Micronutrient Intake in Healthy Toddlers: A Multinational Perspective

Overview

Journal Nutrients

Date 2015 Aug 22

PMID 26295254

Citations 10

Authors

Jennifer Hilger

Tatiana Goerig

Peter Weber

Birgit Hoeft

Manfred Eggersdorfer

Nina Costa Carvalho

Ursula Goldberger

Kristina Hoffmann

Affiliations

Soon will be listed here.

Abstract

Adequate nutrient intake during early childhood is of particular importance for optimal growth and future health. However, cross-national comparative research on nutrient intake of toddlers is still limited. We conducted a literature review to examine the nutrient intake in healthy toddlers from some of the world's most populous nations currently on different stages of socioeconomic development: Brazil, Germany, Russia and the United States. We aimed to identify national surveys reporting mean intakes of the following nutrients: vitamins A, D, E, folate, calcium, iron and zinc. To calculate the prevalence of inadequate nutrient intake, we used a modified version of the Estimated Average Requirement cut-point method. Overall, five studies with 6756 toddlers were eligible for inclusion in this review. In countries where data were available, a prevalence of inadequate intake higher than 20% was found for vitamins A, D, E and calcium. In Germany, folate intake also appeared to be inadequate. The results of our review indicate that inadequate micronutrient intake in toddlers might be a global challenge affecting also affluent countries. However, to explore the full scope of this important public health issue joint efforts of researchers worldwide are needed to combine existing data and fill in data gaps.

Citing Articles

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References

Devaney B, Ziegler P, Pac S, Karwe V, Barr S . Nutrient intakes of infants and toddlers. J Am Diet Assoc. 2004; 104(1 Suppl 1):s14-21. DOI: 10.1016/j.jada.2003.10.022. View

Zipitis C, Akobeng A . Vitamin D supplementation in early childhood and risk of type 1 diabetes: a systematic review and meta-analysis. Arch Dis Child. 2008; 93(6):512-7. DOI: 10.1136/adc.2007.128579. View

Griffin M, Xing N, Kumar R . Vitamin D and its analogs as regulators of immune activation and antigen presentation. Annu Rev Nutr. 2003; 23:117-45. DOI: 10.1146/annurev.nutr.23.011702.073114. View

Diaz J, de las Cagigas A, Rodriguez R . Micronutrient deficiencies in developing and affluent countries. Eur J Clin Nutr. 2003; 57 Suppl 1:S70-2. DOI: 10.1038/sj.ejcn.1601820. View

Dror D, Allen L . Vitamin E deficiency in developing countries. Food Nutr Bull. 2011; 32(2):124-43. DOI: 10.1177/156482651103200206. View

Roman Vinas B, Ribas Barba L, Ngo J, Gurinovic M, Novakovic R, Cavelaars A . Projected prevalence of inadequate nutrient intakes in Europe. Ann Nutr Metab. 2011; 59(2-4):84-95. DOI: 10.1159/000332762. View

Wintergerst E, Maggini S, Hornig D . Contribution of selected vitamins and trace elements to immune function. Ann Nutr Metab. 2007; 51(4):301-23. DOI: 10.1159/000107673. View

Hilbig A, Drossard C, Kersting M, Alexy U . Nutrient Adequacy and Associated Factors in a Nationwide Sample of German Toddlers. J Pediatr Gastroenterol Nutr. 2015; 61(1):130-7. DOI: 10.1097/MPG.0000000000000733. View

Dube K, Schwartz J, Mueller M, Kalhoff H, Kersting M . Iron intake and iron status in breastfed infants during the first year of life. Clin Nutr. 2010; 29(6):773-8. DOI: 10.1016/j.clnu.2010.05.002. View

10.

Burchi F, Fanzo J, Frison E . The role of food and nutrition system approaches in tackling hidden hunger. Int J Environ Res Public Health. 2011; 8(2):358-73. PMC: 3084466. DOI: 10.3390/ijerph8020358. View

11.

Carriquiry A . Assessing the prevalence of nutrient inadequacy. Public Health Nutr. 1999; 2(1):23-33. DOI: 10.1017/s1368980099000038. View

12.

. Dietary reference values for food energy and nutrients for the United Kingdom. Report of the Panel on Dietary Reference Values of the Committee on Medical Aspects of Food Policy. Rep Health Soc Subj (Lond). 1991; 41:1-210. View

13.

Tulchinsky T . Correction to: micronutrient deficiency conditions: Global Health issues. Public Health Rev. 2018; 38:25. PMC: 5809998. DOI: 10.1186/s40985-017-0071-6. View

14.

Hayes C, Nashold F, Spach K, Pedersen L . The immunological functions of the vitamin D endocrine system. Cell Mol Biol (Noisy-le-grand). 2003; 49(2):277-300. View

15.

de Castro M, Verly Jr E, Fisberg M, Fisberg R . Children's nutrient intake variability is affected by age and body weight status according to results from a Brazilian multicenter study. Nutr Res. 2014; 34(1):74-84. DOI: 10.1016/j.nutres.2013.09.006. View

16.

Lanigan J, Turnbull B, Singhal A . Toddler diets in the UK: deficiencies and imbalances. 2. Relationship of toddler diet to later health. J Fam Health Care. 2008; 17(6):197-200. View

17.

Ribas-Barba L, Serra-Majem L, Roman-Vinas B, Ngo J, Garcia-Alvarez A . Effects of dietary assessment methods on assessing risk of nutrient intake adequacy at the population level: from theory to practice. Br J Nutr. 2009; 101 Suppl 2:S64-72. DOI: 10.1017/S0007114509990596. View

18.

Martinchik A, Baturin A, Martinchik E, Peskova E, Starovoitov M . [Dietary intake of antioxidant vitamins in Russian population]. Vopr Pitan. 2005; 74(4):9-13. View

19.

Verly Junior E, Cesar C, Fisberg R, Marchioni D . Socio-economic variables influence the prevalence of inadequate nutrient intake in Brazilian adolescents: results from a population-based survey. Public Health Nutr. 2011; 14(9):1533-8. DOI: 10.1017/S1368980011000760. View

20.

. Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser. 2003; 916:i-viii, 1-149, backcover. View