Czech J. Food Sci., X:X | DOI: 10.17221/33/2024-CJFS

Preparing and investigating the impact of iron and zinc fortified parboiled puffed rice bars on the nutritional status of school-aged children (9–12 years)Original Paper

Ghazala Kausar1, Waqas Tariq2, Muhammad Azeem ORCID...3, Khuram Ashfaq4, Mian Kamran Sharif5, Umair Afzal1, Sheraz Ahmed6, Doha M. Al-Nouri7, Isam A. Mohamed Ahmed7, Muhammad Abuzar Ghaffari4, Muhammad Tauseef Azam8, Rai Muhammad Amir8, Saleem Muhammad9
1 School of Food Science & Technology, Minhaj University, Lahore, Pakistan
2 Assistant Manager Quality Assurance, Engro Eximp Agri Products, Muridke, Sheikhupura
3 Faculty of Food and Nutrition, Lahore University of Biological & Applied Sciences, Lahore, Pakistan
4 Faculty of Pharmaceutical Sciences, Lahore University of Biological & Applied Sciences, Lahore, Pakistan
5 National Institute of Food Science & Technology, University of Agriculture, Faisalabad, Pakistan
6 Department of Food Sciences, Cholistan University of Veterinary & Animal Sciences, Bahawalpur, Pakistan
7 Department of Food Sciences and Nutrition, College of Food and Agricultural Sciences, King Saud University, Riyadh, Saudi Arabia
8 Institute of Food and Nutritional Sciences, PMAS-Arid Agriculture University, Rawalpindi, Pakistan
9 Department of Food Technology, Balochistan Agriculture College, Quetta, Pakistan

Parboiled rice is produced by steaming, soaking, and drying paddy grains, which helps retain nutrients. The parboiled rice has more nutrients and wholesome grains as compared to white (polished) rice. Parboiled rice has more nutrients than white (polished) rice and can be used as nutritional intervention in communities with nutrient discrepancies. The current project was designed to study the effect of parboiled puffed rice bars fortified with iron (Fe) and zinc (Zn) on the nutritional status of school-aged children. The iron and zinc contents of parboiled fortified rice were increased by adding salts to soaking water. Three treatments were tested: T0 ‒ puffed rice bars made from parboiled white rice, T1 ‒ puffed rice bars made from brown rice fortified with 200 mg Na-FeEDTA and 100 mg ZnSO4 per litre and T2 ‒ puffed rice bars made from white rice fortified with 200 mg Na-FeEDTA and 100 mg ZnSO4 per litre. The highest energy (391.1 kcal), Fe (71.8 mg·kg–1), Zn (64.8 mg·kg–1) and water activity (0.65) values were observed in T1. Three hundred children were randomly assigned to three groups: control group G0 given T0 treatment containing 32.5% and 29.5% recommended dietary allowance (RDA) of iron and zinc, respectively, group G1 given T1 treatment made from fortified brown puffed rice containing 89.8% and 81.1% RDA of iron and zinc, respectively whereas group G2 was served T2 treatment made from white rice containing 77.8% and 56.8% of the RDA for iron and zinc, respectively. After 45 days of the intervention, the highest changes in haemoglobin (Hb) level (8.9%), serum ferritin (7.7%) and serum zinc (13.9%) were observed in G1 and lower values of Hb (4.6 %), serum ferritin (4.1 %) and serum zinc (8%) were observed in control group G0. Means of Hb, serum ferritin and zinc increased from 1.24 to 1.33 g·L–1, 33.5 to 35.1 µg·L–1 and 10.2 to 10.8 µmol·L–1, respectively, which showed a positive effect of iron and zinc fortified bar on health. The consumption of 100 g puffed rice bar fortified with 100 mg·kg–1 Fe and 200 mg·kg–1 can achieve approximately 89% RDA of iron and 81.1% RDA of zinc in school-aged children.

