scholarly journals Micronutrients: highlights and research challenges from the 1994–5 National Diet and Nutrition Survey of people aged 65 years and over

1999 ◽  
Vol 82 (1) ◽  
pp. 7-15 ◽  
Author(s):  
C. J. Bates ◽  
A. Prentice ◽  
T. J. Cole ◽  
J. C. van der Pols ◽  
W. Doyle ◽  
...  

The aims of the National Diet and Nutrition Survey series are summarized, and the new National Diet and Nutrition Survey of people aged 65 years and over is explored, with particular emphasis on micronutrient intakes and status indices. Mean nutrient intakes were generally satisfactory for most micronutrients, but intakes of vitamin D, Mg, K and Cu were low. Intakes of vitamin D were far below the reference nutrient intake for people aged 65 years and over, and there was also biochemical evidence of vitamin D deficiency, for 8 % of free-living and 37 % of institution participants, attributed partly to limited exposure to sunlight. A substantial proportion of people living in institutions had inadequate biochemical status indices, notably for vitamin C, Fe and folate. Relationships between intake and status were close for vitamins. Mineral intakes did not correlate well with currently used status indices. Some intakes and indices, especially those of vitamin C, carotenoids, Na and K, were strongly correlated with socio-economic status and with north–south gradients in Britain. Future research challenges should address the functional and health significance of low intakes and sub-optimal biochemical indices for certain micronutrients, especially for people living in institutions; the shortcomings of mineral status indices especially as indicators of mineral intake; the social and geographical inequalities of micronutrient intakes and status, and why micronutrient status deteriorates with increasing age. The answers to these questions will help to define the characteristics of nutritional risk for older people in Britain, and to clarify future needs for education and intervention.

2012 ◽  
Vol 25 (1) ◽  
pp. 180-192 ◽  
Author(s):  
E. R. Ellsworth-Bowers ◽  
E. J. Corwin

Postpartum depression (PPD) is a relatively common and often severe mood disorder that develops in women after childbirth. The aetiology of PPD is unclear, although there is emerging evidence to suggest a psychoneuroimmune connection. Additionally, deficiencies in n-3 PUFA, B vitamins, vitamin D and trace minerals have been implicated. This paper reviews evidence for a link between micronutrient status and PPD, analysing the potential contribution of each micronutrient to psychoneuroimmunological mechanisms of PPD. Articles related to PPD and women's levels of n-3 PUFA, B vitamins, vitamin D and the trace minerals Zn and Se were reviewed. Findings suggest that while n-3 PUFA levels have been shown to vary inversely with PPD and link with psychoneuroimmunology, there is mixed evidence regarding the ability of n-3 PUFA to prevent or treat PPD. B vitamin status is not clearly linked to PPD, even though it seems to vary inversely with depression in non-perinatal populations and may have an impact on immunity. Vitamin D and the trace minerals Zn and Se are linked to PPD and psychoneuroimmunology by intriguing, but small, studies. Overall, evidence suggests that certain micronutrient deficiencies contribute to the development of PPD, possibly through psychoneuroimmunological mechanisms. Developing a better understanding of these mechanisms is important for guiding future research, clinical practice and health education regarding PPD.


1997 ◽  
Vol 78 (3) ◽  
pp. 367-378 ◽  
Author(s):  
Sigrid A. Gibson

Concern has been expressed that high dietary concentrations of non-milk extrinsic sugars (NMES) may potentially compromise nutrient intakes in population groups with low energy intakes (Department of Health, 1991). The objective of the present study was to examine data from the National Diet and Nutrition Survey of Children Aged 1.5 to 4.5 years (Gregory et al. 1995) for evidence of an inverse association between energy from NMES and micronutrient intakes, and if possible to quantify a level of NMES-energy at which micronutrient intakes may, theoretically, be compromised. Energy and nutrient intakes were compared across quintiles of NMES-energy for boys (n 848) and girls (n 827). As the concentration of NMES increased, energy intake rose (in boys only) while percentage energy from fat fell from 40 to 32 % across quintiles 1 to 5. Intakes of most micronutrients also fell, while intakes of vitamin C rose. Mean intakes of most micronutrients (Ca, thiamin, riboflavin, niacin, folate and vitamin C) were adequate in comparison with dietary reference values. However, intakes of Fe, Zn and vitamin D were low at all levels of NMES-energy and fell below the estimated average requirement for Fe and Zn for NMES concentrations exceeding 24 % of energy. Lower intakes of milk, meat, bread and vegetables, and higher intakes of fruit juice largely explain the observed trends in micronutrient intake. It is concluded that the inverse association of NMES with micronutrient intakes is of most significance for the 20 % of children with diets highest in NMES. However, further work is required to establish whether the associations observed have biological significance with regard to micronutrient status.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 674-674
Author(s):  
Ximena Palma Molina ◽  
Julia Finkelstein ◽  
Saurabh Mehta ◽  
Teresa Shamah-Levy ◽  
Juan RIvera-Dommarco ◽  
...  

