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AgroSalud Nutrition Research In Latin America and the Caribbean Helena Pachón AgroSalud Project Knowledge-sharing Week CIAT 21 May 2009

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Presentation by Helena Pachón for the CIAT KSW 2009

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Page 1: AgroSalud Nutrition Research in Latin America and the Caribbean

AgroSalud Nutrition Research In Latin America and the Caribbean

Helena PachónAgroSalud Project

Knowledge-sharing WeekCIAT

21 May 2009

Page 2: AgroSalud Nutrition Research in Latin America and the Caribbean

Why Nutrition Matters

10M child deaths/y, 50% due to malnutrition Reductions in health, school achievement,

work capacity, human capital

(Black et al., 2008)

Page 3: AgroSalud Nutrition Research in Latin America and the Caribbean

Relevant MTPs

Beans with improved micronutrient concentration that have a positive impact on human health

Rice germplasm for improving human health and nutrition in Latin America and the Caribbean

Cassava, tropical fruits?

Page 4: AgroSalud Nutrition Research in Latin America and the Caribbean

AgroSalud Project

Improve food and nutrition security

Develop, test, deploy, and promote biofortified staple crops† (nutritionally* and agronomically superior)

Geographically focused in Latin America and the Caribbean

Associated with HarvestPlus

Photo: Marlene Rosero† crops: sweet potato, rice, maize, beans* nutrients: iron, zinc, beta-carotene, tryptophan, lysine

Page 5: AgroSalud Nutrition Research in Latin America and the Caribbean

Biofortification & Eco-efficient Agriculture

“Producing more with less or the same”

Biofortified crops’ impact on consumers

Social: improve food and nutrition security

Economic: improved work capacity

Images: www.gardenguides.com, www.hormel.com, www.cdc.gov, www.waynescomputerworld.com

Page 6: AgroSalud Nutrition Research in Latin America and the Caribbean

Terminology

0102030405060708090

100

Nutrient Goal

Conventional NutritionallyImproved

Biofortified

Nutrient Concentration

2009: most crop-nutrient combinations

Have met nutrient goalHave a demonstrated nutrition impact

•Maize with >tryptophan/lysine (QPM)•Sweet potato with >β-carotene

Page 7: AgroSalud Nutrition Research in Latin America and the Caribbean

Country Crops

Rice Swtpotato Beans Maize

Bolivia 2009 (1) - 2009 (1) -

Brasil 2009 (1) 2009 (2) - -

Colombia - 2009 (2) 2009 (1) 2008 (2)

Costa Rica - - 2009 (1) -

Cuba2009 (1)2010 (1)

- 2009 (1) -

El Salvador - - 2010 (1) 2008 (2)

Guatemala - - 2009 (1) 2009 (2)

Haití - - - 2008 (1)

Honduras - - 2009 (1) 2008 (2)

México - - - 2009 (1)

Nicaragua 2010 (1) 2009 (1) 2009 (1) 2007 (2)

Panamá - - - 2008 (2)

Perú - 2009 (2) - -

República Dominicana 2010 (1) 2009 (1) - -

Total 6 8 8 14

~36 Nutritionally Improved Crops to be Commercially Released in 2007-2010

Court

esy

: R

óg

er

Urb

ina, C

IAT

Page 8: AgroSalud Nutrition Research in Latin America and the Caribbean

Strategy for Evaluating Nutrition Impact

Crop/Product

People

Nutrient concentrati

on

Nutrient bioavailabilit

y

SimulationAcceptabilit

y

Biofortified Conventional>

Efficacy

Nutrient retentio

nCost-

effectiveness

Site selection

Page 9: AgroSalud Nutrition Research in Latin America and the Caribbean

Nutrient Concentration

Do biofortified crops and food products have higher levels of priority nutrients* compared to their non-biofortified equivalents? (Goal: higher)

*iron, zinc, beta-carotene, tryptophan, lysine

Page 10: AgroSalud Nutrition Research in Latin America and the Caribbean

010

2030

4050

.

40 50 60 70 80 90Concentración de Hierro (ppm)

Concentración de Hierro en Líneas de Fríjol 2005

01

23

4.

