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Paz-Graniel I, Babio N, Serra-Majem L, Vioque J, Zomeño MD, Corella D, Díaz-López A, Pintó X, Bueno-Cavanillas A, Tur JA, Daimiel L, Martínez JA, Becerra-Tomás N, Navarrete-Muñoz EM, Schröder H, Fernández-Carrión R, Ortiz-Andrellucchi A, Corbella E, Riquelme-Gallego B, Gallardo-Alfaro L, Micó V, Zulet M, Barrubés L, Fitó M, Ruiz-Canela M, Salas-Salvadó J. Fluid and total water intake in a senior mediterranean population at high cardiovascular risk: demographic and lifestyle determinants in the PREDIMED-Plus study. Eur J Nutr 2019; 59:1595-1606. [PMID: 31154492 DOI: 10.1007/s00394-019-02015-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Accepted: 05/28/2019] [Indexed: 11/28/2022]
Abstract
PURPOSE We aimed to evaluate associations between compliance with recommendations for total water intake (TWI) and total water intake from fluids (TWIF), and some socio-demographic and lifestyle factors of a senior Mediterranean population at high cardiovascular risk. METHODS Cross-sectional analysis with data of 1902 participants from the PREDIMED-Plus study. A validated 32-item Spanish fluid-intake questionnaire was used to assess beverage consumption and water intake. Multivariable logistic regression models were used to assess the odds ratio (OR) and the 95% confidence interval (CI) for complying with European Food Safety Agency recommendations for TWI and TWIF according to various socio-demographic and lifestyle factors, and for the joint associations of Mediterranean diet (MedDiet) adherence and moderate-vigorous physical activity (MVPA). RESULTS The mean total volume of fluid intake in the population studied was 1934 ± 617 mL/day. Water was the most frequently consumed beverage. Significant differences between sex were only observed in alcoholic and hot beverage consumption. Compliance with TWIF was associated with being women (OR 3.02; 2.40, 3.80), high adherence to MedDiet (OR 1.07; 1.02, 1.12), and participants who were more engaged in physical activity (PA) (OR 1.07; 1.02, 1.13). Age was inversely associated (OR 0.96; 0.94, 0.98). Similar results for TWI recommendations compliance were observed in relation to being women (OR 5.34; 3.85, 7.42), adherence to MedDiet (OR 1.16; 1.02, 1.31) and PA (OR 1.07; 1.00, 1.15). The joint association of PA and MedDiet, showed that participants with higher adherence to MedDiet and meeting WHO recommendations for MVPA complied better with the TWI recommendations (OR 1.66; 1.19, 2.32). CONCLUSIONS High compliance with recommendations for TWI was associated with being a woman, and a healthy lifestyle characterized by high adherence to the MedDiet and PA.
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Affiliation(s)
- Indira Paz-Graniel
- Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Universitat Rovira i Virgili, University Hospital of Sant Joan de Reus, IISPV, Reus, Spain
| | - Nancy Babio
- Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Universitat Rovira i Virgili, University Hospital of Sant Joan de Reus, IISPV, Reus, Spain. .,Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.
