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Beghin L, Vanhelst J, Drumez E, Kersting M, Molnar D, Kafatos A, De Henauwn S, Widhalm K, Karaglani E, Moreno L, Gottrand F. Le poids de naissance et la durée de l’allaitement maternel programment différemment la condition physique de l’adolescent. NUTR CLIN METAB 2022. [DOI: 10.1016/j.nupar.2021.12.137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Kalhoff H, Kersting M, Jansen K, Lücke T. Application of the German food based dietary guidelines for infants, children and adolescents to estimate the consequences of vegetarian and vegan dietary restrictions on vitamin b12 intake. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Olejnik M, Kersting M, Rosenkranz N, Loza K, Breisch M, Rostek A, Prymak O, Schürmeyer L, Westphal G, Köller M, Bünger J, Epple M, Sengstock C. Cell-biological effects of zinc oxide spheres and rods from the nano- to the microscale at sub-toxic levels. Cell Biol Toxicol 2020; 37:573-593. [PMID: 33205376 PMCID: PMC8384809 DOI: 10.1007/s10565-020-09571-z] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 11/04/2020] [Indexed: 12/12/2022]
Abstract
Zinc oxide particles were synthesized in various sizes and shapes, i.e., spheres of 40-nm, 200-nm, and 500-nm diameter and rods of 40∙100 nm2 and 100∙400 nm2 (all PVP-stabilized and well dispersed in water and cell culture medium). Crystallographically, the particles consisted of the hexagonal wurtzite phase with a primary crystallite size of 20 to 100 nm. The particles showed a slow dissolution in water and cell culture medium (both neutral; about 10% after 5 days) but dissolved within about 1 h in two different simulated lysosomal media (pH 4.5 to 4.8). Cells relevant for respiratory exposure (NR8383 rat alveolar macrophages) were exposed to these particles in vitro. Viability, apoptosis, and cell activation (generation of reactive oxygen species, ROS, release of cytokines) were investigated in an in vitro lung cell model with respect to the migration of inflammatory cells. All particle types were rapidly taken up by the cells, leading to an increased intracellular zinc ion concentration. The nanoparticles were more cytotoxic than the microparticles and comparable with dissolved zinc acetate. All particles induced cell apoptosis, unlike dissolved zinc acetate, indicating a particle-related mechanism. Microparticles induced a stronger formation of reactive oxygen species than smaller particles probably due to higher sedimentation (cell-to-particle contact) of microparticles in contrast to nanoparticles. The effect of particle types on the cytokine release was weak and mainly resulted in a decrease as shown by a protein microarray. In the particle-induced cell migration assay (PICMA), all particles had a lower effect than dissolved zinc acetate. In conclusion, the biological effects of zinc oxide particles in the sub-toxic range are caused by zinc ions after intracellular dissolution, by cell-to-particle contacts, and by the uptake of zinc oxide particles into cells. Graphical headlights • The cytotoxicity of zinc oxide particles is mainly due to the intracellular release of zinc ions. • The size and shape of zinc oxide micro- and nanoparticles has only small effects on lung cells in the sub-toxic range. • Zinc oxide particles are rapidly taken up by cells, regardless of their size and shape. • Zinc oxide particles rapidly dissolve after cellular uptake in endolysosomes. ![]()
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Affiliation(s)
- M Olejnik
- Inorganic Chemistry and Center for Nanointegration Duisburg-Essen (CeNIDE), University of Duisburg-Essen, Essen, Germany
| | - M Kersting
- Bergmannsheil University Hospital/Surgical Research, Ruhr-University Bochum, Bochum, Germany
| | - N Rosenkranz
- Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-University Bochum (IPA), Bochum, Germany
| | - K Loza
- Inorganic Chemistry and Center for Nanointegration Duisburg-Essen (CeNIDE), University of Duisburg-Essen, Essen, Germany
| | - M Breisch
- Bergmannsheil University Hospital/Surgical Research, Ruhr-University Bochum, Bochum, Germany
| | - A Rostek
- Inorganic Chemistry and Center for Nanointegration Duisburg-Essen (CeNIDE), University of Duisburg-Essen, Essen, Germany
| | - O Prymak
- Inorganic Chemistry and Center for Nanointegration Duisburg-Essen (CeNIDE), University of Duisburg-Essen, Essen, Germany
| | - L Schürmeyer
- Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-University Bochum (IPA), Bochum, Germany
| | - G Westphal
- Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-University Bochum (IPA), Bochum, Germany
| | - M Köller
- Bergmannsheil University Hospital/Surgical Research, Ruhr-University Bochum, Bochum, Germany
| | - J Bünger
- Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-University Bochum (IPA), Bochum, Germany
| | - M Epple
- Inorganic Chemistry and Center for Nanointegration Duisburg-Essen (CeNIDE), University of Duisburg-Essen, Essen, Germany.
| | - C Sengstock
- Bergmannsheil University Hospital/Surgical Research, Ruhr-University Bochum, Bochum, Germany.
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Rudloff S, Bührer C, Jochum F, Kauth T, Kersting M, Körner A, Koletzko B, Mihatsch W, Prell C, Reinehr T, Zimmer KP. Vegetarische Kostformen im Kindes- und Jugendalter. Monatsschr Kinderheilkd 2018. [DOI: 10.1007/s00112-018-0547-6] [Citation(s) in RCA: 4] [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] [Indexed: 11/30/2022]
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González-Gil EM, Cadenas-Sanchez C, Santabárbara J, Bueno-Lozano G, Iglesia I, González-Gross M, Molnar D, Gottrand F, De Henauw S, Kafatos A, Widhalm K, Manios Y, Siani A, Amaro-Gahete F, Rupérez AI, Cañada D, Censi L, Kersting M, Dallongeville J, Marcos A, Ortega FB, Moreno LA. Inflammation in metabolically healthy and metabolically abnormal adolescents: The HELENA study. Nutr Metab Cardiovasc Dis 2018; 28:77-83. [PMID: 29174028 DOI: 10.1016/j.numecd.2017.10.004] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Revised: 09/21/2017] [Accepted: 10/04/2017] [Indexed: 01/11/2023]
Abstract
BACKGROUND AND AIMS Inflammation may influence the cardio-metabolic profile which relates with the risk of chronic diseases. This study aimed to assess the inflammatory status by metabolic health (MH)/body mass index (BMI) category and to assess how inflammatory markers can predict the cardio-metabolic profile in European adolescents, considering BMI. METHODS AND RESULTS A total of 659 adolescents (295 boys) from a cross-sectional European study were included. Adolescents were classified by metabolic health based on age- and sex-specific cut-off points for glucose, blood pressure, triglycerides, high density cholesterol and BMI. C-reactive protein (CRP), tumor necrosis factor alpha (TNF-α), interleukin (IL-6), complement factors (C3, C4) and cell adhesion molecules were assessed. RESULTS Metabolically abnormal (MA) adolescents had higher values of C3 (p < 0.001) and C4 (p = 0.032) compared to those metabolically healthy (MHy). C3 concentrations significantly increased with the deterioration of the metabolic health and BMI (p < 0.001). Adolescents with higher values of CRP had higher probability of being in the overweight/obese-MH group than those allocated in other categories. Finally, high C3 and C4 concentrations increased the probability of having an unfavorable metabolic/BMI status. CONCLUSIONS Metabolic/BMI status and inflammatory biomarkers are associated, being the CRP, C3 and C4 the most related inflammatory markers with this condition. C3 and C4 were associated with the cardio-metabolic health consistently.
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Affiliation(s)
- E M González-Gil
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain.
