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Jean-luc Volatier - One of the best experts on this subject based on the ideXlab platform.
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methodological characteristics of the national Dietary Surveys carried out in the european union as included in the european food safety authority efsa comprehensive european food consumption database
Food Additives and Contaminants Part A-chemistry Analysis Control Exposure & Risk Assessment, 2011Co-Authors: C Merten, Pietro Ferrari, M Bakker, A Boss, A P Hearty, Catherine Leclercq, Oliver Lindtner, Christina Tlustos, Philippe Verger, Jean-luc VolatierAbstract:In 2009 competent organisations in the European Union provided the European Food Safety Authority (EFSA) with data from the most recent national Dietary survey at the level of individuals' consumption. Twenty different Member States provided EFSA with data from 22 different national Dietary Surveys, with consumption figures for adults and, when available, for children. Member States' Dietary data were assembled into the EFSA Comprehensive European Food Consumption Database. In this paper an overview of the methodologies and protocols employed in the different national Dietary Surveys is provided. Specifically, details about Dietary assessment methods, interview administration, sampling design, portion size estimation, Dietary software, evaluation of under-reporting and non-Dietary information collected are described. This information is crucial to evaluate the level of accuracy of food consumption data and to anticipate and acknowledge the utmost important sources of heterogeneity of national databases included in the Comprehensive Database. The Comprehensive Database constitutes a unique resource for the estimation of consumption figures across the European Union and represents a useful tool to assess Dietary exposure to hazardous substances and nutrient intake in Europe. Nevertheless, the many substantial methodological differences that characterise the Comprehensive Database are acknowledged and critically discussed.
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Trends in food and nutritional intakes of French adults from 1999 to 2007: results from the INCA Surveys
British Journal of Nutrition, 2010Co-Authors: Carine Dubuisson, Ariane Dufour, Gloria Calamassi-tran, Sandrine Lioret, Jean-luc Volatier, Mathilde Touvier, Lionel LafayAbstract:Two independent cross-sectional Dietary Surveys (the Individual and National Food Consumption Surveys, INCA), performed in 1998–99 (INCA1) and in 2006–07 (INCA2) on nationally representative samples of French people, were used to analyse trends in the Dietary habits and nutritional intake of French adults. Food consumption was recorded through 7-d Dietary records, and nutritional intakes were assessed using the French food composition database. After exclusion of under-reporters, analyses were performed on 3267 adults, aged 18–79 years: 1345 from INCA1 and 1922 from INCA2. The trends highlighted over the 8-year period showed a decrease in consumption of dairy products, meat, bread, potatoes, pastries/croissant-like pastries/cakes/biscuits and sugar/confectionery. In contrast, the consumption of fruits and vegetables, rice, ice cream and chocolate increased. Other food groups, like fish and snacking foods, remained stable. Food choices were mostly age specific. These age differences remained consistent over the years and underlined two opposite Dietary trends: a ‘traditional’ one mainly followed by the elderly, and a ‘snacking and convenience’ one mainly adopted by young adults. The overall trends in food consumption did not influence the mean energy intake, but did slightly modify the contribution of each macronutrient to energy intake. These repeated Surveys highlighted the fact that trends in French food habits have moved towards an average European diet at the crossroads between Mediterranean and Northern diets, and that food consumption changes impacted, to a lesser extent, nutritional intake.
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Trends in food intake in French children from 1999 to 2007: results from the INCA (étude Individuelle Nationale des Consommations Alimentaires) Dietary Surveys
British Journal of Nutrition, 2010Co-Authors: Sandrine Lioret, Carine Dubuisson, Ariane Dufour, Gloria Calamassi-tran, Jean-luc Volatier, Mathilde Touvier, Bernard Maire, Lionel LafayAbstract:The objectives of the present study were to assess the intake of different food groups in French children aged 3–17 years (n 1455), and to analyse trends since a Dietary survey undertaken 8 years ago. Dietary intake was evaluated using data from the 2006–7 cross-sectional INCA2 national Dietary survey (e´tude Individuelle Nationale sur les Consommations Alimentaires), based on a 7 d food record. Dietary intake (percentage of subjects consuming the food group and amount eaten) was assessed for thirty-nine food categories. We observed variations in food consumption by age, sex, North–South regional gradient, seasonal period and educational level of the responding parent. Trends in Dietary intake between 1999 and 2007 were determined by comparing the INCA1 (n 1126) and the INCA2 Surveys. Both Surveys had been carried out using the same methodology. The findings showed a decrease in energy intake in children aged 3–14 years, due to a reduction in the consumption of foods of animal origin and sweetened products. In adolescents aged 15–17 years, energy intake remained rather stable; during this 8-year period, the consumption of meat decreased, whereas the consumption of savoury snacks such as sandwiches and hamburgers significantly increased. These trends occurred during a time of growing concern about overweight and the associated co-morbidities in France. A number of public health measures were implemented over this period to improve Dietary habits and physical activity patterns in children and adults. The periodic monitoring of Dietary patterns through the INCA Surveys is an essential part of the surveillance network in France.
