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  • Original Article
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Evaluation of dietary fibre intake from infancy to adolescence against various references – results of the DONALD Study

Abstract

Objective:

To evaluate dietary fibre intake from infancy to adolescence against various reference standards expressed on a body weight, age or energy intake (EI) basis and to describe age and 15-year time trends.

Design and subjects:

The ongoing longitudinal (open cohort) Dortmund Nutritional and Anthropometric Longitudinally Designed Study with a total of 7810 3-day dietary records from 980 infants, children and adolescents aged 6 months to 18 years collected between 1990 and 2004.

Results:

Absolute dietary fibre intakes (g/day) increased with age from infancy to adolescence; dietary fibre density (g/1000 kcal) reached a maximum at 1 year and remained constant after the transition to the family diet. Expressed as g/kg body weight, dietary fibre intake increased during infancy with a maximum at 1 year, but decreased thereafter during childhood and adolescence. Dietary fibre intake was low irrespective of the reference used and showed no time trends, with the exception of a small negative trend in 4–8-year olds and 9–13-year-old girls.

Conclusion:

As intake of dietary fibre in our sample was significantly associated with EI and fibre density remained constant after infancy, our data support an energy-based approach for establishing a reference value for children and adolescents.

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References

  • Aggett PJ, Agostoni C, Axelsson I, Edwards CA, Goulet O, Hernell O et al. (2003). Nondigestible carbohydrates in the diets of infants and young children: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr 36, 329–337.

    Article  CAS  PubMed  Google Scholar 

  • Agostoni C, Riva E, Giovannini M (1995). Dietary fibre in weaning foods of young children. Pediatrics 96, 1002–1005.

    CAS  PubMed  Google Scholar 

  • Alexy U, Sichert-Hellert W, Kersting M (2002). Fifteen-year time trends in energy and macronutrient intake in German children and adolescents: results of the DONALD study. Br J Nutr 87, 595–604.

    Article  CAS  PubMed  Google Scholar 

  • American Academy of Pediatrics, Committee on Nutrition (1993). Carbohydrate and dietary fibre. In: American Academy of Pediatrics (ed). Pediatric Nutrition Handbook. American Academy of Pediatrics: Elk Grove Village, IL, pp 100–106.

  • Bosscher D, van Caillie-Bertrand M, Deelstra H (2002). Daily dietary fibre intake of children, 2–3 years of age, living in Antwertp, Belgium. Nutr Res 22, 1401–1411.

    Article  CAS  Google Scholar 

  • Decarli B, Cavadini C, Grin J, Blondel-Lubrano A, Narring F, Michaud PA (2000). Food and nutrient intakes in a group of 11–16 year old Swiss teenagers. Int J Vitam Nutr Res 70, 139–147.

    Article  CAS  PubMed  Google Scholar 

  • Devaney B, Ziegler P, Pac S, Karwe V, Barr SI (2004). Nutrient intakes of infants and toddlers. J Am Diet Assoc 104, s14–s21.

    Article  CAS  PubMed  Google Scholar 

  • Dwyer JT (1995). Dietary fibre for children: how much? Pediatrics 96, 1019–1022.

    CAS  PubMed  Google Scholar 

  • Edwards CA, Parrett AM (2003). Dietary fibre in infancy and childhood. Proc Nutr Soc 62, 17–23.

    Article  CAS  PubMed  Google Scholar 

  • Hampl JS, Betts NM, Benes BA (1998). The ‘age+5’ rule: comparisons of dietary fibre intake among 4- to 10-year-old children. J Am Diet Assoc 98, 1418–1423.

    Article  CAS  PubMed  Google Scholar 

  • Institute of Medicine (2002). Dietary Reference Intakes for Energy, Carbohydrate, Fibre, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients). National Academies Press: Washington, DC.

  • Kersting M, Dulon M (2002). Assessment of breast-feeding promotion in hospitals and follow-up survey of mother–infant pairs in Germany: the SuSe Study. Public Health Nutr 5, 547–552.

