The Experts below are selected from a list of 8316 Experts worldwide ranked by ideXlab platform
Julie A Lovegrove - One of the best experts on this subject based on the ideXlab platform.
-
associations between red meat processed red meat and total red and processed red meat consumption Nutritional Adequacy and markers of health and cardio metabolic diseases in british adults a cross sectional analysis using data from uk national diet and nutrition survey
European Journal of Nutrition, 2021Co-Authors: D A Hobbsgrimmer, D I Givens, Julie A LovegroveAbstract:To determine the association between red meat (RM), processed red meat (PRM) and total red and processed red meat (TRPRM) consumption on Nutritional Adequacy and markers of health and cardio-metabolic diseases in British adults. In this cross-sectional study of adults (19–64 y) from the National Diet and Nutrition Survey (NDNS) (n = 1758), RM and PRM consumption were assessed from 4 day estimated food diaries. Anthropometric measures, blood pressure (BP), pulse pressure (PP), plasma glucose, HbA1c, C-reactive protein, TAG, TC, LDL-C and HDL-C from the NDNS were used. 43% of adults (men 57% and women 31%) consumed more than the 70 g/d TRPRM guidelines. Fewer adults in the highest tertile of TRPRM intake were below lower reference nutrient intakes (LRNIs), particularly for zinc and iron, respectively. In model 3 (controlled for age, energy intake, socioeconomic classification, number of daily cigarettes, BMI, dietary factors), higher RM consumption was associated with being significantly taller (model 3: P-ANCOVA = 0.006; P-T3/T1 = 0.0004) in men and lower diastolic BP (model 3: P-ANCOVA = 0.004; P-T3/T2 = 0.002) in women. Higher PRM in men was associated with significantly higher plasma ferritin concentration (model 3: P-ANCOVA = 0.0001; P-T2/T1 = 0.0001), being taller (P-ANCOVA = 0.019; P-T1/T2 = 0.047, T1/T3 = 0.044), increased body weight (model 3: P-ANCOVA = 0.001; P-T1/T3 = 0.0001), BMI (model 3: P-ANCOVA = 0.007; P-T1/T3 = 0.006) and smaller hip circumference (model 3: P-ANCOVA = 0.006; P-T3/T1 = 0.024; P-T2/T1 = 0.013) and in women significantly higher TC (model 3: P-ANCOVA = 0.020; P-T3/T2 = 0.016), LDL-C (P-ANCOVA = 0.030; P-T3/T2 = 0.025), HbA1c (model 3: P-ANCOVA = 0.0001; P-T2/T1 = 0.001; P-T3/T2 = 0.001) and higher PP (model 3: P-ANCOVA = 0.022; P-T3/T1 = 0.021). Higher PRM consumption was associated with significantly higher BMI and hip circumference in men, and higher TC, LDL-C, HbA1c and PP in women, which was not observed for RM consumption.
-
diets containing the highest levels of dairy products are associated with greater eutrophication potential but higher nutrient intakes and lower financial cost in the united kingdom
European Journal of Nutrition, 2020Co-Authors: Ditte A Hobbs, C Durrant, J Elliott, D I Givens, Julie A LovegroveAbstract:Previously, the Nutritional contribution, environmental and financial costs of dairy products have been examined independently. Our aim was to determine the Nutritional Adequacy, financial cost and environmental impact of UK diets according to dairy content. In this cross-sectional study of adults (19–64 years) from the UK National Diet and Nutrition Survey years 1–4 (n = 1655), dietary intakes assessed from 4-day estimated food diaries were organized into quartiles (Q) total grams of dairy (milk, cheese, yogurt, dairy desserts) and analyzed using ANCOVA controlling for age, sex and energy intake with Bonferroni post hoc test for Nutritional Adequacy, Alternative Healthy Eating Index (AHEI-2010), environmental impact [greenhouse gas emissions (GHGE), eutrophication and acidification potentials], financial cost, markers of health and cardio-metabolic diseases. Nutritional Adequacy, particularly for protein, calcium and iodine (+ 18 g, + 533 mg, + 95 g, respectively, all P < 0.0001) and AHEI-2010 (P < 0.0001) were significantly higher and systolic BP (− 2 mmHg, P = 0.019) was significantly lower for the higher-dairy diets (Q4, 274–1429 g/day dairy), compared with diets containing lower dairy (Q1, 0–96 g/day dairy). Diets in Q4 had lower financial cost (− 19%, P < 0.0001) and the greatest eutrophication potential, compared with Q1 (+ 29%, P < 0.0001). Yet the environmental (GHGE) and financial costs per unit nutrient (riboflavin, zinc, iodine, magnesium, calcium, potassium) were lower in Q4 than Q1 (all P < 0.0001). Diets with the highest dairy content had higher nutrient composition, better diet quality, were associated with lower BP and financial cost, but with higher eutrophication potential. Robust environmental data for many of food groups are limited and this needs an urgent addressing. This trial was registered on clinicaltrials.gov as NCT03407248.
