Hostname: page-component-848d4c4894-ttngx Total loading time: 0 Render date: 2024-05-15T13:59:08.283Z Has data issue: false hasContentIssue false
  • English
  • Français

Fifteen-year time trends in energy and macronutrient intake in German children and adolescents: results of the DONALD study

Published online by Cambridge University Press:  09 March 2007

Ute Alexy ,
Wolfgang Sichert-Hellert  and
Mathilde Kersting
Ute Alexy*
Affiliation:
Research Institute of Child Nutrition (FKE), Dortmund, Germany
Wolfgang Sichert-Hellert
Affiliation:
Research Institute of Child Nutrition (FKE), Dortmund, Germany
Mathilde Kersting
Affiliation:
Research Institute of Child Nutrition (FKE), Dortmund, Germany
*
*Corresponding author: Dr Ute Alexy, fax +49 231 711581, email alexy@fke-do.de
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The DONALD study (Dortmund Nutritional and Anthropometric Longitudinally Designed study) gives the opportunity to evaluate long-term food and nutrient intake data on the basis of 3 d weighed dietary records of infants, children and adolescents since 1985. In this paper, we examine changes in energy and macronutrient intakes (protein, fat, saturated, mono- and polyunsaturated fatty acids, carbohydrates and added sugars) of 795 2–18-year-old subjects between 1985 and 2000 (4483 records). No significant changes in intakes of energy and of protein, polyunsaturated fatty acids and added sugars (as % energy intake, E %) were found. Fat intake decreased significantly in all age groups (between -0·20 and -0·26 E %/year), as well as intake of saturated fatty acids (between -0·11 and -0·14 E %/year) and monounsaturated fatty acids (between -0·07 and -0·014 E %/year). This decline was compensated for by a significant increase in carbohydrate intake (between +0·18 and +0·27 E %/year). The changes in macronutrient intake were mainly due to a decreased consumption of fats–oils (between -0·29 and -1·26 g/year) and meat–fish–eggs (between -0·21 and -2·92 g/year), whereas consumption of bread–cereals (between +0·12 and +2·42 g/year) and potatoes–pasta–rice (between +0·15 and +2·26 g/year) increased slightly. However, since recommended fat intake and fatty acid composition was not reached at the end of the study period by far, further efforts will be necessary to improve macronutrient composition and to stabilize favourable dietary habits.

Keywords

ChildrenAdolescentsEnergy intakeMacronutrient intakeTime trend
Type
Research Article
Information
British Journal of Nutrition , Volume 87 , Issue 6 , June 2002 , pp. 595 - 604
Copyright
Copyright © The Nutrition Society 2002

