did not assess dietary affordability. We used food price and household income data to estimate affordability of EAT–Lancet benchmark diets, as a first step to guiding interventions to improve diets around the world. Methods We obtained retail prices from 2011 for 744 foods in 159 countries, collected under the International Comparison Program. We used these data to identify the most affordable foods to meet EAT–Lancet targets. We compared total diet cost per day to each country's mean per capita household income, calculated the proportion of people for whom the most affordable EAT–Lancet diet exceeds total income, and also measured affordability relative to a least-cost diet that meets essential nutrient requirements. Findings The most affordable EAT–Lancet diets cost a global median of US$2·84 per day (IQR 2·41–3·16) in 2011, of which the largest share was the cost of fruits and vegetables (31·2%), followed by legumes and nuts (18·7%), meat, eggs, and fish (15·2%), and dairy (13·2%). This diet costs a small fraction of average incomes in high-income countries but is not affordable for the world's poor. We estimated that the cost of an EAT–Lancet diet exceeded household per capita income for at least 1·58 billion people. The EAT–Lancet diet is also more expensive than the minimum cost of nutrient adequacy, on average, by a mean factor of 1·60 (IQR 1·41–1·78). Interpretation Current diets differ greatly from EAT–Lancet targets. Improving diets is affordable in many countries but for many people would require some combination of higher income, nutritional assistance, and lower prices. Data and analysis for the cost of healthier foods are needed to inform both local interventions and systemic changes. Funding Bill & Melinda Gates Foundation.
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                Author and article information

                Journal
                Food Policy
                Food Policy
                Food Policy
                Published by Elsevier Ltd.
                0306-9192
                0306-9192
                18 September 2020
                18 September 2020
                : 101976
                Affiliations
                [a ]SOAS University of London, Russell Square, London WC1 0XG, UK
                [b ]International Maize and Wheat Improvement Center (CIMMYT), El Batán, C.P. 56237 México, Mexico
                Author notes
                [* ]Corresponding author.
                Article
                S0306-9192(20)30180-9 101976
                10.1016/j.foodpol.2020.101976
                7499093
                32963420
                30101397-ab59-4168-a62b-74e7fcb92cc1
                © 2020 Published by Elsevier Ltd.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 1 July 2020
                : 3 September 2020
                : 5 September 2020
                Categories
                Article

                agriculture,nutrition,micronutrients,maize,wheat,non-communicable diseases,bioactive food components,dietary fibre

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