D I Givens - One of the best experts on this subject based on the ideXlab platform.
-
associations between red meat processed red meat and total red and processed red meat consumption Nutritional Adequacy and markers of health and cardio metabolic diseases in british adults a cross sectional analysis using data from uk national diet and nutrition survey
European Journal of Nutrition, 2021Co-Authors: D A Hobbsgrimmer, D I Givens, Julie A LovegroveAbstract:To determine the association between red meat (RM), processed red meat (PRM) and total red and processed red meat (TRPRM) consumption on Nutritional Adequacy and markers of health and cardio-metabolic diseases in British adults. In this cross-sectional study of adults (19–64 y) from the National Diet and Nutrition Survey (NDNS) (n = 1758), RM and PRM consumption were assessed from 4 day estimated food diaries. Anthropometric measures, blood pressure (BP), pulse pressure (PP), plasma glucose, HbA1c, C-reactive protein, TAG, TC, LDL-C and HDL-C from the NDNS were used. 43% of adults (men 57% and women 31%) consumed more than the 70 g/d TRPRM guidelines. Fewer adults in the highest tertile of TRPRM intake were below lower reference nutrient intakes (LRNIs), particularly for zinc and iron, respectively. In model 3 (controlled for age, energy intake, socioeconomic classification, number of daily cigarettes, BMI, dietary factors), higher RM consumption was associated with being significantly taller (model 3: P-ANCOVA = 0.006; P-T3/T1 = 0.0004) in men and lower diastolic BP (model 3: P-ANCOVA = 0.004; P-T3/T2 = 0.002) in women. Higher PRM in men was associated with significantly higher plasma ferritin concentration (model 3: P-ANCOVA = 0.0001; P-T2/T1 = 0.0001), being taller (P-ANCOVA = 0.019; P-T1/T2 = 0.047, T1/T3 = 0.044), increased body weight (model 3: P-ANCOVA = 0.001; P-T1/T3 = 0.0001), BMI (model 3: P-ANCOVA = 0.007; P-T1/T3 = 0.006) and smaller hip circumference (model 3: P-ANCOVA = 0.006; P-T3/T1 = 0.024; P-T2/T1 = 0.013) and in women significantly higher TC (model 3: P-ANCOVA = 0.020; P-T3/T2 = 0.016), LDL-C (P-ANCOVA = 0.030; P-T3/T2 = 0.025), HbA1c (model 3: P-ANCOVA = 0.0001; P-T2/T1 = 0.001; P-T3/T2 = 0.001) and higher PP (model 3: P-ANCOVA = 0.022; P-T3/T1 = 0.021). Higher PRM consumption was associated with significantly higher BMI and hip circumference in men, and higher TC, LDL-C, HbA1c and PP in women, which was not observed for RM consumption.
