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Nutrition risk in the child and adolescent population of the Basque country: the enKid Study

Published online by Cambridge University Press:  08 March 2007

Javier Aranceta Bartrina ,
Lluis Serra-Majem ,
Carmen Pérez-Rodrigo ,
Lourdes Ribas-Barba  and
Alfonso Delgado-Rubio
Javier Aranceta Bartrina*
Affiliation:
Community Nutrition Unit, Bilbao Department of Public Health, Luis Briñas 18, 4th floor, E-48013 Bilbao, Spain
Lluis Serra-Majem
Affiliation:
Department of Preventive Medicine and Public Health, University of Las Palmas, Las Palmas, Spain
Carmen Pérez-Rodrigo
Affiliation:
Community Nutrition Unit, Bilbao Department of Public Health, Luis Briñas 18, 4th floor, E-48013 Bilbao, Spain
Lourdes Ribas-Barba
Affiliation:
Unit of Research on Community Nutrition, Scientific Park University of Barcelona, Barcelona, Spain
Alfonso Delgado-Rubio
Affiliation:
Department of Pediatrics, University of the Basque Country, Bilbao, Spain
*
*Corresponding author: Dr J. Aranceta, fax +34 94 4204466, email jaranceta@unav.es
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Abstract

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Cross-sectional population studies provide valuable information for nutrition surveillance and planning intervention strategies. The enKid Study is the largest nutrition survey on the child and adolescent Spanish population to date. In the present paper, nutrition risks in children and young people of the Basque country based on the enKid Study subsample for the Basque region are presented. Dietary assessment was completed by means of a 24 h recall and a food frequency questionnaire completed in an interview with the mother or caregiver for children under 13 years. A second 24 h recall was completed on 25 % of the sample. Body weight, height and circumference were measured on each individual. Overweight and obesity were defined using Cole et al. cut-offs. Fat intake supplied 40 % of energy intake and saturated fats 13·8 %. Overall, 80 % of the sample had intakes of fat above 35 %. Main food sources of fats were added fats (32 %), meat (20 %) and milk products (20 %). Buns, cakes and pastry supplied 11 % of total fat intake. The nutrients showing the highest proportion of people who did not reach one third (33 %) of the Spanish dietary reference intake levels were vitamin D, vitamin E, vitamin A and folate. Prevailing food pattern showed a high consumption of meat and meat products, milk, dairy products and cereals. Conversely, consumption of fruit, vegetables and fish was low; in fact, 89 % of the sample had a normal consumption of fruit and vegetables below five portions a day. Prevalence of obesity was estimated at 3·94 %, and 17·85 % of the sample was classified as overweight.

Keywords

Dietary surveyChild nutritionNutrition riskObesityPopulation studies
Type
Research Article
Information
British Journal of Nutrition , Volume 96 , Issue S1 , August 2006 , pp. S58 - S66
Copyright
Copyright © The Nutrition Society 2006