References

Adamson, A, Rugg-Gunn, A, Butler, T, Appleton, D & Hacket, A (1992) Nutritional intake, height and weight of 11–12-year-old Northumbrian children in 1990 compared with information obtained in 1980. British Journal of Nutrition 68, 543–563.CrossRefGoogle ScholarPubMed
Alexy, U, Kersting, M & Sichert-Hellert, W (2000) The Optimized Mixed Diet: Evaluation of a food guide system for children and adolescents. Journal of Nutrition Education 32, 94–99.CrossRefGoogle Scholar
Barr, SI (1993) Secular trends in nutrient intakes of female nutrition students, 1986–1991. Nutrition Research 13, 1099–1103.CrossRefGoogle Scholar
Bergström, E, Hernell, O & Persson, LA (1993) Dietary changes in Swedish adolescents. Acta Paediatrica 81, 472–480.CrossRefGoogle Scholar
Canadian Pediatric Society and Health Canada, Joint Working Group (1995) Nutrition recommendations update: dietary fats and children. Nutrition Reviews 53, 367–375.Google Scholar
Cavadini, C, Siega-Riz, AM & Popkin, BM (2000) US adolescent food intake trends from 1965 to 1996. Archives of Disease in Childhood 83, 18–24.CrossRefGoogle ScholarPubMed
Cole, TJ, Bellizzi, MC, Flegal, KM & Dietz, WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 320, 1–6.CrossRefGoogle ScholarPubMed
De Henauw, S, Wilms, L, Mertens, J, Standaert, B & De Backer, G (1997) Overall and meal specific macronutrient intake in Belgian primary school children. Annals of Nutrition and Metabolism 41, 89–97.CrossRefGoogle ScholarPubMed
Department of Health (1989) The Diets of British Schoolchildren. Report on Health and Social Subjects no. 36. London: H.M. Stationery Office.Google Scholar
Deutsche Gesellschaft für Ernährung (1991) Der Mensch ist, was er ißt (You are what you eat). Broschüre. 5 edn. Frankfurt: DGE.Google Scholar
Deutsche Gesellschaft für Ernährung, (editors). (1994) Lebensmittel- und Nährstoffaufnahme in der Bundesrepublik Deutschland (Food Consumption and Nutrient Intake in the Federal Republic of Germany). Ernährungsbericht 1992, Ergänzungsband. VERA-Schritenreihe Bd. XII. DGE: Frankfurt.Google Scholar
Deutsche Gesellschaft für Ernährung, (editors) (2000) Ernährungsbericht 2000 (Nutrition Report). DGE: Frankfurt.Google Scholar
European Society for Pediatric Gastroenterology Hepatology and Nutrition, Committee on Nutrition (1994) Committee report: Childhood diet and prevention of coronary heart disease. Journal of Pediatric Gastroenterology and Nutrition 19, 261–269.Google Scholar
Garaulet, M, Martinez, A, Victoria, F, Perez-Llamas, F, Ortega, R & Zamora, S (2000) Differences in dietary intake and activity level between normal-weight and overweight or obese adolescents. Journal of Pediatric Gastroenterology and Nutrition 30, 253–258.Google ScholarPubMed
Goldberg, GR, Black, AE, Jebb, SA, Cole, TJ, Margatroyd, 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 underrecording. European Journal of Clinical Nutrition 45, 569–581.Google ScholarPubMed
Harlan, WR, Landis, JR, Flegal, KM, Davis, CS & Miller, ME (1998) Secular trends in body mass in the United States, 1960–1980. American Journal of Epidemiology 128, 1065–1074.CrossRefGoogle Scholar
Helmert, U, Mielck, A & Shea, S (1997) Poverty, health, and nutrition in Germany. Reviews on Environmental Health 12, 159–170.CrossRefGoogle ScholarPubMed
Institute of Medicine (2000) Dietary reference intakes: vitamin C, vitamin E, selenium, carotinoids. Washington, DC: National Academy Press.Google Scholar
Kersting, M, Sichert-Hellert, W, Alexy, U, Manz, F & Schöch, G (1998 a) Macronutrient intake of 1–18 year old German children and adolescents. Zeitschrift für Ernährungswissenschaft 37, 252–259.CrossRefGoogle Scholar
Kersting, M, Sichert-Hellert, W, Lausen, B, Alexy, U, Manz, F & Schöch, G (1998 b) Energy intake of 1–18 year old German children and adolescents. Zeitschrift für Ernährungswissenschaft 37, 47–55.Google Scholar
Kromeyer-Hauschild, K, Zellner, K, Jaeger, U & Hoyer, H (1999) Prevalence of overweight and obesity among school children in Jena (Germany). International Journal of Obesity 23, 1143–1150.CrossRefGoogle ScholarPubMed
Löwik, MRH, Brussard, JH, Hulshof, KFAM, Kistemaker, C, Schafsmaa, G, Ockhuizen, T & Hermus, RJJ (1994) Adequacy of the diet in the Netherlands in 1987–1988; Dutch nutrition surveillance system. International Journal of Food Sciences and Nutrition 45, Suppl. 1, 1–62Google Scholar