| | - Luís Serra-Majem
- Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), Preventive Medicine Service, University of Las Palmas de Gran Canaria, Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), Canarian Health Service, Las Palmas, Spain
| | - Jesús Vioque
- CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.,Miguel Hernandez University, ISABIAL-FISABIO, Alicante, Spain
| | - Maria Dolores Zomeño
- Cardiovascular Risk and Nutrition Research Group (CARIN), Hospital del Mar Research Institute (IMIM), Barcelona, Spain.,Blanquerna, School of Health Sciences, Universitat Ramon Llull, Barcelona, Spain
| | - Dolores Corella
- Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Department of Preventive Medicine, University of Valencia, Valencia, Spain
| | - Andrés Díaz-López
- Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Universitat Rovira i Virgili, University Hospital of Sant Joan de Reus, IISPV, Reus, Spain.,Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain
| | - Xavier Pintó
- Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge IDIBELL, Hospitalet de Llobregat, Barcelona, Spain
| | - Aurora Bueno-Cavanillas
- CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.,Department of Preventive Medicine, University of Granada, Granada, Spain
| | - Josep A Tur
- Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, Palma de Mallorca, Spain
| | - Lidia Daimiel
- Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM + CSIC, Madrid, Spain
| | - J Alfredo Martínez
- Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM + CSIC, Madrid, Spain.,Department of Nutrition, Food Science and Physiology, University of Navarra, IDISNA, Pamplona, Spain
| | - Nerea Becerra-Tomás
- Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Universitat Rovira i Virgili, University Hospital of Sant Joan de Reus, IISPV, Reus, Spain.,Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain
| | - Eva Mª Navarrete-Muñoz
- CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.,Miguel Hernandez University, ISABIAL-FISABIO, Alicante, Spain
| | - Helmut Schröder
- CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.,Cardiovascular Risk and Nutrition Research Group (CARIN), Hospital del Mar Research Institute (IMIM), Barcelona, Spain
| | - Rebeca Fernández-Carrión
- Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Department of Preventive Medicine, University of Valencia, Valencia, Spain
| | - Adriana Ortiz-Andrellucchi
- Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), Preventive Medicine Service, University of Las Palmas de Gran Canaria, Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), Canarian Health Service, Las Palmas, Spain
| | - Emili Corbella
- Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge IDIBELL, Hospitalet de Llobregat, Barcelona, Spain
| | - Blanca Riquelme-Gallego
- CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.,Department of Preventive Medicine, University of Granada, Granada, Spain
| | - Laura Gallardo-Alfaro
- Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, Palma de Mallorca, Spain
| | - Víctor Micó
- Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM + CSIC, Madrid, Spain
| | - Marian Zulet
- Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Department of Nutrition, Food Science and Physiology, University of Navarra, IDISNA, Pamplona, Spain
| | - Laura Barrubés
- Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Universitat Rovira i Virgili, University Hospital of Sant Joan de Reus, IISPV, Reus, Spain.,Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain
| | - Montserrat Fitó
- Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Cardiovascular Risk and Nutrition Research Group (CARIN), Hospital del Mar Research Institute (IMIM), Barcelona, Spain
| | - Miguel Ruiz-Canela
- Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Department of Preventive Medicine and Public Health, University of Navarra, IDISNA (Instituto de Investigación Sanitaria de Navarra), Pamplona, Spain
| | - Jordi Salas-Salvadó
- Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Universitat Rovira i Virgili, University Hospital of Sant Joan de Reus, IISPV, Reus, Spain. .,Centro de Investigación Biomédica en Red Fisiopatologia de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.
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Serra-Majem L, Raposo A, Aranceta-Bartrina J, Varela-Moreiras G, Logue C, Laviada H, Socolovsky S, Pérez-Rodrigo C, Aldrete-Velasco JA, Meneses Sierra E, López-García R, Ortiz-Andrellucchi A, Gómez-Candela C, Abreu R, Alexanderson E, Álvarez-Álvarez RJ, Álvarez Falcón AL, Anadón A, Bellisle F, Beristain-Navarrete IA, Blasco Redondo R, Bochicchio T, Camolas J, Cardini FG, Carocho M, Costa MDC, Drewnowski A, Durán S, Faundes V, Fernández-Condori R, García-Luna PP, Garnica JC, González-Gross M, La Vecchia C, Leis R, López-Sobaler AM, Madero MA, Marcos A, Mariscal Ramírez LA, Martyn DM, Mistura L, Moreno Rojas R, Moreno Villares JM, Niño-Cruz JA, Oliveira MBPP, Palacios Gil-Antuñano N, Pérez-Castells L, Ribas-Barba L, Rincón Pedrero R, Riobó P, Rivera Medina J, Tinoco de Faria C, Valdés-Ramos R, Vasco E, Wac SN, Wakida G, Wanden-Berghe C, Xóchihua Díaz L, Zúñiga-Guajardo S, Pyrogianni V, Cunha Velho de Sousa S. Ibero⁻American Consensus on Low- and No-Calorie Sweeteners: Safety, Nutritional Aspects and Benefits in Food and Beverages. Nutrients 2018; 10:E818. [PMID: 29941818 PMCID: PMC6073242 DOI: 10.3390/nu10070818] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Revised: 06/07/2018] [Accepted: 06/20/2018] [Indexed: 02/07/2023] Open