| | - C Cadenas-Sanchez
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Spain
| | - J Santabárbara
- Department of Preventive Medicine and Public Health, University of Zaragoza, Zaragoza, Spain
| | - G Bueno-Lozano
- Service of Pediatrics, Hospital Clínico Universitario "Lozano Blesa", Zaragoza, Spain
| | - I Iglesia
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain; Red de Salud materno-infantil y del desarrollo (SAMID), Spain
| | - M González-Gross
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain; ImFine Research Group, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - D Molnar
- Department of Pediatrics, University of Pecs, Pecs, Hungary
| | - F Gottrand
- Univ Lille 2, INSERM U995, CHU-Lille, France
| | - S De Henauw
- Department of Public Health, Ghent University, Ghent, Belgium
| | - A Kafatos
- Preventive Medicine and Nutrition Unit, School of Medicine, University of Crete, Crete, Greece
| | - K Widhalm
- Department of Pediatrics, Division of Clinical Nutrition, Medical University of Vienna, Vienna, Austria
| | - Y Manios
- Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - A Siani
- Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy
| | - F Amaro-Gahete
- Department of Medical Physiology, School of Medicine, University of Granada, Granada, Spain
| | - A I Rupérez
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain
| | - D Cañada
- ImFine Research Group, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - L Censi
- CREA (Council for Agricultural Research and Economics) - Research Center for Food and Nutrition, Rome, Italy
| | - M Kersting
- Research Institute of Child Nutrition, Rheinische Friedrich-Wilhelms-University Bonn, Dortmund, Germany
| | | | - A Marcos
- Immunonutrition Group, Institute of Food Science, Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), Madrid, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain
| | - F B Ortega
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Spain; Department of Biosciences and Nutrition, Karolinska Institutet, Sweden
| | - L A Moreno
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain
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Mielgo-Ayuso J, Valtueña J, Huybrechts I, Breidenassel C, Cuenca-García M, De Henauw S, Stehle P, Kafatos A, Kersting M, Widhalm K, Manios Y, Azzini E, Molnar D, Moreno LA, González-Gross M. Fruit and vegetables consumption is associated with higher vitamin intake and blood vitamin status among European adolescents. Eur J Clin Nutr 2017; 71:458-467. [PMID: 28120854 DOI: 10.1038/ejcn.2016.232] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2016] [Revised: 10/02/2016] [Accepted: 10/20/2016] [Indexed: 12/16/2022]
Abstract
BACKGROUND/OBJECTIVES Current research in adults indicates that fruit and vegetable (FAV) consumption increases serum levels of vitamins C, E and folate of β-carotene and reduces homocysteine concentrations. The aim of the present study was to examine the association of FAV consumption on vitamin intakes and their impact on blood vitamin concentrations in European adolescents. SUBJECT/METHODS This multi-center cross-sectional study included 702 (53.7% females) adolescents, aged 12.50-17.49 years, from 10 European cities. Two independent self-administered 24 h dietary recalls were used to estimate the adolescent's diet. The total energy, vitamins and FAV consumption were calculated. Adolescents were categorized into three groups: (i) very low FAV intake (<200 g/day); (ii) low FAV consumption (200-399 g/day) and (iii) adequate FAV consumption (⩾400 g/day). Adolescent's fasted blood samples were taken for their analysis on vitamin concentrations. RESULTS The main results showed that those adolescents meeting the FAV recommendation, classified as FAV adequate consumers, presented higher intake of energy and some vitamins as B6, total folic acid, C, E and β-carotene compared with FAV very low consumers (P<0.05). Regarding their blood status, male adolescents who had a very low FAV consumption presented lower plasma folate, RBC folate blood concentrations compared with adequate FAV consumers (P<0.05). Female adequate FAV consumers had higher concentrations of pyridoxal phosphate (PLP), plasma folate, RBC folate, vitamin C, β-carotene and α-tocopherol compared with very low and low consumers (P<0.05). CONCLUSIONS Having a FAV dairy intake above 400 g/day is associated with higher vitamin intake and blood vitamin concentrations, especially for antioxidant and B-vitamins concentrations.
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Affiliation(s)
- J Mielgo-Ayuso
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF), Technical University of Madrid, Madrid, Spain
| | - J Valtueña
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF), Technical University of Madrid, Madrid, Spain
| | - I Huybrechts
- Department of Public Health, Ghent University, Ghent, Belgium
- International Agency for Research on Cancer, Lyon CEDEX, France
| | - C Breidenassel
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF), Technical University of Madrid, Madrid, Spain
- Department of Nutrition and Food Science, University of Bonn, Bonn, Germany
| | - M Cuenca-García
- Department of Medical Physiology, School of Medicine, Granada University, Granada, Spain
- Department of Physical Education, Faculty of Education, Cádiz University, Cádiz, Spain
| | - S De Henauw
- Department of Public Health, Ghent University, Ghent, Belgium
| | - P Stehle
- Department of Nutrition and Food Science, University of Bonn, Bonn, Germany
| | - A Kafatos
- Preventive Medicine and Nutrition Unit, University of Crete, School of Medicine, Heraklion, Crete, Greece
| | - M Kersting
- Research Institute of Child Nutrition Dortmund, Rheinische Friedrich-Wilhelms Universitaät, Bonn, Germany
| | - K Widhalm
- Department of Pediatrics; Private Medical University, Salzburg, Austria
| | - Y Manios
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
| | - E Azzini
- Council for Agricultural Research and Economics (CREA), Research Center for Food and Nutrition, Rome 00178, Italy
| | - D Molnar
- Department of Paediatrics, Medical Faculty, University of Pecs, Pecs, Hungary
| | - L A Moreno
- GENUD (Growth, Exercise, NUtrition and Development) Research group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón)
- CIBER: CB12/03/30038 Fisiopatología de la Obesidad y la Nutrición, CIBERobn, Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - M González-Gross
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF), Technical University of Madrid, Madrid, Spain
- Department of Nutrition and Food Science, University of Bonn, Bonn, Germany
- CIBER: CB12/03/30038 Fisiopatología de la Obesidad y la Nutrición, CIBERobn, Instituto de Salud Carlos III (ISCIII), Madrid, Spain
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Costa de Oliveira Forkert E, de Moraes ACF, Carvalho HB, Kafatos A, Manios Y, Sjöström M, González-Gross M, Gottrand F, Beghin L, Censi L, Kersting M, Moreno LA. Abdominal obesity and its association with socioeconomic factors among adolescents from different living environments. Pediatr Obes 2017; 12:110-119. [PMID: 26910497 DOI: 10.1111/ijpo.12116] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2015] [Revised: 12/19/2015] [Accepted: 12/26/2015] [Indexed: 01/24/2023]
Abstract
BACKGROUND Socioeconomic status has been associated with obesity in children and adolescents. This association may be dependent according with where adolescents lives. OBJECTIVE The aim of this study was to evaluate the association between different socioeconomic indicators such as parental education and occupation and socioeconomic status with abdominal obesity in adolescents from two observational studies: the Healthy Lifestyle in Europe by Nutrition in Adolescence cross-sectional study (HELENA-CSS) and the Brazilian Cardiovascular Adolescent Health (BRACAH) study. METHODS European (n = 3192, aged 12.5-17.5 years, with 53.1% girls from HELENA-CSS) and Brazilian (n = 991, aged 14-18 years, with 54.5% girls from BRACAH study) adolescents from two cross-sectional studies were included in this analysis. Complete data on waist circumference (WC), height, socioeconomic status indicators and several confounders were collected. Socioeconomic indicators were measured using a self-reported questionnaire in order to assess the family social status of the adolescents. Multilevel linear regression models were used to examine associations, and results were adjusted for potential confounders. RESULTS Adjusted results showed inverse associations between mother's and father's education levels (p < 0.001) and father's occupation level (p < 0.001) with waist-to-height ratio (WHtR) and WC in HELENA-CSS girls. Similarly in European girls, socioeconomic indicators by socioeconomic status and maternal occupation level were associated with WHtR. In HELENA-CSS boys, the same significant association was found between WHtR and WC with maternal occupation level. Moreover, in European boys WHtR was also associated with parental education. In Brazilian adolescents, both indicators of abdominal obesity did not remain associated with the independents variables, after adjustment for potential confounders. CONCLUSIONS Abdominal obesity was associated with socioeconomic indicators in higher-income countries, but this association was not observed in a lower-middle-income country.
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Affiliation(s)
- E Costa de Oliveira Forkert
- Department of Preventive Medicine, School of Medicine, University of São Paulo, YCARE (Youth/Child Cardiovascular Risk and Evironmental) Research Group, São Paulo, Brazil.,Faculty of Health Sciences, University of Zaragoza, GENUD (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentário de Aragón (IA2), Zaragoza, Spain
| | - A C F de Moraes
- Department of Preventive Medicine, School of Medicine, University of São Paulo, YCARE (Youth/Child Cardiovascular Risk and Evironmental) Research Group, São Paulo, Brazil.,Faculty of Health Sciences, University of Zaragoza, GENUD (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentário de Aragón (IA2), Zaragoza, Spain
| | - H B Carvalho
- Department of Preventive Medicine, School of Medicine, University of São Paulo, YCARE (Youth/Child Cardiovascular Risk and Evironmental) Research Group, São Paulo, Brazil
| | - A Kafatos
- Preventive Medicine and Nutrition Unit, School of Medicine, University of Crete, Heraklion, Crete, Greece
| | - Y Manios
- Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - M Sjöström
- Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institute, Stockholm, Sweden
| | - M González-Gross
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport-INEF, Technical University of Madrid, Madrid, Spain.,Institut für Ernährungs-und Lebensmittelwissenschaften-Humanernährung, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
| | - F Gottrand
- Unité Inserm U995 and Université Lille Nord de France, Lille, France.,Centre d'Investigation Clinique, CIC-9301-Inserm-CH&U, Lille, France
| | - L Beghin
- CHRU Lille, Faculté Médecine, Université de Lille, Lille, France
| | - L Censi
- Agricultural Research Council, Food and Nutrition Research Centre (CREA-NUT), Rome, Italy
| | - M Kersting
- Research Institute of Child Nutrition Dortmund, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
| | - L A Moreno
- Faculty of Health Sciences, University of Zaragoza, GENUD (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentário de Aragón (IA2), Zaragoza, Spain.,Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil
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Abstract
PURPOSE While the prevalence of children on vegetarian diets is assumed to be on the rise in industrialized countries, there are hardly any representative data available. In general, vegetarian diets are presumed to be healthy; nevertheless, there are concerns as to whether the dietary specifications required during infancy, childhood, and adolescence can be met. Therefore, the objective of this systematic review was to evaluate studies on the dietary intake and the nutritional or health status of vegetarian infants, children, and adolescents. METHODS The database MEDLINE was used for literature search. In addition, references of reviews and expert opinions were considered. Inclusion criteria were (1) sufficient dietary information to define vegetarian type diet and (2) characteristics of nutritional or health status. Case reports and studies from non-industrialized countries were excluded. RESULTS 24 publications from 16 studies published from 1988 to 2013 met our criteria. Study samples covered the age range from 0 to 18 years, and median sample size was 35. Five studies did not include a control group. With regard to biomarkers, anthropometry, and dietary or nutritional intake, the outcomes were diverse. Growth and body weight were generally found within the lower reference range. The intakes of folate, vitamin C, and dietary fiber were relatively high compared to reference values and/or control groups. Low status of vitamin B12 was reported in one study and low status of vitamin D in two studies. CONCLUSIONS Due to the study heterogeneity, the small samples, the bias towards upper social classes, and the scarcity of recent studies, the existing data do not allow us to draw firm conclusions on health benefits or risks of present-day vegetarian type diets on the nutritional or health status of children and adolescents in industrialized countries.
