scholarly journals Improved Eating Behaviour and Nutrient Intake in Noncompliant Patients with Phenylketonuria after Reintroducing a Protein Substitute: Observations from a Multicentre Study

Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2035 ◽  
Author(s):  
Green ◽  
Rahman ◽  
Firman ◽  
Adam ◽  
Jenkinson ◽  
...  
Keyword(s):  
Vitamin D ◽  
Nutrient Intake ◽  
Eating Behaviour ◽  
Saturated Fat ◽  
Protein Substitute ◽  
Natural Protein ◽  
Micronutrient Intake ◽  
Calcium Magnesium ◽  
Low Volume ◽  
New Strategies

Noncompliance is widespread in adults with PKU and is associated with adverse metabolic, nutritional and cognitive abnormalities. Returning to the PKU diet is important for this at-risk population, yet for many this is challenging to achieve. Strategies that ease the return to the PKU diet, while offering nutritional and cognitive advantages, are needed. Twelve PKU adults (33.7 ± 2.6 years), who had been noncompliant for 4.5 years (range: 1 to 11 years), took 33 g of a low-volume, nutrient-enriched, protein substitute daily for 28 days. Outcomes of eating behaviour, nutrient intake and mood were assessed at entry (baseline, days 1–3) and after the intervention period (days 29–31). At baseline, intakes of natural protein and estimated phenylalanine were high (66.4 g and 3318.5 mg, respectively) and intakes of calcium, magnesium, iron, zinc, iodine and vitamin D were below country-specific recommendations. With use of the experimental protein substitute, natural protein and estimated phenylalanine intake declined (p = 0.043 for both). Fat and saturated fat intakes also decreased (p = 0.019 and p = 0.041, respectively), while energy and carbohydrate intake remained unchanged. Micronutrient intake increased (p ≤ 0.05 for all aforementioned) to levels well within reference nutrient intake recommendations. Blood vitamin B12 and vitamin D increased by 19.8% and 10.4%, respectively. Reductions in anxiety and confusion were also observed during the course of the study yet should be handled as preliminary data. This study demonstrates that reintroducing a low-volume, nutrient-enriched protein substitute delivers favourable nutritional and possible mood benefits in noncompliant PKU patients, yet longer-term studies are needed to further confirm this. This preliminary knowledge should be used in the design of new strategies to better facilitate patients’ return to the PKU diet, with the approach described here as a foundation.

scholarly journals Associations between yogurt consumption and nutrient intake in the United Kingdom

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Yong Zhu ◽  
Jessica Smith ◽  
Neha Jain ◽  
Vipra Vanage ◽  
Mitesh Sharma ◽  
...  
Keyword(s):  
Vitamin D ◽  
United Kingdom ◽  
Energy Intake ◽  
Nutrient Intake ◽  
Daily Intake ◽  
Saturated Fat ◽  
Food Diary ◽  
Nutrition Survey ◽  
The United Kingdom ◽  
Total Fat

AbstractIntroduction: The present study was conducted to examine yogurt consumption patterns and investigate associations between yogurt consumption and nutrient intake using data from the National Diet and Nutrition Survey (NDNS) rolling programme in the United Kingdom.Materials and Methods: Children aged 1.5–18 years old (N = 2564) and adults aged 19 years or older (N = 2705) from the NDNS 2012/13–2015/16 were included in the study. The average of four-day food diary data was used for analysis. Yogurt included all food items from the yogurt, fromage frais and dairy dessert food group, excluding dairy dessert products. Participants were classified as yogurt eaters if they reported consumption of yogurt at least once during the four days. Percentage contribution of yogurt to daily intake of nutrients in yogurt eaters was calculated. Multiple linear regression analyses for surveys were used to compare differences in energy and nutrient intake between yogurt eaters and non-eaters, adjusting for sociodemographic characteristics. Energy intake was also adjusted for in nutrient data analysis.Results: The prevalence of yogurt consumption was 53% in children and 39% in adults. The daily intake of yogurt was 105 g and 132 g, respectively. Yogurt is an important source of calcium and riboflavin in children and adults, as well as vitamin D in children, accounting for over 15% of daily intake of these nutrients. Compared to non-eaters, yogurt eaters had significantly higher energy intake in both children and adults; they also had significantly higher intake of protein, fiber, calcium, magnesium, phosphorus, potassium, folate, riboflavin, thiamin, and vitamin C, as well as significantly lower intake of sodium. Child yogurt eaters also had significantly higher intake of vitamin A and vitamin B12, and lower intake of total fat, whereas adult yogurt eaters had significantly higher intake of carbohydrate, iron, zinc, vitamin D and vitamin E, compared to non-eaters. Both yogurt eaters in children and adults had higher intake of total sugar; nonetheless, non-milk extrinsic sugar intake did not differ by yogurt consumption status in children, and it was significantly lower in adult yogurt eaters. Saturated fat intake did not differ by yogurt consumption status in children and adults.Discussion: Yogurt is an important dietary source of several nutrients in the United Kingdom. Its consumption was positively associated with intake of total energy and many nutrients to encourage, but not positively associated with intake of sodium, total fat, saturated fat, and non-milk extrinsic sugar in both children and adults.