Abstract
International scientific experts in food, nutrition, dietetics, endocrinology, physical activity, paediatrics, nursing, toxicology and public health met in Lisbon on 2⁻4 July 2017 to develop a Consensus on the use of low- and no-calorie sweeteners (LNCS) as substitutes for sugars and other caloric sweeteners. LNCS are food additives that are broadly used as sugar substitutes to sweeten foods and beverages with the addition of fewer or no calories. They are also used in medicines, health-care products, such as toothpaste, and food supplements. The goal of this Consensus was to provide a useful, evidence-based, point of reference to assist in efforts to reduce free sugars consumption in line with current international public health recommendations. Participating experts in the Lisbon Consensus analysed and evaluated the evidence in relation to the role of LNCS in food safety, their regulation and the nutritional and dietary aspects of their use in foods and beverages. The conclusions of this Consensus were: (1) LNCS are some of the most extensively evaluated dietary constituents, and their safety has been reviewed and confirmed by regulatory bodies globally including the World Health Organisation, the US Food and Drug Administration and the European Food Safety Authority; (2) Consumer education, which is based on the most robust scientific evidence and regulatory processes, on the use of products containing LNCS should be strengthened in a comprehensive and objective way; (3) The use of LNCS in weight reduction programmes that involve replacing caloric sweeteners with LNCS in the context of structured diet plans may favour sustainable weight reduction. Furthermore, their use in diabetes management programmes may contribute to a better glycaemic control in patients, albeit with modest results. LNCS also provide dental health benefits when used in place of free sugars; (4) It is proposed that foods and beverages with LNCS could be included in dietary guidelines as alternative options to products sweetened with free sugars; (5) Continued education of health professionals is required, since they are a key source of information on issues related to food and health for both the general population and patients. With this in mind, the publication of position statements and consensus documents in the academic literature are extremely desirable.
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Affiliation(s)
- Lluis Serra-Majem
- Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria (ULPGC), Las Palmas de Gran Canaria 35016, Spain.
- Spanish Academy of Nutrition and Food Sciences (AEN), Barcelona 08029, Spain.
- Nutrition Research Foundation (FIN), University of Barcelona Science Park, Barcelona 08028, Spain.
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBER OBN), Instituto de Salud Carlos III, Madrid 28029, Spain.
| | - António Raposo
- Research Center for Biosciences and Health Technologies-CBIOS, Universidade Lusófona de Humanidades e Tecnologias, Lisboa 1749-024, Portugal.
| | - Javier Aranceta-Bartrina
- Spanish Academy of Nutrition and Food Sciences (AEN), Barcelona 08029, Spain.
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBER OBN), Instituto de Salud Carlos III, Madrid 28029, Spain.
- Spanish Society of Community Nutrition (SENC), Barcelona 08029, Spain.
- Department of Physiology, University of the Basque Country (UPV/EHU), Leioa (Bizkaia) 48940, Spain.
| | - Gregorio Varela-Moreiras
- Spanish Academy of Nutrition and Food Sciences (AEN), Barcelona 08029, Spain.
- Spanish Nutrition Foundation (FEN), Madrid 28010, Spain.
- Department of Pharmaceutical & Health Sciences, School of Pharmacy, CEU San Pablo University, Boadilla del Monte (Madrid) 28668, Spain.
| | - Caomhan Logue
- Nutritional Innovation Centre for Food & Health (NICHE), School of Biomedical Sciences, Ulster University, Coleraines BT52 1SA, UK.
| | - Hugo Laviada
- Research Department of Metabolism and Nutrition, Medical School, Marist University of Merida, Mérida Yucatan 97300, Mexico.
| | - Susana Socolovsky
- Argentine Association of Food Technologists, Buenos Aires 1088, Argentina.
| | - Carmen Pérez-Rodrigo
- Spanish Academy of Nutrition and Food Sciences (AEN), Barcelona 08029, Spain.
- Spanish Society of Community Nutrition (SENC), Barcelona 08029, Spain.
- Department of Physiology, University of the Basque Country (UPV/EHU), Leioa (Bizkaia) 48940, Spain.
| | | | - Eduardo Meneses Sierra
- Mexican College of Internal Medicine, Mexico City 03910, Mexico.
- Hospital General de Especialidades del ISSSTE, Saltillo, Coahuila 25020, Mexico.
| | | | - Adriana Ortiz-Andrellucchi
- Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria (ULPGC), Las Palmas de Gran Canaria 35016, Spain.