-
Associations between red meat, processed red meat and total red and processed red meat consumption, Nutritional Adequacy and markers of health and cardio-metabolic diseases in British adults: a cross-sectional analysis using data from UK National Die
European Journal of Nutrition, 2021Co-Authors: D. A. Hobbs-grimmer, D I Givens, J. A. LovegroveAbstract:Purpose To determine the association between red meat (RM), processed red meat (PRM) and total red and processed red meat (TRPRM) consumption on Nutritional Adequacy and markers of health and cardio-metabolic diseases in British adults. Methods In this cross-sectional study of adults (19–64 y) from the National Diet and Nutrition Survey (NDNS) ( n = 1758), RM and PRM consumption were assessed from 4 day estimated food diaries. Anthropometric measures, blood pressure (BP), pulse pressure (PP), plasma glucose, HbA1c, C-reactive protein, TAG, TC, LDL-C and HDL-C from the NDNS were used. Results 43% of adults (men 57% and women 31%) consumed more than the 70 g/d TRPRM guidelines. Fewer adults in the highest tertile of TRPRM intake were below lower reference nutrient intakes (LRNIs), particularly for zinc and iron, respectively. In model 3 (controlled for age, energy intake, socioeconomic classification, number of daily cigarettes, BMI, dietary factors), higher RM consumption was associated with being significantly taller (model 3: P- ANCOVA = 0.006; P -T3/T1 = 0.0004) in men and lower diastolic BP (model 3: P- ANCOVA = 0.004; P -T3/T2 = 0.002) in women. Higher PRM in men was associated with significantly higher plasma ferritin concentration (model 3: P- ANCOVA = 0.0001; P -T2/T1 = 0.0001), being taller ( P- ANCOVA = 0.019; P -T1/T2 = 0.047, T1/T3 = 0.044), increased body weight (model 3: P- ANCOVA = 0.001; P -T1/T3 = 0.0001), BMI (model 3: P- ANCOVA = 0.007; P -T1/T3 = 0.006) and smaller hip circumference (model 3: P- ANCOVA = 0.006; P -T3/T1 = 0.024; P -T2/T1 = 0.013) and in women significantly higher TC (model 3: P- ANCOVA = 0.020; P -T3/T2 = 0.016), LDL-C ( P- ANCOVA = 0.030; P -T3/T2 = 0.025), HbA1c (model 3: P- ANCOVA = 0.0001; P -T2/T1 = 0.001; P -T3/T2 = 0.001) and higher PP (model 3: P- ANCOVA = 0.022; P -T3/T1 = 0.021). Higher PRM consumption was associated with significantly higher BMI and hip circumference in men, and higher TC, LDL-C, HbA1c and PP in women, which was not observed for RM consumption.
-
diets containing the highest levels of dairy products are associated with greater eutrophication potential but higher nutrient intakes and lower financial cost in the united kingdom
European Journal of Nutrition, 2020Co-Authors: Ditte A Hobbs, C Durrant, J Elliott, D I Givens, Julie A LovegroveAbstract:Previously, the Nutritional contribution, environmental and financial costs of dairy products have been examined independently. Our aim was to determine the Nutritional Adequacy, financial cost and environmental impact of UK diets according to dairy content. In this cross-sectional study of adults (19–64 years) from the UK National Diet and Nutrition Survey years 1–4 (n = 1655), dietary intakes assessed from 4-day estimated food diaries were organized into quartiles (Q) total grams of dairy (milk, cheese, yogurt, dairy desserts) and analyzed using ANCOVA controlling for age, sex and energy intake with Bonferroni post hoc test for Nutritional Adequacy, Alternative Healthy Eating Index (AHEI-2010), environmental impact [greenhouse gas emissions (GHGE), eutrophication and acidification potentials], financial cost, markers of health and cardio-metabolic diseases. Nutritional Adequacy, particularly for protein, calcium and iodine (+ 18 g, + 533 mg, + 95 g, respectively, all P < 0.0001) and AHEI-2010 (P < 0.0001) were significantly higher and systolic BP (− 2 mmHg, P = 0.019) was significantly lower for the higher-dairy diets (Q4, 274–1429 g/day dairy), compared with diets containing lower dairy (Q1, 0–96 g/day dairy). Diets in Q4 had lower financial cost (− 19%, P < 0.0001) and the greatest eutrophication potential, compared with Q1 (+ 29%, P < 0.0001). Yet the environmental (GHGE) and financial costs per unit nutrient (riboflavin, zinc, iodine, magnesium, calcium, potassium) were lower in Q4 than Q1 (all P < 0.0001). Diets with the highest dairy content had higher nutrient composition, better diet quality, were associated with lower BP and financial cost, but with higher eutrophication potential. Robust environmental data for many of food groups are limited and this needs an urgent addressing. This trial was registered on clinicaltrials.gov as NCT03407248.
