scholarly journals Breakfast cereal consumption in young children: associations with non-milk extrinsic sugars and caries experience: further analysis of data from the UK National Diet and Nutrition Survey of children aged 1.5–4.5 years

2000 ◽  
Vol 3 (2) ◽  
pp. 227-232 ◽  
Author(s):  
Sigrid A Gibson

AbstractObjectiveThis study examined the relationship between breakfast cereal consumption and non-milk extrinsic sugars (NMES) intake and the possible implications of this for caries in preschool children.MethodsData from the 1995 UK National Diet and Nutrition Survey (NDNS) of children aged 1.5–4.5 years were reanalysed. Four-day weighed food records and dental examinations were available on 1450 children living in private households in Britain. Children were classified by tertiles (age-adjusted) according to the proportion of energy derived from breakfast cereals, and the amount of NME sugar from cereals. There were no significant differences in social class background between any of the groups.ResultsChildren with diets high in breakfast cereals as a proportion of total energy (top third) had lower proportional intakes of NMES, compared with low consumers of cereals (lowest third). Consumption of sweetened cereals was positively associated with NMES intake. However, caries experience was unrelated to breakfast cereal consumption, whether presweetened or not.ConclusionsAlthough presweetened cereals are relatively high in NMES, their cariogenic potential is probably minimal in the circumstances in which they are normally consumed.

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1868
Author(s):  
Wim Calame ◽  
Laura Street ◽  
Toine Hulshof

Vitamin D status is relatively poor in the general population, potentially leading to various conditions. The present study evaluates the relationship between vitamin D status and intake in the UK population and the impact of vitamin D fortified ready-to-eat cereals (RTEC) on this status via data from the National Diet and Nutrition Survey (NDNS: 2008–2012). Four cohorts were addressed: ages 4–10 (n = 803), ages 11–18 (n = 884), ages 19–64 (n = 1655) and ages 65 and higher (n = 428). The impact of fortification by 4.2 μg vitamin D per 100 g of RTEC on vitamin D intake and status was mathematically modelled. Average vitamin D daily intake was age-dependent, ranging from ~2.6 (age range 4–18 years) to ~5.0 μg (older than 64 years). Average 25(OH)D concentration ranged from 43 to 51 nmol/L, the highest in children. The relationship between vitamin D intake and status followed an asymptotic curve with a predicted plateau concentration ranging from 52 in children to 83 nmol/L in elderly. The fortification model showed that serum concentrations increased with ~1.0 in children to ~6.5 nmol/L in the elderly. This study revealed that vitamin D intake in the UK population is low with 25(OH)D concentrations being suboptimal for general health. Fortification of breakfast cereals can contribute to improve overall vitamin D status.


1999 ◽  
Vol 2 (4) ◽  
pp. 521-528 ◽  
Author(s):  
Sigrid A Gibso

AbstractObjective:To examine associations between breakfast cereal consumption and iron status and identify dietary patterns that might improve iron status in this vulnerable group.Design:Analysis of data from the UK National Diet and Nutrition Survey (NDNS) of children aged 1.5–4.5 years, including dietary intakes calculated from 4-day weighed records.Subjects:Data were used from 904 children with haematological measurements, excluding those taking iron supplements; 20% had low iron stores (ferritin < 10 μg l−1) while 8% were anaemic (Hb < 11 g dl−1).Results:High cereal consumers had significantly higher iron intakes than low cereal consumers (classified by tertiles) but the 10% difference in mean ferritin levels was not significant (P = 0.067). Lower intakes of vitamin C and meat among high consumers of cereal may have diluted the impact of cereal iron on iron status. When children were reclassified according to their intakes of vitamin C and iron from meat and breakfast cereals, the group with high (above median) intakes of two or more factors had a higher mean haemoglobin (Hb) level and a lower prevalence of anaemia compared with the group with low (below median) intakes of all three dietary constituents.Conclusions:Nutritional advice that aims to improve iron status should emphasize not only rich sources of iron but also factors that may enhance or inhibit absorption. Strategies to optimize iron status in this vulnerable age group include consuming an iron-fortified breakfast cereal, vitamin C-rich fruit or drink at breakfast, and avoiding tea with (or after) meals.


