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Maternal nutrition, infants and children

The potential impact of nutrient profiles on dairy-related energy and nutrient intake in German children and adolescents

Abstract

Background/Objectives:

To evaluate the potential impact of nutrient profiling-based dairy product choices on energy and nutrient intake in German children and adolescents.

Subjects/Methods:

Consumption data were obtained from product-specific dietary records in the DONALD Study (Dortmund Nutritional and Anthropometric Longitudinally Designed Study). We compared actual intake data with intake data that were calculated based on the assumption that participants exclusively consumed products that met the criteria of selected nutrient profiling models.

Results:

For most profiling models, the percentage of compliant products was unrelated to the percentage of the participants’ dairy consumption rated eligible. The participants’ intake of energy, saturated fatty acids (SAFA), sodium, calcium and vitamin D would be reduced significantly (P<0.0001) if only qualifying products were consumed. The impact on the participants’ nutrient intake levels was not directly related to the impact on the product's nutrient content levels. Lower fat consumption was correlated with reduced vitamin D intake, and the models’ disqualification of (semi-) hard cheeses had a negative impact on the calcium intake.

Conclusions:

The evaluation of product-specific intake data was critical to understand the potential impact of any profiling scheme on nutrient intake. Selecting dairy products based on nutrient profiling could help reduce the intake of less-desirable nutrients, such as SAFA and sodium. However, models that are too restrictive might negatively impact calcium and vitamin D intake. Ultimately, the effectiveness of nutrient profiling models will be determined by the fact whether or not complying foods are consumed.

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References

  • Alexy U, Kersting M (1999). What Do Children Eat and What Should They Eat. Hans Marseille Verlag: Munich, Germany (in German).

    Google Scholar 

  • Arambepola C, Scarborough P, Rayner M (2007). Validating a nutrient profile model. Publ Health Nutr 11 (4), 371–378.

    Article  Google Scholar 

  • Azais-Braesco V, Goffi C, Labouze E (2006). Nutrient profiling: comparison and critical analysis of existing systems. Publ Health Nutr 9, 613–622.

    Article  CAS  Google Scholar 

  • Choices International Foundation (2009). Product Criteria, 20 October 2009, Version 2.1. Available at: http://www.choicesprogramme.org/download/3.

  • Choices International Foundation (2010). What is Choices? Available at: http://www.choicesinternational.org/index.php?option=com_content&task=view&id=30&Itemid=53 (last accessed September 2010).

  • Darmon N, Vieux F, Maillot M, Volatier JL, Martin A (2009). Nutrient profiles discriminate between foods according to their contribution to nutritionally adequate diets: a validation study using linear programming and the SAIN,LIM system. Am J Clin Nutr 89, 1227–1236.

    Article  CAS  Google Scholar 

  • Food and Drug Administration (FDA) (2010) Code of Federal Regulations, Title 21, Food and drugs (vol 2). Chapter I—Food and Drug Administration, Department of Health and Human Services. Part 101—Food Labeling—Subpart A: General Provisions, Sec. 101.14. Health claims: General requirements. US Government Printing Office: revised as of 1 April 2010.

  • Food Standards Agency (FSA) (2009). Nutrient Profiling Technical Guidance April 2009. Food Standards Agency: London. Available at: http://www.food.gov.uk/multimedia/pdfs/techguidenutprofiling.pdf.

  • Fulgoni III VL, Keast DR, Drewnowski A (2009). Development and validation of the nutrient-rich foods index: a tool to measure nutritional quality of foods. J Nutr 139, 1549–1554.

    Article  Google Scholar 

  • Holick MF (2007). Vitamin D Deficiency. N Engl J Med 357, 266–281.

    Article  CAS  Google Scholar 

  • Kersting M, Bergmann K (2008). Calcium and vitamin D supply to children: selected results from the DONALD Study, focusing on the consumption of milk products. Ern Umsch 55, 523–527.

    CAS  Google Scholar 

  • Kersting M, Sichert-Hellert W, Lausen B, Alexy U, Manz F, Schöch G (1998). Energy intake of 1 to 18 year old German children and adolescents. Z Ernährungswiss 37, 47–55.

    Article  CAS  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  Google Scholar 

  • Livsmedelverket Swedish National Food Administration (2009). LIVSFS 2005:9 (As Last Amended by LIVSFS 2009:6) National Food Administration's Regulations on the Use of a Particular Symbol. Livsmedelverket: Stockholm. Available at: http://www.slv.se/upload/nfa/documents/food_regulations/Nyckelh%c3%a5l_dec_2009_6%20eng.pdf.