Nicole Darmon - One of the best experts on this subject based on the ideXlab platform.
-
The bioavailability of iron, zinc, protein and vitamin A is highly variable in French individual diets: Impact on nutrient inAdequacy assessment and relation with the animal-to-plant ratio of diets
Food Chemistry, 2018Co-Authors: Marlène Perignon, Tangui Barre, Rozenn Gazan, Marie Josephe Amiot-carlin, Nicole DarmonAbstract:Nutritional Adequacy depends on nutrient intakes and bioavailability which strongly varies with the plant- or animal-origin of foods. The aim was to estimate iron, zinc, protein and vitamin A bioavailability from individual diets, and investigate its relation with the animal-to-plant ratio (A/P) of diets. Bioavailability was estimated in 1899 French diets using diet-based algorithms or food-group specific conversion factors. Nutrient inAdequacy was estimated based on i) bioavailability calculated in each individual diet and ii) average bioavailability assumed for Western-diets. Mean iron absorption, zinc absorption, protein quality and β-carotene conversion factor were 13%, 30%, 92%, and 17:1, respectively. Bioavailability displayed a high variability between individual diets, poorly explained by their A/P. Using individual bioavailability led to different inAdequacy prevalence than with average factors assumed for Western-diets. In this population, the A/P does not seem sufficient to predict nutrient bioavailability and the corresponding recommended intakes. Nutritional Adequacy should be assessed using bioavailability accounting for individual diets composition.
-
Dietary changes needed to reach Nutritional Adequacy without increasing diet cost according to income: An analysis among French adults
PLoS ONE, 2017Co-Authors: Matthieu Maillot, Florent Vieux, Anne Lluch, Fabien Delaere, Nicole DarmonAbstract:OBJECTIVE: To explore the dietary changes needed to achieve Nutritional Adequacy across income levels at constant energy and diet cost. MATERIALS AND METHODS: Individual diet modelling was used to design iso-caloric, Nutritionally adequate optimised diets for each observed diet in a sample of adult normo-reporters aged ≥20 years (n = 1,719) from the Individual and National Dietary Survey (INCA2), 2006-2007. Diet cost was estimated from mean national food prices (2006-2007). A first set of free-cost models explored the impact of optimisation on the variation of diet cost. A second set of iso-cost models explored the dietary changes induced by the optimisation with cost set equal to the observed one. Analyses of dietary changes were conducted by income quintiles, adjusting for energy intake, sociodemographic and socioeconomic variables, and smoking status. RESULTS:The cost of observed diets increased with increasing income quintiles. In free-cost models, the optimisation increased diet cost on average (+0.22 ± 1.03 euros/d) and within each income quintile, with no significant difference between quintiles, but with systematic increases for observed costs lower than 3.85 euros/d. In iso-cost models, it was possible to design Nutritionally adequate diets whatever the initial observed cost. On average, the optimisation at iso-cost increased fruits and vegetables (+171 g/day), starchy foods (+121 g/d), water and beverages (+91 g/d), and dairy products (+20 g/d), and decreased the other food groups (e.g. mixed dishes and salted snacks), leading to increased total diet weight (+300 g/d). Those changes were mostly similar across income quintiles, but lower-income individuals needed to introduce significantly more fruit and vegetables than higher-income ones. CONCLUSIONS: In France, the dietary changes needed to reach Nutritional Adequacy without increasing cost are similar regardless of income, but may be more difficult to implement when the budget for food is lower than 3.85 euros/d.