scholarly journals Micronutrient Inadequacy in Short Sleep: Analysis of the NHANES 2005–2016

Nutrients ◽  
2019 ◽  
Vol 11 (10) ◽  
pp. 2335 ◽  
Author(s):  
Ikonte ◽  
Mun ◽  
Reider ◽  
Grant ◽  
Mitmesser
Keyword(s):  
Vitamin D ◽  
Sleep Duration ◽  
Adult Population ◽  
Short Sleep Duration ◽  
Cross Sectional ◽  
Short Sleep ◽  
Sleep Analysis ◽  
Micronutrient Intake ◽  
Calcium Magnesium ◽  
And Gender

One third of U.S. adults report short sleep (<7 h), which has been linked to negative health outcomes. Inadequate intake of micronutrients across the U.S. adult population has been reported, and a relationship between sleep conditions and micronutrient intake is emerging. This cross-sectional analysis of the National Health and Nutrition Examination Survey (NHANES 2005–2016) (n = 26,211) showed that participants with short sleep duration had a lower usual intake (Food + Supplements) of calcium, magnesium, and vitamin D in all adults aged 19+ years, and vitamin K in adults aged 19–50 years, even after adjusting for covariates. In addition, participants reporting short sleep had a higher percentage of individuals with intake lower than the estimated average requirement (EAR) across multiple nutrients. Age and gender differences were observed in the prevalence of inadequate intake across multiple nutrients. Adults aged 51–99 years with short sleep duration had inadequate intake with respect to more nutrients. In females there was an association between short sleep and a higher prevalence of inadequate intake (Food + Spp) for calcium, magnesium, and vitamins A, C, D, E, and K (above adequate intake). Conversely, males reporting short sleep only had an inadequate intake of vitamin D. Overall, we demonstrate that short sleep is associated with increased nutrient inadequacy, emphasizing the possible need for dietary supplementation.

scholarly journals Energy and Nutrient Intake of Americans according to Meeting Current Dairy Recommendations

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3006 ◽  
Author(s):  
Julie M. Hess ◽  
Christopher J. Cifelli ◽  
Victor L. Fulgoni III
Keyword(s):  
Nutrient Intake ◽  
Saturated Fat ◽  
Dietary Guidelines ◽  
Adequate Intake ◽  
Dairy Food ◽  
Added Sugars ◽  
Dairy Foods ◽  
Dietary Guidelines For Americans ◽  
Calcium Magnesium ◽  
Using Data

Most Americans do not meet dairy food recommendations from the 2015 Dietary Guidelines for Americans (DGA). This study assesses differences in nutrient intake between Americans who meet recommendations for dairy intake and those who do not, using data from the National Health and Nutrition Examination Survey from 2013–2014 and 2015–2016 (n = 5670 children ages 2–18 years and n = 10,112 adults ages 19+). Among children and adults, those meeting dairy food recommendations were significantly more likely to have adequate intake (% above Estimated Average Requirement (EAR)) of calcium, magnesium, phosphorus, riboflavin, vitamin A, vitamin B12, and zinc and consume above the Adequate Intake (AI) for potassium and choline than Americans not meeting dairy recommendations, regardless of age, sex, or race/ethnicity. Americans meeting dairy recommendations were also more likely to exceed recommendations for sodium and saturated fat but consume less added sugars. Nearly 60% of Americans 2 years and older not meeting dairy recommendations consumed calcium and magnesium below the EAR. Only about 20% of Americans who did not meet dairy recommendations consumed above the AI for potassium. Dairy foods make important and unique contributions to dietary patterns, and it can be difficult to meet nutrient needs without consuming recommended amounts of dairy foods.

scholarly journals Consumption of Ready-to-Eat Cereal and Its Associations With Nutrient Intake and Nutrition Adequacy in the United States, NHANES 2017–2018