2012 ◽  
Vol 1 (2) ◽  
Author(s):  
Damilola Olajide ◽  
Anne Ludbrook

Understanding the link between diet, risk of obesity and the underlying socioeconomic circumstances of the individual is useful for health promotion and improvement interventions. In this study, we examined the socioeconomic factors that jointly affect food consumption choices and risk of obesity. We analyse the National Dietary and Nutrition Survey (2000/01) of adults aged 19-64 years living in private households in the UK, using a health production framework. We used information on the complete food history on individuals in the previous week to create eight common food groups. We estimated a system of linear risk of obesity (as measured by Body Mass Index) and eight diet equations with error terms that are correlated across equations for a given individual, but are uncorrelated across individuals, using the seemingly unrelated regression method. Our findings indicate that the socioeconomic factors (e.g. income and education) associated with sources of healthy eating differ. While increasing household purchasing power may be more effective for increasing consumption of healthier foods such as fruit and vegetables, more knowledge and information about healthy eating may be more effective for cutting down on consumption of less healthy foods (e.g. preserves and savoury foods). An understanding of these different healthy eating contexts is essential for the development of effective targeted food based policies aimed at reducing the risk of obesity. Link to Appendix


2017 ◽  
Vol 37 (9) ◽  
pp. 266-273 ◽  
Author(s):  
Monique Potvin Kent ◽  
Cher Cameron ◽  
Sarah Philippe

Introduction The objective of this study was to compare the nutritional content and healthfulness of child-targeted and “not child-targeted” breakfast cereals and to assess the predominance of added sugar in these products. Methods We collected data on the nutritional content of 262 unique breakfast cereals found in the five largest grocery store chains in Ottawa (Ontario) and Gatineau (Quebec). We noted the first five ingredients and the number of added sugars present in each cereal from the ingredients list. The various cereal brands were then classified as either “healthier” or “less healthy” using the UK Nutrient Profile Model. We assessed each cereal to determine if it was child-targeted or not, based on set criteria. Statistical comparisons were made between child and not child-targeted cereals. Results 19.8% of all breakfast cereals were child-targeted, and these were significantly lower in total and saturated fat. Child-targeted cereals were significantly higher in sodium and sugar and lower in fibre and protein, and were three times more likely to be classified as “less healthy” compared to not child-targeted cereals. No child-targeted cereals were sugar-free, and sugar was the second most common ingredient in 75% of cereals. Six breakfast cereal companies had child-targeted product lines that consisted entirely of “less healthy” cereals. Conclusion There is a need for regulations that restrict food marketing to children and youth under the age of 17 on packaging to reduce their appeal to this age group. Children’s breakfast cereals also need to be reformulated through government-set targets, or through regulation should compliance be deemed unacceptable.


Nutrients ◽  
2019 ◽  
Vol 11 (10) ◽  
pp. 2476
Author(s):  
Wang ◽  
Almoosawi ◽  
Palla

This study aims at combining time and quantity of carbohydrate (CH) intake in the definition of eating patterns in UK adults and investigating the association of the derived patterns with type 2 diabetes (T2D). The National Diet and Nutrition Survey (NDNS) Rolling Program included 6155 adults in the UK. Time of the day was categorized into 7 pre-defined time slots: 6–9 am, 9–12 noon, 12–2 pm, 2–5 pm, 5–8 pm, 8–10 pm, and 10 pm–6 am. Responses for CH intake were categorized into: no energy intake, CH <50% or ≥50% of total energy. Non-parametric multilevel latent class analysis (MLCA) was applied to identify eating patterns of CH consumption across day-time, as a novel method accounting for the repeated measurements of intake over 3–4 days nested within individuals. Survey-designed multivariable regression was used to assess the associations of CH eating patterns with T2D. Three CH eating day patterns (low, high CH percentage and frequent CH intake day) emerged from 24,483 observation days; based on which three classes of CH eaters were identified and characterized as: low (28.1%), moderate (28.8%) and high (43.1%) CH eaters. On average, low-CH eaters consumed the highest amount of total energy intake (7985.8 kJ) and had higher percentages of energy contributed by fat and alcohol, especially after 8 pm. Moderate-CH eaters consumed the lowest amount of total energy (7341.8 kJ) while they tended to have their meals later in the day. High-CH eaters consumed most of their carbohydrates and energy earlier in the day and within the time slots of 6–9 am, 12–2 pm and 5–8 pm, which correspond to traditional mealtimes. The high-CH eaters profile had the highest daily intake of CH and fiber and the lowest intake of protein and fat. Low-CH eaters had greater odds than high-CH eaters of having T2D in self-reported but not in previously undiagnosed diabetics. Further research using prospective longitudinal studies is warranted to ascertain the direction of causality in the association of CH patterns with type 2 diabetes.


