scholarly journals Contribution of voluntary fortified foods to micronutrient intake in The Netherlands

Author(s):  
Marjolein H. de Jong ◽  
Eline L. Nawijn ◽  
Janneke Verkaik-Kloosterman

Abstract Purpose In the Netherlands, voluntary fortification of foods with micronutrients is allowed under strict regulations. This study investigates the impact of voluntary food fortification practices in the Netherlands on the frequency and type of fortified food consumption and on the micronutrient intakes of the Dutch population. Methods Data of the Dutch National Food Consumption Survey (2012–2016; N = 4314; 1–79 year) and the Dutch Food Composition Database (NEVO version 2016) was used. To determine if voluntary fortified foods could be classified as healthy foods, criteria of the Dutch Wheel of Five were used. Habitual intakes of users and non-users of voluntary food fortification were calculated using Statistical Program to Assess Dietary Exposure (SPADE) and compared. Results Within the Dutch population, 75% could be classified as user of voluntary fortified foods. Consumed voluntary fortified foods were mostly within food groups ‘Fats and Oils’, ‘Non-alcoholic Beverages’ and ‘Dairy products and Substitutes’ and fell mostly outside the Wheel of Five. Voluntary foods contributed between 9 and 78% to total micronutrient intake of users. Users had up to 64% higher habitual micronutrient intakes, compared to non-users. These higher intakes resulted into lower risks on inadequate intakes, and did not contribute to increased risks of excessive intakes. Conclusion Although voluntary fortified foods increased micronutrient intakes, most of these foods cannot be classified as healthy foods. Future studies should study the association between higher micronutrient intakes and (potential) excessive intakes of e.g. saturated fat and sugar to better understand the role of voluntary fortified foods in a healthy food pattern.

2012 ◽  
Vol 109 (7) ◽  
pp. 1276-1283 ◽  
Author(s):  
Ilana Nogueira Bezerra ◽  
Amanda de Moura Souza ◽  
Rosangela Alves Pereira ◽  
Rosely Sichieri

The objectives of the present study were to estimate the dietary contribution of away-from-home food consumption, to describe the contribution of away-from-home foods to energy intake, and to investigate the association between eating away from home and total energy intake in Brazilian urban areas. In the first Brazilian Nationwide Dietary Survey, conducted in 2008–9, food records were collected from 25 753 individuals aged 10 years or older, living in urban areas of Brazil. Foods were grouped into thirty-three food groups, and the mean energy intake provided by away-from-home food consumption was estimated. Linear regression models were used to evaluate the association between away-from-home food consumption and total energy intake. All analyses considered the sample design effect. Of the total population, 43 % consumed at least one food item away from home. The mean energy intake from foods consumed away from home was 1408 kJ (337 kcal), averaging 18 % of total energy intake. Eating away from home was associated with increased total energy intake, except for men in the highest income level. The highest percentage of away-from-home energy sources was for food with a high content of energy, such as alcoholic beverages (59 %), baked and deep-fried snacks (54 %), pizza (42 %), soft drinks (40 %), sandwiches (40 %), and sweets and desserts (30 %). The consumption of foods away from home was related to a greater energy intake. The characterisation of away-from-home food habits is necessary in order to properly design strategies to promote healthy food consumption in the away-from-home environment.


Nutrients ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 2610 ◽  
Author(s):  
Isis Danyelle Dias Custódio ◽  
Fernanda de Paula Franco ◽  
Eduarda da Costa Marinho ◽  
Taísa Sabrina Silva Pereira ◽  
Mariana Tavares Miranda Lima ◽  
...  

Considering the implications of adverse effects of chemotherapy (CT) and the potential impact of diet on patients’ recovery, this study aimed to prospectively evaluate the association between the consumption of food groups, patients’ Dietary Inflammatory Index (DII®) scores, and their nutritional status. Anthropometric and dietary assessments of 55 women with breast cancer (BC) were performed at three time points. T0 is the time point after the first CT cycle, T1 is the time point after the intermediate CT cycle, and T2 is the time point after the last CT cycle. We identified a significant increase in weight, body mass index, and waist circumference during CT. Consumption of poultry and eggs was higher in T1 when compared to T2, while consumption of total fruit and total vegetables was higher at T0 compared to T1 and T2. The diet became more pro-inflammatory over the course of treatment (X2(2) = 61.127), and was related to higher abdominal adiposity. Total fruit (T0: R2 = 0.208, T1: R2 = 0.095, T2: R2 = 0.120) and total vegetable consumption (T0: R2 = 0.284, T1: R2 = 0.365, T2: R2 = 0.580) predicted DII® change at the three-time points. Meanwhile, consumption of total grains was significantly associated only with T1 (R2 = 0.084) and T2 (R2 = 0.118), and consumption of simple sugars was significantly associated only with T0 (R2 = 0.137) and T1 (R2 = 0.126). Changes in food consumption led to an increase in the inflammatory profile of the diet, suggesting the necessity to improve the guidelines during and after CT. These results reinforce the need to promote healthier eating practices in concert with maintaining a healthy nutritional status in women with BC treated with CT.


