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European Journal of Nutrition

Erschienen in:

25.09.2019 | Original Contribution

Mineral and vitamin intake of infants and young children: the Nutri-Bébé 2013 survey

verfasst von: Jean-Pierre Chouraqui, Gabriel Tavoularis, Dominique Turck, Constance Ferry, François Feillet

Erschienen in: European Journal of Nutrition | Ausgabe 6/2020

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Abstract

Purpose

Minerals and vitamins are essential for optimal growth and development, particularly during the first years of life. Therefore, regularly evaluating their intake makes sense. For this purpose, we report the data from the Nutri-Bébé 2013 survey in comparison with the European Food Safety Authority Adequate Intake (AI), or Average Requirement, (AR) according to age.

Methods

This observational, nationally representative, cross-sectional survey was conducted in 1035 non-breastfed French children aged 0.5–35 months. Dietary intake was recorded using a food diary on three non-consecutive days, framed by two face-to-face interviews.

Results

The intake of zinc, magnesium and water-soluble vitamins most of the time met the recommendations. From the first weeks of life, sodium intake exceeded the AI, with a maximum median intake of 1137 mg/day after the age of 30 months. However, it has decreased since 2005. Calcium median intake often exceeded the AI or AR, reaching a maximum of 780 mg/day between 18 and 23 months. Median vitamin A intake always exceeded the AI or AR but exceeded the recommended upper limit in only a few cases. After 2 years, median iron intake was clearly below the AR, i.e. lower than 6.0 mg/day. Dietary vitamin D intake was below the AI, thereby justifying adequate supplementation. Vitamin E intake was below the AI in 50–75% of toddlers.

Conclusion

This survey highlights excessive sodium intake as well as a shortfall of iron, vitamin D, and vitamin E intakes. The potential consequences of these discrepancies with respect to health outcomes remain to be assessed.

Field CJ (2009) Early risk determinants and later health outcomes: implications for research prioritization and the food supply. Am J Clin Nutr 89:1533S–1539S. https://doi.org/10.3945/ajcn.2009.27113H CrossRefPubMed

Simeoni U, Bocquet A, Briend A, Chouraqui JP, Darmaun D, Dupont C, Feillet F, Frelut ML, Girardet JP, Goulet O, Hankard R, Rieu D, Rozé JC, Turck D, Vidailhet M, Comité de nutrition de la Société française de pédiatrie, (2016) Early origins of adult disease. Arch Pediatr 23:443–446. https://doi.org/10.1016/j.arcped.2016.01.009 CrossRefPubMed

Bailey RL, West KP Jr, Black RE (2015) The epidemiology of global micronutrient deficiencies. Ann Nutr Metab 66(Suppl 2):22–33. https://doi.org/10.1159/000371618 CrossRefPubMed

WHO guideline (2016) Use of multiple micronutrient powders for point-of-use fortification of foods consumed by infants and young children aged 6–23 months and children aged 2–12 years. World Health Organization, Geneva. Licence: CC BY-NC-SA 3.0 IGO. https://www.who.int/nutrition/publications/micronutrients/guidelines/mmpowders-infant6to23mons-children2to12yrs/en/. Accessed 17 Oct 2018

Boggio V, Lestradet H, Astier-Dumas M, Machinot S, Suquet M, Klepping J (1984) Characteristics of the dietary intake of French children from 3 to 24 months of age. Arch Pediatr 41:499–505

Boggio V, Fantino M (1991) Recent trends in nutritional intake in French infants: comparison of 2 national surveys conducted in 1981 and 1989. In: Journées parisiennes de pédiatrie. Médecine Sciences Flammarion, Paris, pp 275–282

Boggio V, Grossiord A, Guyon S, Fuchs F, Fantino M (1999) Food consumption of infants and young children in France in 1997. Arch Pediatr 6:740–747CrossRef

Fantino M, Gourmet E (2008) Energy consumption and nutritional intake in non breast-fed children under 36 months old. Arch Pediatr 15:34–49. https://doi.org/10.1016/j.arcped.2008.03.002 CrossRef

Chouraqui JP, Tavoularis G, Emery Y, Francou A, Hébel P, Bocquet M, Hankard R, Turck D (2018) The French national survey on food consumption of children under 3 years of age—Nutri-Bébé 2013: design, methodology, population sampling and feeding practices. Public Health Nutr 21:502–514. https://doi.org/10.1017/S1368980017002518(Epub 2017 Nov 2) CrossRefPubMed

10.

Chouraqui JP, Tavoularis G, Simeoni U, Ferry C, Turck D (2019) Food, water, energy, and macronutrient intake of non-breastfed infants and young children (0–3 years). Eur J Nutr. https://doi.org/10.1007/s00394-018-1883-y(Epub ahead of print) CrossRefPubMed

11.

EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) (2013) Scientific opinion on nutrient requirements and dietary intakes of infants and young children in the European Union. EFSA J 11(10):3408. https://doi.org/10.2903/j.efsa.2013.3408. www.efsa.europa.eu/efsajournal. Accessed 10 Aug 2018

12.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) (2015) Scientific opinion on dietary reference values for calcium. EFSA J 13(5):4101–4748. https://doi.org/10.2903/j.efsa.2015.4101. www.efsa.europa.eu/efsajournal. Accessed 20 Nov 2018

13.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) (2015) Scientific opinion on dietary reference values for phosphorus. EFSA J 13(7):4185. https://doi.org/10.2903/j.efsa.2015.4185. www.efsa.europa.eu/efsajournal. Accessed 20 Nov 2018

14.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) (2015) Scientific opinion on dietary reference values for magnesium. EFSA J 13(7):4186. https://doi.org/10.2903/j.efsa.2015.4186. www.efsa.europa.eu/efsajournal. Accessed 22 Nov 2018

15.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) (2015) Scientific opinion on dietary reference values for iron. EFSA J 13(10):4254–4369. https://doi.org/10.2903/j.efsa.2015.4254. www.efsa.europa.eu/efsajournal. Accessed 22 Nov 2018

16.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) (2014) Scientific opinion on dietary reference values for zinc. EFSA J 12(10):3844–3920. https://doi.org/10.2903/j.efsa.2014.3844. www.efsa.europa.eu/efsajournal. Accessed 22 Nov 2018

17.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) (2015) Scientific opinion on dietary reference values for vitamin A. EFSA J 13(3):4028–4112. https://doi.org/10.2903/j.efsa.2015.4028. www.efsa.europa.eu/efsajournal. Accessed 6 Dec 2018

18.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) (2016) Scientific opinion on dietary reference values for vitamin D. EFSA J NNNN. https://doi.org/10.2903/j.efsa.2016.NNN. www.efsa.europa.eu/efsajournal. Accessed 6 Dec 2018

19.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) (2016) Scientific opinion on dietary reference values for thiamin. EFSA J 14(12):4653. https://doi.org/10.2903/j.efsa.2016. www.efsa.europa.eu/efsajournal. Accessed 6 Dec 2018

20.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) (2014) Scientific opinion on dietary reference values for niacin. EFSA J 12(7): 3759. https://doi.org/10.2903/j.efsa.2014.3759. www.efsa.europa.eu/efsajournal. Accessed 6 Dec 2018

21.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) (2016) Scientific opinion on dietary reference values for vitamin B6. EFSA J 14(6): 4485. https://doi.org/10.2903/j.efsa.2016.4485. www.efsa.europa.eu/efsajournal. Accessed 6 Dec 2018

22.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) (2014) Scientific opinion on dietary reference values for folate. EFSA J 12(11): 3893. https://doi.org/10.2903/j.efsa.2014.3893. www.efsa.europa.eu/efsajournal. Accessed 6 Dec 2018

23.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) (2015) Scientific opinion on dietary reference values for cobalamin (vitamin B12). EFSA J 13(7):4150. https://doi.org/10.2903/j.efsa.2015.4150. www.efsa.europa.eu/efsajournal. Accessed 6 Dec 2018

24.

European Food Safety Authority (2009) General principles for the collection of national food consumption data in the view of a pan-European dietary survey. EFSA J 7(12): 1435. http://www.efsa.europa.eu. Accessed 17 Oct 2012

25.

Centre d’Information sur la Qualité des Aliments (2012) Table CIQUAL http://www.afssa.fr/TableCIQUAL/. But replaced by a new one in 2016: https://pro.anses.fr/tableciqual/. Accessed 8 March 2013

26.

EFSA NDA Panel (EFSA Panel on Panel on Dietetic Products Nutrition and Allergies) (2014) scientific opinion on dietary reference values for iodine. EFSA J 12(5):3660. https://doi.org/10.2903/j.efsa.2014.3660. www.efsa.europa.eu/efsajournal. Accessed 13 Feb 2015

27.

Mihatsch WA, Braegger C, Bronsky J, Campoy C, Domellöf M, Fewtrell M, Mis NF, Hojsak I, Hulst J, Indrio F, Lapillonne A, Mlgaard C, Embleton N, van Goudoever J, ESPGHAN Committee on Nutrition, (2016) Prevention of vitamin K deficiency bleeding in newborn infants: a position paper by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr 63:123–129. https://doi.org/10.1097/MPG.0000000000001232 CrossRefPubMed

28.

EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA) (2010) Scientific opinion on principles for deriving and applying dietary reference values. EFSA J 8(3):1458. https://doi.org/10.2903/j.efsa.2010.1458. www.efsa.europa.eu. Accessed 10 Aug 2017

29.

Institute of Medicine (US) Subcommittee on Interpretation and Uses of Dietary Reference Intakes; Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference Intakes (2000) Dietary reference intakes: applications in dietary assessment. National Academies Press, Washington (DC). https://doi.org/10.17226/9956

30.

EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA) (2006) Scientific committee on food. Tolerable upper intake levels for vitamins and minerals. http://www.efsa.europa.eu/sites/default/files/efsa_rep/blobserver_assets/ndatolerableuil.pdf. Accessed 6 Dec 2018

31.

EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) (2012) Scientific opinion on the tolerable upper intake level of vitamin D. EFSA J 10(7):2813. https://doi.org/10.2903/j.efsa.2012.2813. www.efsa.europa.eu/efsajournal. Accessed 6 Dec 2018

32.

Agence Nationale de Sécurité Sanitaire de l’Alimentation, de l’Environnement et du Travail (ANSES) (2017) Étude individuelle nationale des consommations alimentaires 3 (INCA 3). https://www.anses.fr/fr/system/files/NUT2014SA0234Ra.pdf. Accessed 6 Dec 2017

33.

Butte NF, Fox MK, Briefel RR, Siega-Riz AM, Dwyer JT, Deming DM, Reidy KC (2010) Nutrient intakes of US infants, toddlers, and preschoolers meet or exceed dietary reference intakes. J Am Diet Assoc 110:S27–S37. https://doi.org/10.1016/j.jada.2010.09.004 CrossRefPubMed

34.

Tian N, Zhang Z, Loustalot F, Yang Q, Cogswell ME (2013) Sodium and potassium intakes among US infants and preschool children, 2003–2010. Am J Clin Nutr 98:1113–1122. https://doi.org/10.3945/ajcn.113.060012 CrossRefPubMedPubMedCentral

35.

Gibson S, Sidnell A (2014) Nutrient adequacy and imbalance among young children aged 1–3 years in the UK. Nutr Bull 39:172–180. https://doi.org/10.1111/nbu.12087 CrossRef

36.

Cribb VL, Warren JM, Emmett PM (2012) Contribution of inappropriate complementary foods to the salt intake of 8-month-old infants. Eur J Clin Nutr 66:104–110. https://doi.org/10.1038/ejcn.2011.137 CrossRefPubMed

37.

Maalouf J, Cogswell ME, Yuan K, Martin C, Gunn JP, Pehrsson P, Merritt R, Bowman B (2015) Top sources of dietary sodium from birth to age 24 mo, United States, 2003–2010. Am J Clin Nutr 101:1021–1028. https://doi.org/10.3945/ajcn.114.099770 CrossRefPubMedPubMedCentral

38.

Girardet JP, Rieu D, Bocquet A, Bresson JL, Briend A, Chouraqui JP, Darmaun D, Dupont C, Frelut ML, Hankard R, Goulet O, Simeoni U, Turck D, Vidailhet M, Comité de nutrition de la Société française de pédiatrie (2014) Salt intake in children. Arch Pediatr 21:521–528. https://doi.org/10.1016/j.arcped.2014.02.007 CrossRefPubMed

39.

Newberry SJ, Chung M, Anderson CAM, Chen C, Fu Z, Tang A, Zhao N, Booth M, Marks J, Hollands S, Motala A, Larkin JK, Shanman R, Hempel S (2018) Sodium and potassium intake: effects on chronic disease outcomes and risks. Comparative effectiveness review no. 206. Agency for Healthcare Research and Quality No. 18-EHC009-EF. https://www.ncbi.nlm.nih.gov/books/NBK519328/. Accessed 6 Dec 2018

40.

Messerli FH, Hofstetter L, Bangalore S (2018) Salt and heart disease: a second round of “bad science”? Lancet 392(10146):456–458. https://doi.org/10.1016/S0140-6736(18)31724-0 CrossRefPubMed

41.

Fomon SJ, Ziegler EE (1999) Renal solute load and potential renal solute load in infancy. J Pediatr 134:11–14CrossRef

42.

Nomura K, Asayama K, Jacobs L, Thijs L, Staessen JA (2017) Renal function in relation to sodium intake: a quantitative review of the literature. Kidney Int 92:67–78. https://doi.org/10.1016/j.kint.2016.11.032 CrossRefPubMed

43.

