Comparison of nutrients in the food composition tables available in the nine European countries participating in EPIC

Deharveng, G.; Charrondière, U. Ruth; Slimani, Nadia; Southgate, D. A. T.; Riboli, Elio

doi:10.1038/sj.ejcn.1600677

Cited by 167 publications

(156 citation statements)

References 33 publications

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“…The four complete databases are resources available for research transcending INTERMAP. 51 Finally, it is essential explicitly to underscore a key fact about all dietary/nutrient data acquired by self-report of free-living people: There is no 'gold standard' for evaluation of validity, that is, objective truth. The INTERMAP Protocol stipulated use of four urinary variables (urea, sodium, potassium, Na/ K) from two timed 24-h urine collections/person as relatively objective measures of intake of protein, Na, K, Na/K, to evaluate quality of data on these variables accrued with four 24-h dietary recalls/ person.…”

Section: Discussionmentioning

confidence: 99%

INTERMAP: the dietary data—process and quality control

et al. 2003

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The aim of this report is to describe INTERMAP standardized procedures for assessing dietary intake of 4680 individuals from 17 population samples in China, Japan, UK and USA: Based on a common Protocol and Manuals of Operations, standardized collection by centrally trained certified staff of four 24 h dietary recalls, two timed 24-h urines, two 7-day histories of daily alcohol intake per participant; tape recording of all dietary interviews, and use of multiple methods for ongoing quality control of dietary data collection and processing (local, national, and international); one central laboratory for urine analyses; review, update, expansion of available databases for four countries to produce comparable data on 76 nutrients for all reported foods; use of these databases at international coordinating centres to compute nutrient composition. Chinese participants reported 2257 foods; Japanese, 2931; and UK, 3963. In US, use was made of 17 000 food items in the online automated Nutrition Data System. Average time/ recall ranged from 22 min for China to 31 min for UK. Among indicators of dietary data quality, coding error rates (from recoding 10% random samples of recalls) were 2.3% for China, 1.4% for Japan, and UK; an analogous US procedure (re-entry of recalls into computer from tape recordings) also yielded low discrepancy rates. Average scores on assessment of taped dietary interviews were high, 40.4 (Japan) to 45.3 (China) (highest possible score: 48); correlations between urinary and dietary nutrient valuesFsimilar for men and womenF were, for all 4680 participants, 0.51 for total protein, range across countries 0.40-0.52; 0.55 for potassium, range 0.30-0.58; 0.42 for sodium, range 0.33-0.46. The updated dietary databases are valuable international resources. Dietary quality control procedures yielded data generally indicative of high quality performance in the four countries. These procedures were time consuming. Ongoing recoding of random samples of recalls is deemed essential. Use of tape recorded dietary interviews contributed to quality control, despite feasibility problems, deemed remediable by protocol modification. For quality assessment, use of correlation data on dietary and urinary nutrient values yielded meaningful findings, including evidence of special difficulties in assessing sodium intake by dietary methods.

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Section: Discussionmentioning

confidence: 99%

INTERMAP: the dietary data—process and quality control

et al. 2003

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“…This resulted in the establishment of food composition tables=databases at the national level in many European countries. However, the inventory made by Deharveng et al (1999) clearly demonstrated that food composition databases are not comparable yet. The outcome of an additional inventory among EFCOSUM participants confirms and even strengthens the conclusions of Deharveng and colleagues .…”

Section: Harmonization Of Available Food Consumption Datamentioning

confidence: 96%

A European food consumption survey method–conclusions and recommendations

et al. 2002

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Objective: To discuss the general outcome and conclusions of a European project (EFCOSUM); to develop a method for a European food consumption survey that delivers internationally comparable data on a set of policy relevant nutritional indicators. Design and methods: The EFCOSUM project was carried out within the framework of the European Health Monitoring Programme by 14 Member States as well as nine other European countries. Activities of the project included plenary sessions, desk research and working group activities, building on existing experience from such projects as DAFNE, EPIC, FLAIR EurofoodsEnfant project, COST Action 99 and others. All participating states took part in one or more working group activities, which were discussed, adapted and finally approved in plenary sessions. Results and conclusions: For a limited number of countries available food consumption data can be made comparable at the food intake level, but not at the nutrient level. To achieve comparability at the food intake level, a considerable amount of work still has to be done. A minimum list of dietary indicators considered to be the most relevant to be collected for the Health information exchange and monitoring system was identified. As the most suitable method to get internationally comparable new data on population means and distributions of actual intake the 24 h recall was selected, to be conducted at least twice. This also allows for the estimation of usual intake by a modelling technique that separates intra-and inter-individual intake. For a number of micronutrients the use of biomarkers is recommended. Aspects of food classification and food composition were discussed thoroughly, as well as statistical and data collection aspects. For the implementation of a pan-European survey the establishment of a European co-ordinating centre is recommended. The standardization of field work work procedures and other aspects of operationalization have been discussed in detail. It is concluded that there is broad European consensus on the most suitable method for a pan-European dietary survey for the purposes of the EU Health Monitoring Programme. It is further concluded that such a pan-European survey is feasible, if the funds are made available.

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“…As mentioned above, it is also possible that the Russian database does not reflect well the 'true' intakes found in Latvia and Lithuania, potentially overestimating intakes. This highlights the potential limitations of using foreign food composition databases when analysing survey data, as these could lead to biased estimates of intakes if they do not reflect well the nutritional content of foods found locally (Deharveng et al, 1999). However, it is not possible to estimate the extent of this bias unless direct food analyses are performed.…”

Section: Comparison Of the Food Composition Databases S Vaask Et Almentioning

confidence: 99%

Comparison of the Micro-Nutrica Nutritional Analysis program and the Russian Food Composition Database using data from the Baltic Nutrition Surveys

Vaask¹,

Pomerleau

Pudule

et al. 2004

Eur J Clin Nutr

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Objective: The objective of this study was to compare the nutrient content of foods and diets based on data from two food composition databases used in the Baltic Nutrition Surveys (conducted in Estonia, Latvia and Lithuania in 1997): an adapted version of the Finnish Micro-Nutrica Nutritional Analysis program (used in Estonia) and the Russian Institute of Nutrition Food Composition Database (used in Latvia and Lithuania). Design: The adapted Micro-Nutrica and Russian databases were used to estimate the energy and nutrient (protein, fat, carbohydrate, vitamin C, calcium and iron) content of 15 common foodstuffs in the region and the nutrient intakes of 32 Latvian respondents (based on 24-h recalls). Differences between databases were estimated. Results: There were discrepancies in the energy and nutrient content of the 15 selected foods using the two databases. The adapted Micro-Nutrica database generally gave a lower energy content than the Russian database (median: À6%), and a lower fat content for typically fat-rich foods. Intakes of energy, fat, carbohydrate and calcium by the 32 selected respondents were significantly lower when the Micro-Nutrica database was used. Differences were particularly high for fat (difference ¼ À23.5%, 95% confidence interval ¼ À31.1 to À15.8%, Po0.0001). Conclusions:The results suggest that reported comparisons of nutrient intakes in the Baltic countries should be treated with caution and that more research is needed for the development of comparable national databases in the region. Potential differences between databases should be investigated early when international surveys of dietary intake are being planned.

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Comparison of nutrients in the food composition tables available in the nine European countries participating in EPIC

Cited by 167 publications

References 33 publications

INTERMAP: the dietary data—process and quality control

INTERMAP: the dietary data—process and quality control

A European food consumption survey method–conclusions and recommendations

Comparison of the Micro-Nutrica Nutritional Analysis program and the Russian Food Composition Database using data from the Baltic Nutrition Surveys

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