2019 ◽  
Vol 11 (20) ◽  
pp. 5749 ◽  
Author(s):  
Biraj Adhikari ◽  
Trakarn Prapaspongsa

This study assesses the environmental sustainability of food consumption in Thailand, India, China, Japan, and Saudi Arabia by using a life cycle assessment. These five Asian countries were selected according to the differences in surface area, population density, GDP, and food consumption patterns. The data were obtained from Food and Agriculture Organization food balance sheets, Ecoinvent 3.4 and Agri-footprint 4.0 databases, and scientific publications. The environmental impact categories chosen were global warming, terrestrial acidification, eutrophication, eco-toxicity, human toxicity, and fossil resource scarcity. The impact assessment was carried out by using the ReCiPe2006 v1.1 method. Based on the analysis, the highest environmental impacts for all categories (except eutrophication) were from the food consumption in China, followed by the consumption in Japan, Saudi Arabia, Thailand, and India. The major contributors to these impacts were meat, cereals, animal products, and alcoholic beverages. Meat was the highest contributor in all countries except India, because of low meat consumption in India. A calorie intake analysis was also conducted, which showed reductions in environmental impacts by shifting towards calorie-adequate and non-environmentally intensive diets in Thailand, China, Japan, and Saudi Arabia. Therefore, a reduction in the consumption of meat, cereals, animal products, and alcoholic beverages could therefore enhance the environmental sustainability of food consumption.


2013 ◽  
Vol 72 (4) ◽  
pp. 433-440 ◽  
Author(s):  
Áine Hennessy ◽  
Janette Walton ◽  
Albert Flynn

This review aims to assess the efficacy and safety of voluntary fortification as an option to address the occurrence of inadequate micronutrient intakes in population subgroups in Europe. Although legislation is harmonised across the European Union, fortification practices and patterns of consumption of fortified foods vary considerably between countries. While the proportion of children consuming fortified foods is greater than adults, the proportion of dietary energy obtained from fortified foods is generally low (<10% in Ireland, where fortified foods are widely consumed). There are a few systematic studies on the overall nutritional impact of voluntary fortification, but there are several studies on the impact of fortified ready-to-eat breakfast cereals. The available evidence indicates that voluntary fortification can reduce the risk of sub-optimal intakes of a range of micronutrients at a population level and can also improve status for selected micronutrients (e.g. folate, vitamin D and riboflavin) in children and adults. Although concerns have been raised regarding the potential of food fortification to lead to unacceptably high micronutrient intakes, particularly for those consuming higher amounts of fortified foods, data from national surveys on total micronutrient intakes (including fortified foods) in Europe show that small proportions of the population, particularly children, may exceed the upper intake level (UL) for some micronutrients. The risk of adverse effects occurring in these individuals exceeding the UL by modest amounts is low. In conclusion, voluntary fortification practices have been shown to improve intake and status of key micronutrients in European Union population groups and do not contribute appreciably to risk of adverse effects.


2015 ◽  
Vol 8 (5) ◽  
pp. 561-572 ◽  
Author(s):  
E.M. Janssen ◽  
R.C. Sprong ◽  
P.W. Wester ◽  
M. De Boevre ◽  
M.J.B. Mengelers

In this study, a risk assessment of dietary exposure to the conjugated mycotoxin deoxynivalenol-3-β-glucoside (DON-3G) in the Dutch population was conducted. Data on DON-3G levels in food products available in the Netherlands are scarce. Therefore, data on co-occurring levels of DON-3G and deoxynivalenol (DON), its parent compound, were used to estimate the DON-3G/DON ratio for several food product categories. This resulted in a DON-3G/DON ratio of 0.2 (90% confidence interval (CI): 0.04-0.9) in grains & grain-milling products, 0.3 (90% CI: 0.03-2.8) in grain-based products and 0.8 (90% CI: 0.4-1.8) in beer. These ratios were applied to the Dutch monitoring data of DON to estimate the DON-3G concentrations in food products available in the Netherlands. DON and DON-3G concentrations were combined with food consumption data of two Dutch National Food Consumption Surveys to assess chronic exposure in young children (2-6 years), children (7-16 years) and adults (17-69 years) using the Monte Carlo Risk Assessment program. The chronic exposure levels of DON, DON-3G and the sum of both compounds (DON+DON-3G) were compared to the tolerable daily intake (TDI) of 1 μg/kg body weight/day which is based on the most critical effect of DON, namely decreased body weight gain. The assumption was made that DON-3G is deconjugated and then fully absorbed as DON in the gastro-intestinal tract. Exposure (P97.5) of the population aged 7-16 years and 17-69 years to DON or DON-3G separately, did not exceed the TDI. However, exposure to upper bound levels of DON+DON-3G (i.e. worst-case scenario) in the same age categories (P97.5) exceeded the TDI with a maximum factor of 1.3. Exposure (P97.5) of the 2-6 year-olds to DON was close to the TDI. Within this group, exposure (P97.5) to upper bound levels of DON+DON-3G exceeded the TDI with not more than a factor 2.