Iwahori T, Miura K, Ueshima H (2017) Time to consider use of the sodium-to-potassium ratio for practical sodium reduction and potassium increase. Nutrients. https://doi.org/10.3390/nu9070700 CrossRefPubMedPubMedCentral

44.

Birch LL, Doub AE (2014) Learning to eat: birth to age 2 years. Am J Clin Nutr 99:723S–728S. https://doi.org/10.3945/ajcn.113.069047 CrossRefPubMed

45.

Haut conseil de la santé publique (2017) Pour une politique nationale nutrition santé en France PNNS 2017–2021. https://www.hcsp.fr/explore.cgi/avisrapportsdomaine?clefr=632. Accessed 6 May 2018

46.

Atkins LA, McNaughton SA, Campbell KJ, Szymlek-Gay EA (2016) Iron intakes of Australian infants and toddlers: findings from the Melbourne Infant Feeding, Activity and Nutrition Trial (InFANT) Program. Br J Nutr 115:285–293. https://doi.org/10.1017/S0007114515004286 CrossRefPubMed

47.

Cusick SE, Georgieff MK, Rao R (2018) Approaches for reducing the risk of early-life irondeficiency-induced brain dysfunction in children. Nutrients 10(2):1. https://doi.org/10.3390/nu10020227 CrossRef

48.

McClung JP (2018) Iron, zinc, and physical performance. Biol Trace Elem Res 188:135–139. https://doi.org/10.1007/s12011-018-1479-7.30112658 CrossRefPubMed

49.

Haskell MJ (2012) The challenge to reach nutritional adequacy for vitamin A: β-carotene bioavailability and conversion-evidence in humans. Am J Clin Nutr 96:1193S–1203S. https://doi.org/10.3945/ajcn.112.034850 CrossRefPubMed

50.

Novotny JA, Harrison DJ, Pawlosky R, Flanagan VP, Harrison EH, Kurilich AC (2010) Beta-carotene conversion to vitamin A decreases as the dietary dose increases in humans. J Nutr 140:915–918. https://doi.org/10.3945/jn.109.116947 CrossRefPubMedPubMedCentral

51.

EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) (2014) Scientific opinion on the essential composition of infant and follow-on formulas. EFSA J 12(7):3760. https://doi.org/10.2903/j.efsa.2014.3760. https://www.efsa.europa.eu/fr/efsajournal/pub/3760. Accessed 18 Sept 2017

52.

Commission delegated regulation (EU) 2016/127 of 25 September 2015 supplementing Regulation (EU) No 609/2013 of the European Parliament and of the Council as regards the specific compositional and information requirements for infant formula and follow-on formula and as regards requirements on information relating to infant and young child feeding. Official Journal of the European Union, L 25. http://data.europa.eu/eli/reg_del/2016/127/oj. Accessed 2 Feb 2016

53.

Vidailhet M, Rieu D, Feillet F, Bocquet A, Chouraqui JP, Darmaun D, Dupont C, Frelut ML, Girardet JP, Hankard R, Rozé JC, Siméoni U, Turck D, Briend A (2017) Vitamin A in pediatrics: an update from the Nutrition Committee of the French Society of Pediatrics. Arch Pediatr 24:288–297. https://doi.org/10.1016/j.arcped.2016.11.021 CrossRefPubMed

54.

Mason J, Greiner T, Shrimpton R, Sanders D, Yukich J (2015) Vitamin A policies need rethinking. Int J Epidemiol 44:283–292. https://doi.org/10.1093/ije/dyu194 CrossRefPubMed

55.

Vidailhet M, Mallet E, Bocquet A, Bresson JL, Briend A, Chouraqui JP, Darmaun D, Dupont C, Frelut ML, Ghisolfi J, Girardet JP, Goulet O, Hankard R, Rieu D, Simeoni U, Turck D, Comité de nutrition de la Société française de pédiatrie, (2012) Vitamin D: still a topical matter in children and adolescents. A position paper by the Committee on Nutrition of the French Society of Paediatrics. Arch Pediatr 19:316–328. https://doi.org/10.1016/j.arcped.2011.12.015 CrossRefPubMed

56.

Traber MG (2014) Vitamin E inadequacy in humans: causes and consequences. Adv Nutr 5:503–514. https://doi.org/10.3945/an.114.006254 CrossRefPubMedPubMedCentral

Titel: Mineral and vitamin intake of infants and young children: the Nutri-Bébé 2013 survey
verfasst von: Jean-Pierre Chouraqui
Gabriel Tavoularis
Dominique Turck
Constance Ferry
François Feillet
Publikationsdatum: 25.09.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Nutrition / Ausgabe 6/2020
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-019-02093-3

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Mineral and vitamin intake of infants and young children: the Nutri-Bébé 2013 survey