Limits...
Modelling of usual nutrient intakes: potential impact of the choices programme on nutrient intakes in young dutch adults.

Roodenburg AJ, van Ballegooijen AJ, Dötsch-Klerk M, van der Voet H, Seidell JC - PLoS ONE (2013)

Bottom Line: Three scenarios were calculated: the "actual intakes" (scenario 1) were compared to scenario 2, where all foods that did not comply were replaced by similar foods that did comply with the Choices criteria.Intakes of nutrients with a maximal intake limit were also reduced (ranging from -23% for sodium and -62% for TFA).Effects on intakes of beneficial nutrients varied from an unintentional reduction in fat soluble vitamin intakes (-15 to -28%) to an increase of 28% for fibre and 17% calcium.

View Article: PubMed Central - PubMed

Affiliation: Unilever Research & Development Vlaardingen, Unilever, Vlaardingen, The Netherlands ; Department of Health Sciences, VU University Amsterdam, Amsterdam, The Netherlands ; Sector Food, HAS University of Applied Sciences, Den Bosch, The Netherlands.

ABSTRACT

Introduction: The Choices Programme is an internationally applicable nutrient profiling system with nutrition criteria for trans fatty acids (TFA), saturated fatty acids, sodium, added sugar and for some product groups energy and fibre. These criteria determine whether foods are eligible to carry a "healthier option" stamp. In this paper a nutrient intake modelling method is described to evaluate these nutritional criteria by investigating the potential effect on nutrient intakes.

Methods: Data were combined from the 2003 Dutch food consumption survey in young adults (aged 19-30) and the Dutch food composition table into the Monte Carlo Risk Assessment model. Three scenarios were calculated: the "actual intakes" (scenario 1) were compared to scenario 2, where all foods that did not comply were replaced by similar foods that did comply with the Choices criteria. Scenario 3 was the same as scenario 2 adjusted for the difference in energy density between the original and replacement food. Additional scenarios were calculated where snacks were not or partially replaced and stratified analyses for gender, age, Body Mass Index (BMI) and education.

Results: Calculated intake distributions showed that median energy intake was reduced by 16% by replacing normally consumed foods with Choices compliant foods. Intakes of nutrients with a maximal intake limit were also reduced (ranging from -23% for sodium and -62% for TFA). Effects on intakes of beneficial nutrients varied from an unintentional reduction in fat soluble vitamin intakes (-15 to -28%) to an increase of 28% for fibre and 17% calcium. Stratified analyses in this homogeneous study population showed only small differences across gender, age, BMI and education.

Conclusions: This intake modelling method showed that with consumption of Choices compliant foods, nutrient intakes shift towards population intake goals for the nutrients for which nutrition criteria were defined, while effects on beneficial nutrients were diverse.

Show MeSH
Usual intake distributions for trans fatty acids (TFA) for all five scenarios.“Actual” TFA intake is compared to the Choices scenario: if the Dutch population (aged 19–30) would eat ‘only’ foods that comply with Choices; with and without adjustment for differences in energy density (Choices and Choices, energy adjusted); with partial or with no replacements of snacks (Snacks, partially or not replaced). Maximal intake limit for TFA is 2.2 g/d (1 en%, 2000 kcal).
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC3756057&req=5

pone-0072378-g004: Usual intake distributions for trans fatty acids (TFA) for all five scenarios.“Actual” TFA intake is compared to the Choices scenario: if the Dutch population (aged 19–30) would eat ‘only’ foods that comply with Choices; with and without adjustment for differences in energy density (Choices and Choices, energy adjusted); with partial or with no replacements of snacks (Snacks, partially or not replaced). Maximal intake limit for TFA is 2.2 g/d (1 en%, 2000 kcal).

Mentions: Table 4 shows the intake distributions for energy SAFA, TFA, sodium, and total sugar for the five different scenarios, including the different snack-scenarios. When evaluating the median values (Figure 3), the snacks scenarios indicated that not replacing snacks with Choices compliant alternatives resulted in substantially higher intakes for sugar (12%) and SAFA (8%) and especially TFA (68%), indicating snacks being important sources of TFA and also, but to a lesser extent, sugar and SAFA. For energy and sodium, these effects were much smaller (1 and 4%, respectively). The intake distributions became narrower for the Choices scenario and the snack scenarios, as can be seen by lower inter-quartile ranges (IQRs). This indicates less variability and shorter tails of the distributions (Table 4, Figure 4). This is also illustrated for TFA in Figure 4 where the distributions are shown for all five scenarios.


