New dietary reference intakes in the Netherlands for energy, proteins, fats and digestible carbohydrates

Spaaij, C. J. K.; Pijls, Loek

doi:10.1038/sj.ejcn.1601788

Cited by 20 publications

(14 citation statements)

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“…The E-NRF scores were evaluated against the NU-AGE index. The NU-AGE index is an a priori dietary index developed by Berendsen et al (55) The NU-AGE index is meant to reflect adherence to guidance based on DRVs and food based dietary guidelines for elderly individuals from Italy (56), the UK (57), the Netherlands (58–62), Poland (63), and France (64), on the modified MyPyramid for Older Adults (65, 66), and nutrient requirements from the European Community (67), and from the Institute of Medicine (68). These recommendations were jointly integrated into NU-AGE Food Based Dietary Guidelines (Table 4), including recommendations on consumption of whole meal bread and wholegrain pasta or rice, fruits, vegetables, legumes, low-fat dairy, low-fat cheese, fish, low-fat meat, and poultry, nuts, eggs, olive oil, fluid and use of a vitamin D supplement, alcohol, salt (sodium), and sweets.…”

Section: Methodsmentioning

confidence: 99%

The Newly Developed Elderly Nutrient-Rich Food Score Is a Useful Tool to Assess Nutrient Density in European Older Adults

2019

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Objective: To develop a nutrient-rich food (NRF) score that captures dietary reference values for older adults and to validate this against a diet index that was specifically designed to assess adherence to dietary guidelines for the older population. Design: A cross-sectional study within the Dutch National Food Consumption Survey (DNFCS, n = 735 men and women aged 70–94 years, enrolled between October 2010 and February 2012) and within the NU-AGE study ( n = 250 men and women aged 65–79 years, enrolled between April 2012 and March 2013). Dietary intake was assessed by means of two non-consecutive dietary record assisted 24-h recalls and 7-day food records, respectively. Structured questionnaires collected data on lifestyle and socio-economic information. Anthropometrics were measured by trained dieticians or research assistants. We evaluated Elderly NRF (E-NRF) scores against the NU-AGE index, a measure of adherence to European dietary guidelines for the aging population. The E-NRF scores were composed of nutrients that: ( 1 ) have been shown to be of inadequate intake in the aging population (>20%), ( 2 ) were defined as nutrients of public health relevance, and ( 3 ) were associated with relevant health outcomes. Results: The E-NRF score that best predicted the NU-AGE index included seven nutrients to encourage (protein, dietary fiber, folate, vitamin D, calcium, magnesium, potassium) and three nutrients to limit (saturated fat, sodium and mono- and disaccharides) on a 100-kcal basis, the E-NRF7.3 score (model R 2 0.27 in DNFCS and 0.41 in NU-AGE). Food groups contributing the most to the individual E-NRF7.3 scores were vegetables, bread, potatoes and milk and milk products. Conclusion: The E-NRF7.3 score is a useful tool for assessing nutrient density of diets within the older population. No index has previously been developed with the aim of evaluating nutrient density of diets and foods specifically capturing dietary reference values for older adults.

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Section: Methodsmentioning

confidence: 99%

The Newly Developed Elderly Nutrient-Rich Food Score Is a Useful Tool to Assess Nutrient Density in European Older Adults

2019

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“…The Nordic Nutrition Recommendations agreed on 10%–15% of TEC in the form of MUFA [13]. The particulars of the Dutch Dietary Guidelines proposed a limit of 38% of TEC in the form of MUFA and PUFA for people with optimal body weight, whereas overweight and obese people should be more restrictive and limit their daily energy uptake in the form of MUFA/PUFA to 28% [7]. The UK COMA Committee advocated that MUFA (in the form of oleic acid) should provide an average of 12% of TEC [15].…”

Section: Guidelinesmentioning

confidence: 99%

Monounsaturated Fatty Acids and Risk of Cardiovascular Disease: Synopsis of the Evidence Available from Systematic Reviews and Meta-Analyses