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBER OBN), Instituto de Salud Carlos III, Madrid 28029, Spain.
| | - Carmen Gómez-Candela
- Clinical Nutrition Department, La Paz University Hospital, Madrid 28046, Spain.
- Hospital La Paz Health Research Institute - IdiPAZ, Autonomous University of Madrid, Madrid 28046, Spain.
| | | | - Erick Alexanderson
- Nuclear Cardiology Department, Instituto Nacional de Cardiología "Ignacio Chávez, Tlalpan, Ciudad de Mexico 14080, Mexico.
- Phisiology Department, National Autonomous University of Mexico, Coyoacán, Ciudad de México 04510, Mexico.
- Mexican Society of Cardiology, México City 14080, Mexico.
| | | | - Ana Luisa Álvarez Falcón
- Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria (ULPGC), Las Palmas de Gran Canaria 35016, Spain.
- Dr. Negrin University Hospital of Gran Canaria, Las Palmas de Gran Canaria 35010, Spain.
| | - Arturo Anadón
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, Complutense University of Madrid, Madrid 28040, Spain.
| | - France Bellisle
- Nutritional Epidemiology Unit, University of Paris 13, Bobigny 93017, France.
| | | | - Raquel Blasco Redondo
- Regional Center for Sports Medicine of the Junta de Castilla y León, Valladolid 47011, Spain.
| | - Tommaso Bochicchio
- Facultad Mexicana de Medicina, La Salle University, Mexico 14000, D. F., Mexico.
- Mexican Transplant Institute, Cuernavaca, Morelos 62448, Mexico.
| | - José Camolas
- Serviço de Endocrinologia, Hospital de Santa Maria⁻CHLN, Lisboa 1649-035, Portugal.
| | - Fernando G Cardini
- Argentine Quality Institute-Instituto Argentino para la Calidad (IAPC), Ciudad Autónoma de Buenos Aires 1406, Argentina.
| | - Márcio Carocho
- Mountain Research Centre (CIMO), Polytechnic Institute of Bragança, Campus de Santa Apolónia, Bragança 5300-253, Portugal.
| | - Maria do Céu Costa
- ASAE-Autoridade de Segurança Alimentar e Económica, CBIOS/ECTS-The Biosciences Research Center and NICiTeS/ERISA⁻Núcleo de Investigação em Ciências e Tecnologias da Saúde, Grupo Lusófona, Lisboa 1749-024, Portugal.
| | - Adam Drewnowski
- Center for Public Health Nutrition, University of Washington-Center for Obesity Research, Seattle, WA 98195, USA.
| | - Samuel Durán
- Chilean College of Nutritionists, Universidad San Sebastian, Santiago 7500000, Chile.
| | - Víctor Faundes
- Nutrition and Food Technology Institute, University of Chile, Santiago 7830490, Chile.
| | | | - Pedro P García-Luna
- Andalusian Society of Endocrinology, Diabetes and Nutrition, Department of Endocrinology and Nutrition, Virgen del Rocio Hospital, Sevilla 41013, Spain.
| | | | - Marcela González-Gross
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBER OBN), Instituto de Salud Carlos III, Madrid 28029, Spain.
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Universidad Politécnica de Madrid, Madrid 28040, Spain.
| | - Carlo La Vecchia
- Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milano 20133, Italy.
| | - Rosaura Leis
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBER OBN), Instituto de Salud Carlos III, Madrid 28029, Spain.
- School of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela 15782, Spain.
- Gastroenterology, Hepatology and Paediatric Nutrition Unit of the Santiago Clinical University Hospital, Santiago de Compostela 15706, Spain.
| | - Ana María López-Sobaler
- Department of Nutrition and Food Science, School of Pharmacy, Complutense University of Madrid (UCM), Madrid 28040, Spain.
| | | | - Ascensión Marcos
- Spanish Federation of Nutrition, Food and Dietetics Societies, Madrid 28918, Spain.
- Institute of Food Science, Technology and Nutrition (ICTAN); Spanish National Research Council (CSIC), Madrid 28040, Spain.
| | | | - Danika M Martyn
- Intertek, HERS, Cody Technology Park, Farnborough GU14 0LX, UK.
| | - Lorenza Mistura
- Council for Agricultural Research and Economics, Research Centre for Food and Nutrition, Rome 00178, Italy.
| | - Rafael Moreno Rojas
- Department of Food Science and Technology, University of Cordoba, Cordoba 14071, Spain.
| | | | - José Antonio Niño-Cruz
- Mexican Nephrological Research Institute, Mexico City 14080, Mexico.