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Affiliation(s)
- S Schürmann
- Research Institute of Child Nutrition, Pediatric University Clinic Bochum, Alexandrinenstraße 5, 44791, Bochum, Germany
| | - M Kersting
- Research Institute of Child Nutrition, Pediatric University Clinic Bochum, Alexandrinenstraße 5, 44791, Bochum, Germany
| | - U Alexy
- IEL-Nutritional Epidemiology, DONALD Study, University of Bonn, Heinstück 11, 44225, Dortmund, Germany.
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9
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Iglesia I, Huybrechts I, González-Gross M, Mouratidou T, Santabárbara J, Chajès V, González-Gil EM, Park JY, Bel-Serrat S, Cuenca-García M, Castillo M, Kersting M, Widhalm K, De Henauw S, Sjöström M, Gottrand F, Molnár D, Manios Y, Kafatos A, Ferrari M, Stehle P, Marcos A, Sánchez-Muniz FJ, Moreno LA. Folate and vitamin B12 concentrations are associated with plasma DHA and EPA fatty acids in European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. Br J Nutr 2017; 117:124-133. [PMID: 28098048 DOI: 10.1017/s0007114516004414] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
This study aimed to examine the association between vitamin B6, folate and vitamin B12 biomarkers and plasma fatty acids in European adolescents. A subsample from the Healthy Lifestyle in Europe by Nutrition in Adolescence study with valid data on B-vitamins and fatty acid blood parameters, and all the other covariates used in the analyses such as BMI, Diet Quality Index, education of the mother and physical activity assessed by a questionnaire, was selected resulting in 674 cases (43 % males). B-vitamin biomarkers were measured by chromatography and immunoassay and fatty acids by enzymatic analyses. Linear mixed models elucidated the association between B-vitamins and fatty acid blood parameters (changes in fatty acid profiles according to change in 10 units of vitamin B biomarkers). DHA, EPA) and n-3 fatty acids showed positive associations with B-vitamin biomarkers, mainly with those corresponding to folate and vitamin B12. Contrarily, negative associations were found with n-6:n-3 ratio, trans-fatty acids and oleic:stearic ratio. With total homocysteine (tHcy), all the associations found with these parameters were opposite (for instance, an increase of 10 nmol/l in red blood cell folate or holotranscobalamin in females produces an increase of 15·85 µmol/l of EPA (P value <0·01), whereas an increase of 10 nmol/l of tHcy in males produces a decrease of 2·06 µmol/l of DHA (P value <0·05). Positive associations between B-vitamins and specific fatty acids might suggest underlying mechanisms between B-vitamins and CVD and it is worth the attention of public health policies.
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Affiliation(s)
- I Iglesia
- 1Growth Exercise, Nutrition and Development (GENUD) Research Group,Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria de Aragón (IIS), 50009 Zaragoza,Spain
| | - I Huybrechts
- 3Department of Public Health, Ghent University,University Hospital, De Pintelaan 185, entrance 42 (building K3),4th floor, B-9000 Ghent,Belgium
| | - M González-Gross
- 5ImFINE Research Group,Department of Health and Human Performance,Universidad Politécnica de Madrid,C/ Martín Fierro, 7, 28040 Madrid,Spain
| | - T Mouratidou
- 1Growth Exercise, Nutrition and Development (GENUD) Research Group,Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria de Aragón (IIS), 50009 Zaragoza,Spain
| | - J Santabárbara
- 7Department of Preventive Medicine and Public Health,Universidad de Zaragoza,50009 Zaragoza,Spain
| | - V Chajès
- 4International Agency for Research on Cancer (IARC),150 Cours Albert Thomas,69372 Lyon Cedex 08,France
| | - E M González-Gil
- 1Growth Exercise, Nutrition and Development (GENUD) Research Group,Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria de Aragón (IIS), 50009 Zaragoza,Spain
| | - J Y Park
- 4International Agency for Research on Cancer (IARC),150 Cours Albert Thomas,69372 Lyon Cedex 08,France
| | - S Bel-Serrat
- 1Growth Exercise, Nutrition and Development (GENUD) Research Group,Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria de Aragón (IIS), 50009 Zaragoza,Spain
| | - M Cuenca-García
- 8Department of Physiology,School of Medicine,University of Granada,Avenida de Madrid 11,18012 Granada,Spain
| | - M Castillo
- 8Department of Physiology,School of Medicine,University of Granada,Avenida de Madrid 11,18012 Granada,Spain
| | - M Kersting
- 10Research Institute of Child Nutrition Dortmund,Pediatric University Clinic,Ruhr-University Bochum,Heinstück 11, D-44225 Dortmund,Germany
| | - K Widhalm
- 11Department of Pediatrics,Division of Clinical Nutrition and Prevention,Medical University of Vienna,1090 Vienna,Austria
| | - S De Henauw
- 3Department of Public Health, Ghent University,University Hospital, De Pintelaan 185, entrance 42 (building K3),4th floor, B-9000 Ghent,Belgium
| | - M Sjöström
- 12Department of Public Health Sciences,Division of Social Medicine,Karolinska Institutet,Norrbacka,level 3,17176 Stockholm,Sweden
| | - F Gottrand
- 15Inserm U995, Faculté de Médecine,Université Lille 2,F-59045 Lille Cedex,France
| | - D Molnár
- 16Department of Paediatrics,University of Pécs,Szigeti str 12, H-7624 Pécs,Hungary
| | - Y Manios
- 17Department of Nutrition and Dietetics,Harokopio University,E. Venizelou 70, 17671 Kallithea, reece, Kallithea-Athens,Greece
| | - A Kafatos
- 18School of Medicine,University of Crete,GR-71033 Crete,Greece
| | - M Ferrari
- 19CREA - Council for Agricultural Research and Economics - Research Center for Food and Nutrition,Via Ardeatina 546 - 00178 Roma,Italy
| | - P Stehle
- 20Department of Nutrition and Food Science,University of Bonn,D-53115 Bonn,Germany
| | - A Marcos
- 21Immunonutrition Research Group,Department of Metabolism and Nutrition,Institute of Food Science,Technology and Nutrition (ICTAN),Spanish National Research Council (CSIC),E-28040 Madrid,Spain
| | - F J Sánchez-Muniz
- 22Departamento de Nutrición, Facultad de Farmacia,Universidad Complutense de Madrid,28040 Madrid,Spain
| | - L A Moreno
- 1Growth Exercise, Nutrition and Development (GENUD) Research Group,Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria de Aragón (IIS), 50009 Zaragoza,Spain
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10
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Julián-Almárcegui C, Vandevijvere S, Gottrand F, Beghin L, Dallongeville J, Sjöstrom M, Leclercq C, Manios Y, Widhalm K, Ferreira De Morares AC, Gónzalez-Gross M, Stehle P, Castillo MJ, Moreno LA, Kersting M, Vyncke K, De Henauw S, Huybrechts I. Association of heart rate and blood pressure among European adolescents with usual food consumption: The HELENA study. Nutr Metab Cardiovasc Dis 2016; 26:541-8. [PMID: 27174584 DOI: 10.1016/j.numecd.2016.01.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2015] [Revised: 01/20/2016] [Accepted: 01/22/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND AND AIM In adults, there is some evidence that improving diet reduces blood pressure (BP) and the subsequent risk of cardiovascular diseases (CVDs). However, studies that analyse this association in adolescents are still scarce. The objective of the present study was to examine the associations between heart rate, systolic (SBP), diastolic (DBP) and mean arterial blood pressure (MAP) among European adolescents and usual intake of vegetables, fruits, dairy products, meat, fish, high-sugar foods and savoury snacks. METHODS AND RESULTS In total, 2283 adolescents from the HELENA-study (12.5-17.5 years old; 1253 girls) were included. Dietary intake was assessed using two computerized 24-hour dietary recalls. Age, sex, body mass index, maternal educational level, physical activity and Tanner stage were considered as confounders. Associations were examined by mixed model analysis stratified by sex. Tests for trend were assessed by tertiles of intake while controlling for the aforementioned confounders. Dairy products and fish intake were negatively associated with BP and heart rate. Significant decreasing trends were observed for heart rate and BP across tertiles of dairy products, fish intake and high-sugar foods intake (p < 0.05). Significant increasing trends were observed for SBP and MAP across tertiles of savoury snack intake (p < 0.05). CONCLUSION Significant but small inverse associations between fish and dairy products consumption with blood pressure and heart rate have been found in European adolescents. Dietary intervention studies are needed to explore these associations in the context of the modification of several risk factors for the prevention of cardiovascular diseases.