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A new reference method for the validation of the nutrient profiling schemes using Dietary Surveys
European Journal of Nutrition, 2007Co-Authors: Jean-luc Volatier, Anja Biltoft-jensen, Stefaan Henauw, Michael J. Gibney, Inge Huybrechts, Sinéad N. Mccarthy, Jennifer L. O’neill, Caroline Quinio, Aida Turrini, Inge TetensAbstract:Nutrient profiles of foods are increasingly used as the scientific basis of nutritional labeling, health claims, or nutritional education. Nutrient profiling schemes are based on sets of rules, scores, or thresholds applied to the nutritional composition of foods. However, there is a lack of scientific validation of nutritional profiling schemes. To develop a reference method using existing Dietary Surveys, to define a set of indicator foods that are positively or negatively associated with a “healthy diet.” Such indicator foods can be used both for establishing relevant nutrient profiles and for the validation of existing or future nutrient profiling schemes. The proposed validation method is based on food and nutrient intakes of adults participating in national Dietary Surveys in five EU countries: Belgium ( n = 2,507), Denmark ( n = 3,151), France ( n = 1,474), Ireland ( n = 1,379), and Italy ( n = 1,513). The characterization of indicator foods is divided in two steps. First, “healthy diets” of individuals are identified in the five national Dietary Surveys by comparison to the Eurodiet reference intakes. Second, indicator foods associated positively or negatively to the “healthy diets” are determined. With a P -value of 10^−3 for the test of comparison of food intakes between the “most healthy eaters” and the “less healthy eaters,” it was possible to identify 294 indicator foods out of 1,669 foods tested in the five countries. In all the countries except Italy, there were more indicator foods positively associated than indicator foods negatively associated with the “healthy diet.” The food categories of these indicator foods were in good agreement with Food Based Dietary Guidelines like the USDA Dietary guideline for Americans. A new reference method for the validation of profiling schemes was developed based on Dietary intake data from using Dietary Surveys in five European countries. Only a minority of foods consumed in these Dietary Surveys could be used as indicator foods of healthy or unhealthy diets in order to subsequently test nutritional profiling schemes. Further work is needed to build a list of indicator foods that could be considered as a “gold standard.”
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Comparison of different nutrient profiling schemes to a new reference method using Dietary Surveys
European Journal of Nutrition, 2007Co-Authors: Caroline Quinio, Anja Biltoft-jensen, Stefaan Henauw, Michael J. Gibney, Inge Huybrechts, Sinéad N. Mccarthy, Jennifer L. O’neill, Aida Turrini, Inge Tetens, Jean-luc VolatierAbstract:A new EU regulation on nutrition and health claims made on foods has entered into force in January 2007. The regulation provides for the use of nutrient profiles to determine which foods may bear claims but does not specify what the profiles should be or how they should be developed. Several nutrient profiling schemes have already been established. Therefore, it is necessary to develop approaches to test if the existing profiling schemes could fulfil the new regulation needs. The aim of the present study is to investigate how reference “indicator foods” derived from national Dietary Surveys in five different countries, are classified according to three existing nutrient profiling schemes: The UK Food Standards Agency (FSA) model, The Dutch Tripartite classification model and the US FDA model used for regulating health claims. “Indicator foods” that have been shown to be positively or negatively associated with healthy diets in adults in five EU countries were classified according to each of the three profiling schemes. The performance and effectiveness of each profiling scheme in correctly classifying the “indicator foods” were assessed using sensitivity and specificity ratios. The sensitivity and the specificity ratios of the three profiling schemes tested were relatively good. There were only small differences of performance between the three systems. A significant negative correlation between sensitivity and specificity was observed. The level of concordance between the classification of the “indicator foods” that have been selected because of being positively or negatively associated with a healthy diet and the classification by each of the three profiling methods tested was quite good. However, further improvement of the “indicator foods” approach is needed if it is to serve as a “gold standard”.