- Departamento de Nefrología y Metabolismo Mineral, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan-Ciudad de México 14080, Mexico.
| | | | - Nieves Palacios Gil-Antuñano
- Department of Medicine, Endocrinology and Nutrition, Sport Medicine Center, AEPSAD, High Sports Council, Madrid 28040, Spain.
| | | | - Lourdes Ribas-Barba
- Nutrition Research Foundation (FIN), University of Barcelona Science Park, Barcelona 08028, Spain.
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBER OBN), Instituto de Salud Carlos III, Madrid 28029, Spain.
| | - Rodolfo Rincón Pedrero
- Departamento de Educación Médica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan-Ciudad de México 14080, Mexico.
| | - Pilar Riobó
- Endocrinology and Nutrition Department, Fundación Jiménez Díaz Hospital, IDC Salud, Madrid 28040, Spain.
- Facultad de Medicina, Universidad Autónoma de Madrid, Ciudad Universitaria de Cantoblanco, Madrid 28049, Spain.
| | - Juan Rivera Medina
- Servicio de Gastroenterología, Hepatología y Nutrición del Instituto Nacional de Salud del Niño, Lima 15083, Peru.
- Departamento de Pediatría, Universidad Nacional Mayor de San Marcos, Lima 15083, Peru.
| | - Catarina Tinoco de Faria
- Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria (ULPGC), Las Palmas de Gran Canaria 35016, Spain.
| | - Roxana Valdés-Ramos
- Faculty of Medicine, Autonomous University of the State of Mexico, Toluca 50180, Mexico.
| | - Elsa Vasco
- Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisboa 1649-016, Portugal.
| | - Sandra N Wac
- Nutrition and Public Health Working Group, Argentine Nutrition Society, La Plata, Buenos Aires 1900, Argentina.
| | | | - Carmina Wanden-Berghe
- Scientific and Educational Committee, Spanish Society of Parenteral and Enteral Nutrition (SENPE), Barcelona 08017, Spain.
| | - Luis Xóchihua Díaz
- Instituto Nacional de Pediatria, Sociedad Mexicana de Pediatria, Insurgentes Cuicuilco, Ciudad de México 04530, Mexico.
| | - Sergio Zúñiga-Guajardo
- Mexican Diabetes Federation, Mexico. Facultad de Medicina y Hospital Universitario de la Universidad Autónoma de Nuevo León, Monterrey 64630, Mexico.
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Nissensohn M, Sánchez-Villegas A, Galan P, Turrini A, Arnault N, Mistura L, Ortiz-Andrellucchi A, Edelenyi FSD, D'Addezio L, Serra-Majem L. Beverage Consumption Habits among the European Population: Association with Total Water and Energy Intakes. Nutrients 2017; 9:nu9040383. [PMID: 28406441 PMCID: PMC5409722 DOI: 10.3390/nu9040383] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2016] [Revised: 03/23/2017] [Accepted: 04/07/2017] [Indexed: 11/16/2022] Open
Abstract
Background: Fluid and water intake have received limited attention in epidemiological studies. The aim of this study was to compare the average daily consumption of foods and beverages in adults of selective samples of the European Union (EU) population in order to understand the contribution of these to the total water intake (TWI), evaluate if the EU adult population consumes adequate amounts of total water (TW) according to the current guidelines, and to illustrate the real water intake in Europe. Methods: Three national European dietary surveys have been selected: Spain used the Anthropometry, Intake, and Energy Balance Study (ANIBES) population database, Italy analyzed data from the Italian National Food Consumption Survey (INRAN-SCAI 2005-06), and French data came from the NutriNet-Santé database. Mean daily consumption was used to compare between individuals. TWI was compared with European Food Safety Authority (EFSA) reference values for adult men and women. Results: On average, in Spain, TWI was 1.7 L (SE 22.9) for men and 1.6 L (SE 19.4) for women; Italy recorded 1.7 L (SE 16.9) for men and 1.7 L (SE 14.1) for women; and France recorded 2.3 L (SE 4.7) for men and 2.1 L (SE 2.4) for women. With the exception of women in France, neither men nor women consumed sufficient amounts of water according to EFSA reference values. Conclusions: This study highlights the need to formulate appropriate health and nutrition policies to increase TWI in the EU population. The future of beverage intake assessment requires the use of new instruments, techniques, and the application of the new available technologies.