50 60 70 80 90Concentración de Hierro (ppm)

Concentración de Hierro en Líneas de Fríjol 2006

Nutrient Concentration

Courtesy: Steve Beebe

Iron in beansIron

concentration increased from 2005 to 2006

CIAT breeding lines

50 60 70 80 90 mg/kg

Page 11: AgroSalud Nutrition Research in Latin America and the Caribbean

Nutrient Bioavailability

How well does the body absorb and utilize the nutrient? (Goal: same or higher)

www.nwave.com

Page 12: AgroSalud Nutrition Research in Latin America and the Caribbean

Nutrient Bioavailability: Appropriateness of in vitro method for iron bioavailability

(Ingrid Aragón, Universidad del Valle, CIAT presentation 2009, KSW poster)

High correlation between in vivo and in vitro methods

Page 13: AgroSalud Nutrition Research in Latin America and the Caribbean

Nutrient Bioavailability: Protein

(Pachón et al., Journal of Food Science, in press)

0

20

40

60

80

100

% Protein Digestibility

Biofortified Conventional

Maize Type

In vitro Protein Digestibility

P=0.19

Page 14: AgroSalud Nutrition Research in Latin America and the Caribbean

Nutrient Bioavailability

Crop Nutrient

Bioavailability

Beans(Pachón et al., J Food Sci, in press)

Iron, Zinc Biofortified=conventional (1 recipe)

Maize(Paola Imbachí, CIAT presentation 2009)

Protein Biofortified<conventional (1 recipe) Biofortified=conventional (10 recipes) Biofortified>conventional (3 recipes)

Rice(Dayron Gutiérrez, Ingrid Aragón)

Iron, Zinc Underway (180 lines)

Other study carried out: Evaluating the in vitro iron, zinc, vitamin A and protein bioavailability of leaf extracts prepared from the foliage of different crops (Sayda Pico, CIAT presentation 2008)

Page 15: AgroSalud Nutrition Research in Latin America and the Caribbean

Nutrient Retention

After cooking, processing and storage, how much of the nutrient is retained? (Goal:

same or more)

AfterBefore

Cooking / Processing /

Storage

Images: www.gardenguides.com, www.texascooking.com

Page 16: AgroSalud Nutrition Research in Latin America and the Caribbean

Nutrient Retention

Tryptophan (g/100 g) in Maize: From Grain to Finished Product

0.000

0.020

0.040

0.060

0.080

0.100

Maíz en grano Maíz trillado Mazamorra

Conventional Biofortified

(Paola Imbachí, Universidad del Cauca, CIAT presentation 2009)

Tryptophan (g/100 g) in Maize: From Grain to Finished Product

0.0000.0200.0400.0600.0800.100

Maíz engrano

Maíztrillado

Masa Envueltoañejo

14 recipes

In finished product, tryptophan:

Biofortified>Conventional (n=10)

Biofortified=Conventional (n=4)

P<0.05P<0.05

P=0.50

P<0.05 P<0.05

P<0.05 P<0.05

Page 17: AgroSalud Nutrition Research in Latin America and the Caribbean

Nutrient Retention

(Sonia Gallego, Alba Lucía Chávez, Moralba Domínguez, 2008)

B-carotene Retention (%) in Intermediate Products Prepared with 5 Orange-fleshed Sweet

Potato Varieties

0.00

20.00

40.00

60.00

80.00

100.00

120.00

440050 440016 440396 440286 440287

Producto cocido Harina cruda Harina precocida

Page 18: AgroSalud Nutrition Research in Latin America and the Caribbean

Impact Simulation

What is the potential nutritional impact of consumers substituting non-biofortified crops/food products with biofortified ones? (Goal: greater)

Page 19: AgroSalud Nutrition Research in Latin America and the Caribbean

Impact Simulation

*RDA Fe: 18,000 μg/d, Zn: 11,000 μg/d, Vitamin A: 900 μg/d (IOM, 2001)(Intake data: http://www.fao.org/faostat/foodsecurity/Files/FoodConsumptionFoodItems_en.xls)

Nutrient (μg/ d) Contribution of Biofortified Crops: Colombia

-500

500

1500

2500

3500

4500

Iron Zinc Vitamin A

Rice (85 g) Sweetpotato (0 g) Beans (9 g)

Maize (107 g) Cassava (94 g)

19% RDA

32% RDA

39% RDA

Additional nutrient

contribution compared with requirements

(RDAs)

Page 20: AgroSalud Nutrition Research in Latin America and the Caribbean

Impact SimulationCountry % RDA Iron* % RDA Zinc* % RDA Vitamin A*

Bolivia 28.2 21.6 15.7

Brasil 45.4 38.3 14.8

Colombia 39.2 31.5 19.2

Costa Rica 15.9 17.1 1.7

Cuba 60.9 44.8 28.8

El Salvador 58.2 27.6 33.0

Guatemala 54.7 24.5 34.6

Haití 43.8 34.1 23.6

Honduras 50.0 23.5 30.6

México 77.1 34.0 48.7

Nicaragua 53.6 32.2 20.5

Panamá 18.3 16.2 8.3

Perú 27.0 26.5 12.7

República Dominicana 18.1 18.0 5.8

Mean (SD) 42.2 (18.5) 27.8 (8.4) 21.3 (12.9)*RDA Fe: 18,000 μg/d; Zn: 11,000 μg/d; Vitamin A: 900 μg/d (IOM, 2001)Intake data: http://www.fao.org/faostat/foodsecurity/Files/FoodConsumptionFoodItems_en.xls)

