RESUMO
Selenium (Se) deficiency is associated with increased risk of clinical disorders. Yet, it has not been considered as an important public health issue in Africa. The health burden of this 'hidden hunger' remains largely unknown. Using a case study of central Kenya highlands, a cross-sectional survey assesses Se status of agricultural soils, foods, hair, and actual average dietary Se intake of the local population and investigates the soil-food Se concentration and Se intake-individual Se status relationships. The survey examines eight locations characterized by different agricultural soil types and assesses average dietary Se intake among 159 children and 111 women based on 24-h dietary recall data. Soil Se concentration does not explain Se concentration in foods, which instead is associated with soil's pH, organic matter, and P and Fe content. Cereal grains, beans and potato/green banana form a large portion of the local diet while intake of animal-based foods is limited. This results in Se intake of 15 and 33 µg p-1 d-1 for children and women, respectively. On average, 87% of children and 97% of women have inadequate average daily dietary Se intake, and the hair Se concentration of 92% children and 94% women is below the reference values. Soil's characteristics contribute to variation in Se concentration in foods and consequently the dietary Se intake. A low diversified diet is a key contributing factor to inadequate dietary Se intake in the region. These findings call for the need to investigate potential intervention measure and the health burden of Se deficiency.
Assuntos
Dieta/efeitos adversos , Selênio/análise , Selênio/deficiência , Solo/química , Adulto , Pré-Escolar , Produtos Agrícolas/química , Estudos Transversais , Dieta/estatística & dados numéricos , Feminino , Cabelo/química , Humanos , Lactente , Quênia/epidemiologia , Masculino , Estado Nutricional , Adulto JovemRESUMO
Deficiency in calcium, zinc, selenium, and iodine remains a major health issue in Africa. A selenium (Se) status survey conducted in central Kenya highlands revealed a high risk of dietary Se deficiency. This study investigates the effect of soil and foliar Se fertilizer application on Se concentration in maize and bean grains. It further tests the combination of Se fertilizer with phosphorus and nitrogen fertilizers, and with zinc and iodine fertilizers. Selenium fertilization results in a significant increase in Se concentration in grains. For the soil application, Se concentration increases on average by 3 µg kg-1 in maize and by 10 µg kg-1 in beans, for each gram of Se applied as sodium selenate. Foliar Se fertilization is more effective and increases Se concentration in grains on average by 18 µg kg-1 in maize, and by 67 µg kg-1 in beans. Total soil phosphorus/availability appears as an important factor influencing soil Se availability. Addition of phosphorus fertilizers positively affects the impact of Se fertilization in locations with low soil P, Fe, and Al. A Se + Zn + I fertilizer combination does not affect the impact on Se concentration in grains. Fertilizing beans alone is found to be more efficient compared to fertilizing only maize. In locations at high risk of dietary Se deficiency, foliar application at 10 g Se ha-1 on beans or 31 g Se ha-1 on maize is sufficient to achieve adequate daily dietary Se intake. The study points towards a multi-mineral agronomic biofortification, based on a site-specific biofortification strategy.