Susan A Jebb - One of the best experts on this subject based on the ideXlab platform.
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estimating under reporting of energy intake in Dietary Surveys using an individualised method
British Journal of Nutrition, 2007Co-Authors: Kirsten L Rennie, Andy Coward, Susan A JebbAbstract:Under-reporting (UR) of energy intake (EI) by self-reported Dietary methods is well-documented but the methods used to estimate UR in population-based studies commonly assume a sedentary lifestyle. We compared estimated UR using individualised estimates of energy requirements with a population cut-off based on minimum energy needs. UR was estimated for 1551 adults aged 19-64 years enrolled in the National Diet and Nutrition Survey. Physical activity diaries and 7 d weighed Dietary records were completed concurrently. Mean daily EI (kJ/d) was calculated from the Dietary records. Reported physical activity was used to assign each subject's activity level, and then to calculate estimated energy requirements (EER) from published equations. UR was calculated both as EER - EI with an adjustment for daily EER and EI variation, and also by a population method. By the individual method UR was approximately 27 % of energy needs in men and 29 % in women, with 75 % of men and 77 % of women classified as under-reporters; by the population method 80 and 88 % were classified as under-reporters respectively. When subjects who reported their eating being affected by dieting or illness during Dietary recording were excluded, UR was 25 % of energy needs in both sexes. UR was higher in overweight and obese men and women compared with their lean counterparts (P < 0.001). UR of EI must be considered in Dietary Surveys. The EER method allows UR to be quantified and takes into account an individual's activity level. Measures of physical activity and questions to identify under-eating during Dietary recording may help to evaluate secular trends in UR.
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can self reported dieting and Dietary restraint identify underreporters of energy intake in Dietary Surveys
Journal of The American Dietetic Association, 2006Co-Authors: Kirsten L Rennie, Mario Siervo, Susan A JebbAbstract:Abstract Underreporting is endemic in most Dietary studies and ways to reliably identify individuals who may underreport energy intake are needed. Whether questions on self-reported dieting and Dietary restraint, in addition to weight status, would identify individuals who may underreport energy intakes was examined in a United Kingdom representative survey. Mean daily energy intake was calculated from the 7-day Dietary record of 668 men and 826 women. Reported physical activity was used to assign each subject's activity level and to calculate estimated energy requirements from published equations. Underreporting was calculated as estimated energy requirements minus energy intake with adjustment for daily variation. The Dutch Eating Behavior Questionnaire assessed Dietary restraint. Underreporting was higher in men and women reporting current dieting than nondieters ( P P P P P P =0.02), but similar in overweight women regardless of restraint score. Questions to assess Dietary restraint and current dieting may be useful tools to identify and evaluate underreporting at an individual level in Dietary Surveys.
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can self reported dieting and Dietary restraint identify underreporters of energy intake in Dietary Surveys
Journal of The American Dietetic Association, 2006Co-Authors: Kirsten L Rennie, Mario Siervo, Susan A JebbAbstract:Abstract Underreporting is endemic in most Dietary studies and ways to reliably identify individuals who may underreport energy intake are needed. Whether questions on self-reported dieting and Dietary restraint, in addition to weight status, would identify individuals who may underreport energy intakes was examined in a United Kingdom representative survey. Mean daily energy intake was calculated from the 7-day Dietary record of 668 men and 826 women. Reported physical activity was used to assign each subject's activity level and to calculate estimated energy requirements from published equations. Underreporting was calculated as estimated energy requirements minus energy intake with adjustment for daily variation. The Dutch Eating Behavior Questionnaire assessed Dietary restraint. Underreporting was higher in men and women reporting current dieting than nondieters ( P P P P P P =0.02), but similar in overweight women regardless of restraint score. Questions to assess Dietary restraint and current dieting may be useful tools to identify and evaluate underreporting at an individual level in Dietary Surveys.