Page 21: AgroSalud Nutrition Research in Latin America and the Caribbean

Consumer Acceptability

What is the consumer’s “sensory evaluation” of the biofortified crop/food product? (Goal: same or better)

Photo: Reyna Liria

Page 22: AgroSalud Nutrition Research in Latin America and the Caribbean

Consumer Acceptability

Training Workshops

Nicaragua, 2007

Panama, 2008

31 people

11 countries

Photo: Reyna Liria

Page 23: AgroSalud Nutrition Research in Latin America and the Caribbean

Consumer Acceptability

Biofortified Beans Conventional Beans

¿Do they discriminate between biofortified and conventional beans?

¿Do they prefer biofortified or conventional beans?

80 Consumers in Holguín, Cuba

(Orlando Chaveco, Unidad de Extensión, Investigación y Capacitación Agropecuaria de Holguín, Cuba)

Page 24: AgroSalud Nutrition Research in Latin America and the Caribbean

Consumer Acceptability

After tasting a recipe prepared with both bean types, consumers discriminated between biofortified

and conventional beans

(Orlando Chaveco, Unidad de Extensión, Investigación y Capacitación Agropecuaria de Holguín, Cuba)

Biofortified Bean

Conventional Bean

0

10

20

30

40

50

60

70

%

Detected adifference

Did not detect adifference

Page 25: AgroSalud Nutrition Research in Latin America and the Caribbean

Consumer Acceptability

After tasting a recipe prepared with both bean types, consumers expressed no preference for

biofortified or conventional beans

No preferenceBiofortifiedConventional

(Orlando Chaveco, Unidad de Extensión, Investigación y Capacitación Agropecuaria de Holguín, Cuba)

P=0.13

Page 26: AgroSalud Nutrition Research in Latin America and the Caribbean

Acceptability

Country Crop ResultNicaragua (Karina Leticia García Montecinos, José Alberto Godoy Godoy, Patricia Carrillo)

Rice Conventional preferred/accepted over aromatic (biofortified)

Nicaragua (Aracelly Serrano, Ena Vilchez, Michelle Sandino, Patricia Carrillo)

Sweet potato

With leaves equally preferred than without leaves

Studies underway Bolivia: Rice Cuba: Rice Nicaragua: Beans Nicaragua: Maize

Page 27: AgroSalud Nutrition Research in Latin America and the Caribbean

Efficacy

Under ideal conditions (very controlled), what nutrition impact does the biofortified crop/food product have? (Goal: greater)

Page 28: AgroSalud Nutrition Research in Latin America and the Caribbean

Efficacy

0

5

10

15

Baseline Endline

Weight (kg)

Biofortified Conventional

0

20

40

60

80

100

Baseline Endline

Height (cm)

Biofortified Maize Offered 5 d/wk for 3.5 mo Improved the Weight and Height of Nicaraguan Pre-schoolers

who were Mild or Moderately Malnourished at Baseline

(Ortega et al., Archivos Latinoamericanos de Nutrición, 2008)

0.80 0.192.02 1.23

P<0.01

P<0.01

Page 29: AgroSalud Nutrition Research in Latin America and the Caribbean

Efficacy

Guatemala maize study with pre-school children nutritional benefit unlikely, study cancelled

Support for HarvestPlus bean trial in Mexican school-age children Sep 2009 start date?

Colombia school-age children, impact of maize (and beans?) on school performance, physical activity and nutritional status June 2009

Page 30: AgroSalud Nutrition Research in Latin America and the Caribbean

Cost-effectiveness

In programs currently being implemented (real-life situation), what nutrition impact do biofortified crops and food products have? (Goal: greater) At what cost are these benefits realized? (Goal: same or less)

Page 31: AgroSalud Nutrition Research in Latin America and the Caribbean

Ex-ante Cost-effectiveness

Cost-effectiveness of Biofortification in Nicaragua (Cost in USD per DALY averted)

19.95 7.33 6.2460.68

202.4

66.7

050

100150200250

Rice Beans MaizeIron Zinc

Compared with WHO estimates of the cost-effectiveness of supplementation and fortification in Latin America, the biofortification of rice, beans and maize with (1) iron is more favorable, (2) zinc (rice, maize) is more favorable than

supplementation and (3) zinc is less favorable than fortification.

