How well does the Belgian population comply with the DRV’s ... · How well does the Belgian population comply with the DRV’s for Energy and Macronutrients? WIV-ISP| Juliette Wytsmanstraat

Karin De Ridder, PhD, MD

Head of team “Nutrition & Health”Scientific Institute of Public Health

How well does the Belgian population comply with the DRV’s for Energy and Macronutrients?

WIV-ISP |JulietteWytsmanstraat14|1050Brussels|BelgiumT+3226425730|[email protected]|www.wiv-isp.be

Food Consumption Survey 2014

• National representative survey• ± 3200 Belgians (3-64 years)

• Children (3-9 y)• Adolescents (10-17 y)• Adults (18-64 y)

• Two 24-hour recalls (<10 y: + two one-day food diaries)• Interviewers = dieticians• DRV’s from the Superior Health Council of Belgium (2016)

Data collection - children (3-9 years)

3

Data collection - adolescents and adults

4

Estimation of “habitual” intake• Statistical program to Assess Dietary Exposure

(SPADE) • Model daily or episodically consumed nutrients

• Daily: transformation – model in function of age –back-transformation (eliminate within-person variance)

• Episodical: Probability (intake frequency)*usual amount on consumption day (Monte Carlo simulation)

• Intake from different sources (food and dietary supplements)

• Comparison with DRV’s

5

Dietary reference values (DRV’s)

6

Adequate intake (AI)

(EAR)

(PRI) (UL)

Energy intake

• Under-reporting: 24,3% of study population• Exclusion of under-reporters

7

0

500

1000

1500

2000

2500

3000

3-5 6-9 10-13 14-17 18-39 40-64

kcal

/day

Age group

Energy intake

MenWomen

Energy intake

8

22.5

13.5

12.6

8.3

7.5

6.6

5.2

5.2

4.2

0 5 10 15 20 25

Cereal and cereal products

Meat, meat products and substitutes

Milk, milk beverages and fermented milk beverages

Cakes and sweet biscuits

Sugar and confectionery

Fats and oils

Non-alcoholic beverages

Fruits, nuts and seeds, olives

Potatoes and other tubers

Mean contribution (%) of food groups

Total carbohydrates

9

Mean intake Recommendation % population <50 EN%44,1 EN% 50-55 EN% 83,1%

81.1

87.8

7678808284868890

2004 2014

% population carbohydrate intake <50 EN%

43.7

54.163.2

70.2

84.5

94.9

0

10

20

30

40

50

60

70

80

90

100

3-5 y 6-9 y 10-13 y 14-17 y 18-39 y 40-64 y

% of population carbohydrate intake < 50 EN%

(15-64 y)

Total carbohydrates

10

37.3

10.1

9.9

9.6

8.3

7.5

7.5

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0









Mono- and disaccharides/ Polysaccharides

11

27 2624 23

20 19

23 24 24 24 2422

0

5

10

15

20

25

30

3-5 y 6-9 y 10-13 y 14-17 y 18-39 y 40-64 y

Mean intake of mono- & disacharides and polysacharides (EN%)

mono- & disaccharides polysaccharides

Mono- & disaccharides PolysacharidesMean intake 21 EN% 23 EN%

Mono- and disaccharides

12

19.7

19.0

15.0

14.7

10.5

6.8

5.5

5.0

0.0 5.0 10.0 15.0 20.0 25.0







Vegetables

Alcoholic beverages


Fiber

13

Mean intake Recommendation % population < PRI18 g/day 10-25 g/day (age-gender dependent) 84%

58.263.5

72.780.3

90.386.1

0

10

20

30

40

50

60

70

80

90

100

3-5 y 6-9 y 10-13 y 14-17 y 18-39 y 40-64 y

% population fiber intake < PRI 90.3

85.2

80.2

75

80

85

90

95

No diploma - low Higher-short type Higher-long type

% population fiber intake < PRI

76.595.9

020406080

100120

Flanders Wallonia

% population fiber intake < PRI

Fiber

14

0 10 20 30 40 50


Vegetables





Mean contribution (%) of food groups3-5 y

3-64 y

Protein

15

34.6

21.4

19

6.3

3.9

3

0 5 10 15 20 25 30 35 40




Fish, shellfish and amphibians


VegetablesMean contribution (%) of food groups

Mean intake Recommendations % population <EAR % population >PRI

15,3 EN% PRI: 15 EN%EAR: 10 EN%

0,7 52,1

♂: 1,4 g/kg/day

♀: 1,3 g/kg/day

PRI: 0,83-0,90 g/kg/dayEAR: 0,66-0,73 g/kg/day

(age-gender dependent)