Abstract Objectives To examine the associations between micronutrient status and child growth, as part of the National Health and Nutrition Survey in Mexico. Methods Data from the National Health and Nutrition Survey (ENSANUT 2018) were analyzed to examine the association between micronutrient status and child growth in 1,656 children 36 to 59 months of age. Micronutrient biomarkers (serum ferritin (SF), vitamin B12, vitamin D, serum zinc) were measured in venous blood samples via immunoassays. Child weight and height were measured using standardized procedures, and indicators weight-for-age (WAZ), height-for-age (HAZ), weight-for-height (WHZ), and body mass index (BMI) Z-scores were calculated using the WHO Anthro V3.1 and categorized as per WHO Child Growth Standards. Micronutrient biomarkers were natural logarithmically transformed prior to analyses. Iron deficiency was defined as SF < 12.0 μg/L and iron insufficiency was defined as SF < 20.0 μg/L. Vitamin B12 deficiency and insufficiency were defined as < 148 and < 221 pmol/L, respectively. Vitamin D deficiency was defined as < 50 nmol/L, and zinc deficiency was defined as < 65μg/dL. Survey linear regression models were used to examine associations of micronutrient status with WHO Z-scores. Results Serum ferritin concentrations (β [SE]: 0.096 [0.001], p < 0.0001) and vitamin B12 (0.092 [0.003], p < 0.0001) concentrations were associated with higher WHZ. Vitamin B12 (0.171 [0.004], p < 0.0001), vitamin D (0.358 [0.007], p < 0.0001), and zinc (0.122 [0.006], p < 0.0001) concentrations were associated with higher HAZ. Iron deficiency (β [SE]: -0.469 [0.004], p < 0.0001) and zinc deficiency (-0.203 [0.01], p < 0.0001) were associated with lower WHZ, and vitamin B12 (-0.449 [0.002], p < 0.0001), vitamin D (-0.215 [0.001], p < 0.0001) and zinc (-0.216 [0.01], p < 0.0001) deficiencies were associated with lower HAZ. Conclusions Micronutrient deficiencies of vitamin B12, vitamin D, and zinc were associated with lower linear growth in young children in Mexico. Funding Sources ENSANUT was funded by The Ministry of Health of Mexico.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1448-1448
Author(s):  
Tsz Ning Mak ◽  
Imelda Angeles-Agdeppa ◽  
Marie Tassy ◽  
Mario Capanzana ◽  
Elizabeth Offord

Abstract Objectives There is high prevalence of micronutrient inadequacy among preschool-children in the Philippines. In addition, 60% of Filipino pre-school children do not consume any dairy on a given day despite the government recommendation of one serving of milk (180 ml) per day. Milk for pre-school children (milk henceforth), a source of energy, protein, and micronutrients, tailored to the nutritional needs of children in this age group, may improve nutrient adequacy in this population. This study models the nutritional impact of adding one serving of milk in the diets of Filipino children who currently do not consume any dairy products. Methods Dietary intake data of Filipino pre-school children aged 3 to 5 years were analyzed from the 8th National Nutrition Survey 2013. Non-dairy consumers were identified (n = 1313) and daily mean intakes of iron, calcium, folate, zinc, thiamine, riboflavin, vitamins C and D were calculated (pre-simulation). A serving of milk was added to each individual's diet and daily mean intakes of nutrients were recalculated (post-simulation). Mean nutrient intakes and percentage of children with inadequacy (using Estimated Average Requirements (EAR) cut-off method) were compared pre- and post-simulations. Results The mean nutrient intakes post-simulation were higher and closer to the Filipino dietary recommendations: iron (pre-simulation (mean ± SD) = 4.8 ± 3.4 mg/d; post-simulation = 6.5 ± 3.4 mg/d), calcium (191.5 ± 153.5 mg/d; 384.9 ± 153.5 mg/d), zinc (2.9 ± 1.9 mg/d; 4.3 ± 1.9 mg/d), thiamine (0.5 ± 0.3 mg/d; 0.7 ± 0.3 mg/d), riboflavin (0.5 ± 2.1 mg/d; 0.7 ± 2.1 mg/d), folate (120.3 ± 101.4 µg/d; 180.8 ± 101.4 µg/d), vitamin C (17.0 ± 29.2 mg/d; 35.8 ± 29.2 mg/d), and vitamin D (1.5 ± 2.2 µg/d; 3.0 ± 2.2 µg/d) respectively (P < 0.001). The proportions of children with inadequate nutrient intakes post-simulation were reduced by 13.3% for iron, 19.2% for calcium, 23.2% for folate, 35.2% for zinc, 34.8% for thiamine, 43.3% for riboflavin, 73.1% for vitamin C, and 4.9% for vitamin D. Conclusions The modeling study shows that if pre-school children (who do not normally consume any dairy) were to meet their dairy recommendations with a single serving of milk tailored to this age group, the proportion of pre-school children in the Philippines with inadequate micronutrient intakes could be reduced. Funding Sources This research project was funded by Nestlé Research.