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Affiliation(s)
- C Julián-Almárcegui
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain
| | - S Vandevijvere
- Department of Epidemiology and Biostatistics, School of Population Health, University of Auckland, New Zealand
| | - F Gottrand
- CHRU Lille, Faculté Médecine, Université de Lille, France
| | - L Beghin
- CIC-PT-9301-Inserm-CH&U of Lille, CHRU de Lille, F-59037 Lille, France
| | | | - M Sjöstrom
- Department of Biosciences and Nutrition, Karolinska Institute Huddinge, Stockholm, Sweden
| | - C Leclercq
- CRA-NUT, Agricultural Research Council-Food and Nutrition Research Centre, Rome, Italy
| | - Y Manios
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
| | - K Widhalm
- Department of Pediatrics, Medical University of Vienna, Vienna, Austria
| | - A C Ferreira De Morares
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain; YCARE (Youth/Child and cArdiovascular Risk and Environmental) Research Group, University of São Paulo, São Paulo, Brazil
| | - M Gónzalez-Gross
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences-INEF, Technical University of Madrid, Madrid, Spain
| | - P Stehle
- Department of Nutrition and Food Sciences-Nutrition Physiology, University of Bonn, Bonn, Germany
| | - M J Castillo
- Department of Medical Physiology School of Medicine, Granada University, Granada, Spain
| | - L A Moreno
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain
| | - M Kersting
- Spain Research Institute of Child Nutrition, Rheinische Friedrich-Wilhelms-University Bonn, Dortmund, Germany
| | - K Vyncke
- Faculty of Medicine and Health Sciences, Department of Public Health, Ghent University, Ghent, Belgium
| | - S De Henauw
- Faculty of Medicine and Health Sciences, Department of Public Health, Ghent University, Ghent, Belgium
| | - I Huybrechts
- Faculty of Medicine and Health Sciences, Department of Public Health, Ghent University, Ghent, Belgium; Dietary Exposure Assessment Group, International Agency for Research on Cancer, Lyon, France.
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11
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Weissenborn A, Abou-Dakn M, Bergmann R, Both D, Gresens R, Hahn B, Hecker A, Koletzko B, Krawinkel M, Kroll D, Rouw E, Scheele M, Schwegler U, Sievers E, Sporleder E, Springer S, Vetter K, Wöckel A, Kersting M. [Breastfeeding Rates and Duration in Germany - A Systematic Review]. Gesundheitswesen 2015; 78:695-707. [PMID: 26335658 DOI: 10.1055/s-0035-1555946] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Aim: 20 years after establishment of the National Breastfeeding Committee, the present work, based on published data on breastfeeding, is aimed at providing insight into the development of breastfeeding behaviour in Germany. Methods: To identify relevant publications, a comprehensive literature search was conducted in PubMed and Web of Science using the search terms "breast feeding" or "breastfeeding" in combination with "Germany". The publication period was limited to the period 1995-2014. Results: A total of 35 studies with data on breastfeeding for the birth cohorts of 1990-2012 were identified. Most of the data had been collected in regional or local surveys, often retrospectively. About 60% of the studies had been conducted with the primary aim of collecting data on breastfeeding or infant nutrition. Over the past 2 decades, breastfeeding rates were always relatively high at the beginning (72-97%). However, they declined significantly within the first 2 months, and by the age of 6 months, only about 50% of infants were still breastfed. Conclusion: Breastfeeding support and early assistance should be offered to a greater extent in order to achieve sustainable improvement of breastfeeding frequency and duration in Germany. Regarding the quality of data collected on breastfeeding, it seems crucial to implement standardised approaches to monitor breastfeeding in Germany.
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Affiliation(s)
- A Weissenborn
- Bundesinstitut für Risikobewertung, Lebensmittelsicherheit, Berlin
| | - M Abou-Dakn
- Klinik für Gynäkologie und Geburtshilfe, St. Joseph-Krankenhaus, Berlin
| | - R Bergmann
- Zentrum für Frauen, Kinder- und Jugendmedizin mit Perinatalzentrum, Charité Universitätsmedizin Berlin, Berlin
| | - D Both
- La Leche Liga e. V., Deutschland, Füssen-Weißensee
| | - R Gresens
- Deutscher Hebammenverband e. V., Deutschland, Hamburg
| | - B Hahn
- Berufsverband Kinderkrankenpflege Deutschland e. V., Deutschland, Neuss
| | - A Hecker
- Bundesinstitut für Risikobewertung, Lebensmittelsicherheit, Berlin
| | - B Koletzko
- Dr. von Haunersches Kinderspital, Ludwig-Maximilians-Universität München, München
| | - M Krawinkel
- Institut für Ernährungswissenschaft, Justus-Liebig-Universität, Giessen
| | - D Kroll
- Berufsverband der Kinder- und Jugendärzte e.V., Deutschland, Berlin
| | - E Rouw
- Arbeitsgemeinschaft freier Stillgruppen e.V., Deutschland, Bühl
| | - M Scheele
- Bundesverband der Frauenärzte e.V., Deutschland, Hamburg
| | | | - E Sievers
- Akademie für öffentliches Gesundheitswesen, Sozialpädiatrie und KJGD, Düsseldorf
| | - E Sporleder
- Verband Europäischer Laktationsberaterinnen e. V., Deutschland, Hannover
| | - S Springer
- Deutsche Gesellschaft für Sozialpädiatrie und Jugendmedizin e.V., Deutschland, Leipzig
| | - K Vetter
- AG Hebammenwissenschaft, Medizinische Hochschule Hannover, Hannover
| | - A Wöckel
- Universitätsklinikum Ulm, Universitäts-Brustzentrum Ulm, Frauenklinik, Ulm
| | - M Kersting
- Forschungsinstitut für Kinderernährung, Dortmund
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12
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Hilbig A, Foterek K, Kersting M, Alexy U. Home-made and commercial complementary meals in German infants: results of the DONALD study. J Hum Nutr Diet 2015; 28:613-22. [DOI: 10.1111/jhn.12325] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- A. Hilbig
- Research Institute of Child Nutrition (FKE); Dortmund Germany
| | - K. Foterek
- Department of Nutrition and Food Science; DONALD Study; University of Bonn; Dortmund Germany
| | - M. Kersting
- Research Institute of Child Nutrition (FKE); Dortmund Germany
| | - U. Alexy
- Department of Nutrition and Food Science; DONALD Study; University of Bonn; Dortmund Germany
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13
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Bel-Serrat S, Mouratidou T, Jiménez-Pavón D, Huybrechts I, Cuenca-García M, Mistura L, Gottrand F, González-Gross M, Dallongeville J, Kafatos A, Manios Y, Stehle P, Kersting M, De Henauw S, Castillo M, Hallstrom L, Molnár D, Widhalm K, Marcos A, Moreno LA. Is dairy consumption associated with low cardiovascular disease risk in European adolescents? Results from the HELENA Study. Pediatr Obes 2014; 9:401-10. [PMID: 23852857 DOI: 10.1111/j.2047-6310.2013.00187.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2012] [Revised: 04/12/2013] [Accepted: 04/15/2013] [Indexed: 01/08/2023]
Abstract
OBJECTIVE To identify those food groups best discriminating individuals at high/low cardiovascular disease (CVD) risk and to investigate the relationship between dairy consumption and CVD risk factors (individual and scores) in adolescents (12.5-17.5 years) from eight European cities participating in the cross-sectional (2006-2007) HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) project. METHODS Diet, waist circumference, skin-folds thickness, systolic blood pressure, insulin resistance, triglycerides, total cholesterol/high-density lipoprotein ratio and cardiorespiratory fitness (CRF) were assessed in 511 (49.9% boys) adolescents. Individual z-scores of CVD risk factors were summed to compute sex-specific clustered CVD risk scores. RESULTS Dairy emerged as the food group best discriminating adolescents at low/high CVD risk. In both genders, waist circumference and sum of skin-folds were inversely associated with consumption of milk and yogurt, and milk- and yogurt-based beverages, whereas a positive association was observed with CRF. Moreover, CVD risk score (β = -0.230, P = 0.001) was also inversely associated with overall dairy consumption only in girls. DISCUSSION Dairy consumption is associated with lower adiposity and higher CRF in these adolescents. An inverse association between CVD risk score and dairy consumption is also depicted in girls. The study adds further evidence to the scarce literature on the influence of milk and dairy products on adolescents' cardiovascular health.