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can self reported dieting and Dietary restraint identify underreporters of energy intake in Dietary Surveys
Journal of The American Dietetic Association, 2006Co-Authors: Kirsten L Rennie, Mario Siervo, Susan A JebbAbstract:Underreporting is endemic in most Dietary studies and ways to reliably identify individuals who may underreport energy intake are needed. Whether questions on self-reported dieting and Dietary restraint, in addition to weight status, would identify individuals who may underreport energy intakes was examined in a United Kingdom representative survey. Mean daily energy intake was calculated from the 7-day Dietary record of 668 men and 826 women. Reported physical activity was used to assign each subject's activity level and to calculate estimated energy requirements from published equations. Underreporting was calculated as estimated energy requirements minus energy intake with adjustment for daily variation. The Dutch Eating Behavior Questionnaire assessed Dietary restraint. Underreporting was higher in men and women reporting current dieting than nondieters (P<0.001) and higher in high-restrained (P<0.001) than low-restrained. When stratified by body mass index category, in men these associations were only significant in the overweight (P<0.001). Dieting was associated with greater underreporting in both lean (P<0.01) and overweight women (P<0.001). Underreporting was higher in lean high-restrained women than low-restrained (P=0.02), but similar in overweight women regardless of restraint score. Questions to assess Dietary restraint and current dieting may be useful tools to identify and evaluate underreporting at an individual level in Dietary Surveys.
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Consumption of whole-grain foods by British adults: findings from further analysis of two national Dietary Surveys.
Public Health Nutrition, 2003Co-Authors: Rebecca Lang, C W Thane, Caroline Bolton-smith, Susan A JebbAbstract:Objective: To assess the consumption of whole-grain foods in different age and sociodemographic groups in Great Britain, using data from two national Surveys. Design: Cross-sectional analysis of the consumption of whole-grain foods. Setting: The 1986-87 Dietary and Nutritional Survey of British Adults and the 1994-95 National Diet and Nutrition Survey of people aged 65 years and over. Subjects: In 1986-87, 2086 British adults aged 16-64 years; 1189 British adults aged 65 years and over in 1994-95. Results: In the 1986-87 survey population, consumption of whole-grain foods increased with age. Median consumption of whole-grain foods was 1 serving per week in 16-24-year-olds and 3 servings per week in the 35-64-year-olds (P < 0.0001). In 1994-95, median consumption was 5 servings per week in adults aged 65 years and over. Overall, one-third of British adults ate no whole-grain foods on a daily basis, and less than 5% ate 3 or more servings per day. Manual occupation and smoking were consistently associated with a higher proportion of non-consumers and fewer servings per week of whole-grain foods, independent of age, sex, region and season (each P < 0.001). The main sources of whole-grain foods were wholemeal bread and breakfast cereals, which accounted for more than three-quarters of all servings. Conclusions: Consumption of whole-grain foods in the adult UK populations is more prevalent in the non-smoking, higher socio-economic groups. Amongst consumers of whole-grain foods, the frequency is similar to that reported in the USA and Norway.
Marga C. Ocké - One of the best experts on this subject based on the ideXlab platform.
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Dietary Surveys: National Food Intake
Encyclopedia of Food and Health, 2016Co-Authors: Marga C. Ocké, Caroline T M Van Rossum, E De BoerAbstract:National food intake Surveys are Surveys that monitor the food consumption of groups of individuals that are representative for a national population or important population groups within a country. National food intake Surveys should try to obtain a representative study population. For each participant, at least two nonconsecutive food records or Dietary recalls and a short food frequency questionnaire should be collected. This combination of data allows for statistical modeling of usual intake. Data from food intake Surveys together with data on the concentrations of nutrients and potentially hazardous chemicals in foods are needed to develop and evaluate nutritional and safe food policies.
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validation of a food quantification picture book targeting children of 0 10 years of age for pan european and national Dietary Surveys
British Journal of Nutrition, 2013Co-Authors: Ellen Trolle, Stefanie Vandevijvere, Jiři Ruprich, Majken Ege, Marcela Dofkova, Evelien De Boer, Marga C. OckéAbstract:The aim of the present study was to validate thirty-eight picture series of six pictures each developed within the PANCAKE (Pilot study for the Assessment of Nutrient intake and food Consumption Among Kids in Europe) project for portion size estimation of foods consumed by infants, toddlers and children for future pan-European and national Dietary Surveys. Identical validation sessions were conducted in three European countries. In each country, forty-five foods were evaluated; thirty-eight foods were the same as the depicted foods, and seven foods were different, but meant to be quantified by the use of one of the thirty-eight picture series. Each single picture within a picture series was evaluated six times by means of predefined portions. Therefore, thirty-six pre-weighed portions of each food were evaluated by convenience samples of parents having children aged from 3 months to 10 years. The percentages of participants choosing the correct picture, the picture adjacent to the correct picture or a distant picture were calculated, and the performance of individual pictures within the series was assessed. For twenty foods, the picture series performed acceptably (mean difference between the estimated portion number and the served portion number less than 0.4 (SD < 1.1)). In addition, twelve foods were rated acceptable after adjustment for density differences. Some other series became acceptable after analyses at the country level. In conclusion, all picture series were acceptable for inclusion in the PANCAKE picture book. However, the picture series of baby food, salads and cakes either can only be used for foods that are very similar to those depicted or need to be substituted by another quantification tool.