References

Álvarez Dardet, C, Alonso, J, Domingo, A, Regidor, E (1995) La Medición de la Clase Social en Ciencias de la Salud. Barcelona: SG-Sociedad Española de EpidemiologíaGoogle Scholar
Aranceta, J, Pérez Rodrigo, C, Ribas, L, Serra-Majem, Ll (2003) Sociodemographic and lifestyle determinants of food patterns in Spanish children and adolescents: the enKid Study. Eur J Clin Nutr 57, Suppl. 1, S40–S44.CrossRefGoogle ScholarPubMed
Australian Bureau of Statistics (1995) National Nutrition Survey: Selected Highlights Australia. Canberra: Commonwealth Department of Health and Family Services.Google Scholar
Barr, SI, Murphy, SP & Poos, MI (2002) Interpreting and using the dietary references intakes in dietary assessment of individuals and groups. J Am Diet Assoc 102, 780–788.CrossRefGoogle ScholarPubMed
Beaton, GH, Milner, J & Corey, P (1979) Sources of variance in 24-hour recall data: implications for nutrition study design and interpretations. Am J Clin Nutr 32, 2546–2559.CrossRefGoogle Scholar
Cole, TJ, Bellizzi, MC, Flegal, KM & Dietz, WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320, 1240–1243.CrossRefGoogle ScholarPubMed
Consejo Superior de Investigaciones Científicas (1994) Tabla de Ingestas Recomendadas en Energía y Nutrientes para la Población Española, Madrid: Departamento de Nutrición, Universidad Complutense de Madrid.Google Scholar
Crawley, HF (1993) The energy, nutrient and food intake of teenagers aged 16–17 years in Britain. 1. The energy, macronutrients and non-starch polysaccharides. Br J Nutr 70, 15–26.CrossRefGoogle ScholarPubMed
George, J, Brinsdon, S, Paulin, J & Aitken, EF (1993) What do young adolescent New Zealanders eat? Nutrient intakes of a nationwide sample of Form 1 children. NZ Med J 106, 47–51.Google Scholar
Goldberg, GR, Black, AE, Jebb, SA, Cole, TJ, Murgatroyd, PR, Coward, WA & Prentice, AM (1991) Critical evaluation of energy intake data using fundamental principles of energy physiology. 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr 45, 569–581.Google ScholarPubMed
Gregory, J & Lowe, S (2000) National Diet and Nutrition Survey: Young people aged 4–18 years. London: HMSO.Google Scholar
Guenther, PM, Kott, PS & Carriquiry, AL (1997) Development of an approach for estimating usual nutrient intake distributions at the population level. J Nutr 127, 1106–1112.CrossRefGoogle ScholarPubMed
Hercberg, S, Preziosi, P, Galan, P, Deheeger, M, Papoz, L & Dupin, H (1991) Dietary intake of a representative sample of the population of Val-de-Marne. Rev Epidemiol Sante Publ 39, 245–261.Google ScholarPubMed
Holland, B, Welch, AA, Unwin, ID, Buss, DH, Paul, AA & Southgate, DAT (1991) McCance & Widdowson's The Composition of Foods, 5th ed. Cambridge: Royal Society of Chemistry.Google Scholar
Institute of MedicineInstitute of Medicine (2000 a) Dietary Reference Intakes: Applications in Dietary Assessment, Washington, DC: National Academy Press.Google Scholar
Institute of MedicineInstitute of Medicine (2000 b) Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids, Washington, DC: National Academies Press.Google Scholar
Kant, AK (2000) Consumption of energy-dense, nutrient-poor foods by adult Americans: nutritional and health implications. NHANES III 1988–1994. Am J Clin Nutr 72, 929–936.CrossRefGoogle Scholar
Kant, AK (2003) Reported consumption of low-nutrient-density foods by American children and adolescents: nutritional and health correlates. The Third National Health and Nutrition Examination Survey (NHANES III) 1988–1994. Arch Pediatr Adolesc Med 157 8 789–796.CrossRefGoogle Scholar
Kant, AK & Schatzkin, A (1994) Consumption of energy-dense, nutrient-poor foods by the US population: effect on nutrient profiles. J Am Coll Nutr 13, 285–291.CrossRefGoogle ScholarPubMed
Kemm, JR (1987) Eating patterns in childhood and adult health. Nutr Health 4, 205–215.CrossRefGoogle ScholarPubMed