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Affiliation(s)
- Mariela Nissensohn
- International Chair for Advanced Studies on Hydration (ICASH), University of Las Palmas de Gran Canaria, 35016 Las Palmas, Spain.
- Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, 35016 Las Palmas, Spain.
- CIBER OBN, Biomedical Research Networking Center for Physiopathology of Obesity and Nutrition, Carlos III Health Institute, 28029 Madrid, Spain.
| | - Almudena Sánchez-Villegas
- Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, 35016 Las Palmas, Spain.
- CIBER OBN, Biomedical Research Networking Center for Physiopathology of Obesity and Nutrition, Carlos III Health Institute, 28029 Madrid, Spain.
| | - Pilar Galan
- Equipe de Recherche en Epidémiologie Nutritionnelle, Centre de Recherche en Epidémiologie et Statistiques, Université Paris 13, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, F-93017 Bobigny, France.
| | - Aida Turrini
- CREA-Consiglio per la ricerca in agricoltura e l'analisi dell'economia agraria-Centro di ricerca per gli alimenti e la nutrizione, Via Ardeatina 546, 00178 Rome, Italy.
| | - Nathalie Arnault
- Equipe de Recherche en Epidémiologie Nutritionnelle, Centre de Recherche en Epidémiologie et Statistiques, Université Paris 13, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, F-93017 Bobigny, France.
| | - Lorenza Mistura
- CREA-Consiglio per la ricerca in agricoltura e l'analisi dell'economia agraria-Centro di ricerca per gli alimenti e la nutrizione, Via Ardeatina 546, 00178 Rome, Italy.
| | - Adriana Ortiz-Andrellucchi
- International Chair for Advanced Studies on Hydration (ICASH), University of Las Palmas de Gran Canaria, 35016 Las Palmas, Spain.
- Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, 35016 Las Palmas, Spain.
- CIBER OBN, Biomedical Research Networking Center for Physiopathology of Obesity and Nutrition, Carlos III Health Institute, 28029 Madrid, Spain.
| | - Fabien Szabo de Edelenyi
- Equipe de Recherche en Epidémiologie Nutritionnelle, Centre de Recherche en Epidémiologie et Statistiques, Université Paris 13, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, F-93017 Bobigny, France.
| | - Laura D'Addezio
- CREA-Consiglio per la ricerca in agricoltura e l'analisi dell'economia agraria-Centro di ricerca per gli alimenti e la nutrizione, Via Ardeatina 546, 00178 Rome, Italy.
| | - Lluis Serra-Majem
- International Chair for Advanced Studies on Hydration (ICASH), University of Las Palmas de Gran Canaria, 35016 Las Palmas, Spain.
- Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, 35016 Las Palmas, Spain.
- CIBER OBN, Biomedical Research Networking Center for Physiopathology of Obesity and Nutrition, Carlos III Health Institute, 28029 Madrid, Spain.
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Roman-Viñas B, Ortiz-Andrellucchi A, Mendez M, Sánchez-Villegas A, Peña Quintana L, Aznar LAM, Hermoso M, Serra-Majem L. Is the food frequency questionnaire suitable to assess micronutrient intake adequacy for infants, children and adolescents? Matern Child Nutr 2012; 6 Suppl 2:112-21. [PMID: 22296254 DOI: 10.1111/j.1740-8709.2010.00268.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The objective of this study was to review how accurately micronutrient intakes in infants, children, and adolescents were assessed with validated food frequency questionnaires (FFQs) to which study quality criteria had been applied. The methodology and the analysis presented were based on several research activities carried out within the European Micronutrient Recommendation Aligned Network of Excellence. The analysis was limited to vitamin D, vitamin C, vitamin B₁₂, folate, selenium, iron, zinc, iodine, calcium, and copper. A search strategy was defined in MEDLINE and EMBASE literature for studies validating FFQs that estimated intakes of micronutrients being evaluated. Identification of at least three validation studies per micronutrient was required to be included in the analysis. A total score for each nutrient was calculated from the mean of the correlation coefficients weighted by the quality of the study, which included a quality score that was based on sample size, statistics used, data collection procedure, consideration of seasonality and supplement use, an adjustment/weighting of the correlation coefficient according to the quality score, and a rating of the adjusted/weighted correlation. When the mean weighted correlation coefficient was equal to or higher than 0.5, micronutrient intake was considered as adequately estimated. Sufficient validation studies were identified for vitamin C, vitamin D, vitamin B₁₂, iron, zinc, and calcium for infants and pre-school children, and vitamin C, calcium, and iron for older children and adolescents. Results showed that the FFQ was a good instrument for estimating intake of vitamin C, vitamin D, calcium, zinc and iron in infants and pre-school children, and for estimating calcium and vitamin C in children and adolescents.