2001 ◽  
Vol 4 (6) ◽  
pp. 1235-1244 ◽  
Author(s):  
Sigrid Gibson

AbstractObjective:To examine the relationship between non-milk extrinsic sugars (NMES) concentration and micronutrient intakes and status in free-living older people.Design:The National Diet and Nutrition Survey of people aged 65 years and over; a cross-sectional study in Britain in 1994/5.Subjects and methods:Eight hundred and six men and women living in private households who were not on medication for nutritional disorders. Subjects were classified into four groups (Q1 to Q4), using cut-off points corresponding to quartiles of energy from NMES. Relationships were examined between dietary NMES concentration and intakes of calcium, iron, riboflavin, folate, vitamin C and vitamin D. Status indices were also assessed in each group.Results:Overall, a small proportion of men and women had intakes below the Lower Reference Nutrient Intake (LRNI) for calcium, iron, folate, riboflavin or vitamin C, while vitamin D intakes were universally low. Intakes of micronutrients tended to be highest at moderate levels of NMES in the diet (Q2 and Q3, equivalent to 8–15% of energy from NMES). Micronutrient status was low for riboflavin in 38% of the sample, while 15% had low vitamin C status and more than 10% were anaemic. There was little evidence that poorer nutrient status was associated with higher levels of dietary NMES. Although some indices of folate status were lower in Q4, this is most likely to reflect confounding by smoking. Energy intake accounted for 20–40% of the variance in micronutrient intakes, compared with less than 5% for NMES concentration.Conclusions:A diet moderately high in NMES (up to around 15% of energy) is unlikely to have a detrimental impact on micronutrient intake or status in this age group. Energy intake is the major determinant of micronutrient adequacy.


2002 ◽  
Vol 88 (5) ◽  
pp. 555-561 ◽  
Author(s):  
Geraldine McNeill ◽  
Juliet Vyvyan ◽  
Heather Peace ◽  
Linda McKie ◽  
Gwyn Seymour ◽  
...  

Serum ferritin, serum vitamin B12, erythrocyte folate, plasma vitamin C and plasma 25-hydroxycholecalciferol levels were measured in 208 men and 197 women, >75 years old and living in the community, in order to assess micronutrient status. Anthropometric measurements (height, weight, demispan and mid-upper arm circumference) were made and a 114-item questionnaire covering a wide range of health and diet-related topics was administered by an interviewer. Only 4% of subjects had a BMI <20, but the prevalence of marginal deficiency of the micronutrients ranged from 7% for Fe to 47% for vitamin D. There was no association between low micronutrient status (defined as being in the lowest third of the distribution of micronutrient status) and having BMI or mid-upper arm circumference in the lowest third of the distribution for any of the nutrients. Leaving food on the plate was strongly associated with both low Fe status and low vitamin D status. Having breakfast cereal less than once per week was strongly associated with low folate status, while having fresh fruit juice less than once per week, having had less than two portions of fruits and vegetables the previous day and believing that food is not important for health were strongly associated with low vitamin C status. Low vitamin D status was strongly associated with a wide range of general health and disability measures. Having a weekly household income of less than £150 was associated with low status of Fe, folate, vitamin C and vitamin D.


