• Nutrition · Jul 2020

    Efficacy and safety of food fortification to improve vitamin D intakes of older adults.

    • Aislinn McCourt, Breige A McNulty, Janette Walton, and Aifric O'Sullivan.
    • UCD Institute of Food and Health, University College Dublin, Belfield, Dublin, Ireland.
    • Nutrition. 2020 Jul 1; 75-76: 110767.

    ObjectivesThe aim of this study was to determine the best foods for potential vitamin D food fortification and to model the efficacy and safety of different food fortification scenarios in adults ≥50 y of age in Ireland.MethodsNational Adult Nutrition Survey vitamin D data for participants ≥50 y of age were updated. Vitamin D from foods with natural and added vitamin D was estimated and daily vitamin D intake patterns were examined. Data modeling was used to estimate the effects of target food fortification scenarios.ResultsAlmost two-thirds of the mean daily vitamin D intake of adults ≥50 y of age (7 ± 7 µg) comes from foods with added vitamin D. Milk and bread are the most frequently consumed foods across all meals and were subsequently targeted for the data modeling exercise. Results from the data modeling show that vitamin D intake increased between 9 and 17 µg/d, depending on the fortification scenario. Fortifying milk or bread resulted in ∼30% or ∼55% of individuals meeting the Recommended Daily Allowance (RDA); however, fortifying both simultaneously resulted in ∼70% meeting the RDA.ConclusionsCurrently, the majority of Irish adults ≥50 y of age are not meeting dietary recommendations for vitamin D. Fortification of commonly consumed foods such as milk and bread could improve daily intakes such that ∼70% of the cohort would meet the minimum recommendation. Future research should examine the efficacy of different food fortification scenarios to improve vitamin D intakes for older adults.Copyright © 2020 Elsevier Inc. All rights reserved.

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