Using the Concept of Food Based Dietary Guidelines to Develop an Optimized Mixed Diet (OMD) for German Children and Adolescents

2005 ◽  
Vol 40 (3) ◽  
pp. 301-308 ◽  
Author(s):  
Mathilde Kersting ◽  
Ute Alexy ◽  
Kerstin Clausen
2003 ◽  
Vol 6 (7) ◽  
pp. 697-702 ◽  
Author(s):  
Ute Alexy ◽  
Mathilde Kersting ◽  
Verena Schultze-Pawlitschko

AbstractObjective:Intake of sugars is restricted in most international food guides. However, in recent recommendations quantified limits of added sugars intake have not been given, although deemed necessary by those who criticised the recommendations.Design:Two approaches to derive a scientifically based quantified limit of added sugars intake for German children and adolescents are suggested. For the first dietary survey approach, 5120 three-day weighed dietary records from the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study were used. Added sugars intakes in records of high vs. low dietary quality, measured by a nutrient intake score, were compared. For the second approach, a total dietary concept for German children and adolescents developed and evaluated by the Research Institute of Child Nutrition – the Optimised Mixed Diet – was used.Results:Whereas in the latter dietary concept an added sugars intake of about 6% of energy intake is tolerated, the dietary survey approach resulted in only small differences between high and low dietary quality, with a median added sugars intake of 12% of energy in records with high dietary quality.Conclusions:A reasonable dietary quality is possible within higher ranges of added sugars intake than derived from the dietary concept approach. Therefore we suggest a range of intake of added sugars for German children and adolescents, from 6% to 12% of energy.


2000 ◽  
Vol 37 (2) ◽  
pp. 93-101 ◽  
Author(s):  
F. Oeffner ◽  
D. Bornholdt ◽  
A. Ziegler ◽  
A. Hinney ◽  
T. Görg ◽  
...  

2013 ◽  
Vol 62 (1) ◽  
pp. 75-79 ◽  
Author(s):  
U. Alexy ◽  
J. Freese ◽  
M. Kersting ◽  
K. Clausen

2011 ◽  
Vol 15 (4) ◽  
pp. 600-608 ◽  
Author(s):  
Helena Kobe ◽  
Matevž Štimec ◽  
Cirila Hlastan Ribič ◽  
Nataša Fidler Mis

AbstractObjectivesTo investigate the food intake of Slovenian adolescents and to compare it with food-based dietary guidelines developed for children and adolescents, named the Optimized Mixed Diet (OMD). The OMD is a useful tool for the evaluation of food intake of adolescents.DesignAll adolescents completed an FFQ at a regional health centre; a subgroup also completed a 3 d weighed dietary protocol at home.SettingThis study is a part of the first national representative study on the dietary habits of Slovenian adolescents.SubjectsThis cross-sectional study included a representative sample of 2813 Slovenian adolescents entering high school, aged 14–17 years, from all ten geographical regions of Slovenia.ResultsThe greatest deviations from the recommended intakes of the main food groups in the OMD were significantly lower intakes of (P < 0·001, mean): vegetables (179 and 163 g/d in boys and girls, respectively), bread/cereals (271 and 226 g/d), potatoes/rice/pasta (212 and 163 g/d); in boys also a significantly lower intake of fruits (mean: 321 g/d, P < 0·001) and a significantly higher intake of meat/meat products (mean: 126 g/d, P < 0·001). Additionally, the results show too high intake of sugar-sweetened beverages and too low intakes of fish and plant oils in both genders.ConclusionsThe food intake pattern of Slovenian adolescents deviates markedly from a healthy eating pattern. Nutrition education and interventions are needed for Slovenian adolescents.


Obesity Facts ◽  
2012 ◽  
Vol 5 (1) ◽  
pp. 77-90 ◽  
Author(s):  
Sandra Plachta-Danielzik ◽  
Marie Isabel Gehrke ◽  
Britta Kehden ◽  
Katrin Kromeyer-Hauschild ◽  
Monika Grillenberger ◽  
...  

2003 ◽  
Vol 90 (2) ◽  
pp. 441-447 ◽  
Author(s):  
Ute Alexy ◽  
Wolfgang Sichert-Hellert ◽  
Mathilde Kersting

The aim of the present analysis was to evaluate the effect of intake of added sugars on intakes of nutrients and food groups. We used a mixed linear model (PROC MIXED) to analyse data from the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) study (an ongoing longitudinal cohort study between infancy and adulthood). Between July 1985 and August 2001, 3 d weighed dietary records (n 4993) from 849 children and adolescents (416 male, 433 female) aged 2–18 years were collected and evaluated. Overall mean intake of added sugars was 12·4 (SD 5·3) (median 12·0) % energy. Fat intake (% energy) and intake of all analysed nutrients (as % reference values for nutrient intakes) fell across quintiles 1–5 of energy intake from added sugars (P<0·001). With the exception of ‘Sugary foods’ and ‘Beverages’ (significant increase, P<0·0001) and ‘Dairy’ (NS), intake of all other food groups decreased with increasing intake of added sugars (P<0·0001). In conclusion, we found a slight, but statistically significant, nutrient-dilution effect of added sugars and a significant reduction in intake of important nutrient-bearing food groups. However, the DONALD study gives no clear indicator on grounds of micronutrient dilution for a quantitative limit on intake of added sugars.


Cephalalgia ◽  
2008 ◽  
Vol 28 (11) ◽  
pp. 1154-1162 ◽  
Author(s):  
J Gaßmann ◽  
L Morris ◽  
M Heinrich ◽  
B Kröner-Herwig

The aims of the present study were the assessment of headache (HA) prevalence in German children and adolescents in the second year of a 4-year longitudinal study and the analysis of headache status change from year 1 to year 2. The original sample consisted of 8800 households with a child aged 7-14 years. A total of 4159 households responded in both year 1 and year 2, yielding 3984 valid parent questionnaires. Data regarding various aspects of the child's HA history and general health were gathered via mailed questionnaires from the parents. Of the households returning valid parent questionnaires at survey 2, 48.9± reported their child to have experienced headaches during the previous 6 months (53± at survey 1). Weekly HA was reported for 6.5± of the children, monthly or less frequent HA for 16.5± and 25.9±, respectively. With regard to headache diagnosis, 55.0± of the children and adolescents with HA experienced tension-type HA (TTH) and 11.3± migraine with or without aura (M). For more than half of the children and adolescents with HA (57.0±) the frequency of head pain remained stable over the period of 1 year (i.e. same frequency category in years 1 and 2). Improved and worsened HA status regarding frequency of occurrence was found in 22.3± and 20.7± of the subjects, respectively. Thus, there was no definite trend towards an increase of HA episodes over the course of 1 year regarding the individual child or adolescent. The most stable type of HA was TTH.


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