2016 ◽  
Vol 3 (4) ◽  
pp. 239-245 ◽  
Author(s):  
Anju T. Bisht ◽  
Vallari T. Kukreti

The increase in the stress generated psychophysiological disorders promotes a probe into the influence of lifestyle modification factors and food consumption on stress .Hence, the present study aims to study, firstly, the impact of lifestyle modification factors on stress in reference to sex and secondly, the frequency of the consumption of major food groups by individuals experiencing various levels of stress in reference to sex. An exploratory study comprising a sample of 117 individuals (62females and 55 males) of age range 22-55years was conducted in Uttarakhand, India. PSSI was administered for assessing the levels of stress. Questionnaires were developed for identifying lifestyle modification factors and food consumption pattern. Mean scores and percentages were employed to describe the data. t-test and χ² were deployed for the assessment of significant difference. Non vegetarian females, male smokers and alcoholics of both the sexes revealed higher stress than their counterparts. Females consuming junk and market food had lower stress than those females who were not consuming the same. Contrary to the females, males consuming junk and market food had higher stress levels than the males who were not consuming junk and market food. Significant differences were found in the stress levels of males who consumed roots and tubers, milk based products and saturated fats. Further studies with larger sample size are required.Int. J. Soc. Sc. Manage. Vol. 3, Issue-4: 239-245


2020 ◽  
Author(s):  
Terrence Kairiza ◽  
George Kembo ◽  
Asankha Pallegedara ◽  
Lesley Macheka

Abstract High prevalence of stunting in under 5 children poses a major threat to child development in developing countries. It is associated with micronutrient deficiency arising from poor diets fed to under 5 children. Food fortification is amongst the interventions focused at reducing the incidence of stunting in under 5 children. Using a large scale household data from Zimbabwe, we investigated the gender based importance of household adoption of food fortification on the proportion of stunted children in the household. We employed propensity score matching to mitigate self-selection bias associated with household adoption of food fortification. We offer three major findings. Firstly we find little evidence for gender differences in the adoption of fortified foods. Secondly, household adoption food fortification reduces the proportion of stunted children in the household. Finally, vis-à-vis non adopters, female headed households that adopt food fortification reduce a larger proportion of stunted children in their households than their male counterparts who adopt food fortification. These results highlight the need for policy makers to actively promote food fortification programmes to involve men in fortification programmes to improve their knowledge and appreciation of fortified foods and the associated benefits.


2021 ◽  
Author(s):  
Wen Jiao ◽  
Matthew Tingchi Liu ◽  
Peter Johannes Schulz ◽  
Xinshu Zhao ◽  
Angela Chang

