Millet: Key to Alleviate Micronutrient Deficiencies (Calcium & Iron) among Adolescent Girls

Download Article

DOI: 10.21522/TIJPH.2013.12.04.Art052

Authors : A. Annapurna, B. Babitha, B. Andallu

Abstract:

Nutritionally and economically millets are superior to staples like rice and wheat. Studies suggest that processes like soaking, germination and fermentation have considerably reduced inhibiting factors and improved mineral bioavailability. Cross-sectional studies reported that a large section of Indian females consume less than 50% of the recommended dietary intake of iron, calcium and folic acid. One of the primary reasons for deficiency disorders is the consumption of plant-based diets containing antinutritional factors that inhibit mineral absorption and utilization. This research was undertaken to study the effect of fermentation on mineral bioavailability, antinutrient reduction in Pearl millet and Italian millet and the acceptability of millet-fermented products (Pearl millet dosa and Italian millet dosa) by adolescent girls. On 12hrs of fermentation Pearl millet and Italian millet showed a significant reduction in the phytate content (752 ±0.03 to 650 ±0.04 mg% in Pearl millet and 700 ± 0.05 to 650 ±0.04 mg% in Italian millet). Similarly, polyphenol content decreased from (190.06 ±0.088 to 100.016 ±0.044 and 130.04 ± 0.00 to 100.06 ± 0.031 mg% respectively). This reduction was found to correlate with the increase in calcium and iron bioavailability. Evaluation of the organoleptic properties of millet dosas revealed overall acceptability among adolescent girls. It can thus be concluded that the intake of fermented millet is key to alleviating micronutrient deficiencies among adolescent girls.

References:

[1].  World Health Organization: The global strategy for women's, children's and adolescents' health (2016–2030): Survive, thrive, transform., 2015.

[2].  UNICEF: Progress for children: A report card for adolescents., 2012.

[3].  Singh, S., Gopalkrishna, G., 2014, Health behaviours and problems among young people in India: cause for concern and call for action, Indian J Med Res.,140(2),185.

[4].  Ministry of Health and Family Welfare: National Family Health Survey - 4 2015–16: India fact sheet., 2017.

[5].  Ministry of Women and Child Development, UNICEF. Rapid Survey on Children 2013–2014. New Delhi: Government of India, 2014.

[6].  Bailey, R., 2015, The Epidemiology of Global Micronutrient Deficiencies, Ann Nutr Metab., 66(2), 22.

[7].  Venkatesh, U, Sharma, A, Ananthan, V. A., 2021, Micronutrient’s deficiency in India: A Systematic review and meta-analysis, J Nutr Sci.,10, 110.

[8].  Mahesh, et al., 2022, Demystifying the micronutrient deficiency burden in India, IP Journal of Nutrition, Metabolism and Health Science, 5(3), 91.

[9].  Ritchie, H, Reay, D. S., 2018, Projecting and Addressing India’s Hidden Hunger, Front Sustain Food Syst., 2, 11.

[10]. Lowe, N. M., 2021, The global challenge of hidden hunger: perspectives from the field, Proc Nutr Soc., 80(3), 283.

[11]. Recommended Dietary Allowances and Estimated Average Requirements Nutrient Requirements for Indians - 2020, A Report of the Expert Group Indian Council of Medical Research National Institute of Nutrition, 2020.

[12]. Shalini, T, Sivaprasad, M, Balakrishna, N., 2019, Micronutrient intakes and status assessed by probability approach among the urban adult population of Hyderabad city in South India, Eur J Nutr., 58(8), 3147.

[13]. Sharma, S, Akhtar, F, Singh, R. K., 2020, Dietary Intake across Reproductive Life Stages of Women in India: A Cross-Sectional Survey from 4 Districts of India, J Nutr Metab., 23, 9549214.

[14]. von, Haehling, S., Ebner, N., Evertz, R., Ponikowski, P., Anker, S. D., 2019, Iron Deficiency in Heart Failure: An Overview, JACC Hear Fail, 7 (1), 36.

[15]. Seyoum, Y., Humblot, C., Nicolas, G., Thomas, M., Baye, K., 2019, Iron deficiency and anaemia in adolescent girls consuming predominantly plant-based diets in rural Ethiopia, Scientific Reports, 9, 17244.

[16]. Brouns, F., 2022, Phytic Acid and Whole Grains for Health Controversy, Nutrients, 14 (1), 25.

[17]. Anitha, S., Kane-Potaka, J., Tsusaka, T. W., Botha, R., Rajendran, A., Givens, D. I., et al., 2021, A systematic review and meta-analysis of the potential of millets and sorghum for managing and preventing diabetes mellitus, Front. Nutr., 8, 687428.

[18]. Nicodemus, K. K., Jacobs, D. R. J., and Folsom, A. R., 2001, Whole and refined grain intake and risk of incident postmenopausal breast cancer, Cancer Causes Control, 12, 917.

[19]. Arora, L., Aggarwal, R., Dhaliwal, I., Gupta, O. P. and Kaushik, P., 2023, Assessment of sensory and nutritional attributes of foxtail millet-based food products, Front. Nutr., 10, 1146545.

