scholarly journals Non-milk extrinsic sugars in the diets of pre-school children: association with intakes of micronutrients, energy, fat and NSP

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.

1999 ◽  
Vol 2 (2) ◽  
pp. 199-208 ◽  
Author(s):  
CM Walmsley ◽  
CJ Bates ◽  
A Prentice ◽  
TJ Cole

AbstractObjectivesTo examine the relationship between cigarette smoking and a range of nutrient intakes and blood status indices in older people.DesignNational Diet and Nutrition Survey: cross-sectional survey of nationally representative sample of people aged 65 years and over.SettingMainland Britain during 1994/95.Subjects1191 people (619 male, 572 female) aged 65 years and over, of whom 920 were living in private households and 271 were living in institutions.ResultsCigarette smoking was inversely correlated with intakes of antioxidants and other micronutrients after adjustment for age, sex and domicile. Cigarette smoking was also inversely correlated with a number of antioxidant micronutrient status indices including plasma vitamin C and the carotenoids (but not vitamin E status indices), and with other micronutrient status indices, including plasma pyridoxal phosphate, red cell and serum folate, after adjustment for age, sex, domicile and the corresponding nutrient intake. Previous cigarette smoking or cigar/pipe smoking was not generally associated with lower nutrient intakes or status indices, however, both current and previous cigarette smoking was associated with increased concentrations of acute phase indicators. Further adjustment for total energy intake and/or sociodemographic, health and drug usage variables attenuated only a few of the associations observed.ConclusionOlder people who smoke cigarettes are at increased risk of suboptimal antioxidant and other micronutrient intakes and status, but the lower intakes found in cigarette smokers only partly explain their reduced blood indices.


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.


2017 ◽  
Vol 118 (4) ◽  
pp. 280-290 ◽  
Author(s):  
Janine D. Coulthard ◽  
Luigi Palla ◽  
Gerda K. Pot

AbstractAlthough breakfast consumption is widely considered to be an important component of a healthy lifestyle, few UK studies have examined differences in nutrient intakes between breakfast consumers and breakfast skippers among children and adolescents. We investigated associations between breakfast skipping in 4–18-year-olds and their nutrient intakes using data from the UK’s National Diet and Nutrition Survey Rolling Programme. Dietary data were derived from 4-d estimated food diaries of 802 children aged 4–10 years and 884 children aged 11–18 years (1686 in total). Daily nutrient intakes of children with different breakfast habits were compared by one-way ANCOVA adjusting for relevant covariates (sex, age, ethnicity, equivalised household income and BMI). Within-person analysis was carried out on children with an irregular breakfast habit (n879) comparing nutrient intakes on breakfast days with those on non-breakfast days using repeated measures ANCOVA. We observed that the overall nutritional profile of the children in terms of fibre and micronutrient intake was superior in frequent breakfast consumers (micronutrients: folate, Ca, Fe and I (P<0·01)) and, for the 4–10 years age group, on breakfast days (micronutrients: folate, vitamin C, Ca and I (P<0·01)). Also, significantly higher proportions of breakfast-consuming children met their reference nutrient intakes of folate, vitamin C, Ca, Fe and I compared with breakfast skippers (χ2analysis,P<0·001). Our study adds to the body of data linking breakfast consumption with higher quality dietary intake in school-age children, supporting the promotion of breakfast as an important element of a healthy dietary pattern in children.


Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 554 ◽  
Author(s):  
Xiaofang Jia ◽  
Dantong Wang ◽  
Alison L. Eldridge ◽  
Bing Zhang ◽  
Xiaofan Zhang ◽  
...  

Dairy foods are under-consumed among Chinese children. We modeled the impact of increased dairy consumption on nutrient inadequacy and assessed whether the consumption of formulated milk powder for children ≥3 years (FMP3+) is useful for reducing nutrient gaps. Data from 3–8-year-old children, with completed socio-demographic and dietary measurements from the China Health and Nutrition Survey 2015, were used (n = 1122). Dietary intakes were modeled in two scenarios: Scenario 1 added FMP3+ or cow’s milk to reported diet to reach recommended dairy intakes; Scenario 2 replaced the currently consumed milk with an equal volume of FMP3+. Reported nutrient intakes were compared with each model. Only 32.5% of children consumed dairy products; the average intake amount in total was 48.6 g/day. Most children (97.6%) did not meet dairy intake recommendation. Inadequate nutrient intakes were observed for calcium, potassium, thiamin, riboflavin, vitamin C and selenium. In Scenario 1, both FMP3+ and cow’s milk improved the intake of all analyzed nutrients. In Scenario 2, FMP3+ substitution increased the intake of most nutrients, and reduced the proportion of children with an inadequate intake of vitamin C, thiamin, vitamin A, iron, zinc and potassium. Thus, increasing dairy consumption would reduce nutrient gaps, and FMP3+ is a good food source to help children meet nutrient requirements.