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Affiliation(s)
- S Bel-Serrat
- 'Growth, Exercise, Nutrition and Development' (GENUD) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
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14
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Bührer C, Genzel-Boroviczény O, Jochum F, Kauth T, Kersting M, Koletzko B, Mihatsch W, Przyrembel H, Reinehr T, Zimmer P. Warnung vor Verwendung unzureichend geprüfter Muttermilch. Monatsschr Kinderheilkd 2014. [DOI: 10.1007/s00112-014-3150-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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15
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16
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Bührer C, Genzel-Boroviczény O, Jochum F, Kauth T, Kersting M, Koletzko B, Mihatsch W, Przyrembel H, Reinehr T, Zimmer P. Ernährung gesunder Säuglinge. Monatsschr Kinderheilkd 2014. [DOI: 10.1007/s00112-014-3129-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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17
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Hilbig A, Drossard C, Kersting M, Alexy U. Development of an estimated food record for 9-36-month-old toddlers. Eur J Clin Nutr 2014; 68:907-15. [PMID: 24824012 DOI: 10.1038/ejcn.2014.52] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2013] [Revised: 01/22/2014] [Accepted: 01/22/2014] [Indexed: 11/09/2022]
Abstract
OBJECTIVES Adequacy of dietary intake in the sensitive period of toddler development is a key determinant of health in a short- and long-term perspective. Therefore, studies focussing the nutrition of toddlers are of importance. For this purpose, tailored dietary record methods are an important prerequisite. The objective of this work is to develop a toddler-specific estimated food record (EFR) in a booklet providing photographs of age-specific foods and portion sizes that should be accurate and simple. SUBJECTS/METHODS For a toddler study in Germany, a 7-day consecutive EFR was developed. Data were obtained from a sample of toddlers in Germany. The basis is an evaluation of 3-day weighing food records on food choice and portion size of the DONALD (Dortmund Nutritional and Anthropometric Longitudinally Designed) study for 227 toddlers (118 boys) aged 9-36 months from January 2004 to March 2008. RESULTS In the analysed food records, a total of 15.147 eating occasions with 24.820 dishes were reported and grouped in 17 food groups. To estimate the portion size, the median consumption amounts of the 194 most frequently consumed dishes were calculated and photographed. Formula and commercial complementary food are collected separately. EFR was structured into seven eating occasions of the day: before breakfast, breakfast, mid-morning, lunch, mid-afternoon, dinner, and before bed. CONCLUSIONS The EFR booklet provides a simple, feasible and validated instrument that can be used to update information on dietary habits during the transition from infant to childhood diet for families in different social classes.
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Affiliation(s)
- A Hilbig
- Research Institute of Child Nutrition Dortmund (FKE), Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
| | - C Drossard
- Research Institute of Child Nutrition Dortmund (FKE), Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
| | - M Kersting
- Research Institute of Child Nutrition Dortmund (FKE), Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
| | - U Alexy
- DONALD Study, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
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18
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Koletzko B, Bauer CP, Bung P, Cremer M, Flothkötter M, Hellmers C, Kersting M, Krawinkel M, Przyrembel H, Rasenack R, Schäfer T, Vetter K, Wahn U, Weissenborn A, Wöckel A. German national consensus recommendations on nutrition and lifestyle in pregnancy by the 'Healthy Start - Young Family Network'. Ann Nutr Metab 2014; 63:311-22. [PMID: 24514069 DOI: 10.1159/000358398] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2013] [Accepted: 12/03/2013] [Indexed: 11/19/2022]
Abstract
Diet and physical activity before and during pregnancy affect short- and long-term health of mother and child. The energy needs at the end of pregnancy increase only by about 10% compared to nonpregnant women. An excessive energy intake is undesirable since maternal overweight and excessive weight gain can increase the risks for a high birth weight and later child overweight and diabetes. Maternal weight at the beginning of pregnancy is especially important for pregnancy outcome and child health. Women should strive to achieve normal weight already before pregnancy. Regular physical activity can contribute to a healthy weight and to the health of pregnant women. The need for certain nutrients increases more than energy requirements. Before and during pregnancy, foods with a high content of essential nutrients should be preferentially selected. Supplements should include folic acid and iodine, iron (in case of suboptimal iron stores), the ω-3 fatty acid docosahexaenoic acid (in case of infrequent consumption of ocean fish) and vitamin D (in case of decreased sun exposure and decreased endogenous vitamin D synthesis). Pregnant women should not smoke and not stay in rooms where others smoke or have smoked before (passive smoking). Alcohol consumption should be avoided, since alcohol can harm unborn children.
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Affiliation(s)
- B Koletzko
- Dr. von Hauner Children's Hospital, University of Munich Medical Center, Munich, Germany
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19
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Koletzko B, Armbruster M, Bauer CP, Bös K, Cierpka M, Cremer M, Dieminger B, Flothkötter M, Graf C, Heindl I, Hellmers C, Kersting M, Krawinkel M, Plöger A, Przyrembel H, Reichert-Garschhammer E, Schäfer T, Wahn U, Vetter K, Wabitsch M, Weißenborn A, Wiegand S. Ernährung und Bewegung im Kleinkindalter. Monatsschr Kinderheilkd 2013. [DOI: 10.1007/s00112-013-3031-3] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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20
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Valtueña J, Gracia-Marco L, Huybrechts I, Breidenassel C, Ferrari M, Gottrand F, Dallongeville J, Sioen I, Gutierrez A, Kersting M, Kafatos A, Manios Y, Widhalm K, Moreno LA, González-Gross M. Cardiorespiratory fitness in males, and upper limbs muscular strength in females, are positively related with 25-hydroxyvitamin D plasma concentrations in European adolescents: the HELENA study. QJM 2013; 106:809-21. [PMID: 23657707 DOI: 10.1093/qjmed/hct089] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND High prevalence of vitamin D insufficiency (<75 nmol/l) has been previously reported in European adolescents. Vitamin D deficiency has been related to physical fitness and adiposity but it is not clearly known whether this relationship applies to growing children and adolescents. AIM To determine how body composition and physical fitness are related to 25-hydroxyvitamin D [25(OH)D] concentrations in European adolescents. DESIGN The HEalthy Lifestyle in Europe by Nutrition in Adolescence-CSS study was a multi-centre cross-sectional study. METHODS Plasma 25(OH)D, body composition and physical fitness measures were obtained in 1006 European adolescents (470 males) aged 12.5-17.5 years. Stepwise regression and ANCOVA were performed by gender using 25(OH)D as dependent variable, with body composition, physical fitness as independent variables controlling for age, seasonality and latitude. RESULTS For males, maximum oxygen consumption (VO2max) (B = 0.189) and body mass index (BMI) (B = -0.124) were independently associated with 25(OH)D concentrations (both P < 0.05). For females, handgrip strength (B = 0.168; P < 0.01) was independently associated with 25(OH)D concentrations. Those adolescents at lower BMI and high fitness score presented significant higher 25(OH)D concentrations than those at lower fitness score in the other BMI groups (P < 0.05). CONCLUSION Cardiorespiratory fitness and upper limbs muscular strength are positively associated with 25(OH)D concentrations in male and female adolescents, respectively. Adiposity in males and low fat free mass in females are related to hypovitaminosis D. The interaction between fitness and BMI has a positive effect on 25(OH)D concentrations. Therapeutic interventions to correct the high rates of vitamin D deficiency in adolescents should consider physical fitness.
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Affiliation(s)
- J Valtueña
- Departamento de Salud y Rendimiento Humano, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, C/ Martín Fierro, 7, 28040 Madrid, Spain.
