Upload
trannhu
View
229
Download
0
Embed Size (px)
Citation preview
Liisa ValstaDietary and Chemical Monitoring (DCM) Unit
EFSA Comprehensive European Food Consumption Database:
The achievements made so far
Hazard
Exposure Assessment
Chemical Occurrence
Food consumption
Food consumption in exposure assessment
FoodTerminology
18 November 2011 2EFSA Stakeholder Consultative Platform
• Past activities towards an EFSA food consumption database
• The EFSA Comprehensive European food consumption database in use
• Towards the EU Menu era: harmonised food consumption data collection
18 November 2011 3EFSA Stakeholder Consultative Platform
Outline of the presentation
CONCISEBroad categories, not covering children, not harmonised, no FFQ
Evolution consumption data
tt COMPREHENSIVEDetailed categories, partly covering children, not harmonised, no FFQ
HARMONISED, EUMenuDetailed categories, covering children, harmonised including FFQ
18 November 2011 4EFSA Stakeholder Consultative Platform
In 2005 the Scientific Committee suggested the establishment of a harmonised food consumption database in the EU.
It also recommended that EFSA should contribute to the development of a European framework for the harmonisation of food consumption data in the EU and make these data publicly accessible.
18 November 2011 5EFSA Stakeholder Consultative Platform
Scientific Committee
6
EFSA Scientific Colloquium
“A common database on foodconsumption would improve theconsistency and reliability ofexposure assessments carriedout by the various EFSA Panelsand other experts in Europe”
18 November 2011 6EFSA Stakeholder Consultative Platform
CConsumption dataRepresentative for EUCapturing regional differencesAcute and chronic exposure
Vulnerable groupsSpecial dietsPregnant womenChildren
High consumersEthnic dietsBig eaters“Unusual habits”
18 November 2011 7EFSA Stakeholder Consultative Platform
Needs assessment
The Concise European Food Consumption Database: • provides data in a limited
number of 15 main food categories (29 sub-categories),
• contains data from 19 European countries,
• Was used for assessment in the past.
18 November 2011 8EFSA Stakeholder Consultative Platform
Concise database
CONCISEBroad categories, not covering children, not harmonised, no FFQ
Evolution consumption data
tt COMPREHENSIVEDetailed categories, partly covering children, not harmonised, no FFQ
HARMONISED, EUMenuDetailed categories, covering children, harmonised including FFQ
18 November 2011 9EFSA Stakeholder Consultative Platform
Comprehensive database
18 November 2011 EFSA Stakeholder Consultative Platform 10
Dietary surveys 32Member States 22Number of subjects 66,492Number of different foods 63,495Number of different FoodEx codes 1,504Number of consumption records 6,309,489
• DPPA/EFSA/DATEX/2008-2009• Individual food consumption data from 20 Member
States provided to EFSA: – the most recent data within the country,– at the finest level of detail,– representative consumption at national level for,
at least, the adult population,– summary statistics published on
the EFSA website February 2011
18 November 2011 11EFSA Stakeholder Consultative Platform
Comprehensive Database: Adults
Country (survey) Name of the dietary survey Period Target population Age range Method Replicates
AustriaAustrian Study On Nutritional Status (ASNS)
2005 - 06 Adults 19-65 24 h dietary recall 1
Belgium Diet National 2004 2004 – 05 Adults > 15 24 h dietary recall 2
Bulgaria
National Survey of Food Intake and Nutritional Status
2004 Adults > 16 24 h dietary recall 1
NUTRICHILD 2007 Small children < 5 24 h dietary recall 2
Czech Republic SISP04 2003 - 04 Children and adults > 4 24 h dietary recall 2
Denmark Danish Dietary Survey 2000 - 02 Children and adults 4-75 Food record 7
Estonia NDS 1997 1997 Adults 19-64 24 h dietary recall 1
Finland FINDIET 2007 2007 Adults 25-74 48 h dietary recall 1
France INCA2 2005 – 07 Children and adults 3-79 Food record 7
Germany National Nutrition Survey II 2005 – 07 Adults and adolescents 14-80 24 h dietary recall 2
Hungary National Repr Surv 2003 Adults > 18 Food record 3
Ireland NSFC 1997 – 99 Adults 18-64 Food record 7
Italy INRAN-SCAI 2005–06 2005 – 06 Children and adults > 0.1 Food record 3
Latvia EFSA_TEST 2008 Children and adults 7-66 24 h dietary recall 2
Netherlands VCP2003 2003 Adults 19-30 24 h dietary recall 2
Poland IZZ-FAO-2000 2000 Children and adults 1-96 24 h dietary recall 1
Slovakia SK MON 2008 2008 Adults 19-59 24 h dietary recall 1
Slovenia CRP-2008 2007 - 08 Adults 18-65 24 h dietary recall 1