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1115-1115
Author(s):  
Yong Zhu ◽  
Neha Jain ◽  
James Normington ◽  
Jean-Michel Michno ◽  
Nort Holschuh ◽  
...  
Keyword(s):  
United States ◽  
Older Adults ◽  
Vitamin D ◽  
Vitamin A ◽  
Nutrient Intake ◽  
Age Groups ◽  
Saturated Fat ◽  
The United States ◽  
Dietary Recall ◽  
Health And Nutrition

Abstract Objectives Ready-to-eat cereal (RTEC) has been associated with improved intake of under-consumed nutrients. This study was conducted to examine consumption of RTEC and its association with nutrient intake and nutrition adequacy in the United States using the most recent nationally representative data. Methods Data from National Health and Nutrition Examination Survey (NHANES) 2017–2018 was used. Participants were classified as RTEC eaters or non-eaters depending on whether RETC was reported in their day-1 dietary recall. Total daily nutrient intake was compared by RTEC consumption status using ANOVA for survey data. Percentages below Estimated Average Requirement (EAR) for selected vitamins and minerals that are usually fortified in RTEC products were calculated using the National Cancer Institute method as estimate of usual intake. Data were analyzed in children (2–17 y, N = 2135), adults 18–64 y (N = 3675), and older adults (65 y or older, N = 1221) separately. Results Among children, 34% reported RTEC consumption. The percentage of RTEC consumers was 14% in adults 18–64y and 22% in adults 65y or older. Consumption of RTEC was associated with significantly higher intake of carbohydrate, dietary fiber, calcium, iron, zinc, magnesium, potassium, phosphorus, vitamin A, thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, and vitamin D (all P &lt; 0.05), but not with intake of protein, saturated fat, and vitamin E, in all three groups examined. Children who consumed RTEC also had a significantly lower intake of sodium (2735 mg vs 2929 mg, P = 0.02) and total fat (70 g vs 76 g, P = 0.005) than non-eaters, whereas energy intake was significantly higher in RTEC eaters than non-eaters in adults 18–64y (2390 kcal vs 2171 kcal, P = 0.03) and older adults (2081 kcal vs 1921 kcal, P = 0.03). Percentages below EAR for vitamin A, B vitamins, vitamin C, vitamin D, calcium, zinc, iron were lower in RTEC eaters than non-eaters in all age groups examined. Conclusions We found that consumption of RTEC was associated with higher intake of nutrients to encourage and RTEC consumers were more likely to meet nutrient recommendations compared to RTEC non-consumers. Funding Sources The study was supported by Bell Institute of Health and Nutrition, General Mills, Inc.

scholarly journals Micronutrient intake and food sources in the very old: analysis of the Newcastle 85+ Study

2016 ◽  
Vol 116 (4) ◽  
pp. 751-761 ◽  
Author(s):  
Nuno Mendonça ◽  
Tom R. Hill ◽  
Antoneta Granic ◽  
Karen Davies ◽  
Joanna Collerton ◽  
...  
Keyword(s):  
Vitamin D ◽  
Nutrient Intake ◽  
Multinomial Logistic Regression ◽  
Food Sources ◽  
Micronutrient Deficiencies ◽  
Very Old ◽  
North East ◽  
The North ◽  
Micronutrient Intake ◽  
Increased Risk

AbstractA number of socio-economic, biological and lifestyle characteristics change with advancing age and place very old adults at increased risk of micronutrient deficiencies. The aim of this study was to assess vitamin and mineral intakes and respective food sources in 793 75-year-olds (302 men and 491 women) in the North-East of England, participating in the Newcastle 85+ Study. Micronutrient intakes were estimated using a multiple-pass recall tool (2×24 h recalls). Determinants of micronutrient intake were assessed with multinomial logistic regression. Median vitamin D, Ca and Mg intakes were 2·0 (interquartile range (IQR) 1·2–6·5) µg/d, 731 (IQR 554–916) mg/d and 215 (IQR 166–266) mg/d, respectively. Fe intake was 8·7 (IQR 6·7–11·6) mg/d, and Se intake was 39·0 (IQR 27·3–55·5) µg/d. Cereals and cereal products were the top contributors to intakes of folate (31·5 %), Fe (49·2 %) and Se (46·7 %) and the second highest contributors to intakes of vitamin D (23·8 %), Ca (27·5 %) and K (15·8 %). More than 95 % (n756) of the participants had vitamin D intakes below the UK’s Reference Nutrient Intake (10 µg/d). In all, >20 % of the participants were below the Lower Reference Nutrient Intake for Mg (n175), K (n238) and Se (n418) (comparisons with dietary reference values (DRV) do not include supplements). As most DRV are not age specific and have been extrapolated from younger populations, results should be interpreted with caution. Participants with higher education, from higher social class and who were more physically active had more nutrient-dense diets. More studies are needed to inform the development of age-specific DRV for micronutrients for the very old.

