Abstract
Objective:
To investigate the dietary iron intake and food sources of iron in Flemish adolescents.
Design:
Cross-sectional survey; dietary assessment method: a 7-day estimated food record.
Setting:
Private and public secondary schools in Ghent, a city in the Dutch-speaking part of Belgium.
Subjects:
A total of 341 adolescents (129 boys and 212 girls), 13–18 y, randomly selected by a multistage clustered sampling technique.
Results:
The mean total iron intake (s.d.) for boys was 13.4 (±2.91) mg/day and for girls 10.1 (±2.79) mg/day. A proportion of 38.8% of the boys and 99.5% of the girls had a mean total iron intake below the Belgian Recommended Dietary Allowance and 3.1% of the boys and 71.2% of the girls below the British Estimated Average Requirement. When bioavailable iron intake is considered, 84.5% of the boys and only 16.5% of the girls met the age-specific requirement. The food groups with the highest mean proportional contribution to total iron intake in both males and females were bread, meat and meat products, cereals and potatoes. A comparison of adolescents from the highest tertile of iron intake (mg/day) with adolescents from the lowest tertile showed a significantly higher energy-adjusted intake of brown bread and a significantly lower intake of soft drinks in the former group in both boys and girls. A significantly higher energy-adjusted intake of breakfast cereals in adolescents of the highest tertile than those of the lowest tertile was seen in girls only. Analyses in consumers only did not change this overall picture.
Conclusions:
One can conclude that the mean iron intake of Flemish girls is considerably lower than the current recommendations. An increased iron intake in this subgroup of the population is therefore advisable.
Sponsorship:
This work was financially supported by the National Fund for Scientific Research (fund no. 31557898), the Kellogg's Benelux Company, Unilever Belgium and the Belgian Nutrition Information Center.
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References
Barr SI, Murphy SP & Poos MI (2002): Interpreting and using the dietary references intakes in dietary assessment of individuals and groups. J. Am. Diet. Assoc. 102, 780–788.
Basiotis PP, Welsh SO, Cronin FJ, Kelsay JL & Mertz W (1987): Number of days of food intake records required to estimate individual and group nutrient intakes with defined confidence. J. Nutr. 117, 1638–1641.
Belton N, Macvean A, Richards N, Elton R, Moffat W & Beattie T (1997): Nutrient intake in Scottish adolescents. Proc. Nutr. Soc. b 56, 303A.
Centers for disease control and prevention, Department of health and human services US (1998): Recommendations to Prevent and Control Iron Deficiency in the United States. Washington: US Government Printing Office.
Cogswell ME, Kettel-Khan L & Ramakrishnan U (2003): Iron supplement use among women in the United States: science, policy and practice. J. Nutr. 133, 1974S–1977S.
Cole TJ, Bellizzi MC, Flegal KM & Dietz WH (2000): Establishing a standard definition for child overweight and obesity worldwide: international survey. Br. Med. J. 320, 1240–1243.
Committee on Medical Aspects of Food Policy (1991): Dietary reference values for food energy and nutrients for the United Kingdom. Report on health and social subjects. London: HMSO.
Cuadrado C, Carbajal A & Moreiras O (2000): Body perceptions and slimming attitudes reported by Spanish adolescents. Eur. J. Clin. Nutr. 54 (Suppl 1), S65–S68.
Deheeger M, Bellisle F & Rolland-Cachera MF (2002): The French longitudinal study of growth and nutrition: data in adolescent males and females. J. Hum. Nutr. Diet. 15, 429–438.
Failde I, Zafra JA, Ruiz E & Novallos JP (1997): Valoración de la alimentación de los escolaresde una población de la Sierra de Cádiz (Ubrique). Med. Clin. 108, 254–258.
FAO/WHO (2002): Human vitamin and mineral requirements. Report of a joint FAO/WHO expert consultation in Bangkok, Thailand, Rome.
Food and Nutrition Board, Institute of Medicine (1994): How Should the Recommended Dietary Allowances be Revised?. Washington: National Academy Press.
Food, Nutrition Board, Institute of Medicine (2000): Dietary reference intakes: applications in dietary assessment. Report of the Subcommittee on interpretation and use of dietary reference intakes of the Standing Committee on the scientific evaluation of dietary reference intakes Washington, DC: National Academy Press.
Heath AL & Fairweather-Tait SJ (2002): Clinical implications of changes in the modern diet: iron intake, absorption and status. Best. Pract. Res. Clin. Haematol. 15, 225–241.
