The aims of the National Diet and Nutrition Survey series are summarized, and the new National Diet and Nutrition Survey of people aged 65 years and over is explored, with particular emphasis on micronutrient intakes and status indices. Mean nutrient intakes were generally satisfactory for most micronutrients, but intakes of vitamin D, Mg, K and Cu were low. Intakes of vitamin D were far below the reference nutrient intake for people aged 65 years and over, and there was also biochemical evidence of vitamin D deficiency, for 8 % of free-living and 37 % of institution participants, attributed partly to limited exposure to sunlight. A substantial proportion of people living in institutions had inadequate biochemical status indices, notably for vitamin C, Fe and folate. Relationships between intake and status were close for vitamins. Mineral intakes did not correlate well with currently used status indices. Some intakes and indices, especially those of vitamin C, carotenoids, Na and K, were strongly correlated with socio-economic status and with north-south gradients in Britain. Future research challenges should address the functional and health significance of low intakes and sub-optimal biochemical indices for certain micronutrients, especially for people living in institutions; the shortcomings of mineral status indices especially as indicators of mineral intake; the social and geographical inequalities of micronutrient intakes and status, and why micronutrient status deteriorates with increasing age. The answers to these questions will help to define the characteristics of nutritional risk for older people in Britain, and to clarify future needs for education and intervention. Micronutrients: National Diet and Nutrition Survey: ElderlyThe purpose of the present paper is to draw attention to the British Government's National Diet and Nutrition Survey of people aged 65 years and over, and the reports derived from it Steele et al. 1998). It also considers some of the problems of interpretation and research challenges of this large dataset in order to encourage other researchers to continue this investigation. The primary data from the survey will be lodged with the

Summary This review describes and present the findings of a survey of the diet and nutrition of young people aged 4–18 years living in private households in the UK, carried out between January 1997 and January 1998. The National Diet and Nutrition Survey (NDNS) of young people aged 4–18 years forms part of the NDNS programme, which aims to provide a comprehensive, cross‐sectional picture of the dietary habits, nutrient intakes and nutritional status of the British population by studying representative samples of defined age groups. The survey components included a detailed interview covering dietary habits, lifestyle and socio‐demographic characteristics; a 7‐day weighed dietary record; a 7‐day physical activity diary; measurements of height, weight, mid‐upper arm, waist and hip circumferences, and blood pressure; a blood sample for analysis of a range of nutritional status indices; a single urine sample; and an oral health interview and dental examination. A total of 1701 young people provided 7‐day dietary records, representing a response rate of 64%. Results have been published in two volumes covering the diet and nutrition survey and the oral health survey. The reports present results for boys and girls separately in four age groups: 4–6 years; 7–10 years; 11–14 years and 15–18 years. Results are also presented by region and by socio‐economic characteristics. This review summarises some of the main findings of the diet and nutrition survey, including: the proportion of young people who ate selected foods; energy and nutrient intakes compared with UK Dietary Reference Values; nutritional status; physical measurements; and physical activity.

Objective: To harmonize food classification and food composition databases, allowing comparability of consumption at both food and nutrient levels in Europe. Design: To establish the level of comparability at the food level, the EFCOSUM group benefited from the work already carried out within other European projects, which established a Euro Food Groups (EFG) classification system. Four food groups, ie bread, vegetables (excluding potatoes), fruits (excluding fruit juice) and fish and seafood, were judged on their applicability for making food consumption data comparable across countries at the food level. Conclusions: It was concluded that the EFG system could be used but that still much work has to be done. For food consumption data to be collected in the future, the software that will be used should enable conversion of foods 'as consumed' to foods at the 'raw edible' level. With respect to comparability of nutrient intake estimations, EFCOSUM advises waiting for the European Nutrient Composition Database (ENDB) currently being prepared by the EPIC group. Until this is available, comparison of consumption data at the nutrient level cannot be carried out between countries.

Objective: To compare the evidence derived from blood biochemical status indices with the evidence from a questionnaire and from a 4-day weighed dietary record of micronutrient supplement use in the British National Diet and Nutrition Survey (NDNS) of People Aged 65 Years and Over; to resolve some apparent incompatibility between nutrient intake and status estimates, and to recommend an approach towards supplement recording that should improve accuracy. Design: The survey procedures described in the National Diet and Nutrition Survey Report (1998) included a health-and-lifestyle questionnaire, a 4-day weighed diet record, and fasting blood and urine sample for biochemical indices, including a wide range of micronutrients. Setting: Eighty randomly selected postcode sectors from mainland Britain during 1994±1995. Subjects: Of 2060 people interviewed, 1467 provided a blood sample and 1217 provided both a blood sample, and a complete 4-day diet record. About 20% were living in institutions such as nursing homes, and the remainder were living in private households. Results: After assigning the subjects to four categories by the use of dietary supplements (A, those not taking supplements (by questionnaire or by the 4-day record); B, those taking supplements (excluding prescribed ones) by questionnaire only; C, those taking supplements by 4-day record only; and D, those taking supplements by both questionnaire and 4-day record), these categories were then compared with respect to estimated total nutrient intakes and blood biochemical indices. Those in category B had estimated (4-day) nutrient intakes (from foods and supplements) that were indistinguishable from those in category A, but had biochemical indices that indicated signi®cantly higher dietary intakes of several vitamins. Conclusions and recommendation: The 4-day weighed intake record may not have identi®ed all of the subjects who were regularly taking micronutrient supplements in amounts suf®cient to improve their biochemical status. Because survey respondents may use supplements irregularly or change their usual patterns of supplement use during a period of intensive diet-recording, it is important to design a dietary instrument that will minimise this potential source of inaccuracy. We therefore recommend that population surveys in which an accurate estimate of micronutrient intakes is required, from supplements as well as from food, should record supplement use for a period longer than 4-days. It is likely that a better estimate of long-term intakes can be achieved by combining a 4-day weighed diet record with a structured recall or several weeks of diary records, which focus speci®cally on the use of supplements.

The Ministry of Agriculture Fisheries and Food (MAFF) aims to ensure that an adequate, safe and varied food supply is available from which consumers can choose healthy and enjoyable diets. In order to monitor the effects of its policies and to provide appropriate dietary advice, MAFF needs to know about changes which occur in food consumption patterns and hence nutrient intakes. Dietary surveys are regularly carried out in order to provide information about food and nutrient intakes of different population groups.