Liu, K, Stamler, J, Dyer, A, McKeever, J & McKeever, P (1978) Statistical methods to assess and minimize the role of intra-individual variability in obscuring the relationship between dietary lipids and serum cholesterol. J Chronic Dis 31, 399–418.CrossRefGoogle ScholarPubMed
Livingstone, MBE & Black, AE (2003) Markers of the validity of reported energy intake. J Nutr 133 895S – 920SCrossRefGoogle ScholarPubMed
Lobstein, T, Baur, L, & Uauy, Rfor the IASO International Obesity Task Force (2004) Obesity in children and young people: a crisis in public health. Obes Rev 5, Suppl. 1. 4–85.CrossRefGoogle Scholar
McMahon, J, Parnell, W & Spears, G (1993) Diet and dental caries in preschool children. Eur J Clin Nutr 47, 794–802.Google ScholarPubMed
Maras, JE, Bermudez, OI, Qiao, M, Bakun, PJ, Boody-Alter, EL & Tucker, KL (2004) Intake of α-tocopherol is limited among US adults. J Am Diet Assoc 104, 567–575.CrossRefGoogle ScholarPubMed
Mataix, J, Mañas, M, Llopis, J, Martínez, de & Vitoria, E (1998) Tabla de Composición de Alimentos Españoles. 3a edición, Granada: Universidad de Granada.Google Scholar
Munoz, KA, Kreb-Smith, SM, Ballard-Barbash, R & Cleveland, LE (1998) Food intakes of US children and adolescents compared with recommendations. Pediatrics 100, 323–329.CrossRefGoogle Scholar
Nicklas, TA, Farris, RP & Smoak, CG (1988) Dietary factors relate to cardiovascular risk factors in early life. Bogalusa Heart Study. Arteriosclerosis 8, 193–199.CrossRefGoogle ScholarPubMed
Pérez Rodrigo, C, Ribas, L, Serra-Majem, Ll, Aranceta, J (2003) Food preferences of Spanish children and young people: the enKid Study. Eur J Clin Nutr 57, Suppl. 1, S45–S48.CrossRefGoogle Scholar
Royo-Bordonada, MA, Gorgojo, L, de Oya, M (2003) Food sources of nutrients in the diet of Spanish children: the Four Provinces Study. Br J Nutr 89, 105–114.CrossRefGoogle ScholarPubMed
Schofield, WN (1985) Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr 39, Suppl. 1. 5–41.Google ScholarPubMed
Sempos, CT, Johnson, NE, Smith, EL & Gilligan, C (1985) Effects of intraindividual and interindividual variation in repeated dietary records. Am J Epidemiol 121   120–130.CrossRefGoogle ScholarPubMed
Serra Majem, L, & Aranceta Bartrina, J (eds) (2000) Desayuno y Equilibrio Alimentario. Estudio enKid. Barcelona: Masson SA.Google Scholar
Serra-Majem, Ll, Garcia-Closas, R, Ribas, L, Pérez Rodrigo, C, Aranceta, J (2001 b) Food patterns of Spanish schoolchildren and adolescents: the enKid Study. Pub Health Nutr 4, 1433–1438.CrossRefGoogle ScholarPubMed
Serra-Majem, Ll, Ribas Barba, L, Aranceta Bartrina, J, Pérez Rodrigo, C, & Saavedra Santana, P (2001 a) Epidemiología de la obesidad infantil y juvenil en España. Resultados del estudio enKid (1998–2000) Obesidad Infantil y Juvenil: Estudio Enkid 81–108 [Serra Majem, LAranceta Bartrina, J, editors]. Barcelona: Masson.Google Scholar
Serra-Majem, Ll, Ribas-Barba, L, Pérez Rodrigo, C, García-Closas, R, Peña-Quintana, L, Aranceta, J (2002) Determinant of nutrient intake among children and adolescents: results from the enKid study. Ann Nutr Metab 46, Suppl. 1, 31–38.CrossRefGoogle ScholarPubMed
Suitor, CW & Gleason, PM (2002) Using dietary reference intake-based methods to estimate the prevalence of inadequate nutrient intake among school-aged children. J Am Diet Assoc 102, 530–536.CrossRefGoogle ScholarPubMed
Tomkins, A (2001) Vitamin and mineral nutrition for the health and development of children in Europe. Public Health Nutr 4, 91–99.CrossRefGoogle Scholar
Yngve, A, Poortvliet, E & Elmadfa, I (2005) Intake of fruit and vegetables in a sample of 11-year-old children in 9 European countries: the Pro Children cross-sectional survey. Ann Nutr Metab 49, 236–245.CrossRefGoogle Scholar
Wang, Y, Bentley, ME, Zhai, F & Popkin, BM (2002) Tracking of dietary intake patterns of Chinese from childhood to adolescence over a six-year follow-up period.   J Nutr 132, 430–438.CrossRefGoogle Scholar
World Health OrganizationWorld Health Organization (2000) Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation. Technical Report Series no. 894. Geneva: WHO.Google Scholar