Keywords: fortified rice bars; glutinous rice; complete blood count; haemoglobin; parboiled puffed rice; serum ferritin

Received: February 22, 2024; Revised: April 22, 2026; Accepted: April 28, 2026; Prepublished online: September 29, 2026 

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References

  1. Abedini A., Dakhili S., Bazzaz S., Kamaladdin Moghaddam S., Mahmoudzadeh M., Andishmand H. (2023): Fortification of chocolates with high-value-added plant-based substances: Recent trends, current challenges, and future prospects. Food Science and Nutrition, 11: 3686-3705. Go to original source...
  2. Agbaje R., Hassan C.Z., Norlelawati A., Rahman A.A., Huda-Faujan N. (2016): Development and physico-chemical analysis of granola formulated with puffed glutinous rice and selected dried Sunnah foods. International Food Research Journal, 23: 498-506.
  3. Akhtar S., Ismail T., Atukorala S., Arlappa N. (2013): Micronutrient deficiencies in South Asia - Current status and strategies. Trends in Food Science and Technology, 31: 55-62. Go to original source...
  4. Andang'o P.E.A., Osendarp S.J.M., Ayah R., West C.E., Mwaniki D.L., De Wolf C.A., Kraaijenhagen R., Kok F.J., Verhoef H. (2007): Efficacy of iron-fortified whole maize flour on iron status of schoolchildren in Kenya: A randomised controlled trial. The Lancet, 369: 1799-1806. Go to original source... Go to PubMed...
  5. Azeem M., Sharif M.K., Shah F., Ali M., Nazir M.A., Rizwan M., Wadoodd S.A., Ejaz R. (2021): Does iron-fortified chewing gum influence the biochemical profile of school-going children (6-10 yrs.)? Italian Journal of Food Science, 33: 29-38. Go to original source...
  6. Bashir K., Nozoye T., Ishimaru Y., Nakanishi H., Nishizawa N.K. (2013): Exploiting new tools for iron bio-fortification of rice. Biotechnology Advances, 31: 1624-1633. Go to original source... Go to PubMed...
  7. Bouhouch R.R., El-Fadeli S., Andersson M., Aboussad A., Chabaa L., Zeder C., Kippler M., Baumgartner J., Sedki A., Zimmermann M.B. (2016): Effects of wheat-flour biscuits fortified with iron and EDTA, alone and in combination, on blood lead concentration, iron status, and cognition in children: A double-blind randomized controlled trial. The American Journal of Clinical Nutrition, 104: 1318-1326. Go to original source... Go to PubMed...
  8. Davidsson L., Dimitriou T., Boy E., Walczyk T., Hurrell R.F. (2002): Iron bioavailability from iron-fortified Guatemalan meals based on corn tortillas and black bean paste. The American Journal of Clinical Nutrition, 75: 535-539. Go to original source... Go to PubMed...
  9. Eyenga E.F., Tang E.N., Achu M.B.L., Boulanger R., Mbacham W.F., Ndindeng S.A. (2020): Physical, nutritional, and sensory quality of rice-based biscuits fortified with safou (Dacryodes edulis) fruit powder. Food Science and Nutrition, 8: 3413-3424. Go to original source...
  10. Fukagawa N.K., Ziska L.H. (2019): Rice: Importance for global nutrition. Journal of Nutritional Science and Vitaminology, 65: S2-S3. Go to original source... Go to PubMed...
  11. Hansen N.C., Jolley V.D., Naeve S.L., Goos R.J. (2004): Iron deficiency of soybean in the North Central U.S. and associated soil properties. Soil Science and Plant Nutrition, 50: 983-987. Go to original source...
  12. Hettiarachchi M., Liyanage C., Hilmers D.C., Abrams S.A. (2004): Na2EDTA enhances the absorption of iron and zinc from fortified rice flour in Sri Lankan children. The Journal of Nutrition, 134: 3031-3036. Go to original source... Go to PubMed...
  13. Huo J., Sun J., Miao H., Yu B., Yang T., Liu Z., Lu C., Chen J., Zhang D., Ma Y., Wang A., Li Y. (2002): Therapeutic effects of NaFeEDTA-fortified soy sauce in anaemic children in China. Asia Pacific Journal of Clinical Nutrition, 11: 123-127. Go to original source... Go to PubMed...
  14. Hurrell R. (2002): How to ensure adequate iron absorption from iron-fortified food. Nutrition Reviews, 60: S7-S15. Go to original source... Go to PubMed...
