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Complementary food with Iodized salt. To promote or not.

This question was posted the Infant and young child feeding interventions forum area and has 6 replies.

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Marella Jones

Normal user

18 Sep 2018, 10:01

In a community with high rates of iodine deficiency and the main source of iodine is through salt fortification. Is it advisable to inform caregivers to add iodized salt into complementary food for 6 -23 months? Kindly share links to documents with recommendations. Thank you in advance.

Alessandro Iellamo

Emergency Nutrition Adviser

Technical expert

18 Sep 2018, 13:05

Massimo Serventi


Normal user

18 Sep 2018, 13:23

Iodine fortification is important where there
is iodine deficency. Salt is fortified, correct.
IDA is widespread among children. Iron syrups/drops/tablets
are prescribed, however compliance is poor.
Are there programs of flour fortification?
Kindly inform.
Massimo Serventi


Normal user

18 Sep 2018, 14:13

Marella Jones

Normal user

19 Sep 2018, 12:47

Thank you for your references, they were very insightful.

There is no flour fortification in-country, just USI program.

The country DHS states over 90% HHs iodized salt consumption. However, as a preventive measure for children 6-23months according to the ENAs 2013 recommendation, iodine supplements or iodine fortified complementary food are to be offered to children. Which beings me to the next question, does adding iodized salt to complementary food, amount to iodine fortified complementary food? Is it recommended to promote the use of iodized salt in complementary food?

Thank you in advance for your responses.

Alida Melse

Associate Professor, Wageningen University

Normal user

20 Sep 2018, 10:01

Salt should be used reluctantly in complementary foods, since the kidney function of young infants has not yet matured. It would be better to advise the mums to use properly iodized salt, so that they convey it to their infants through their breast milk.

Aileen Robertson

Public Health Nutritionist

Normal user

20 Sep 2018, 15:12

I fully agree with Alida!
SACN Maximum Salt Intake: 0-6 months<1g / day; 6-12 months 1g / day; 1-3 years 2g / day source: Scientific Advisory Committee on Nutrition, Salt and health. 2003. The Stationery Office. Available at

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