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Affiliation(s)
- Blanca Roman-Viñas
- Community Nutrition Research Centre of Nutrition Research Foundation, University of Barcelona Science Park, 08028 Barcelona, Spain
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Ortiz-Andrellucchi A, Sánchez-Villegas A, Ramírez-García O, Serra-Majem L. Calidad nutricional de la dieta en gestantes sanas de Canarias. Med Clin (Barc) 2009; 133:615-21. [DOI: 10.1016/j.medcli.2009.06.012] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2008] [Accepted: 06/10/2009] [Indexed: 10/20/2022]
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Ortiz-Andrellucchi A, Peña-Quintana L, Saavedra-Santana P, Albino-Beñacar A, Monckeberg-Barros F, Serra-Majem L. Facing malnutrition and poverty: evaluating the CONIN experience. Nutr Rev 2009; 67 Suppl 1:S47-55. [PMID: 19453678 DOI: 10.1111/j.1753-4887.2009.00159.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
The Undernutrition Prevention Center (UPC) of the Corporation for Childhood Nutrition (CONIN) assists children from 0-3 years of age who present with primary or secondary undernutrition. The aim of the retrospective study reported here was to complete a nutritional, cognitive, and social evaluation of UPC children in Mendoza, Argentina, from 1996 to 2005. During the study period, a total of 478 schoolchildren aged 5-17 years (186 in the CONIN group and 292 in the non-CONIN group) were evaluated. Although no differences in weight and height were found between the groups, the percentage of children below the cutoff level for the maturity test was significantly lower in the CONIN group (10.8% versus 17.6%; P = 0.043). CONIN provides important social support to families through work qualification programs and health education.
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Affiliation(s)
- Adriana Ortiz-Andrellucchi
- NGO Nutrition Without Borders, Barcelona, and the Nutrition Research Group, Department of Clinical Sciences, University of Las Palmas de Gran Canaria, Spain
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Ortiz-Andrellucchi A, Peña Quintana L, Albino Beñacar A, Mönckeberg Barros F, Serra-Majem L. [Child subnutrition, health and poverty, integral intervention programme]. NUTR HOSP 2006; 21:533-41. [PMID: 16913213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023] Open
Abstract
Childood is considered a transcendental stage in the evolutionary process of man, characterized by two phenomenon: growth and development, for which a suitable nutrition is fundamental. The damage that causes undernourishment that is suffered in childhood is greatly lamented by society, since in this stage it is the child's brain that suffers the greatest impact, in which irreversible metabolisms and structural alterarions will occur. Nevertheless, infant undernourishment is not only a problem of lack of fodds, but is also a deeper social conflict, that must be considered at the time of offereing solutions. The Corporation for Childhood Nutrition (CONIN), founded in Chile in 1975, has the mission to help in the recovery of the children from 0 to 3 years who present primary or secondary undernourishment. From 1993, this proyect was extended to the province of Mendoza, Argentina, as the CONIN Foundation (Cooperative for Childhood Nutrition), where this experience was completed by creating Undernourishment Prevention Centres. At the moment this project has been developed in different provinces from the country, in Paraguay and in the near future in Peru, sustaining its work on three pillars: teaching, attendance and investigation. CONIN develops a intervention strategy of great impact, in their area of influence, which is used on the low income population. This in turn causes high social repercusions, as the family and its surrounding are reinforced as a basis for the correct physical and intellectual development of the child, together with an adequate nutrients contribution, allowing the child to develop his genetic potential.
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Affiliation(s)
- A Ortiz-Andrellucchi
- Grupo de Investigaciń en Nutrición, Departamento de Ciencias Clínicas, Universidad de Las Palmas de Gran Canaria, España.
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