    Article  PubMed  Google Scholar 

  • Kroke A, Manz F, Kersting M, Remer T, Sichert-Hellert W, Alexy U et al. (2004). The DONALD study. History, current status and future perspectives. Eur J Nutr 43, 45–54.

    Article  PubMed  Google Scholar 

  • Kunz C, Rudloff S, Baier W, Klein N, Strobel S (2000). Oligosaccharides in human milk: structural, functional, and metabolic aspects. Annu Rev Nutr 20, 699–722.

    Article  CAS  PubMed  Google Scholar 

  • Littel RC, Milliken GA, Stroup WW, Wolfinger RD (1996). SAS System for Mixed Models. SAS Institute Inc.: Cary, NC.

    Google Scholar 

  • Marlett JA, McBurney MI, Slavin JL (2002). Position of the American dietetic association: health implications of dietary fibre. J Am Diet Assoc 102, 993–1000.

    Article  PubMed  Google Scholar 

  • Nicklas TA, Farris RP, Myers L, Berenson GS (1995a). Dietary fibre intake of children and young adults: the Bogalusa Heart Study. J Am Diet Assoc 95, 209–214.

    Article  CAS  PubMed  Google Scholar 

  • Nicklas TA, Myers L, Berenson GS (1995b). Dietary fibre intake of children: the Bogalusa Heart Study. Pediatrics 96, 988–994.

    CAS  PubMed  Google Scholar 

  • Prentice A, Branca F, Decsi T, Michaelsen KF, Fletcher RJ, Guesry P et al. (2004). Energy and nutrient dietary reference values for children in Europe: methodological approaches and current nutritional recommendations. Br J Nutr 92 (Suppl 2), S83–S146.

    Article  CAS  PubMed  Google Scholar 

  • Royo-Bordonada MA, Gorgojo L, Martin-Moreno JM, Garces C, Rodriguez-Artalejo F, Benavente M et al. (2003). Spanish children's diet: compliance with nutrient and food intake guidelines. Eur J Clin Nutr 57, 930–939.

    Article  CAS  PubMed  Google Scholar 

  • Saldanha LG (1995). Fibre in the diet of US children: results of national surveys. Pediatrics 96, 994–997.

    CAS  PubMed  Google Scholar 

  • Schofield WN (1985). Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr 39 (Suppl 1), 5–41.

    PubMed  Google Scholar 

  • Souci S, Fachmann W, Kraut H (2000). Die Zusammensetzung der Lebensmittel – Nährstofftabellen (Food Composition and Nutrition Tables), 6th edn. Medpharm Scientific Publisher: Stuttgart.

    Google Scholar 

  • Torun B, Davies PS, Livingstone MB, Paolisso M, Sackett R, Spurr GB (1996). Energy requirements and dietary energy recommendations for children and adolescents 1–18 years old. Eur J Clin Nutr 50 (Suppl 1), S37–S80; discussion S80-31.

    PubMed  Google Scholar 

  • USDA National Nutrient Database for Standard Reference, Release 16-1: National Agricultural Library. Available at:http://www.nal.usda.gov/fnic/foodcomp/index.html.

  • Williams CL, Bollella M, Wynder EL (1995). A new recommendation for dietary fibre in childhood. Pediatrics 96, 985–988.

    CAS  PubMed  Google Scholar 

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Acknowledgements

This work was supported by the ‘Ministerium für Schule und Weiterbildung, Wissenschaft und Forschung des Landes Nordrhein-Westfalen’ and by the ‘Bundesministerium für Gesundheit’.

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Correspondence to U Alexy.

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Guarantor: U Alexy.

Contributors: All authors were involved in the concept of the paper. UA was primarily responsible for the data analysis. WS contributed to statistical analysis. MK and UA collaborated in writing the paper.

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Alexy, U., Kersting, M. & Sichert-Hellert, W. Evaluation of dietary fibre intake from infancy to adolescence against various references – results of the DONALD Study. Eur J Clin Nutr 60, 909–914 (2006). https://doi.org/10.1038/sj.ejcn.1602400

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