  15. Kuong K., Laillou A., Chea C., Chamnan C., Berger J., Wieringa F.T. (2016): Stability of vitamin A, iron and zinc in fortified rice during storage and its impact on future national standards and programs - Case study in Cambodia. Nutrients, 8: 51. Go to original source... Go to PubMed...
  16. Kumar S., Prasad K. (2013): Effect of paddy parboiling and rice puffing on physical, optical and aerodynamic characteristics. International Journal of Agriculture and Food Science Technology, 4: 765-770.
  17. Longfils P., Monchy D., Weinheimer H., Chavasit V., Nakanishi Y., Schümann K. (2008): A comparative intervention trial on fish sauce fortified with NaFe-EDTA and FeSO4+citrate in iron deficiency anemic school children in Kampot, Cambodia. Asia Pacific Journal of Clinical Nutrition, 17: 250-257.
  18. McLean E., Cogswell M., Egli I., Wojdyla D., de Benoist B. (2008): Worldwide prevalence of anaemia, WHO vitamin and mineral nutrition information system, 1993-2005. Public Health Nutrition, 12: 444-454. Go to original source... Go to PubMed...
  19. Mendes N.S.R., Gomes-Ruffi C.R., Lage M.E., Becker F.S., de Melo A.A.M., da Silva F.A., Damiani C. (2013): Oxidative stability of cereal bars made with fruit peels and baru nuts packaged in different types of packaging. Food Science and Technology, 33: 730-736. Go to original source...
  20. Moretti D., Zimmermann M.B., Muthayya S., Thankachan P., Lee T.C., Kurpad A.V., Hurrell R.F. (2006): Extruded rice fortified with micronized ground ferric pyrophosphate reduces iron deficiency in Indian schoolchildren: A double-blind randomized controlled trial. The American Journal of Clinical Nutrition, 84: 822-829. Go to original source... Go to PubMed...
  21. Pinkaew S., Wegmuller R., Wasantwisut E., Winichagoon P., Hurrell R.F., Tanumihardjo S.A. (2014): Triple-fortified rice containing vitamin A reduced marginal vitamin A deficiency and increased vitamin A liver stores in school-aged Thai children. The Journal of Nutrition, 144: 519-524. Go to original source... Go to PubMed...
  22. Prentice A.M., Mendoza Y.A., Pereira D., Cerami C., Wegmuller R., Constable A., Spieldenner J. (2017): Dietary strategies for improving iron status: Balancing safety and efficacy. Nutrition Reviews, 75: 49-60. Go to original source... Go to PubMed...
  23. Prom-u-thai C., Rerkasem B., Fukai S., Huang L. (2009): Iron fortification and parboiled rice quality: Appearance, cooking quality and sensory attributes. Journal of the Science of Food and Agriculture, 89: 2565-2571. Go to original source...
  24. Ryland D., Vaisey-Genser M., Arntfield S.D., Malcolmson L.J. (2010): Development of a nutritious acceptable snack bar using micronized flaked lentils. Food Research International, 43: 642-649. Go to original source...
  25. Sari M., Bloem M.W., de Pee S., Schultink W.J., Sastroamidjojo S. (2001): Effect of iron-fortified candies on the iron status of children aged 4-6 years in East Jakarta, Indonesia. The American Journal of Clinical Nutrition, 73: 1034-1039. Go to original source... Go to PubMed...
  26. Shaheen B., Nadeem M., Kauser T., Mueen-ud-Din G., Mahmood S. (2013): Preparation and nutritional evaluation of date based fiber enriched fruit bars. Pakistan Journal of Nutrition, 12: 1061-1065. Go to original source...
  27. van Stuijvenberg M.E., Kvalsvig J.D., Faber M., Kruger M., Kenoyer D.G., Spinnler B.A.J. (1999): Effect of iron-, iodine-, and β-carotene-fortified biscuits on the micronutrient status of primary school children: A randomized study. The American Journal of Clinical Nutrition, 69: 497-503. Go to original source... Go to PubMed...
  28. Verma D.K., Srivastav P.P. (2017): Proximate composition, mineral content and fatty acids analyses of aromatic and non-aromatic Indian rice. Rice Science, 24: 21-31. Go to original source...

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