Micronutrient deficiencies (MNDs) remain widespread among people in sub-Saharan Africa1–5, where access to sufficient food from plant and animal sources that is rich in micronutrients (vitamins and minerals) is limited due to socioeconomic and geographical reasons4–6. Here we report the micronutrient composition (calcium, iron, selenium and zinc) of staple cereal grains for most of the cereal production areas in Ethiopia and Malawi. We show that there is geospatial variation in the composition of micronutrients that is nutritionally important at subnational scales. Soil and environmental covariates of grain micronutrient concentrations included soil pH, soil organic matter, temperature, rainfall and topography, which were specific to micronutrient and crop type. For rural households consuming locally sourced food—including many smallholder farming communities—the location of residence can be the largest influencing factor in determining the dietary intake of micronutrients from cereals. Positive relationships between the concentration of selenium in grain and biomarkers of selenium dietary status occur in both countries. Surveillance of MNDs on the basis of biomarkers of status and dietary intakes from national- and regional-scale food-composition data1–7 could be improved using subnational data on the composition of grain micronutrients. Beyond dietary diversification, interventions to alleviate MNDs, such as food fortification8,9 and biofortification to increase the micronutrient concentrations in crops10,11, should account for geographical effects that can be larger in magnitude than intervention outcomes.
Selenium (Se) is an essential element for human health. However, our knowledge of the prevalence of Se deficiency is less than for other micronutrients of public health concern such as iodine, iron and zinc, especially in sub-Saharan Africa (SSA). Studies of food systems in SSA, in particular in Malawi, have revealed that human Se deficiency risks are widespread and influenced strongly by geography. Direct evidence of Se deficiency risks includes nationally representative data of Se concentrations in blood plasma and urine as population biomarkers of Se status. Long-range geospatial variation in Se deficiency risks has been linked to soil characteristics and their effects on the Se concentration of food crops. Selenium deficiency risks are also linked to socio-economic status including access to animal source foods. This review highlights the need for geospatially-resolved data on the movement of Se and other micronutrients in food systems which span agriculture–nutrition–health disciplinary domains (defined as a GeoNutrition approach). Given that similar drivers of deficiency risks for Se, and other micronutrients, are likely to occur in other countries in SSA and elsewhere, micronutrient surveillance programmes should be designed accordingly.
BackgroundMicronutrient deficiencies including selenium (Se) are widespread in Malawi and potentially underlie a substantial disease burden, particularly among poorer and marginalised populations. Concentrations of Se in staple cereal crops can be increased through application of Se fertilisers – a process known as agronomic biofortification (agro-biofortification) – and this may contribute to alleviating deficiencies. The Addressing Hidden Hunger with Agronomy (AHHA) trial aims to establish the efficacy of this approach for improving Se status in rural Malawi.MethodsA double-blind, randomised, controlled trial will be conducted in a rural community in Kasungu District, Central Region, Malawi. The hypothesis is that consumption of maize flour agro-biofortified with Se will increase serum Se concentration. We will recruit 180 women of reproductive age (WRA) (20–45 years) and 180 school-age children (SAC) (5–10 years) randomly assigned in a 1:1 ratio to receive either maize flour enriched through agro-biofortification with Se or a control flour not enriched with Se. Households will receive flour (330 g per capita per day) for 12 weeks. The primary outcome is Se concentration in serum (μg/L). Serum will be extracted from venous blood samples drawn at baseline (prior to flour distribution) and end-line. Selenium concentration will be measured by using inductively coupled plasma mass spectrometry.DiscussionFindings will be communicated to policy stakeholders and participating communities and reported in peer-reviewed journals.Trial registrationThe Addressing Hidden Hunger with Agronomy (Malawi) trial is registered (5th March 2019; ISCRTN85899451).
Biofortification with selenium (Se) may rely on rapid uptake by crops, following application, to offset progressive fixation into unavailable organic forms of Se in soil. A biofortification study was conducted on an Alfisol within a long-term conservation agriculture (CA) field trial at Chitedze Research Station, Malawi. The aim was to assess the dynamics of selenium bioavailability to a staple cereal (Zea mays) and a range of legumes (cowpeas, groundnuts, pigeon peas and velvet beans) under CA management, as well as residual Se effects in the year following biofortification. Isotopically labelled selenate (>99% enriched 77 Se VI ) was applied to each plot, in solution, at a rate of 20 g ha -1 , at maize flowering (75 days after planting), in February, 2017. Samples of grain and stover from maize and legumes, and topsoil, were collected at harvest in May, 2017 and May, 2018. Plant and soil samples were analyzed by ICP-MS for selenium isotopes ( 77 Se and 78 Se). The concentration of 77 Se in the grain of maize and single-cropped legumes exceeded 200 µg kg -1 in all the treatments. This would contribute approximately 56 -64 µg day -1 to the Malawi diet, as refined maize flour. The fertilizer derived Se concentration ratio of maize grain-to-stover Se were >1 in 2017 but <1 in 2018; which followed the same trend as the native soil-derived Se in the residual year. In legumes the grain-to-stover concentration ratio was consistently < 1 in both years, except for the velvet beans.Differences in CA management had minimal influence on 77 Se concentration in plant grain but the low yield in the single conventional treatment reduced 77 Se uptake. Residual 77 Se in the soil (35 % of the applied) measured at harvest in 2017 was still present at harvest in the residual year (2018) but was completely unavailable to any of the crops. Almost none of the remaining 77 Se was present in soluble or phosphate-extractable forms and virtually all was present in the 'organic' (TMAH-extractable) fraction. Thus, annual Se applications to maize would be necessary to maintain concentrations which could improve dietary supply and reduce current Se deficiency in Malawi.Highlights. Selenium at 20 g ha -1 raises dietary levels above the recommended dietary allowance Selenium fixation into humus-bound forms eliminates residual availability Conservation agriculture treatments have little effect on selenium uptake by maize Legumes (e.g. groundnuts) accumulate greater concentrations of selenium than maize Keywords.
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