  • Livsmedelverket Swedish National Food Administration (2010). The Keyhole Symbol. Available at: http://www.slv.se/en-gb/Group1/Food-and-Nutrition/Keyhole-symbol/ (last accessed September 2010).

  • Mensink GBM (2007). Present nutrient supply in children and adolescents in Germany—results of the EsKiMo Study. Ern Umsch 54, 636–646 (in German).

    CAS  Google Scholar 

  • Mensink GBM, Heseker H, Richter A, Stahl A, Vohmann C (2007). Research Report: Nutrition Study as a KiGGS Module (EsKiMo). Available at: http://www.bmelv.de/cae/servlet/contentblob/378624/publicationFile/25912/EsKiMoStudie.pdf (in German).

  • Nijman CA, Zijp IM, Sierksma A, Roodenburg AJC, Leenen R, van den Kerkhoff C et al. (2007). A method to improve the nutritional quality of foods and beverages based on dietary recommendations. Eur J Clin Nutr 61, 461–471.

    Article  CAS  Google Scholar 

  • OFCOM (2010). HFSS Advertising Restrictions—Final Review (26 July 2010). Available at: http://stakeholders.ofcom.org.uk/binaries/research/tv-research/hfss-review-final.pdf.

  • Quinio C, Biltoft-Jensen A, De Henauw S, Gibney M, Huybrechts I, McCarthy SN et al. (2007). Comparison of different nutrient profiling schemes to a new reference method using dietary surveys. Eur J Nutr 46 (Suppl 2), 37–46.

    Article  CAS  Google Scholar 

  • Roodenburg AJC, Schlatmann A, Doetsch-Klerk M, Daamen R, Dong J, Guarro M et al. (2011). Potential effects of nutrient profiles on nutrient intakes in the Netherlands, Greece, Spain, USA, Israel, China and South-Africa. PLoS ONE 6 (2), e14721.

    Article  CAS  Google Scholar 

  • Roodenburg AJC, Temme EHM, Howell Davies O, Seidell JC (2009). Potential impact of the Choices Programme on nutrient intakes in the Dutch population. Nutr Bull 34, 318–323.

    Article  Google Scholar 

  • Scarborough P, Boxer A, Rayner M, Stockley L (2007). Testing nutrient profile models using data from a survey of nutrition professionals. Publ Health Nutr 10, 337–345.

    Article  Google Scholar 

  • Sichert-Hellert W, Kersting M, Chahda C, Schäfer R, Kroke A (2007). German food composition database for dietary evaluations in children and adolescents. J Food Comp Anal 20, 63–70.

    Article  Google Scholar 

  • Souci SW, Fachmann W, Kraut H (2000). Food Composition and Nutrition Tables, 6th edn. Medpharm Scientific Publishers: Stuttgart, Germany (in German).

    Google Scholar 

  • Townsend MS (2010). Where is the science? What will it take to show that nutrient profiling systems work? Am J Clin Nutr 91, 1109S–1115S.

    Article  CAS  Google Scholar 

  • US Department of Agriculture (USDA) (2011). MyPyramid.gov—The Basics—Food Groups—Discretionary Calories. Available at: http://www.mypyramid.gov/pyramid/discretionary_calories.html (last accessed May 2011).

  • Volatier JL, Biltoft-Jensen A, De Henauw S, Gibney MJ, Huybrechts I, McCarthy SN et al. (2007). A new reference method for the validation of the nutrient profiling schemes using dietary surveys. Eur J Nutr 46 (Suppl 2), 29–36.

    Article  Google Scholar 

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Acknowledgements

The authors would like to thank Jeff Stagg for his assistance with statistical analyses. The analysis of DONALD data by the FKE was financially supported by Kraft Foods R&D Inc.

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Correspondence to J Trichterborn.

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Competing interests

Jan Trichterborn and Gerd Harzer are employed by Kraft Foods R&D Inc.

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Supplementary Information accompanies the paper on European Journal of Clinical Nutrition website

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Trichterborn, J., Drossard, C., Kersting, M. et al. The potential impact of nutrient profiles on dairy-related energy and nutrient intake in German children and adolescents. Eur J Clin Nutr 66, 466–473 (2012). https://doi.org/10.1038/ejcn.2011.180

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