-
how low can dietary greenhouse gas emissions be reduced without impairing Nutritional Adequacy affordability and acceptability of the diet a modelling study to guide sustainable food choices
Public Health Nutrition, 2016Co-Authors: Marlène Perignon, Florent Vieux, Matthieu Maillot, Tangui Barre, Gabriel Masset, Gael Ferrari, M J Amiot, Nicole DarmonAbstract:Objective To assess the compatibility between reduction of diet-related greenhouse gas emissions (GHGE) and Nutritional Adequacy, acceptability and affordability dimensions of diet sustainability. Design Dietary intake, Nutritional composition, GHGE and prices were combined for 402 foods selected among those most consumed by participants of the Individual National Study on Food Consumption. Linear programming was used to model diets with stepwise GHGE reductions, minimized departure from observed diet and three scenarios of Nutritional constraints: none (FREE), on macronutrients (MACRO) and for all nutrient recommendations (ADEQ). Nutritional quality was assessed using the mean Adequacy ratio (MAR) and solid energy density (SED). Setting France. Subjects Adults ( n 1899). Results In FREE and MACRO scenarios, imposing up to 30 % GHGE reduction did not affect the MAR, SED and food group pattern of the observed diet, but required substitutions within food groups; higher GHGE reductions decreased diet cost, but also Nutritional quality, even with constraints on macronutrients. Imposing all Nutritional recommendations (ADEQ) increased the fruits and vegetables quantity, reduced SED and slightly increased diet cost without additional modifications induced by the GHGE constraint up to 30 % reduction; higher GHGE reductions decreased diet cost but required non-trivial dietary shifts from the observed diet. Not all the Nutritional recommendations could be met for GHGE reductions ≥70 %. Conclusions Moderate GHGE reductions (≤30 %) were compatible with Nutritional Adequacy and affordability without adding major food group shifts to those induced by Nutritional recommendations. Higher GHGE reductions either impaired Nutritional quality, even when macronutrient recommendations were imposed, or required non-trivial dietary shifts compromising acceptability to reach Nutritional Adequacy.
-
Role of young child formulae and supplements to ensure Nutritional Adequacy in UK young children
Nutrients, 2016Co-Authors: Florent Vieux, Chloe M. C. Brouzes, Matthieu Maillot, Andre Briend, Anne Lluch, Régis Hankard, Nicole DarmonAbstract:The European Food Safety Authority (EFSA) states that young child formulae (YCFs) cannot be considered as a necessity to satisfy the Nutritional requirements of children aged 12-36 months. This study quantifies the dietary changes needed to ensure Nutritional Adequacy in U.K. young children who consume YCFs and/or supplements and in those who do not. Dietary data from 1147 young children (aged 12-18 months) were used to identify, using linear programming models, the minimum changes needed to ensure Nutritional Adequacy: (i) by changing the quantities of foods initially consumed by each child (repertoire-foods); and (ii) by introducing new foods (non-repertoire-foods). Most of the children consumed neither YCFs, nor supplements (61.6%). Nutritional Adequacy with repertoire-foods alone was ensured for only one child in this group, against 74.4% of the children consuming YCFs and supplement. When access to all foods was allowed, smaller food changes were required when YCFs and supplements were initially consumed than when they were not. In the total sample, the main dietary shifts needed to ensure Nutritional Adequacy were an increase in YCF and a decrease in cow's milk (+226 g/day and -181 g/day, respectively). Increasing YCF and supplement consumption was the shortest way to cover the EFSA nutrient requirements of U.K. children.
-
Reaching Nutritional Adequacy Does Not Necessarily Increase Exposure to Food Contaminants: Evidence from a Whole-Diet Modeling Approach
Journal of Nutrition, 2016Co-Authors: Tangui Barre, Florent Vieux, Marlène Perignon, Marie Josephe Amiot-carlin, Jean-pierre Cravedi, Valerie Micard, Nicole DarmonAbstract:Background: Dietary guidelines are designed to help meet Nutritional requirements, but they do not explicitly or quantitatively account for food contaminant exposures. Objective: In this study, we aimed to test whether dietary changes needed to achieve Nutritional Adequacy were compatible with acceptable exposure to food contaminants. Methods: Data from the French national dietary survey were linked with food contaminant data from the French Total Diet Study to estimate the mean intake of 204 representative food items and mean exposure to 27 contaminants, including pesticides, heavy metals, mycotoxins, nondioxin-like polychlorinated biphenyls (NDL-PCBs) and dioxin-like compounds. For each sex, 2 modeled diets that departed the least from the observed diet were designed: 1) a diet respecting only Nutritional recommendations (NUT model), and 2) a diet that met Nutritional recommendations without exceeding Toxicological Reference Values (TRVs) and observed contaminant exposures (NUTOX model). Food, nutrient, and contaminant contents in observed diets and NUT and NUTOX diets were compared with the use of paired t tests. Results: Mean observed diets did not meet all Nutritional recommendations, but no contaminant was over 48% of its TRV. Achieving all the nutrient recommendations through the NUT model mainly required increases in fruit, vegetable, and fish intake and decreases in meat, cheese, and animal fat intake. These changes were associated with significantly increased dietary exposure to some contaminants, but without exceeding 57% of TRVs. The highest increases were found for NDL-PCBs (from 26% to 57% of TRV for women). Reaching Nutritional Adequacy without exceeding observed contaminant exposure (NUTOX model) was possible but required further departure from observed food quantities. Conclusions: Based on a broad range of nutrients and contaminants, this first assessment of compatibility between Nutritional Adequacy and toxicological exposure showed that reaching Nutritional Adequacy might increase exposure to food contaminants, but within tolerable levels. However, there are some food combinations that can meet Nutritional recommendations without exceeding observed exposures.