2002 ◽  
Vol 5 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Pauline Emmett ◽  
Imogen Rogers ◽  
Carol Symes ◽  

AbstractObjective:To investigate food and nutrient intakes in 3-year-old children.Subjects:Eight hundred and sixty-three children resident in South West England (69% of those invited at this age), a randomly selected sub-sample of the Avon Longitudinal Study of Pregnancy and Childhood (ALSPAC).Methods:Diet was assessed using a 3-day descriptive food record. Food and nutrient intakes were compared with intakes at 18 months in the same children, with intakes in the British National Diet and Nutrition Survey (NDNS) of pre-school children, and with dietary reference values (DRVs).Results:Intakes of energy and most nutrients had increased between 18 and 43 months. The macronutrient content of the diet had also changed, the percentage of energy from starch rose from 21 to 23% and from non-milk extrinsic (NME) sugar from 12 to 16%, while the polyunsaturated to saturated fat ratio increased from 0.26 to 0.33. When compared with the NDNS, intakes of energy and all nutrients were higher with the exception of NME sugar. Energy intakes were below the estimated average requirements. Mean intakes of iron and vitamin D were below the Reference Nutrient Intake. Fewer children were eating beef at 43 months than at 18 months. Total daily meat consumption was lower than in the NDNS. The proportion of children consuming any vegetables dropped between 18 and 43 months, although fruit eating remained constant.Conclusions:The diets of 3-year-olds in this study were adequate in most nutrients. Our results suggest that energy requirements of pre-school children in the 1990s are less than the DRV. Nutrient and food intakes changed between 18 and 43 months. Children were eating less meat than their counterparts in the NDNS.


2005 ◽  
Vol 8 (6) ◽  
pp. 657-665 ◽  
Author(s):  
Dorothy Mackerras ◽  
Ingrid Rutishauser

AbstractObjectiveTo illustrate the effect of common mistakes when using 24-hour national dietary survey data to estimate the prevalence of inadequate nutrient intakes.DesignRaw data on nutrient intake from the Australian 1995 National Nutrition Survey were adjusted for within-person variance using standard techniques and corrected for underreporting using the criteria of Goldberg et al. The distributions for six nutrients were compared with current dietary reference values from the UK, USA and Australia.SettingA national sample of the Australian population with a 61.4% response rate.ResultsAdjusting for within-person variance reduced the range of nutrient intakes to 66–80% of the raw data range and the proportion with intakes below the estimated average requirement (EAR) by up to 20%. Excluding underreporters further reduced the proportion below the EAR by up to 10%. Using the dietary reference values from different countries also resulted in some markedly different estimates. For example, the prevalence of low folate intakes ranged from <1 to 92% for adult women depending on the reference used. Except for vitamin A and protein, the prevalence of low intakes was invariably higher for women than for men.ConclusionsEstimates of the prevalence of low nutrient intakes based on raw 24-hour survey data are invariably misleading. However, even after adjustment for within-person variance and underreporting, estimates of the prevalence of low nutrient intakes may still be misleading unless interpreted in the light of the reference criteria used and supported by relevant biochemical and physiological measures of nutritional status.


Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1621 ◽  
Author(s):  
Heidi T. Lai ◽  
Jayne Hutchinson ◽  
Charlotte E. L. Evans

The revised guidelines from the Department of Health (DoH) in the UK state that mean population intakes of free sugars should be below 5% of the total energy (TE) consumption of the British population. However, very few studies have assessed the impact of this recommendation on diet quality in the UK. We explored the dietary patterns and intakes of micronutrients of British adolescents with low intakes of non-milk extrinsic sugars (NMES) (similar to free sugars but not equal, with slight differences in the categorisation of fruit sugars from dried, stewed or canned fruit and smoothies), using the National Diet and Nutrition Survey Rolling Programme, years 1–8 (NDNS RP). The sample included 2587 adolescents aged 11–18 years. Four percent (112) of adolescents reported consuming 5% or lower NMES as a proportion of TE. The odds of being categorised as a low-sugar consumer in adolescents (≤5% TE from NMES) were significantly lower with higher intakes of sweetened drinks, fruit juice, cakes, biscuits, sugar and sweet spreads, chocolate confectionery and sugar confectionery, and significantly higher with higher intakes of pasta and rice, wholemeal and brown bread, and fish. Across the five categories of NMES intakes, micronutrient intakes were lowest for those consuming either ≤5% TE or more than 20% TE from NMES, and optimal for those consuming between 10–15% of energy from NMES. These findings confirm the difficulties of meeting the free sugars recommended intake for adolescents. Care needs to be taken to ensure that an adequate consumption of micronutrients is achieved in those adhering to the revised guidelines on free sugars.


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.


2020 ◽  
Vol 26 (4) ◽  
pp. 277-283
Author(s):  
Mary M Murphy ◽  
Leila M Barraj ◽  
Tristin D Brisbois ◽  
Alison M Duncan

Background: In Canada, studies on consumption of 100% fruit juice and nutrient intakes are limited. Aim: This study aimed to evaluate nutrient intakes and adequacy of intake by frequency of fruit juice consumption. Methods: Individuals ≥1 year ( n = 34,351) participating in the Canadian Community Health Survey, 2004 with a 24-hour dietary recall and reported usual frequency of fruit juice consumption (assumed to be 100% juice) were categorized by frequency of consumption as <0.5, ≥0.5 to <1.5, or ≥1.5 times/day. Results: More frequent consumption of fruit juice (≥0.5 times/day) was associated with higher intakes of total fruits and vegetables, whole fruits, energy, total sugars, vitamin C and potassium. More frequent consumption of fruit juice was associated with improved intake adequacy of vitamin C for adults. Conclusions: Fruit juice consumption contributes to increased intakes of vitamin C and potassium as well as energy and total sugars, thus presenting a trade-off for consumers to balance.


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