[20]. Liang, J., Han, B. Z., Nout, M. R., and Hamer, R. J., 2008, Effects of soaking, germination and fermentation on phytic acid, total and in vitro soluble zinc in brown rice, Food Chem., 110, 821.

[21]. Abdel-Haleem, W. H., El Tinay, A. H., Mustafa, A. I., Babiker, E. E., 2008, Effect of fermentation, malt-pretreatment and cooking on antinutritional factors and protein digestibility of sorghum cultivars, Pakistan J. Nutr., 7, 335.

[22]. Osman, M. A., 2011, Effect of traditional fermentation process on the nutrient and antinutrient contents of pearl millet during the preparation of Lohoh, J. Saudi Soc. Agric. Sci., 10, 1.

[23]. Ejigui, J., Savoie, L., Marin, J., Desrosiers, T., 2005, Beneficial changes and drawbacks of a traditional fermentation process on chemical composition and antinutritional factors of yellow Maize (Zea mays), J. Biol. Sci., 5 (5), 590.

[24]. Eltayeb, M. M., Hassan, A. B., Sulieman, M. A., Babiker, E. E., 2007, Effect of processing followed by fermentation on antinutritional factors content of pearl millet (Pennisetum glaucum L.) cultivars, Pakistan. J. Nutr., 6, 463.

[25]. Kumar, A., Tomer, V., Kaur, A., Gupta, K., 2018, Millets: A solution to agrarian and nutritional challenges, Agric & Food Secur., 7:31

[26]. Gahalawat, P., Lamba, N., Chaudhary, P., 2024, Nutritional and health benefits of millets: A review article, J Indian Sys Medicine,12, 4.

[27]. Das, S., Khound, R., Santra, M., Santra, D. K., 2019, Beyond bird feed: proso millet for human health and environment, Agriculture, 9(3), 64.

[28]. AOAC, 1985. Official methods of analysis, Washington, D. C., Edn no. 14, Association of Official Chemists.

[29]. Hawk, Oser and Summerson (Eds), 1957, Practical Physiological Chemistry, 13th edition 644.

[30]. Raghuramulu, N., Madhavan, N. K., and Kalyana Sundaram (Eds), 1983, A manual of laboratory techniques, NIN, Hyderabad.

[31]. Peterson, W. H., Skipner, J. T. and Strong, F. M., 1943, Elements of Food Chemistry, Prentice Hall, Inc. New York, 73.

[32]. Davies, N. T. and Reid, H., 1979, An evaluation of phytate, zinc, copper, iron and manganese content of and availability from soya-based textured vegetable protein meat substitutes or meat extruders, Brit. J. Nutri., 4:579.

[33]. AOAC, 1984. Official methods of analysis of the association of official chemists, Arlington, U. S. A. 14th edn., Association of Analytical Chemists, p. 187.

[34]. Price, M. L. and Van Scoyoc, S. and Butler, L. G., 1978, A critical evaluation of the vanillin reaction as an assay for tannins and sorghum grain, J. Agric. Food Chem., 26, 1214.

[35]. Gupta, M., Khetarpaul, N. and Chauhan, B. M., 1991, Effect of rabadi fermentation on Hcl-extractability of minerals of wheat, Food Chem., 42(1), 111.

[36]. Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., Arora, M., Azzopardi, P., Baldwin, W., Bonell, C. et al., 2016, Our future: A Lancet commission on adolescent health and wellbeing, Lancet, 387(10036), 2423.

[37]. Fall, C. H., Sachdev, H. S., Osmond, C., Restrepo-Mendez, M. C., Victora, C., Martorell, R., Stein, A. D., Sinha, S., Tandon, N., Adair, L. et al., 2015, Association between maternal age at childbirth and child and adult outcomes in the offspring: a prospective study in five low-income and middle-income countries (COHORTS collaboration), Lancet Glob Health, 3(7), 366.

[38]. Aggarwal, V., Seth, A., Aneja, S., Sharma, B., Sonkar, P., Singh, S., Marwaha, R. K., 2012, Role of calcium deficiency in development of nutritional rickets in Indian children: a case-control study, J Clin Endocrinol Metab., 97(10), 3461.

[39]. Akinyele, I. O. and Akinlosotu, A., 1991, Effect of soaking dehulling and fermentation on the oligosaccharides and Nutrient Content of Cowpeas (Vigna unguiculata), Food Chem., 41, 43.

[40]. Khetarpaul, N. and Chauhan, B. M., 1989, Improvement in Hcl Extractability of Mineral from Pearl Millet (Pennisetum typhoides) by fermentation with Yeasts and Lactobacilli, J. Sci. Food Agric., 49, 117.

[41]. Daniels, D. G. H. and Fisher, N., 1981, Hydrolysis of the phytate of wheat flour during bread making, Brit. J. Nutr., 46, 1.

[42]. Dhanker, N. and Chauhan, B. M., 1987, Effect of temperature and period of fermentation on protein and starch digestibility (in vitro) of rabadi – A pearl millet fermented food, J. Food Sci., 52(2), 489.