2008 ◽  
Vol 1 (4) ◽  
pp. 437-448 ◽  
Author(s):  
K. Scudamore ◽  
S. Patel

A study of the changes undergone by Fusarium mycotoxins present in maize and wheat at intake during the processing of commercial grain samples into breakfast cereals was carried out. Natural concentrations of deoxynivalenol and zearalenone in wheat were mostly low although higher levels of fumonisins occurred in maize. An exhaustive cleaning regime was used for wheat received from UK farms that reduced deoxynivalenol levels by about 50%, although this varied considerably between consignments. During processing to manufacture two commercial breakfast cereals, further loss of deoxynivalenol was minimal. However, this was significantly greater in a product from which excess aqueous cooker effluent was drained, suggesting that loss was due to solution of the mycotoxin in the cooking liquor rather than to hydrolysis. It is estimated that deoxynivalenol present at the EC maximum limit of 1,250 µg/kg in intake wheat would be reduced to about 700 and 400 µg/kg respectively for the 2 types of whole-wheat breakfast cereals examined during processing. Maize flaking grits were inherently low in mycotoxin concentrations compared to the raw maize so that the mycotoxin levels in the cereal ingredient for cornflakes used in this manufacturing process were unlikely to approach EC regulatory levels. In processing these grits, fumonisins were reduced further by at least 93% although no reduction of deoxynivalenol occurred. It is estimated that fumonisins and deoxynivalenol at the EC maximum limits in raw maize of 4,000 µg/kg and 1,750 µg/kg would be reduced to about 17 µg/kg and 288 µg/kg respectively in corn flakes made by the traditional cooking process used in the UK.


2021 ◽  
pp. 1-20
Author(s):  
Linia Patel ◽  
Gianfranco Alicandro ◽  
Paola Bertuccio ◽  
Carlo La Vecchia

Abstract Apparent differences in the adoption of the Dietary Approach to Stop Hypertension (DASH) diet have been reported between less and more educated individuals. However, the mediating role of income has not been clarified. In this study, we aimed at quantifying the mediating effect of income on the relationship between education and the DASH score in the UK population. We analyzed data on 4864 subjects aged 18 years and older collected in three waves of the National Diet and Nutrition Survey (NDNS 2008-2016). The DASH score was calculated using sex-specific quintiles of DASH items. We carried out a counterfactual-based mediation analysis to decompose the total effect of education on DASH score into average direct effect (ADE) and average causal mediation effect (ACME) mediated by income. We found that the overall mediating effect of income on the relationship between education and the DASH score was only partial, with an estimated proportion mediated ranging between 6 to 9%. The mediating effect was higher among females (11.6%) and younger people (17.9%). Further research is needed to investigate which other factors may explain the socioeconomic inequality in the adoption of the DASH diet in UK.


Current dietary patterns 30 Information on current dietary patterns in the UK is taken from the National Diet and Nutrition Survey (NDNS). NDNS is a rolling programme commissioned by PHE and FSA, and surveys people aged 1.5 years and older living in private households. Combined intakes in 2009 and 2011–2012 for adults aged 19–64 years (conducted between February 2008 and June 2009) and the 2000/01 survey are reported as appropriate....


1987 ◽  
Vol 5 (1-2) ◽  
pp. 19-23 ◽  
Author(s):  
A F. Hackett ◽  
A. J. Rugg-Gunn ◽  
D. R. Appleton

In order to investigate the relationships between diet and tooth decay the authors recently completed the first longitudinal study of diet and dental caries increment in children. 405 children initially aged 11.5 years each recorded their intake of foods and drinks for a total of 15 days over a period of 2 years. This is a review of some of the findings. The evidence implicating consumption of sugars in the causation of dental caries is both diverse and overwhelming (Rugg-Gunn, 1983). Of the 30 or so observational studies relating diet and dental caries in children, all except one have been cross-sectional in design. Such a design is unsatisfactory in older children at least because there is little reason why a lifetime's caries experience should be related to a single estimate of dietary intake. In addition there have been few reports of the food intake in general, and sugars intake in particular, of children in the UK. A longitudinal survey of intake could indicate how choice of foods changes with age and if repeated could show how preferences change over time. The National Food Survey has provided some information on food acquisition (not consumption) over the past 40 years (Derry and Buss, 1984). Unfortunately, besides not estimating consumption this survey does not include foods bought and consumed away from the home such as confectionery and soft drinks. Furthermore, this survey collects data by household and so information for age and sex specific groups is not available. Comments regarding sugars consumption amongst children must be derived from data collected from properly designed dietary surveys of defined groups of individuals. Such knowledge of what children eat is essential to the planning of effective health education campaigns. In order to contribute to the understanding of the relationship between diet and caries in children and to contribute to health education a longitudinal study was undertaken which had the following aim: to rank some defined dietary factors either singly or in combination in the order in which they explain the dental caries increment of over 400 children.


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