Modelling of usual nutrient intakes: potential impact of the choices programme on nutrient intakes in young dutch adults.

Roodenburg AJ, van Ballegooijen AJ, Dötsch-Klerk M, van der Voet H, Seidell JC - PLoS ONE (2013)

Usual intake distributions for trans fatty acids (TFA) for all five scenarios.“Actual” TFA intake is compared to the Choices scenario: if the Dutch population (aged 19–30) would eat ‘only’ foods that comply with Choices; with and without adjustment for differences in energy density (Choices and Choices, energy adjusted); with partial or with no replacements of snacks (Snacks, partially or not replaced). Maximal intake limit for TFA is 2.2 g/d (1 en%, 2000 kcal).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3756057&req=5

pone-0072378-g004: Usual intake distributions for trans fatty acids (TFA) for all five scenarios.“Actual” TFA intake is compared to the Choices scenario: if the Dutch population (aged 19–30) would eat ‘only’ foods that comply with Choices; with and without adjustment for differences in energy density (Choices and Choices, energy adjusted); with partial or with no replacements of snacks (Snacks, partially or not replaced). Maximal intake limit for TFA is 2.2 g/d (1 en%, 2000 kcal).
Mentions: Table 4 shows the intake distributions for energy SAFA, TFA, sodium, and total sugar for the five different scenarios, including the different snack-scenarios. When evaluating the median values (Figure 3), the snacks scenarios indicated that not replacing snacks with Choices compliant alternatives resulted in substantially higher intakes for sugar (12%) and SAFA (8%) and especially TFA (68%), indicating snacks being important sources of TFA and also, but to a lesser extent, sugar and SAFA. For energy and sodium, these effects were much smaller (1 and 4%, respectively). The intake distributions became narrower for the Choices scenario and the snack scenarios, as can be seen by lower inter-quartile ranges (IQRs). This indicates less variability and shorter tails of the distributions (Table 4, Figure 4). This is also illustrated for TFA in Figure 4 where the distributions are shown for all five scenarios.

Bottom Line: Three scenarios were calculated: the "actual intakes" (scenario 1) were compared to scenario 2, where all foods that did not comply were replaced by similar foods that did comply with the Choices criteria.Intakes of nutrients with a maximal intake limit were also reduced (ranging from -23% for sodium and -62% for TFA).Effects on intakes of beneficial nutrients varied from an unintentional reduction in fat soluble vitamin intakes (-15 to -28%) to an increase of 28% for fibre and 17% calcium.

View Article: PubMed Central - PubMed

Affiliation: Unilever Research & Development Vlaardingen, Unilever, Vlaardingen, The Netherlands ; Department of Health Sciences, VU University Amsterdam, Amsterdam, The Netherlands ; Sector Food, HAS University of Applied Sciences, Den Bosch, The Netherlands.

ABSTRACT

Introduction: The Choices Programme is an internationally applicable nutrient profiling system with nutrition criteria for trans fatty acids (TFA), saturated fatty acids, sodium, added sugar and for some product groups energy and fibre. These criteria determine whether foods are eligible to carry a "healthier option" stamp. In this paper a nutrient intake modelling method is described to evaluate these nutritional criteria by investigating the potential effect on nutrient intakes.

Methods: Data were combined from the 2003 Dutch food consumption survey in young adults (aged 19-30) and the Dutch food composition table into the Monte Carlo Risk Assessment model. Three scenarios were calculated: the "actual intakes" (scenario 1) were compared to scenario 2, where all foods that did not comply were replaced by similar foods that did comply with the Choices criteria. Scenario 3 was the same as scenario 2 adjusted for the difference in energy density between the original and replacement food. Additional scenarios were calculated where snacks were not or partially replaced and stratified analyses for gender, age, Body Mass Index (BMI) and education.

Results: Calculated intake distributions showed that median energy intake was reduced by 16% by replacing normally consumed foods with Choices compliant foods. Intakes of nutrients with a maximal intake limit were also reduced (ranging from -23% for sodium and -62% for TFA). Effects on intakes of beneficial nutrients varied from an unintentional reduction in fat soluble vitamin intakes (-15 to -28%) to an increase of 28% for fibre and 17% calcium. Stratified analyses in this homogeneous study population showed only small differences across gender, age, BMI and education.

Conclusions: This intake modelling method showed that with consumption of Choices compliant foods, nutrient intakes shift towards population intake goals for the nutrients for which nutrition criteria were defined, while effects on beneficial nutrients were diverse.

Show MeSH