2012

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No dietary recommendations for monounsaturated fatty acids (MUFA) are given by the National Institute of Medicine, the United States Department of Agriculture, European Food and Safety Authority and the American Diabetes Association. In contrast, the Academy of Nutrition and Dietetics, and the Canadian Dietetic Association both promote <25% MUFA of daily total energy consumption, while the American Heart Association sets a limit of 20% MUFA in their respective guidelines. The present review summarizes systematic reviews and meta-analyses of randomized controlled trials and cohort studies investigating the effects of MUFA on cardiovascular and diabetic risk factors, cardiovascular events and cardiovascular death. Electronic database Medline was searched for systematic reviews and meta-analyses using “monounsaturated fatty acids”, “monounsaturated fat”, and “dietary fat” as search terms with no restriction to calendar date or language. Reference lists and clinical guidelines were searched as well. Sixteen relevant papers were identified. Several studies indicated an increase of HDL-cholesterol and a corresponding decrease in triacylglycerols following a MUFA-rich diet. The effects on total and LDL-cholesterol appeared not consistent, but no detrimental effects on blood lipids were observed. Values for systolic and diastolic blood pressure were found to be reduced both during short- and long-term protocols using high amounts of MUFA as compared to low-MUFA diets. In type 2 diabetic subjects, MUFA exerted a hypoglycemic effect and reduced glycosylated hemoglobin in the long term. Data from meta-analyses exploring evidence from long-term prospective cohort studies provide ambiguous results with respect to the effects of MUFA on risk of coronary heart disease (CHD). One meta-analysis reported an increase in CHD events, however, most meta-analyses observed a lesser number of cases in participants subjected to a high-MUFA protocol. Although no detrimental side effects of MUFA-rich diets were reported in the literature, there still is no unanimous rationale for MUFA recommendations in a therapeutic regimen. Additional long-term intervention studies are required to characterized efficacy and effectiveness of recommending MUFA-rich diet among general and clinical populations.

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“…4 The World Health Organization (WHO) recommends that trans fatty acid intake be limited to less than 1% of total energy intake. 6 Several Western countries have taken action to regulate consumption 7 : Denmark became the first country to ban fats and oils with greater than 2% industrially produced trans fatty acids in 2003 8 ; the Netherlands has set an upper intake level of trans fatty acids of 1% of total energy intake 9 ; and the Unites States (US) has mandated trans fatty acid listing on food labels 10 and recommended that intake be as low as possible. 11 …”

Section: Introductionmentioning

confidence: 99%

Estimation of Trans Fatty Acid Intake in Japanese Adults Using 16-Day Diet Records Based on a Food Composition Database Developed for the Japanese Population

Yamada¹,

Sasaki²,

Murakami³

et al. 2010

Journal of Epidemiology

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BackgroundThe Standard Tables of Food Composition in Japan do not include information on trans fatty acids. Previous studies estimating trans fatty acid intake among Japanese have limitations regarding the databases utilized and diet assessment methodologies. We developed a comprehensive database of trans fatty acid food composition, and used this database to estimate intake among a Japanese population.MethodsThe database was developed using analytic values from the literature and nutrient analysis software encompassing foods in the US, as well as values estimated from recipes or nutrient compositions. We collected 16-day diet records from 225 adults aged 30 to 69 years living in 4 areas of Japan. Trans fatty acid intake was estimated based on the database and the 16-day diet records.ResultsMean total fat and trans fatty acid intake was 56.9 g/day (27.7% total energy) and 1.7 g/day (0.8% total energy), respectively, for women and 66.8 g/day (25.5% total energy) and 1.7 g/day (0.7% total energy) for men. Trans fatty acid intake accounted for greater than 1% of total energy intake, which is the maximum recommended according to the World Health Organization, in 24.4% of women and 5.7% of men, and was particularly high among women living in urban areas and those aged 30–49 years. The largest contributors to trans fatty acid intake were confectionaries in women and fats and oils in men.ConclusionsAlthough mean trans fatty acid intake was below the maximum recommended intake of the World Health Organization, intake among subgroups was of concern. Further public health efforts to reduce trans fatty acid intake should be encouraged.

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New dietary reference intakes in the Netherlands for energy, proteins, fats and digestible carbohydrates

Cited by 20 publications

References 1 publication

The Newly Developed Elderly Nutrient-Rich Food Score Is a Useful Tool to Assess Nutrient Density in European Older Adults

The Newly Developed Elderly Nutrient-Rich Food Score Is a Useful Tool to Assess Nutrient Density in European Older Adults

Monounsaturated Fatty Acids and Risk of Cardiovascular Disease: Synopsis of the Evidence Available from Systematic Reviews and Meta-Analyses

Estimation of Trans Fatty Acid Intake in Japanese Adults Using 16-Day Diet Records Based on a Food Composition Database Developed for the Japanese Population

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