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design aspects of 24 h recall assessments may affect the estimates of protein and potassium intake in Dietary Surveys
Public Health Nutrition, 2012Co-Authors: Sandra Patricia Crispim, Marga C. Ocké, Inge Huybrechts, Inger Therese L Lillegaard, Nadia Slimani, Anouk Geelen, Els Siebelink, Irene Margaritis, Irena Rehurkova, Evelien De BoerAbstract:Objective: To evaluate the impact of different modes of administration (face-to-face v. telephone), recall days (first v. second), clays of the week (weekday v. weekend) and interview clays (1 d later v. 2 d later) on bias in protein and K intakes collected with 24 h Dietary recalls (24-HDR). Design: Two non-consecutive 24-HDR (collected with standardised EPIC-Soft software) were used to estimate protein and K intakes by a face-to-face interview at the research centres and a telephone interview, and included all days of the week. Two 24 h urine collections were used to determine biomarkers of protein and K intake. The bias in intake was defined as the ratio between the 24-HDR estimate and the biomarker. Setting: Five centres in Belgium, Czech Republic, France, the Netherlands and Norway in the European Food Consumption Validation (EFCOVAL) study. Subjects: About 120 adults (aged 45-65 years) per centre. Results: The bias in protein intake in the Czech Republic and Norway was smaller for telephone than face-to-face interviews (P=0.01). The second 24-HDR estimates of protein intake in France and K intake in Belgium had a larger bias than the first 24-HDR (P = 0.01 and 0.04, respectively). In the Czech Republic, protein intake estimated during weekends and K intake estimated during weekdays had a larger bias than during other days of the week (P = 0.01). In addition, K intake collected 2 d later in the Czech Republic was likely to be overestimated. Conclusions: The biases in protein and K intakes were comparable between modes of administration, recall days, days of the week and interview days in some, but not all, study centres.
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association between trans fatty acid intake and 10 year risk of coronary heart disease in the zutphen elderly study a prospective population based study
The Lancet, 2001Co-Authors: C M Oomen, Marga C. Ocké, Edith J M Feskens, Marieagnes J Van Erpbaart, Daan KromhoutAbstract:Summary Background Evidence on the relation between trans fatty acid intake and coronary heart disease is limited. We investigated this relation in a Dutch population with a fairly high trans fatty acid intake, including trans fatty acids from partly hydrogenated fish oils. Methods We prospectively studied 667 men of the Zutphen Elderly Study aged 64–84 years and free of coronary heart disease at baseline. We used Dietary Surveys to establish the participants' food consumption patterns. Information on risk factors and diet was obtained in 1985, 1990, and 1995. After 10 years of follow-up from 1985–95, there were 98 cases of fatal or non-fatal coronary heart disease. Findings Between 1985 and 1995, average trans fatty acid intake decreased from 4·3% to 1·9% of energy. After adjustment for age, body mass index, smoking, and Dietary covariates, trans fatty acid intake at baseline was positively associated with the 10-year risk of coronary heart disease. The relative risk for a difference of 2% of energy in trans fatty acid intake at baseline was 1·28 (95% CI 1·01–1·61). Interpretation A high intake of trans fatty acids (all types of isomers) contributes to the risk of coronary heart disease. The substantial decrease in trans fatty acid intake, mainly due to industrial lowering of trans contents in Dutch edible fats, could therefore have had a large public-health impact.