Marti-Henneberg, C, Capdevuka, F, Arija, V, Perez, S, Cuco, G, Vizmanos, B & Fernández-Ballart, J (1999) Energy density of the diet, food volume and energy intake by age and sex in a healthy population. European Journal of Clinical Nutrition 53, 421–428.CrossRefGoogle Scholar
Martinez, JA (2000) Obesity in young Europeans: genetic and environmental influences. European Journal of Clinical Nutrition 54, Suppl. 1, S56–S60.CrossRefGoogle ScholarPubMed
Martinez, JA, Kearney, JM, Kafatos, A, Paquet, S & Martinez-Gonzalez, MA (1999) Variables independently associated with self-reported obesity in the European Union. Public Health Nutrition 2, 125–133.CrossRefGoogle ScholarPubMed
Mensink, GB, Thamm, M & Haas, K (1999) Die Ernährung in Deutschland 1998 (Nutrition in Germany 1998). Gesundheitswesen 61, S200–206.Google ScholarPubMed
National Research Council (1989) Diet and Health: Implications for Reducing Chronic Disease Risk. Washington, DC: National Academy Press.Google Scholar
Nicklas, TA, Elkasabany, A, Srinivasan, SR & Berenson, G (2001) Trends in nutrient intake of 10-year-old children over two decades (1973–1994): The Bogalusa Heart Study. American Journal of Epidemiology 153, 969–977.CrossRefGoogle ScholarPubMed
Nicklas, TA, Webber, LS, Srinivasan, SR & Berenson, GS (1993) Secular trends in dietary intakes and cardiovascular risk factors of 10-y-old children: The Bogalusa Heart Study (1973–1988). American Journal of Clinical Nutrition 57, 930–937.CrossRefGoogle ScholarPubMed
Oja, P (1997) Health related physical activity and fitness among European children and adolescents. In: Nutrition and Fitness: Evolutionary Aspects, Children's Health, Programs and Policies [Simopoulos, AP, editor]. Basel: Karger, World Review of Nutrition and Dietetics (Series) 81, 9–104.Google Scholar
Schaeffler, V, Döring, A, Winkler, G & Keil, U (1996) Trends in food consumption in a South German population from 1984/85 to 1989/90: Results from the WHO MONICA project Augsburg. Annals of Nutrition and Metabolism 40, 129–136.CrossRefGoogle Scholar
Schofield, WN (1985) Predicting basal metabolic rate, new standards and review of previous work. Human Nutrition:Clinical Nutrition 39, Suppl 1, 5–41.Google ScholarPubMed
Sichert-Hellert, W, Kersting, M & Manz, F (2001) 15-year trends in water intake in German children and adolescents. Results of the DONALD study. Acta Paediatrica 90, 732–737.CrossRefGoogle Scholar
Sichert-Hellert, W, Kersting, M & Schöch, G (1998) Underreporting of energy intake in 1 to 18 year old German children and adolescents. Zeitschrift für Ernährungswissenschaft 37, 242–251.CrossRefGoogle ScholarPubMed
Souci, SW, Fachmann, W, Kraut, H (1994) Food composition and Nutrition Tables, 5th edn. Stuttgart: Medpharm Scientific Publishing.Google Scholar
Strain, JJ, Robson, PJ, Livingstone, MB, Primrose, ED, Savage, JM, Cran, GW & Boreham, CA (1994) Estimates of food and macronutrient intake in a random sample of Northern Ireland adolescents. British Journal of Nutrition 72, 343–352.CrossRefGoogle Scholar
Torun, B, Davies, PSW, Livingstone, MBE, Paolisso, M, Sackett, R & Spurr, GB (1996) Energy requirements and dietary energy recommendations for children and adolescents 1–18 years old. European Journal of Clinical Nutrition 50, Suppl 1, S37–S81.Google Scholar
US Department of Agriculture (1992) The Food Guide Pyramid: A Guide to Daily Food Choices. Home and Garden Bulletin no. 252. Washington DC: US Government Printing Office.Google Scholar
Voedingscentrum (1998) Zo eet Nederland. Resultaten van de Voedselconsumptiepeiling 1997–1998 (So Eat Netherlands. Results of the Food Consumption Survey 1997–1998). Den Haag: Voedingscentrum.Google Scholar
World Health Organization (1990 a) Prevention in Childhood and Youth of Adult Cardiovascular Disease. Technical Report Series no. 792. Geneva: WHO.Google Scholar
World Health Organization (1990 b) Diet, Nutrition and the Prevention of Chronic Diseases. Technical Report Series no. 797. Geneva: WHO.Google Scholar
Winkler, G, Döring, A & Keil, U (2000) Trends in dietary sources of nutrients among middle-aged men in southern Germany. Results of the MONICA Project Augsburg: dietary surveys 1984/85 and 1994/95. Appetite 34, 37–45.CrossRefGoogle Scholar