2006 ◽  
Vol 96 (S1) ◽  
pp. S49-S57 ◽  
Author(s):  
Lluís Serra-Majem ◽  
Lourdes Ribas-Barba ◽  
Carmen Pérez-Rodrigo ◽  
Javier Aranceta Bartrina

The nutritional intakes of the Spanish child and adolescent population are presented, as well as the population at risk of inadequate nutrient status. A random sample of 3534 people aged 2–24 years were interviewed between 1998 and 2000. Interviews included two 24 h recalls and a general questionnaire and anthropometric evaluations for the entire sample. After excluding under-reporters (18·7 %), the final sample was 2855 individuals (1348 males and 1507 females). The average intake of energy was 9543 kJ in males and 7804 kJ in females, with important variations seen by age group. Energy intake increased with age in both sexes until 14–17 years, which also applied to almost all of the nutrients studied, with the exception of vitamin C. A decreasing trend in the percentage of energy from carbohydrates was seen in both sexes. At the low socioeconomic level, it was observed that all nutrient intakes were less favourable when compared with higher socioeconomic levels. Nutrients with associated intakes below one-third of the Spanish recommended nutrient intake (RNI) included vitamin D (42 % of the sample) and folate (10 % of females), and the percentages falling below two-thirds of the RNI corresponded to: vitamin D (97 %), vitamin A (60 %), vitamin E (54 %), folate (58 % of females), Fe (23 % of females), vitamin C (8 %), Mg (4·5 %), Ca (5 % of females) and vitamin B6 (5 % of females). Adolescents aged between 14 and 17 years was the group with the highest nutritional risk, especially among girls. Nutritional adequacy in Spanish children was, in general, adequate, although it is necessary to analyse the implications of high inadequate intakes of vitamins D, E and A, which means that the current recommended intakes should be reconsidered. It should be noted that folate levels should be doubled in the near future.


2013 ◽  
Vol 17 (5) ◽  
pp. 1031-1045 ◽  
Author(s):  
Romana Novaković ◽  
Adriënne Cavelaars ◽  
Anouk Geelen ◽  
Marina Nikolić ◽  
Iris Iglesia Altaba ◽  
...  

AbstractObjectiveTo provide the evidence base for targeted nutrition policies to reduce the risk of micronutrient/diet-related diseases among disadvantaged populations in Europe, by focusing on: folate, vitamin B12, Fe, Zn and iodine for intake and status; and vitamin C, vitamin D, Ca, Se and Cu for intake.DesignMEDLINE and Embase databases were searched to collect original studies that: (i) were published from 1990 to 2011; (ii) involved >100 subjects; (iii) had assessed dietary intake at the individual level; and/or (iv) included best practice biomarkers reflecting micronutrient status. We estimated relative differences in mean micronutrient intake and/or status between the lowest and highest socio-economic groups to: (i) evaluate variation in intake and status between socio-economic groups; and (ii) report on data availability.SettingEurope.SubjectsChildren, adults and elderly.ResultsData from eighteen publications originating primarily from Western Europe showed that there is a positive association between indicators of socio-economic status and micronutrient intake and/or status. The largest differences were observed for intake of vitamin C in eleven out of twelve studies (5–47 %) and for vitamin D in total of four studies (4–31 %).ConclusionsThe positive association observed between micronutrient intake and socio-economic status should complement existing evidence on socio-economic inequalities in diet-related diseases among disadvantaged populations in Europe. These findings could provide clues for further research and have implications for public health policy aimed at improving the intake of micronutrients and diet-related diseases.


2021 ◽  
Vol 11 (SPL1) ◽  
pp. 1585-1592
Author(s):  
Roshna Sukhdeoji Bhutada

Nowadays, due to Covid-19 pandemic circumstance, numerous individuals are Staying from home. Understudy is additionally concern with the online class from home, because of which all physical movement of all individual has been stopped. Medoroga is one of the dominating metabolic problems and driving reason for mortality. Numerous patients with Covid infection 2019 (COVID-19) have identified with the metabolic disorder during the lockdown. The general wellbeing proposes (Work from Home, requests, gyms, terminations of garden and wellness focuses) to forestall Covid-19 spread can possibly decrease day by day physical movement. Ideas of Agni, Prakriti, strategy for victualing ought to be given equivalent consideration while choosing ones dietary and exercise routine to turn away/control Medoroga (STHAULYA). Organizing of diet is generally important to support insusceptibility. According to numerous investigates to give valuable pabulum which contains Zinc, Vitamin C, Vitamin D and invulnerability. It is practically equivalent to Medoroga referenced in Ayurveda compositions. Strick likeness outwardly inspected in both customary arrangement of medication and Ayurveda while portraying its causative components, outcomes and preventive part of exercise and diet in its administration. Striking is outwardly analyzed in both Traditional arrangements of medication and Ayurveda depicting its causative factors, and preventive capacity of movement and diet in its pandemic Covid-19.


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