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21
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22
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Bührer C, Genzel-Boroviczény O, Jochum F, Kauth T, Kersting M, Koletzko B, Mihatsch W, Przyrembel H, Reinehr T, von Kries R, Zimmer K. Vitamin-K-Prophylaxe bei Neugeborenen. Monatsschr Kinderheilkd 2013. [DOI: 10.1007/s00112-012-2827-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Koletzko B, Bauer CP, Brönstrup A, Cremer M, Flothkötter M, Hellmers C, Kersting M, Krawinkel M, Przyrembel H, Schäfer T, Vetter K, Wahn U, Weißenborn A. Säuglingsernährung und Ernährung der stillenden Mutter. Monatsschr Kinderheilkd 2013. [DOI: 10.1007/s00112-013-2870-2] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Alexy U, Freese J, Kersting M, Clausen K. Lunch habits of German children and adolescents: composition and dietary quality. Ann Nutr Metab 2012; 62:75-9. [PMID: 23257471 DOI: 10.1159/000343785] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2012] [Accepted: 09/25/2012] [Indexed: 11/19/2022]
Abstract
BACKGROUND/AIMS Data from the ongoing, open-cohort Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) study were used to describe warm family lunch meals and the association of the lunch composition with total diet quality. METHODS 2,095 three-day weighed dietary records, collected between 2004 and 2009, from a 4- to 18-year-old DONALD study subgroup were used. RESULTS Warm lunch (eating occasions between 11.30 a.m. and 2.29 p.m. including at least one course that is typically consumed warm) was eaten on 68.8% of all record days. Meat lunch (>50%) was predominant, followed by vegetarian (25%), fish (13%) and sweet lunch meals (3%). The prevalence of desserts at lunch was high and beverages were drunk at 80% of lunch meals. A meat lunch was associated with a higher protein (+1.4% energy intake, %E) and fat intake (+1.7%E) than a sweet lunch; also densities of vitamin A, folate and iron were higher. A dessert at lunch decreased protein intake slightly (-0.2%E), but increased carbohydrate (+0.7%E) and added sugar intake (+1.4%E) as well as density of calcium (+18 mg/MJ). CONCLUSION Our study proves the impact of lunch on daily dietary quality and yields valuable insights on the development of food and meal-based dietary guidelines.
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Affiliation(s)
- U Alexy
- Rheinische Friedrich-Wilhelms Universität Bonn, Bonn, Germany.
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Boon P, Te Biesebeek J, Sioen I, Huybrechts I, Moschandreas J, Ruprich J, Turrini A, Azpiri M, Busk L, Christensen T, Kersting M, Lafay L, Liukkonen KH, Papoutsou S, Serra-Majem L, Traczyk I, De Henauw S, Van Klaveren J. Long-term dietary exposure to lead in young European children: comparing a pan-European approach with a national exposure assessment. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2012; 29:1701-15. [DOI: 10.1080/19440049.2012.709544] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Kersting M, Schleef T, Gierschmann A, Lingner H. BeoNet: Gesundheitsmonitoring in Echtzeit – Erster Schritt zu Daten aus einem qualitätsgesicherten hausärztlichen Beobachtungsnetzwerk (BeoNet). Dtsch Med Wochenschr 2012. [DOI: 10.1055/s-0032-1323331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Alexy U, Bolzenius K, Köpper A, Clausen K, Kersting M. Diet costs and energy density in the diet of German children and adolescents. Eur J Clin Nutr 2012; 66:1362-3. [PMID: 22990855 DOI: 10.1038/ejcn.2012.128] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
This study examined the association between energy density (ED, g/kJ) and diet costs (\[euro]/day) in a sample of 494 German children and adolescents aged 4-18 years using 1100 3-day-weighed dietary records from the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study (open cohort study) and retail food prices of 341 empirically selected recorded food items including special brands. ED was negatively associated with diet costs (β=-0.20 kJ/g, P<0.0007) with a non-linear term (β=0.01 kJ/g*kJ/g, P=0.0440). Diet costs increased with age (β=0.32 yr, P<0.0001) with a negative non-linear term (β=-0.01 yr*yr; P<0.0001). In conclusion, the inverse association between diet costs and ED was more pronounced in the older than in the younger age groups and in low-ED diets than in high-ED diets. Higher % diet costs of fruit/vegetables could be compensated by lower % diet costs of meat/sausage to lower ED without increasing diet costs.
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Affiliation(s)
- U Alexy
- Rheinische Friedrich-Wilhelms-Universität, Department of Nutrition and Food Science, Bonn, Germany.
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Kersting M, Hauswaldt J, Lingner H. [Modeling the requirements on routine data of general practitioners from the health-care researcher's point of view with the help of unified modeling langauge (UML)]. Gesundheitswesen 2012; 74:e68-75. [PMID: 22836932 DOI: 10.1055/s-0032-1314824] [Citation(s) in RCA: 2] [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: 10/28/2022]
Abstract
BACKGROUND AND AIMS Health-care research is, besides primary acquired study data, based on data from widely differing secondary sources. In order to link, compare and analyze data sources uniform models and methods are needed. This could be facilitated by a more structured description of requirements, models and methods of health-care research than those currently used. Suitable methods of presentation were sought in an approach to this target and the unified modeling language (UML) identified as a possible alternative. METHODS Using different tools 3 UML diagrams were created to represent some individual aspects of a scientific use file (SUF): A use case diagram as well as an activity and a class diagram. In the use case diagram we attempted to represent the general use cases of an SUF based on general practitioners routine data. Secondly a class diagram was constructed to visualize the contents and structure of a SUF. Thirdly an activity diagram was developed to graphically represent the concept of a general practitioner's episode of care. RESULTS The creation of the UML diagrams was possible without any technical difficulties. Regarding the content the 3 diagrams must still be considered as prototypes. The use case diagram shows possible uses and users of an SUF, e. g. a research worker, industry but also the general practitioner who supplies the data. The class diagram reveals a general data structure that can serve information processes in practice and research. Besides aggregation, possibilities for specialization and generalization are essential elements of the class diagram that can be used meaningfully. The activity diagram for the schematic representation of a general practitioner's episode of care reveals the existence of multiple endpoints of an episode and the possibility to form relationships by means of episodes (diagnosis>therapy). CONCLUSION The constructed diagrams are preliminary results and should be refined in future steps. Use case diagrams enable a rapid overview of the meaning and purpose of a system, in this case an SUF. Class diagrams can help at a professional level to describe relationships between entities (classes/objects) more clearly than with the existing methods of representation. Activity diagrams are successors to classic flow charts. They are complemented appropriately by status diagrams. UML is suitable to uniformly and graphically describe a system (here an SUF) from various points of view. In future, validated UML models will help us to present scientific concepts and results in a more structured form than before and to promote the technological use of these concepts in practice.
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Affiliation(s)
- M Kersting
- Institut für Allgemeinmedizin, Medizinische Hochschule Hannover.
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Koletzko B, Bauer CP, Bung P, Cremer M, Flothkötter M, Hellmers C, Kersting M, Krawinkel M, Przyrembel H, Rasenack R, Schäfer T, Vetter K, Wahn U, Weißenborn A, Wöckel A. [Nutrition in pregnancy - Practice recommendations of the Network "Healthy Start - Young Family Network"]. Dtsch Med Wochenschr 2012; 137:1366-72. [PMID: 22692838 DOI: 10.1055/s-0032-1305076] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Nutrition, physical activity and lifestyle in pregnancy influence maternal and child health. The "Healthy start - Young Family Network" supported by the German Government with the national action plan IN FORM developed recommendations on nutrition in pregnancy. Folic acid supplements (400 µg/day) should be started before pregnancy and continue for at least the first trimester. Iodine rich foods and salt and an iodine supplement (100-150 µg/day) are recommended. Long-chain omega-3 fatty acids should be provided with ≥ 1 weekly portion of oily sea fish, or a DHA-supplement if regular fish consumption is avoided. Vitamin D supplementation is advisable unless there is regular exposure to sunlight. Iron supplements should be used based on medical history and blood testing. Vegetarian diets with nutritional supplements can provide adequate nutrition, but counselling is recommended. In contrast, a vegan diet is inadequate and requires additional micronutrient supplementation. For risk reduction of listeriosis and toxoplasmosis, raw animal foods, soft cheeses and packed fresh salads should be avoided; fresh fruit, vegetables and salad should be washed well and consumed promptly. Pregnant women should remain physically active and perform sports with moderate intensity. They should avoid alcohol, active and passive smoking. Up to 3 daily cups of coffee are considered harmless, but energy drinks should be avoided. Childhood allergy is not reduced by avoiding certain foods in pregnancy whereas oily sea fish is recommended. Health care professions should lead parents to health-promoting lifestyles. Subjects of part 1 of the article are practice recommendations on nutrition, on energy needs, micronutrient needs and body weight/weight gain in pregnancy.
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Affiliation(s)
- B Koletzko
- Deutsche Gesellschaft für Kinder- und Jugendmedizin, Sprecher des Expertenbeirats.