Chee Y Ooi - One of the best experts on this subject based on the ideXlab platform.
-
paediatric patients with coeliac disease on a gluten free diet Nutritional Adequacy and macro and micronutrient imbalances
Current Gastroenterology Reports, 2018Co-Authors: Alison Sue, Kate Dehlsen, Chee Y OoiAbstract:A strict, lifelong gluten-free diet is the cornerstone for management of coeliac disease. Elimination of gluten from the diet may be associated with Nutritional imbalance; however, the completeness of this diet in energy and macro- and micronutrients in children is not well described. Understanding the Nutritional Adequacy of the gluten-free diet in children during this critical period of growth and development when dietary intake is strongly influential is important. Children, regardless of whether they have eliminated gluten from their diet, have a tendency to consume excess fat and insufficient fibre, iron, vitamin D and calcium, compared to recommendations. In the context of a gluten-free diet, these imbalances may be worsened or have more significant consequences. Paediatric studies have demonstrated that intakes of folate, magnesium, zinc and selenium may decrease on a gluten-free diet. Nutritional inadequacies may be risks of a gluten-free diet in a paediatric population. The potential implications of these inadequacies, both short and long term, remain unclear and warrant further investigation and clarification.
Lluis Serramajem - One of the best experts on this subject based on the ideXlab platform.
-
Nutritional Adequacy of the mediterranean diet
The Mediterranean Diet#R##N#An Evidence-Based Approach, 2015Co-Authors: Itandehui Castroquezada, Blanca Romanvinas, Lluis SerramajemAbstract:In recent years there has been an increased interest in finding a dietary pattern that satisfies a population’s Nutritional requirements. The Mediterranean dietary pattern (MDP) encapsulates a beneficial fatty acid profile with high monounsaturated fatty acids content, a low proportion of carbohydrate, and high intake of dietary fiber and antioxidant compounds that work together to produce beneficial effects on health. Greater adherence to this pattern has been related to a reduced risk of mortality and decreased incidence of cardiovascular diseases, certain types of cancer, and type 2 diabetes. Nutritional Adequacy is the probability of a certain nutrient intake to be adequate for an individual and can be estimated if the requirement distribution is known. Prevalence of nutrient inAdequacy in groups can be estimated by the average requirement cut-point method. However, indices or dietary patterns can also be used because they correlate considerably well with Nutritional adequate intakes. The MDP has been associated on an increased probability of fulfilling nutrient recommendations. Therefore, preserving the Mediterranean diet should be encouraged in health promotion strategies instead of alternatives such as fortification and supplementation.