Courtesy: Salomón Pérez, CIAT

487

215

7927

0

100

200

300

400

500

600

Supplementation (WHO) Fortification (WHO)

* DALY = Disability-adjusted Life Years; WHO CHOICE for AMR B www.who.int/choice/results/en/ for Zn; Baltussen et al., 2004 for AMR B for Fe; WHO estimates assume 50% coverage

*

Page 32: AgroSalud Nutrition Research in Latin America and the Caribbean

The economic impact of introducing pro-vitamin A biofortified cassava

Country ScenarioHealth burden reduction (%)

Internal Rate of Return (%)

Monetary gain (million US$)

ColombiaOptimistic 1.40% 42.7 0.5

Pessimistic 0.10% -1.1 -0.2

HondurasOptimistic 7.20% 45.5 0.3

Pessimistic 0.40% 1.0 -0.2

MexicoOptimistic 0.20% 71.1 0.9

Pessimistic 0.00% 14.9 -0.1

NicaraguaOptimistic 40.00% 74.4 1.6

Pessimistic 5.60% 33.7 0.0http://edge.rit.edu/content/P07403/public/cassava.jpg Monetary gains are corrected for the costs

Ex-ante Cost-effectiveness

(Anne Jacobsen, University of Copenhagen, CIAT presentation 2008)

Page 33: AgroSalud Nutrition Research in Latin America and the Caribbean

Cost-effectiveness Site Selection

National

Local(Fredy Monserrate, Andrea Liliana Vesga, Emmanuel Zapata, Glenn Hyman; Zapata et al., International Journal of Health Graphics, in press; KSW poster)

Candidate Sites for Iron-

biofortified Crops in Colombia

Page 34: AgroSalud Nutrition Research in Latin America and the Caribbean

Enabling a Policy Environment for Biofortification

Integration of Biofortification into National Nutrition Plans

in Panama and Cuba

-Analysis of Colombian Food & Nutrition Policies (Salomón Pérez, KSW poster)

-Food & Nutrition Security Committee, Cali

Page 35: AgroSalud Nutrition Research in Latin America and the Caribbean

Support from Central American Ministers of Agriculture

Page 36: AgroSalud Nutrition Research in Latin America and the Caribbean

Opening of CIAT’s Nutrition Quality Laboratory (2009)

El Tiempo, 2 agosto 2008

Visit

Page 37: AgroSalud Nutrition Research in Latin America and the Caribbean

Looking Forward

Identification, characterization & quantification of essential nutrients, and phytochemicals with potential health benefits (anti-oxidant activity (Hiroko Kunori, Tokyo U

of Agriculture 2009)) In vitro bioavailability of nutrients and

phytochemicals Evaluating impact of CIAT activities on

food and nutrition security (food security scales, KSW

posters) Training: lab and field, internships,

professional exchanges

Page 38: AgroSalud Nutrition Research in Latin America and the Caribbean

Students Mentored Paola Imbachí, Universidad del Cauca (Colombia). 2008-2009. *Ingrid Aragón, Universidad del Valle (Colombia). 2008-2009. Hiroko Kunori, Tokyo University of Agriculture (Japan). 2008-2009. Michelle Sandino, Aracelly Serrano, Ena Vílchez, Universidad Nacional

Autónoma de Nicaragua (Nicaragua). 2008. Karina Leticia García Montecinos, José Alberto Godoy Godoy,

Universidad Centroamericana (Nicaragua). 2008. Sayda Pico. Universidad Industrial de Santander (Colombia). 2008-

2009. Anne Jacobsen, University of Copenhagen (Denmark). 2008. Emmanuel Zapata, Universidad del Valle (Colombia). 2007-2009. Yalina Disla, Yale University (USA). 2007-2008. *Michael Dessalines, University of Connecticut (USA). 2008. Fredy Monserrate, Universidad Nacional de Colombia (Colombia).

2007. Andrea Liliana Vesga, Universidad Industrial de Santander (Colombia).

2007. Martha Cecilia Revelo, Universidad del Cauca (Colombia). 2006-2007. María del Mar Muñóz, Universidad del Cauca (Colombia). 2006-2007. *Distinguished theses

Page 39: AgroSalud Nutrition Research in Latin America and the Caribbean

Collaborators in Nutrition Research

Ingrid Aragón Patricia Carrillo María Luisa Cortés Olga Lucía Cruz Sonia Gallego Dayron Gutiérrez Glenn Hyman Paola Imbachí Darling Moncada Darwin Ortiz Salomón Pérez Sayda Pico Marlene Rosero Teresa Sánchez Emmanuel Zapata Claudia Zúñiga

CIAT-Forrajes CIAT-Laboratorio de Calidad

Nutricional CIAT-Laboratorio de Calidad de

Yuca CIAT-Servicios Analíticos Clayuca Embrapa

CIAT CIDA HarvestPlus Monsanto Fund

Page 40: AgroSalud Nutrition Research in Latin America and the Caribbean

For More Information

www.AgroSalud.org

Helena Pachó[email protected]