♂: 0,1

♀: 0,5

♂: 97,2

♀: 93,3

Total fat

Mean intake Recommendation % population >35 EN%35,5 EN% 20< & <30-35 EN% 53,3%

31.5

46.049.4 50.6 52.6

58.1

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

3-5 y 6-9 y 10-13 y 14-17 y 18-39 y 40-64 y

% of population fat intake >35 EN%

Total fat

17

20.4

18.4

18.2

10.0

8.2

7.7

6.5

0.0 5.0 10.0 15.0 20.0 25.0



Fats and oils


Condiments, spices, sauces and yeast




Saturated fatty acids

Mean intake Recommendation % population >10 EN%

13,1 EN% (31 g/day) <10 EN% 90,4%

29.1

20.4

14

12.6

7.5

4.1

4.1

0 5 10 15 20 25 30 35



Fats and oils






Mono-unsaturated fatty acidsMean intake Recommendation % population

<10 EN%% population>20 EN%

12,8 EN% (31 g/day) 10-20 EN% 11,8 0,4

21.8

20.7

13.1

9.5

9.4

9.3

5.8

0 5 10 15 20 25


Fats and oils







Poly-unsaturated fatty acids

Mean intake Recommendation % population < 5 EN%

% population> 10 EN%

6,3 EN% (15 g/day) 5-10 EN% 23,0 2,5

6878

0102030405060708090

2004 2014

% population intake 5-10 EN%50

36.5

29.926.5

21.518.2

0

10

20

30

40

50

60

3-5 y 6-9 y 10-13 y 14-17 y 18-39 y 40-64 y

% population intake < 5 EN%

(15-64 y)

Omega-3 and omega-6 fatty acids

21

Mean intake Recommendations (=AI)

Prevalence inadequate intake

Omega-3 FA 0,74 EN% 1-2 EN% /

LNA 0,63 EN% 1 EN% /

EPA+DHA 190 mg 250-500 mg/day /

Omega-6 FA 5 EN% 4-8 EN% low(median (4,8 EN%)>AI)

LA 4,9 EN% 4 EN% low (median (4,8 EN%)>AI)

Omega-3 fatty acids

22

18.5

16.9

15.3

11.0

8.2

8.0

7.5

0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0 20.0

Fats and oils








Omega-6 fatty acids

23

22.4

17.1

15.1

14.7

8.4

5.2

0.0 5.0 10.0 15.0 20.0 25.0

Fats and oils







23.5

15.7

14.3

12.7

7.9

6

4.9

0 5 10 15 20 25

Fats and oils








Poly-unsaturated fatty acids

Trans-fatty acids (industrial + natural)

Mean intake Recommendation 0,4 EN% (0,9 g/day) As low as possible (industrial TFA’s)

0.7

0.4

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

2004 2014

Mean habitual trans-fatty acid intake (EN%)

(15-64 y)

35.9

21.1

19.3

13.7

0.0 10.0 20.0 30.0 40.0



Fats and oils



Cholesterol

26

Mean intake Recommendation % population >300 mg/day

224 mg/day < 300 mg/day 17,2%

1.9

5.5

9.111.8

17.4

22.2

0

5

10

15

20

25

3-5 y 6-9 y 10-13 y 14-17 y 18-39 y 40-64 y

% population cholesterol >300 mg/day

50.8

20.1

0

20

40

60

2004 2014

% population cholesterol > 300 mg/day

28

6.6

0

10

20

30

Men Women

% population cholesterol > 300 mg/day

(15-64 y)

Cholesterol

27

41.3

23.6

8.9

8.5

8.2

3.2

0.0 10.0 20.0 30.0 40.0 50.0



Eggs and egg products



Fats and oils


Thanks for your attention!More detailed or other results?

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How well does the Belgian population comply with the DRV’s ... · How well does the Belgian population comply with the DRV’s for Energy and Macronutrients? WIV-ISP| Juliette Wytsmanstraat