BACKGROUND The prevalence of psychosocial distress is increasing worldwide, which impacts people’s dietary behaviors and habits. Preparing and cooking food may facilitate the mitigation of psychosocial distress during epidemic-related quarantines. Emotional self-efficacy (ESE) measures various aspects of perceiving and understanding emotions and helping others modulate their emotions. ESE affects dietary behaviors and habits and mediates the relationship between socioeconomic status (SES) and diet-related behavior. OBJECTIVE This study attempts to identify whether the predictor variable, socioeconomic status, and the criterion variable, dietary quality, form a linear relationship. The statistical association between SES and dietary quality may be higher when considering ESE than when it is not considered. METHODS A questionnaire survey was designed to evaluate the impact of ESE on food-related behavior and that of SES on dietary quality. Adults from Mainland China participated in a web-based survey from April to June 2020. Factor analysis was used to report the survey results and item reliability. Multiple linear regression was performed to identify the association between ESE and dietary behavior, and further analytics analyzed how socioeconomic factors affected the dietary quality of those who were influenced by food advertising promotion (FAP). RESULTS The data derived from 441 responses showed that the ESE scale exhibited satisfactory internal consistency and predictive validity for Chinese individuals. The COVID-19 pandemic significantly decreased the food-consumption level, particularly in the case of salty snacks and alcoholic beverages. The respondents who reported a higher SES tended to have a higher ESE level than those with a lower SES. ESE mediated the relationship between SES and dietary quality (β=-.019, P<.001). When considering the influence of ESE, the direct association between SES and dietary quality was stronger than when ESE was not considered (β=.094, P<.05). Furthermore, this direct relationship was stronger for those who were influenced by FAP (β=-.317, P<.05). CONCLUSIONS The relationship between SES and food consumption with regard to dietary quality is stronger for people who encounter environmental influences. ESE is a well-established tool for evaluating how people cope with negative emotions. The findings support the mediating impact of ESE on the conditional process linking SES to dietary quality, which provides further insights about the dynamic process of psychological constructs in behavioral outcomes. This study highlights that the lockdown imposed to contain an infectious agent affected people’s dietary behaviors and habits and advocates for organized nutritional support during future epidemic-related quarantines.


2019 ◽  
Vol 22 (14) ◽  
pp. 2569-2580 ◽  
Author(s):  
Elom K Aglago ◽  
Freddie Bray ◽  
Francis Zotor ◽  
Nadia Slimani ◽  
Veronique Chajès ◽  
...  

AbstractObjective:We evaluated the relationship between food availability, as the only dietary exposure data available across Africa, and age-standardised cancer incidence rates (ASR) in eighteen countries.Design:Ecological study.Setting:Availability of food groups and dietary energy was considered for five hypothetical time points: years of collection of ASR (T 0) and 5, 10, 15 and 20 preceding years (T –5, T –10, T –15, T –20). Ecological correlations adjusted for human development index, smoking and obesity rates were calculated to evaluate the relationship between food availability and ASR of breast, prostate, colorectal, oesophageal, pancreatic, stomach and thyroid cancer.Results:Red meat was positively correlated with pancreatic cancer in men (T –20: r –20 = 0·61, P &lt; 0·05), stomach cancer in women (T 0: r 0 = 0·58, P &lt; 0·05), and colorectal cancer in men (T 0: r 0 = 0·53, P &lt; 0·05) and women (T –20: r –20 = 0·58, P &lt; 0·05). Animal products including meat, animal fats and higher animal-sourced energy supply tended to be positively correlated with breast, colorectal, pancreatic, stomach and thyroid cancer. Alcoholic beverages were positively correlated to oesophageal cancer in men (r 0 = 0·69, P &lt; 0·001) and women (r –20 = 0·72, P &lt; 0·001).Conclusions:The present analysis provides initial insights into the impact of alcoholic beverages, and increasing use of animal over plant products, on the incidence of specific cancers in Africa. The findings support the need for epidemiological studies to investigate the role of diet in cancer development in Africa.


2010 ◽  
Vol 104 (11) ◽  
pp. 1662-1665 ◽  
Author(s):  
Alexandra Bédard ◽  
Julie Goulet ◽  
Mélissa Riverin ◽  
Benoît Lamarche ◽  
Simone Lemieux

It is expected that a dietary intervention based on the traditional Mediterranean food pattern should be associated with a reduction in fast-food consumption but this has never been tested before. We assessed the impact of a 12-week dietary intervention, promoting the adoption of a Mediterranean food pattern, on fast-food consumption among seventy-one healthy women aged between 30 and 65 years. The dietary intervention consisted of two group sessions and seven individual sessions with a dietitian. To determine the Mediterranean dietary score (MedScore) and fast-food consumption, an FFQ was administered. During the 12-week intervention, the MedScore significantly increased (from 21·1 (sd 3·6) units at baseline to 28·6 (sd 4·4) units at week 12, P < 0·0001), while the fast-food consumption significantly decreased (from 51·7 (sd 46·4) g/d at baseline to 20·5 (sd 18·2) g/d at week 12, P < 0·0001). Moreover, women who had a higher consumption of fast food at baseline decreased their fast-food consumption to the most (r − 0·50, P < 0·0001). When four subgroups were formed on the basis of median values of Medscore and fast-food consumption changes, it was found that only the subgroup of women which increased the most their MedScore and decreased the most their fast-food consumption experienced a significant decrease in BMI (P < 0·01). In conclusion, a dietary intervention promoting the Mediterranean food pattern led to a decrease in fast-food consumption among healthy women even if it was not a specific target of the intervention. Dietary strategies for increasing intake of healthy foods may be a useful approach for decreasing intake of less healthy foods.


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