SpainAESAN-FIAB 1999 - 2001 Adults 17-60 Food record 3
AESAN 2009 Adults 18-60 24 h dietary recall 2
Sweden RIKSMATEN 1997-98 1997 - 98 Adults 18-74 Food record 7
United KingdomNational Diet & Nutrition Survey (NDNS)
2000 - 01 Adults 19-64 Food record 7
18 November 2011 12EFSA Stakeholder Consultative Platform
Comprehensive Database: Adults
Comprehensive Database: Children
18 November 2011 EFSA Stakeholder Consultative Platform 13
• EXPOCHI EFSA Article 36 project• Individual food consumption data from 12 Member
States provided to EFSA:• at the finest level of detail,• representative for the children population at
national or regional level
Country Provider Period Age years Representative Subjects Days Method
Belgium Ugent 2002-03 2.5 to 6.5 Regional (Flanders) 661 3 Dietary record
Cyprus REF 2003 2 to 18 National 303 3 Dietary record
Czech Republic NIPH 2003-04 4 to 14 National 602 2 24-hour recall
Denmark DTU Food 2000-02 4 to 10 National 606 7 Dietary record
Finland Evira2003-06 1, 3 and 6 Regional (South) 1,448 3 Dietary record
2000 7 to 8 Regional (South-west) 250 4 Dietary record
France AFSSA 2005-07 3 to 10 National 574 7 Dietary record
Germany FKE 2006-08 1 to 10 Regional (Dortmund) 926 3 Dietary record
Greece UoC 2004-05 4 to 6 Regional (Crete) 874 3 Dietary record
Italy INRAN 2005-06 1 to 10 National 252 3 Dietary record
Poland NFNI 2000 1 to 14 National 611 1 24-hour recall
SpainFIN 1998-00 1 to 14 National 382 2 24-hour recall
PGHI 2004-05 4 to 14 Regional (Basque) 1050 2 24-hour recall
Sweden NFA 2003 3 to 4 National 2,495 4 24-hour recall
Netherlands RIKILT 2005-06 2 to 6 National 1,279 3 Dietary record
18 November 2011 14EFSA Stakeholder Consultative Platform
Comprehensive Database: Children
The Comprehensive Database currently includes foodconsumption data for:
•Infants (<1 year): 2 surveys in 2 countries,
•Toddlers (1-2 years): 8 surveys in 8 countries,
•Children (3-9 years): 16 surveys in 14 countries,
•Adolescents (10-17 years): 14 surveys in 12 countries,
•Adults (18-64 years) 21 surveys in 20 countries,
•Elderly (65-74 years): 9 surveys in 9 countries,
•Very elderly (≥75 years): 8 surveys in 8 countries.
18 November 2011 15EFSA Stakeholder Consultative Platform
Age classes
Examples :• 24 h dietary recall vs. food record • broad survey period, from 1997 (Estonia) to 2009
(Spain)• from 1 to 7 days data per subject• individual vs. household sample unit• from 28% to 98% response rate • week-end days not evenly represented in 6 surveys• seasonality not fully covered in 10 surveys (only one
season represented in 4 surveys)• body weight and height measured or estimated• food classification
18 November 2011 16EFSA Stakeholder Consultative Platform
Different consumption patterns induced by differences in survey methodology?
Survey methodology
Food classification - FoodEx
17
Data providers were asked to:• disaggregate household dishes to the ingredient level found
in the classification. Ideally only ready to eat dishes shouldbe codified under the “Composite food” group in FoodEx• link all their different food descriptors with a FoodEx code
at the most detailed possible levelFoodEx: Food list: ~1,700 end-points (food names, generic food names). Hierarchical structure, up to 4 levels, not equal branching–20 main food groups –2nd level composed by ~160 itemsStructured on child-parent relation
18 November 2011 EFSA Stakeholder Consultative Platform
18 November 2011 18
FoodEx Level 2
1. Livestock meat
2. Poultry
3. Game mammals
4. Game birds
5. Mixed meat
6. Edible offal, farmed animals
7. Edible offal, game animals
8. Preserved meat
9. Sausages
10. Meat specialities
11. Pastes, pâtés and terrines
12. Meat imitates
FoodEx Level 3 - Preserved meat
1. Ham, pork
2. Ham, beef
3. Beef, dried
4. Pork, dried
5. Turkey, dried
6. Ham, turkey
7. Bacon
8. Corned beef
9. Corned pork
10. Corned turkey
11. Pastrami, pork
12. Pastrami, beef
13. Pastrami, lamb
14. Luncheon meat
15. Preserved poultry
EFSA Stakeholder Consultative Platform
Meat and meat products
FoodEx Level 1
CCONCISE15 broad categoriesand 13 sub-categoriesAd hoc EC requests
Evolution food terminology
s FOODEX 1Hierarchical system with four levelsAddressing legislation
FOODEX 2Harmonised hierarchical system with facets linked to core food list
18 November 2011 20EFSA Stakeholder Consultative Platform
18 November 2011 21
• EFSA has the right to use raw individual foodconsumption data for carrying out riskassessments and other scientific analyses withinthe activities related to EFSA’s mandate.