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Koletzko B, Bauer CP, Bung P, Cremer M, Flothkötter M, Hellmers C, Kersting M, Krawinkel M, Przyrembel H, Rasenack R, Schäfer T, Vetter K, Wahn U, Weißenborn A, Wöckel A. Ernährung in der Schwangerschaft - Teil 1. Dtsch Med Wochenschr 2012; 137:1309-14. [DOI: 10.1055/s-0032-1305074] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- B. Koletzko
- Deutsche Gesellschaft für Kinder- und Jugendmedizin, Sprecher des Expertenbeirats
- Mitglied des wissenschaftlichen Beirates des Netzwerks „Gesund ins Leben - Netzwerk Junge Familie“
| | - C.-P. Bauer
- Fachklinik Gaißach
- Mitglied des wissenschaftlichen Beirates des Netzwerks „Gesund ins Leben - Netzwerk Junge Familie“
| | - P. Bung
- Gynäkologische Praxisklinik, Bonn
| | | | | | - C. Hellmers
- Deutsche Gesellschaft für Hebammenwissenschaft
- Mitglied des wissenschaftlichen Beirates des Netzwerks „Gesund ins Leben - Netzwerk Junge Familie“
| | - M. Kersting
- Forschungsinstitut für Kinderernährung
- Mitglied des wissenschaftlichen Beirates des Netzwerks „Gesund ins Leben - Netzwerk Junge Familie“
| | - M. Krawinkel
- Deutsche Gesellschaft für Ernährung
- Mitglied des wissenschaftlichen Beirates des Netzwerks „Gesund ins Leben - Netzwerk Junge Familie“
| | - H. Przyrembel
- ehem. Bundesinstitut für Risikobewertung
- Mitglied des wissenschaftlichen Beirates des Netzwerks „Gesund ins Leben - Netzwerk Junge Familie“
| | | | - T. Schäfer
- Dermatologische Praxis, Immenstadt
- Mitglied des wissenschaftlichen Beirates des Netzwerks „Gesund ins Leben - Netzwerk Junge Familie“
| | - K. Vetter
- Nationale Stillkommission am Bundesinstitut für Risikobewertung
- Mitglied des wissenschaftlichen Beirates des Netzwerks „Gesund ins Leben - Netzwerk Junge Familie“
| | - U. Wahn
- Charité-Universitätsmedizin Berlin
- Mitglied des wissenschaftlichen Beirates des Netzwerks „Gesund ins Leben - Netzwerk Junge Familie“
| | - A. Weißenborn
- Bundesinstitut für Risikobewertung
- Mitglied des wissenschaftlichen Beirates des Netzwerks „Gesund ins Leben - Netzwerk Junge Familie“
| | - A. Wöckel
- Deutsche Gesellschaft für Gynäkologie und Geburtshilfe
- Mitglied des wissenschaftlichen Beirates des Netzwerks „Gesund ins Leben - Netzwerk Junge Familie“
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Koletzko B, Bauer CP, Bung P, Cremer M, Flothkötter M, Hellmers C, Kersting M, Krawinkel M, Przyrembel H, Rasenack R, Schäfer T, Vetter K, Wahn U, Weißenborn A, Wöckel A. Ernährung in der Schwangerschaft - Handlungsempfehlungen des Netzwerks „Gesund ins Leben“ im Nationalen Aktionsplan IN FORM. Z Geburtshilfe Neonatol 2012. [DOI: 10.1055/s-0032-1309132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Kersting M, Mattar SF, Schwickert C, Pöttgen R. Segregation of Calcium and Magnesium into Different Substructures. Ca4Ag0.948Mg and Other Compounds with Gd4RhIn-type Structure. Z Naturforsch B 2012. [DOI: 10.5560/znb.2012.67b0061] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Rousseaux J, Duhame A, Molnar D, Salleron J, Artero E, De Henauw S, Dietrich S, Kersting M, Manios Y, Piccinelli R, Sjöström M, Beghin L, Moreno L, Gottrand F. Pas d’influence de l’allaitement sur l’adiposité après la puberté : l’étude HELENA. Arch Pediatr 2011. [DOI: 10.1016/j.arcped.2011.09.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Waizenegger J, Winkler G, Kuballa T, Ruge W, Kersting M, Alexy U, Lachenmeier DW. Analysis and risk assessment of furan in coffee products targeted to adolescents. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2011; 29:19-28. [PMID: 22035212 DOI: 10.1080/19440049.2011.617012] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
The aim of this work was to analyse the furan concentrations in coffee products targeted to adolescents and to estimate the health risk for those consumers by using the consumption data of the Dortmund Nutritional and Anthropometric Longitudinally Designed Study (DONALD). Three different kinds of coffee beverages were analysed: 'coffee ready to drink' (i.e. industrially manufactured and packaged products available in cans or plastic cups), 'coffee instant' (i.e. soluble coffee in powder form) and 'coffee from coffee chains' (i.e. freshly prepared coffee sampled on-site). Furan was analysed according to the US Food and Drug Administration (USFDA) method using headspace-GC-MS and quantification with standard addition. The lowest furan concentrations were found within the category 'coffee instant', with an average of 4.6 µg kg(-1), followed by the category 'coffee ready to drink', with an average of 41.3 µg kg(-1), while the products from the coffee chains showed the highest concentrations, on average 100.5 µg kg(-1). According to the obtained furan contents, it seems that the highest furan exposure for adolescents is generally given in the consumption of products within the category 'coffee from coffee chains', while the lowest is given in the category 'coffee instant'. Risk assessment based on the margin of exposure (MOE) approach showed that in different consumption scenarios except for consumers of instant coffee, the MOE lay below 10,000, a range that is judged to be of public health relevance. The lowest MOE was found for consumers in the age group 10-12 years (especially females) and for both sexes in the age group 16-18 years.
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Affiliation(s)
- J Waizenegger
- Chemisches und Veterinäruntersuchungsamt (CVUA) Karlsruhe, Karlsruhe, Germany
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Böhles H, Fusch C, Genzel-Boroviczény O, Jochum F, Kauth T, Kersting M, Koletzko B, Lentze M, Mihatsch W, Przyrembel H, Wabitsch M. Zusammensetzung und Gebrauch von Milchgetränken für Kleinkinder. Monatsschr Kinderheilkd 2011. [DOI: 10.1007/s00112-011-2483-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Kalhoff H, Kersting M. Pädiatrische Ernährung. Eisenreiche Beikost ist nach 4–6 Monaten wichtig für Stillkinder. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1280139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Muckelbauer R, Libuda L, Clausen K, Kersting M. Ansätze der Übergewichtsprävention durch verbessertes Trinkverhalten im Setting Grundschule. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2011; 54:339-48. [DOI: 10.1007/s00103-010-1224-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Kersting M, Pöttgen R. Intermetallic Compounds RETMg2 (RE = La, Pr, Nd; T = Ni, Pd, Pt) with MgCuAl2-type Structure. Z Naturforsch B 2011. [DOI: 10.5560/znb.2011.66b0651] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Güthlin C, Gerlach F, Kersting M, Hummers-Pradier E. The use of mistletoe in general practice in Germany—A longitudinal analysis. Eur J Integr Med 2010. [DOI: 10.1016/j.eujim.2010.09.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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De Neve M, Sioen I, Boon P, Arganini C, Moschandreas J, Ruprich J, Lafay L, Amiano P, Arcella D, Azpiri M, Busk L, Christensen T, D’addezio L, Fabiansson S, Hilbig A, Hirvonen T, Kersting M, Koulouridaki S, Liukkonen KH, Oltarzewski M, Papoutsou S, Rehurkova I, Ribas-Barba L, Serra-Majem L, Tornaritis M, Trolle E, Van Klaveren J, Verger E, Walkiewicz A, Westerlund A, De Henauw S, Huybrechts I. Harmonisation of food categorisation systems for dietary exposure assessments among European children. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2010; 27:1639-51. [DOI: 10.1080/19440049.2010.521957] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Alexy U, Libuda L, Kersting M. Trägt eine hohe Salzzufuhr über einen erhöhten Konsum gesüßter Getränke zur Übergewichtsentstehung bei Kindern und Jugendlichen bei? Gesundheitswesen 2010. [DOI: 10.1055/s-0030-1266373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Kersting M, Gierschmann A, Hauswaldt J, H.-Pradier E. Routinedaten aus hausärztlichen Arztinformationssystemen – Export, Analyse und Aufbereitung für die Versorgungsforschung. Gesundheitswesen 2010; 72:323-31. [DOI: 10.1055/s-0030-1249689] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Hauswaldt J, Kersting M, Hummers-Pradier E. [Influenza vaccination by Lower Saxonian general practitioners - a secondary analysis of physicians' data from 1995/1996, 2002/2003, and 2005/2006]. Gesundheitswesen 2010; 72:332-9. [PMID: 20440676 DOI: 10.1055/s-0030-1249690] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Vaccination against infection with human influenza virus is considered to be one of the most effective preventive measures available, especially when complications such as hospitalisation or death and indirect costs from off-work are considered. General practice is the preferable place for annual influenza vaccination because here the elderly and those endangered from bad health conditions are cared for frequently and regularly. The aim of this study was to find out the frequencies of influenza vaccination by Lower Saxonian contract physicians during three time periods with special respect to patients of older age or at risk. Data from two sources of health-care service have been analysed, namely from the contract physicians' union of Lower Saxony with all physicians vaccinating against influenza in the winter seasons of 1995/1996, 2002/2003, and 2005/2006, and from direct access to the electronic practice record system of 79 general practices via the BDT software data interface. Contract physicians, of whom more than 90 % are general practitioners, from Lower Saxony, vaccinate patients of the statutory health insurance against influenza in markedly increasing numbers, since 1995/1996 and 2002/2003 up to 2005/2006. Those over sixty years old or at high risk from bad health conditions are vaccinated up to seven-fold more frequently, compared to other patients. Influenza vaccination coverage rates (VCRs) are significantly higher in small and in medium-sized practices, compared to those with many patients. Nevertheless, influenza VCRs in Lower Saxony are not yet as high as would be necessary or desirable when compared internationally. Secondary analysis of aggregated health service data revealed inconsistencies in the primary material on cross-checking and validating, probably being caused during the external process of data aggregation and anonymisation. Also major systematic obstacles were found in the subsequent process of analysis. Nevertheless, fundamental results have been produced and are valid for all statutory health insured Lower Saxonians. Data from direct access to electronic practice records allowed for a deeper and multi-faceted insight into 101 928 patients of the same population, limited by the possibility of selection bias ('convenience sample'). Secondary analysis of health service data from different sources and their cross-check comparison is possible and successful. It is important to inform and involve the holder of the primary data extensively, following the guide lines of "good practice secondary data analysis".