Nutritional considerations of a pediatric gluten free food guide for celiac disease

2021 ◽  
pp. 1-31
Author(s):  
Diana R. Mager ◽  
Samantha Cyrkot ◽  
Christine Lirette ◽  
Herbert Brill ◽  
Jenna Dowhaniuk ◽  
...  
Keyword(s):  
Vitamin D ◽  
Celiac Disease ◽  
Health Care Professionals ◽  
Nutrient Intake ◽  
Fruits And Vegetables ◽  
Free Food ◽  
Gluten Free ◽  
Cross Sectional ◽  
Food Literacy ◽  
Nutrition Guidelines

Abstract The gluten free (GF) diet is the only treatment for celiac disease (CD). While the GF diet can be nutritious, increased reliance on processed and packaged GF foods can result in higher fat/sugar and lower micronutrient intake in children with CD. Currently, there are no evidence-based nutrition guidelines that address the GF diet. The objective of this cross-sectional study was to describe the methodological considerations in forming a GF food guide for Canadian children and youth (4-18 years) with CD. Food guide development occurred in three phases: 1) evaluation of nutrient intake and dietary patterns of children on the GF diet, 2) pre-guide stakeholder consultations with 151 health care professionals and 383 community end users, and 3) development of 1260 GF diet simulations that addressed cultural preferences and food traditions, diet patterns and diet quality. Stakeholder feedback identified nutrient intake and food literacy as important topics for guide content. Except for vitamin D, the diet simulations met 100% macro- and micronutrient requirements for age-sex. The pediatric GF plate model recommends intake of >50% fruits and vegetables, <25% grains and 25% protein foods with a stronger emphasis on plant-based sources. Vitamin D fortified fluid milk/unsweetened plant-based alternatives and other rich sources are important to optimize vitamin D intake. The GF food guide can help children consume a nutritiously adequate GF diet and inform policy makers regarding the need for nutrition guidelines in pediatric CD.

scholarly journals Effects of usual nutrient intake and vitamin D status on markers of bone turnover in Swiss adolescents

2004 ◽  
Vol 58 (9) ◽  
pp. 1257-1265 ◽  
Author(s):  
F Ginty ◽  
C Cavadini ◽  
P-A Michaud ◽  
P Burckhardt ◽  
M Baumgartner ◽  
...  
Keyword(s):  
Vitamin D ◽  
Bone Turnover ◽  
Nutrient Intake ◽  
Vitamin D Status ◽  
Markers Of Bone Turnover

scholarly journals High saturated-fat and low-fibre intake: a comparative analysis of nutrient intake in individuals with and without type 2 diabetes

2014 ◽  
Vol 4 (2) ◽  
pp. e104-e104 ◽  
Author(s):  
C Breen ◽  
M Ryan ◽  
B McNulty ◽  
M J Gibney ◽  
R Canavan ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Comparative Analysis ◽  
Nutrient Intake ◽  
Saturated Fat ◽  
Fibre Intake

scholarly journals Nutritional Content and Health Profile of Non-Dairy Plant-Based Yogurt Alternatives

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4069
Author(s):  
Winston J. Craig ◽  
Cecilia J. Brothers
Keyword(s):  
Vitamin D ◽  
Saturated Fat ◽  
Health Profile ◽  
Nutritional Content ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sustainable Diet ◽  
Commercial Package ◽  
Dairy Plant ◽  
Sugar Levels

Yogurt is considered a healthy, nutritious food in many cultures. With a significant number of people experiencing dairy intolerance, and support for a more sustainable diet, consumer demand for dairy alternatives has surged. The aim of this study was to conduct a cross-sectional survey of plant-based yogurt alternatives to assess their nutritional content and health profile. A total of 249 non-dairy yogurt alternatives were analyzed from the nutrition label listed on the commercial package. The various yogurt alternatives contained extracts of coconut (n = 79), almonds (n = 62), other nuts or seeds (n = 20), oats (n = 20), legumes (n = 16), and mixed blends (n = 52). At least one-third of the yogurt alternatives had 5 g or more of protein/serving. Only 45% of the yogurt alternatives had calcium levels fortified to at least 10% of daily value (DV), while only about one in five had adequate vitamin D and B12 fortification at the 10% DV level. One-half of the yogurt alternatives had high sugar levels, while 93% were low in sodium. Except for the coconut-based products, the yogurts were not high in fat or saturated fat. The yogurt alternatives were not fortified as frequently or to the same levels as the corresponding non-dairy, plant-based beverages.

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