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association between trans fatty acid intake and 10 year risk of coronary heart disease in the zutphen elderly study a prospective population based study
The Lancet, 2001Co-Authors: C M Oomen, Marga C. Ocké, Edith J M Feskens, Marieagnes J Van Erpbaart, Frans J Kok, Daan KromhoutAbstract:Background: Evidence on the relation between trans fatty acid intake and coronary heart disease is limited. We investigated this relation in a Dutch population with a fairly high trans fatty acid intake, including trans fatty acids from partly hydrogenated fish oils. Methods: We prospectively studied 667 men of the Zutphen Elderly Study aged 64-84 years and free of coronary heart disease at baseline. We used Dietary Surveys to establish the participants' food consumption patterns. Information on risk factors and diet was obtained in 1985, 1990, and 1995. After 10 years of follow-up from 1985-95, there were 98 cases of fatal or non-fatal coronary heart disease. Findings: Between 1985 and 1995, average trans fatty acid intake decreased from 4·3% to 1·9% of energy. After adjustment for age, body mass index, smoking, and Dietary covariates, trans fatty acid intake at baseline was positively associated with the 10-year risk of coronary heart disease. The relative risk for a difference of 2% of energy in trans fatty acid intake at baseline was 1·28 (95% CI 1·01-1·61). Interpretation: A high intake of trans fatty acids (all types of isomers) contributes to the risk of coronary heart disease. The substantial decrease in trans fatty acid intake, mainly due to industrial lowering of trans contents in Dutch edible fats, could therefore have had a large public-health impact. Chemicals/CAS: Fatty Acids; Fish Oils
Daan Kromhout - One of the best experts on this subject based on the ideXlab platform.
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association between trans fatty acid intake and 10 year risk of coronary heart disease in the zutphen elderly study a prospective population based study
The Lancet, 2001Co-Authors: C M Oomen, Marga C. Ocké, Edith J M Feskens, Marieagnes J Van Erpbaart, Frans J Kok, Daan KromhoutAbstract:Background: Evidence on the relation between trans fatty acid intake and coronary heart disease is limited. We investigated this relation in a Dutch population with a fairly high trans fatty acid intake, including trans fatty acids from partly hydrogenated fish oils. Methods: We prospectively studied 667 men of the Zutphen Elderly Study aged 64-84 years and free of coronary heart disease at baseline. We used Dietary Surveys to establish the participants' food consumption patterns. Information on risk factors and diet was obtained in 1985, 1990, and 1995. After 10 years of follow-up from 1985-95, there were 98 cases of fatal or non-fatal coronary heart disease. Findings: Between 1985 and 1995, average trans fatty acid intake decreased from 4·3% to 1·9% of energy. After adjustment for age, body mass index, smoking, and Dietary covariates, trans fatty acid intake at baseline was positively associated with the 10-year risk of coronary heart disease. The relative risk for a difference of 2% of energy in trans fatty acid intake at baseline was 1·28 (95% CI 1·01-1·61). Interpretation: A high intake of trans fatty acids (all types of isomers) contributes to the risk of coronary heart disease. The substantial decrease in trans fatty acid intake, mainly due to industrial lowering of trans contents in Dutch edible fats, could therefore have had a large public-health impact. Chemicals/CAS: Fatty Acids; Fish Oils
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association between trans fatty acid intake and 10 year risk of coronary heart disease in the zutphen elderly study a prospective population based study
The Lancet, 2001Co-Authors: C M Oomen, Marga C. Ocké, Edith J M Feskens, Marieagnes J Van Erpbaart, Daan KromhoutAbstract:Summary Background Evidence on the relation between trans fatty acid intake and coronary heart disease is limited. We investigated this relation in a Dutch population with a fairly high trans fatty acid intake, including trans fatty acids from partly hydrogenated fish oils. Methods We prospectively studied 667 men of the Zutphen Elderly Study aged 64–84 years and free of coronary heart disease at baseline. We used Dietary Surveys to establish the participants' food consumption patterns. Information on risk factors and diet was obtained in 1985, 1990, and 1995. After 10 years of follow-up from 1985–95, there were 98 cases of fatal or non-fatal coronary heart disease. Findings Between 1985 and 1995, average trans fatty acid intake decreased from 4·3% to 1·9% of energy. After adjustment for age, body mass index, smoking, and Dietary covariates, trans fatty acid intake at baseline was positively associated with the 10-year risk of coronary heart disease. The relative risk for a difference of 2% of energy in trans fatty acid intake at baseline was 1·28 (95% CI 1·01–1·61). Interpretation A high intake of trans fatty acids (all types of isomers) contributes to the risk of coronary heart disease. The substantial decrease in trans fatty acid intake, mainly due to industrial lowering of trans contents in Dutch edible fats, could therefore have had a large public-health impact.