• A formal authorisation from the data providermust be requested for any other use of the data.
EFSA Stakeholder Consultative Platform
Conditions of use
18 November 2011 22
GUIDANCE of EFSA on the Use of the EFSA Comprehensive European Food Consumption Database in Exposure Assessment• Published: March 2011• Drafted by the DCM (DATEX) Food Consumption
and Exposure Working Group (FCE WG)
Summary statistics on the EFSA website include data:• for each country, dietary survey and age class, • at the 1st and 2nd level of the FoodEx• for chronic and acute consumption• for the total population and for consumers only• in grams/day and in grams/kg body weight per day
EFSA Stakeholder Consultative Platform
Guidance of EFSA
18 November 2011 23
• Exclude dietary surveys with only one day per subject when calculating chronic exposure
• Avoid direct country-to-country comparisons• Always assess exposure at the country level
and avoid merging different dietary surveys together with the aim of assessing exposure at European level
• Cautious interpretation of the high percentiles
EFSA Stakeholder Consultative Platform
Main recommendations
“Update of the EFSA Comprehensive European Food Consumption Database”
(CFT/EFSA/DCM/2011/01)
18 November 2011 24
Deadline for submission of offers: End of August 2011
Commencement of activities December 2011
End of the projects: December 2012
EFSA Stakeholder Consultative Platform
Update
Comprehensive vs. Concise
Added value:• more details on food descriptors• food consumption data at day level• more recent data• availability of food consumption data for children
Problems unresolved:• food consumption databases are not harmonised
– different information available across MSs – difficulties in assessing exposure at EU level
18 November 2011 25EFSA Stakeholder Consultative Platform
Recommendations
• Validate model diets with EFSA’s Comprehensive Database
• Always consider children populations
• Harmonise acute and chronic exposure calculations for high consumers:
– common protection goals should be agreed
– handling of high consumers among consumers only
• Statistically based sampling designs for monitoring programs
• Promote use of Standard Sample Description
• Promote Total Diet Studies as complement to monitoring data
• Trial probabilistic exposure particularly for acute scenarios
• Model usual intake from short-term dietary data18 November 2011 26EFSA Stakeholder Consultative Platform
CONCISEBroad categories, not covering children, not harmonised, no FFQ
Evolution consumption data
tt COMPREHENSIVEDetailed categories, partly covering children, not harmonised, no FFQ
HARMONISED, EUMenuDetailed categories, covering children, harmonised including FFQ
18 November 2011 27EFSA Stakeholder Consultative Platform
Harmonised database
EU Menu - the first harmonised pan-European food consumption survey
�Create collaborative MS consortium�Develop standardised guidance�Provide access to methodological platform�Initiate pilot projects for children and adults•Publish principles and protocols•Collect representative food consumption data over all four seasons for children and adults
18 November 2011 28EFSA Stakeholder Consultative Platform
General principles for the collection of national food consumption data in the view of a pan-
European dietary survey• EFSA needs• Sampling method and design• Dietary assessment methodologies• Administration of the interview• Dietary survey tools• Non dietary information and quality control
Discussed and endorsed by the Expert group on foodconsumption data in mid October 2009.
Published on the EFSA Journal in December 2009.
EFSA Guidance published 2009
18 November 2011 29EFSA Stakeholder Consultative Platform
Pilot study for the Assessment of Nutrient intake and food Consumption Among Kids in Europe (PANCAKE)
Project leader: RIVM (The Netherlands)Project period:
December 2009 – December 2011
PANCAKE Article 36 project
18 November 2011 30
The main objectives of the project are to develop and test tools and procedures for the collection of individual food consumption data for:
• infants up to 11 months of age• toddlers from 12 up to 35 months of age • other children from 3 to 10 years of age• breastfeeding mothers
EFSA Stakeholder Consultative Platform
PANEU Article 36 project
Pilot study in the view of a Pan-European dietary survey – Adolescents, adults and elderly (PANEU)
Project leader: HFSO (Hungary)Project period: December 2010 – December 2012
The main objectives of the project are to developtools and procedures for the collection of individualfood consumption data for:
• adolescents from 10 to 18 years of age • adults from 18 to 64 years of age• elderly from 65 to 74 years of age
18 November 2011 31EFSA Stakeholder Consultative Platform
33
EU Menu
18 November 2011 EFSA Stakeholder Consultative Platform 33
The first harmonised pan-European food consumption survey
Activity completed by
2010
2011
2012
2013
2014
2015
2016
2017
2018
Planning, collaboration, coordination
Project pilots, capacity building
Dietary survey in 5-7 countries
Dietary survey in 5-7 countries
Dietary survey in 5-7 countriesDietary survey in 5-7 countriesDietary survey in 5-7 countries
Databases, processing of data
Dissemination of results
34
Liisa Valsta [email protected]
Thank you!
18 November 2011 EFSA Stakeholder Consultative Platform
Questions?