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Affiliation(s)
- J Hauswaldt
- Institut für Allgemeinmedizin der Medizinischen Hochschule Hannover.
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Schwartz J, Dube K, Alexy U, Kalhoff H, Kersting M. PUFA and LC-PUFA intake during the first year of life: can dietary practice achieve a guideline diet? Eur J Clin Nutr 2009; 64:124-30. [PMID: 19935821 DOI: 10.1038/ejcn.2009.123] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
BACKGROUND An appropriate supply of n-3 long-chain polyunsaturated fatty acids (LC-PUFAs) during early childhood may enhance cognitive development. Little attention is paid to the fatty acid (FA) supply during the complementary feeding period. We examined the polyunsaturated fatty acids (PUFAs) and LC-PUFAs pattern in dietary practice of two study groups and evaluated the results against the present Dietary Guidelines in Germany. METHODS The food consumption and FA pattern of dietary practice in subjects from two prospective studies (n=102 and n=184, respectively) at the age of 3, 6 and 9 months was assessed by weighed diet records, and changes during the first year of life were compared with the food-based dietary guidelines for the first year of life. RESULTS Dietary practice in the complementary feeding period was clearly dominated by commercial food products. The FA composition in dietary practice was different from the Guideline Diet and the ratio of n-6/n-3 PUFAs was less favorable. Consumption of breast milk or formula was still of major importance for the intake of LC-PUFAs in the complementary feeding period. CONCLUSION LC-PUFAs are predominantly provided by breast milk and formula during the first year of life and consequently decrease when milk consumption decreases. For compensation, commercial complementary food might come closer to the Guideline Diet by lowering the n-6/n-3 PUFA ratio through appropriate vegetable oil along with an increase in total fat content up to the legal limit.
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Affiliation(s)
- J Schwartz
- Research Institute of Child Nutrition, Dortmund, Germany
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Schwartz J, Dube K, Sichert-Hellert W, Kannenberg F, Kunz C, Kalhoff H, Kersting M. Modification of dietary polyunsaturated fatty acids via complementary food enhances n-3 long-chain polyunsaturated fatty acid synthesis in healthy infants: a double blinded randomised controlled trial. Arch Dis Child 2009; 94:876-82. [PMID: 19193660 DOI: 10.1136/adc.2008.146027] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVE To study the effect of modified polyunsaturated fatty acid (PUFA) profiles of complementary food on long-chain (LC) PUFA composition in healthy infants. DESIGN Double blinded, randomised, controlled intervention trial. SETTING Dortmund, Germany. PATIENTS Free-living sample of healthy term infants. METHODS Participants were randomly assigned within the first 2 months of life. During the intervention period from 4 to 10 months, the control group (n = 53) received commercial complementary meals with corn oil (3.4 g/meal) rich in n-6 linoleic acid (LA), the intervention group (n = 49) received the same meals with rapeseed oil (1.6 g/meal) rich in n-3 alpha-linolenic acid (ALA). Fatty acid intake was assessed from dietary records throughout the intervention period. Fatty acid proportions (% of total fatty acid) in total plasma were analysed before and after the intervention. RESULTS Plasma fatty acid profiles did not differ between the intervention and control groups before the intervention. During the intervention, the only difference in fatty acid intake between the intervention and control groups was a higher intake of ALA in the intervention group, 21% deriving from study food and a lower ratio of LA/ALA (10.7 vs 14.8). At the end of the intervention, the plasma proportions of total n-3 fatty acids and of n-3 LC-PUFA, but not of ALA, were higher and the ratios of n-6/n-3 fatty acids were lower in the intervention group. CONCLUSIONS Feasible dietary modifications of the precursor fatty acid profile via n-3 PUFA-rich vegetable oil favoured n-3 LC-PUFA synthesis in the complementary feeding period when LC-PUFA intake from breast milk and formula is decreasing.
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Affiliation(s)
- J Schwartz
- Research Institute of Child Nutrition Dortmund, Rheinische Friedrich-Wilhelms-Universität Bonn, Dortmund, Germany
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Abstract
BACKGROUND The epidemic increase in childhood overweight demands effective and also feasible prevention programmes. A school-based environmental and educational intervention focusing on the promotion of water consumption was found to be effective for overweight prevention in children. Process evaluation and long-term surveillance are necessary to evaluate the feasibility and sustainability of the intervention programme in a school setting. METHODS Process evaluation was conducted during the intervention period (one school year) and a 19-month follow-up after the intervention trial on the prevention of overweight in 17 elementary schools. Data were collected through measuring the water flow of water fountains installed in schools, and questionnaires and interviews were administered to teachers and headmasters of intervention schools. Main outcomes were implementation of the intervention components, behavioural modification of the children concerning water consumption, and teacher and headmaster attitudes towards the intervention. RESULTS Eleven out of 17 intervention schools maintained the water fountains until 19-month follow-up. The mean water flow of the fountains decreased initially, but remained stable after the during the follow-up period. The implementation rate of the educational units by teachers varied between the units from 13% to 84%. Teachers graded the overall concept of the intervention as good, continuously during the intervention and follow-up period. The majority of teachers organized the water supply of the fountains on the class level during the intervention period but not during the follow-up. CONCLUSIONS The long-term process evaluation showed that the combined educational and environmental intervention has potential for sustained modifications in the beverage consumption habits of children. It also identified barriers and promoting factors of a sustainable and feasible implementation of the preventive programme in a school setting.
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Affiliation(s)
- R Muckelbauer
- Research Institute of Child Nutrition Dortmund, Dortmund, Germany.
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Kleber M, Schaefer A, Winkel K, Hoffmann D, Wunsch R, Kersting M, Reinehr T. Lifestyle Intervention “Obeldicks Mini” for Obese Children Aged 4 to 7 Years. Klin Padiatr 2009; 221:290-4. [DOI: 10.1055/s-0029-1234129] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Ortega FB, Artero EG, Ruiz JR, España-Romero V, Jiménez-Pavón D, Vicente-Rodriguez G, Moreno LA, Manios Y, Béghin L, Ottevaere C, Ciarapica D, Sarri K, Dietrich S, Blair SN, Kersting M, Molnar D, González-Gross M, Gutiérrez A, Sjöström M, Castillo MJ. Physical fitness levels among European adolescents: the HELENA study. Br J Sports Med 2009; 45:20-9. [PMID: 19700434 DOI: 10.1136/bjsm.2009.062679] [Citation(s) in RCA: 227] [Impact Index Per Article: 15.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE To report sex- and age-specific physical fitness levels in European adolescents. METHODS A sample of 3428 adolescents (1845 girls) aged 12.5-17.49 years from 10 European cities in Austria, Belgium, France, Germany, Greece (an inland city and an island city), Hungary, Italy, Spain and Sweden was assessed in the Healthy Lifestyle in Europe by Nutrition in Adolescence study between 2006 and 2008. The authors assessed muscular fitness, speed/agility, flexibility and cardiorespiratory fitness using nine different fitness tests: handgrip, bent arm hang, standing long jump, Bosco jumps (squat jump, counter movement jump and Abalakov jump), 4×10-m shuttle run, back-saver sit and reach and 20-m shuttle run tests. RESULTS The authors derived sex- and age-specific normative values for physical fitness in the European adolescents using the LMS statistical method and expressed as tabulated percentiles from 10 to 100 and as smoothed centile curves (P₅, P₂₅, P₅₀, P₇₅ and P₉₅). The figures showed greater physical fitness in the boys, except for the flexibility test, and a trend towards increased physical fitness in the boys as their age increased, whereas the fitness levels in the girls were more stable across ages. CONCLUSIONS The normative values hereby provided will enable evaluation and correct interpretation of European adolescents' fitness status.
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Affiliation(s)
- F B Ortega
- Department of Physiology, University of Granada, Spain.
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