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epidemiologic studies on eskimos and fish intake
Annals of the New York Academy of Sciences, 1993Co-Authors: Edith J M Feskens, Daan KromhoutAbstract:Chronic diseases such as coronary heart disease and diabetes mellitus are uncommon in Eskimos. Total cholesterol levels are generally low, whereas HDL cholesterol levels are higher than those in an age- and sex-matched Danish population. It is frequently assumed that this is mainly due to their Dietary pattern, especially with its high content of n-3 polyunsaturated fatty acids, derived from fish and other seafoods. Dietary Surveys have shown that the intake of n-3 polyunsaturated fatty acids in Eskimos is about 14 g/day, whereas it is 3 g/day in Denmark and about 0.2 g/day in the United States. However, the Eskimo diet also differs from the Western diet in other aspects, especially in the intake of saturated fatty acids which is low (9 energy-%). The intake of Dietary cholesterol is rather high because of the large consumption of seafood. Individually based studies are better suited to disentangle the health effects of different nutrients, inasmuch as confounding factors can be taken into account. Several cohort studies have now shown that the consumption of 1-2 fish meals per week is associated with a reduction in the risk of coronary heart disease. Recently, similar results concerning glucose intolerance and stroke were also reported. These combined data suggest that a diet low in saturated fatty acids, in combination with a low or moderate level of fish consumption, may be of importance in the prevention of diseases such as coronary heart disease, ischemic stroke, and diabetes mellitus.
Jeanfrancois Huneau - One of the best experts on this subject based on the ideXlab platform.
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evaluation of a diet quality index based on the probability of adequate nutrient intake pandiet using national french and us Dietary Surveys
PLOS ONE, 2012Co-Authors: Eric O Verger, Francois Mariotti, Bridget A Holmes, Damien Paineau, Jeanfrancois HuneauAbstract:Background Existing diet quality indices often show theoretical and methodological limitations, especially with regard to validation. Objective To develop a diet quality index based on the probability of adequate nutrient intake (PANDiet) and evaluate its validity using data from French and US populations. Material and methods The PANDiet is composed of adequacy probabilities for 24 nutrients grouped into two sub-scores. The relationship between the PANDiet score and energy intake were investigated. We evaluated the construct validity of the index by comparing scores for population sub-groups with 'a priori' differences in diet quality, according to smoking status, energy density, food intakes, plasma folate and carotenoid concentrations. French and US implementations of the PANDiet were developed and evaluated using national nutritional recommendations and Dietary Surveys. Results The PANDiet was not correlated with energy for the French implementation (r = -0.02, P>0.05) and correlated at a low level for the US implementation (r = -0.11, P Conclusions The PANDiet provides a single score that measures the adequacy of nutrient intake and reflects diet quality. This index is adaptable for use in different countries and relevant at the individual and population levels.
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evaluation of a diet quality index based on the probability of adequate nutrient intake pandiet using national french and us Dietary Surveys
PLOS ONE, 2012Co-Authors: Eric O Verger, Francois Mariotti, Bridget A Holmes, Damien Paineau, Jeanfrancois HuneauAbstract:Background Existing diet quality indices often show theoretical and methodological limitations, especially with regard to validation. Objective To develop a diet quality index based on the probability of adequate nutrient intake (PANDiet) and evaluate its validity using data from French and US populations. Material and Methods The PANDiet is composed of adequacy probabilities for 24 nutrients grouped into two sub-scores. The relationship between the PANDiet score and energy intake were investigated. We evaluated the construct validity of the index by comparing scores for population sub-groups with ‘a priori’ differences in diet quality, according to smoking status, energy density, food intakes, plasma folate and carotenoid concentrations. French and US implementations of the PANDiet were developed and evaluated using national nutritional recommendations and Dietary Surveys. Results The PANDiet was not correlated with energy for the French implementation (r = −0.02, P>0.05) and correlated at a low level for the US implementation (r = −0.11, P<0.0001). In both implementations, a higher PANDiet score (i.e. a better diet quality) was associated with not smoking, having a lower-energy-dense diet, consuming higher amounts of fruits, vegetables, fish, milk and other dairy products and lower amounts of cheese, pizza, eggs, meat and processed meat, and having higher plasma folate and carotenoid concentrations after controlling for appropriate factors (all P<0.05, carotenoid data for US not available). Conclusions The PANDiet provides a single score that measures the adequacy of nutrient intake and reflects diet quality. This index is adaptable for use in different countries and relevant at the individual and population levels.