-
the mediterranean diet and Nutritional Adequacy a review
Nutrients, 2014Co-Authors: Itandehui Castroquezada, Blanca Romanvinas, Lluis SerramajemAbstract:The Mediterranean dietary pattern, through a healthy profile of fat intake, low proportion of carbohydrate, low glycemic index, high content of dietary fiber, antioxidant compounds, and anti-inflammatory effects, reduces the risk of certain pathologies, such as cancer or Cardiovascular Disease (CVD). Nutritional Adequacy is the comparison between the nutrient requirement and the intake of a certain individual or population. In population groups, the prevalence of nutrient inAdequacy can be assessed by the probability approach or using the Estimated Average Requirement (EAR) cut-point method. However, dietary patterns can also be used as they have moderate to good validity to assess adequate intakes of some nutrients. The objective of this study was to review the available evidence on the Nutritional Adequacy of the Mediterranean Diet. The inclusion of foods typical of the Mediterranean diet and greater adherence to this healthy pattern was related to a better nutrient profile, both in children and adults, with a lower prevalence of individuals showing inadequate intakes of micronutrients. Therefore, the Mediterranean diet could be used in public health nutrition policies in order to prevent micronutrient deficiencies in the most vulnerable population groups.
-
dietary patterns and Nutritional Adequacy in a mediterranean country
British Journal of Nutrition, 2009Co-Authors: Lluis Serramajem, Blanca Romanvinas, Maira Besrastrollo, Karina Pfrimer, Almudena Sanchezvillegas, Miguel Angel MartinezgonzalezAbstract:Dietary patterns have been related to health outcomes and morbi-mortality. Mediterranean diet indexes are correlated with adequate nutrient intake. The objective of the present study was to analyse the Adequacy of nutrient intake of a posteriori defined Mediterranean (MDP) and Western (WDP) diet patterns in the Seguimiento Universidad de Navarra (SUN) cohort. A sample of 17 197 subjects participated in the study. Participants completed a 136-item validated semi-quantitative FFQ. Principal component analysis was used to define dietary patterns. Individuals were classified according to quintiles of adherence based on dietary pattern scores. Non-dietary variables, such as smoking and physical activity habits, were also taken into account. The probability approach was used to assess nutrient intake Adequacy of certain vitamins (vitamins B12, B6, B3, B2, B1, A, C, D and E) and minerals (Na, Zn, iodine, Se, folic acid, P, Mg, K, Fe and Ca). Logistic regression analysis was used to assess the Adequacy of nutrient intake according to adherence to dietary patterns. WDP and MDP were defined. A higher quintile of adherence to an MDP was associated to a lower prevalence of inAdequacy for the intake of Zn, iodine, vitamin E, Mg, Fe, vitamin B1, vitamin A, Se, vitamin C and folic acid. The adjusted OR for not reaching at least six (or at least ten) nutrient recommendations were 0.09 (95 % CI: 0.07, 0.11) (and 0.02 (95 % CI: 0.00, 0.16)) for the upper quintile of MDP and 4.4 (95 % CI: 3.6, 5.5) and 2.5 (95 % CI: 1.1, 5.4) for the WDP. The MDP was associated to a better profile of nutrient intake.
-
dietary assessment methods used for low income populations in food consumption surveys a literature review
British Journal of Nutrition, 2009Co-Authors: Vesna Vucic, Lluis Serramajem, Maria Glibetic, Romana Novakovic, Joy Ngo, Danijela Risticmedic, Jasna Tepsic, Maria Ranic, Mirjana GurinovicAbstract:In order to assess Nutritional Adequacy, reliable estimates of nutrient intake are required. Specifically, the EURopean micronutrient RECommendations Aligned (EURRECA) Network of Excellence needs clear guidelines on methods suitable for assessing micronutrient intakes among vulnerable population groups. The objective of this project was to collect, evaluate data and review the suitability of methods used to assess dietary intake of low-income groups across Europe. A comprehensive literature review methodology was employed, which involved structured search MEDLINE, from 1990 to 2008, on (nutrient intake methods) and (validity terms) and (human studies) and finally (low-income terms). In addition, manual searches were conducted for published books and national studies. Seven studies satisfied the selection criteria for inclusion in the review in which four dietary intake methods had been described and validated. Three other studies found in the grey literature used similar methods. Only one study tested a variety of methods to assess reliability and the method preferred by those having low incomes. Preferred methods were 24 h recalls and a FFQ which, compared with the weighed inventory, also yielded higher estimates of energy and nutrient intakes. Many of the methods used in low-income populations have not been subjected to evaluation and consequently may not demonstrate sensitivity and/or specificity when used in this population. Based on one study only, four multiple-pass 24 h recalls are recommended as the most appropriate method for the evaluation of Nutritional Adequacy in low-income households.