Heath AL, Skeaff CM, O’Brien SM, Williams SM & Gibson RS (2001): Can dietary treatment of non-anemic iron deficiency improve iron status? J. Am. Coll. Nutr. 20, 477–484.
Krebs-Smith SM, Kott PS & Guenther PM (1989): Mean proportion and population proportion: two answers to the same question? J. Am. Diet. Assoc. 89, 671–676.
Lynch SR (1997): Interaction of iron with other nutrients. Nutr. Rev. 55, 102–110.
Matthys C, De Henauw S, Devos C & De Backer G (2003): Estimated energy intake, macronutrient intake and meal pattern of Flemish adolescents. Eur. J. Clin. Nutr. 57, 366–375.
Nationale Raad voor de Voeding (2000): Voedingsaanbevelingen voor België. Herziene versie 2000. Brussel: De Hoge Gezondheidsraad. Ministerie van Sociale Zaken, Volksgezondheid en Leefmilieu.
Nelson M, Black AE, Morris JA & Cole TJ (1989): Between- and within-subject variation in nutrient intake from infancy to old age: estimating the number of days required to rank dietary intakes with desired precision. Am. J. Clin. Nutr. 50, 155–167.
NEVO (1993): NEVO Tabel, Nederlands Voedingsstoffenbestand. Zeist: NEVO.
NEVO (2001): NEVO Tabel, Nederlands Voedingsstoffenbestand. Zeist: NEVO.
NUBEL (1992): Belgische Voedingsmiddelentabel. Brussel: Ministerie van Volksgezondheid.
NUBEL (1995): Belgische Voedingsmiddelentabel, tweede uitgave. Brussel: Ministerie van Volksgezondheid.
Rolland-Cachera MF, Bellisle F & Deheeger M (2000): Nutritional status and food intake in adolescents living in Western Europe. Eur. J. Clin. Nutr. 54 (Suppl 1), S41–S46.
Samuelson G, Bratteby LE, Berggren K, Elverby JE & Kempe B (1996): Dietary iron intake and iron status in adolescents. Acta Paediatr. 85, 1033–1038.
Samuelson G, Lonnerdal B, Kempe B, Elverby JE & Bratteby LE (2003): Serum ferritin and transferrin receptor concentrations during the transition from adolescence to adulthood in a healthy Swedish population. Acta Paediatr. 92, 5–11.
Sandström B (2001): A framework for food-based dietary guidelines in the European Union. Public Health Nutr. 4, 293–305.
Sichert-Hellert W & Kersting M (2003): Impact of fortified breakfast cereals on iron intake in German children and adolescents. J. Pediatr. Gastroenterol. Nutr. 36, 149–153.
SPSS (1999): Statistical Package for the Social Sciences, 10th edn. Chicago, IL: SPSS.
Stang J, Story MT, Harnack L & Neumark-Sztainer D (2000): Relationships between vitamin and mineral supplement use, dietary intake, and dietary adequacy among adolescents. J. Am. Diet. Assoc. 100, 905–910.
Thane CW, Bates CJ & Prentice A (2003): Risk factors for low iron intake and poor iron status in a national sample of British young people aged 4–18 years. Public Health Nutr. 6, 485–496.
Vercauteren M & Susanne C (1985): The secular trend of height and menarche in Belgium: are there any signs of a future stop? Eur. J. Pediatr. 144, 306–309.
Vlaams Instituut voor Gezondheidspromotie (2003): De voedingsdriehoek: een praktische voedingsgids. Brussel.www.yig.be.
Wellens R, Malina RM, Beunen G & Lefevre J (1990): Age at menarche in Flemish girls: current status and secular change in the 20th century. Ann. Hum. Biol. 17, 145–152.
Acknowledgements
This work was financially supported by the National Fund for Scientific Research (fund no. 31557898), the Kellogg's Benelux Company, Unilever Belgium and the Belgian Nutrition Information Center.
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Guarantor: I Pynaert.
Contributors: IP analysed and interpreted the data and wrote the initial draft of the manuscript. CM interpreted the data and assisted in preparing the manuscript. MB and MDM assisted in collecting data and in the preparation of the manuscript. SDH designed the study, interpreted the data and assisted in the preparation of the manuscript. GDB designed the study and assisted in the preparation of the manuscript.
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Pynaert, I., Matthys, C., Bellemans, M. et al. Iron intake and dietary sources of iron in Flemish adolescents. Eur J Clin Nutr 59, 826–834 (2005). https://doi.org/10.1038/sj.ejcn.1602149
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DOI: https://doi.org/10.1038/sj.ejcn.1602149
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