Nutritional research tools harmonized with EuroFIR recommendations used in food composition information systems

 Maria Glibetic, Mirjana Gurinovic, Agnes Kadvan,

Jelena Milesevic, Marina Nikolic, Romana Novakovic

EuroFIR NEXUS 2nd annual meeting and conference, March 5-6, 2013

Ljubljana, Slovenia

Definition

Nutritional tools are valuable tools in food and nutrition research used to link basics of balanced nutrition with detailed performance benefits of carbohydrates, fat, protein, and essential vitamins and minerals.

For instance: dietary intake assessment, nutritional daily planner, fiber calculator, BMI index, heart rate moderator, burn meter…etc.

Innovative technologies for measuring diet in nutritional epidemiology

Review and evaluation of innovative technologies for measuring diet in nutritional epidemiology.

Six main groups of innovative technologies were identified:

Personal Digital AssistantPersonal Digital Assistant Mobile-phoneMobile-phone Interactive computerInteractive computer Web-Camera- and tape-recorder Web-Camera- and tape-recorder Scan- and sensor–based technologiesScan- and sensor–based technologies

EFSA project-Dietary monitoring tools for risk assessment

–IMR-systematic review of the literature on dietary intake nutritional tools and methods of dietary data collection -in progress

*Source: A-K Illner at al, Review and evaluation of innovative technologies for measuring diet in nutritional epidemiology, International Journal of Epidemiology 2012;41:1187–1203

Objective

Due to identified shortfall of standardized methodology and tools in dietary surveys and information on traditional foods in Central and Eastern Europe (CEE) countries and Balkan region, development of development of harmonized nutritional tools are of great harmonized nutritional tools are of great importance for food composition information importance for food composition information systemssystems including traditional foods and overall nutrition research of the region.

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Methods

Development DIET-ASSESS Development DIET-ASSESS withwith Open Data Base Connection (ODBC) Open Data Base Connection (ODBC)::

incorporation of any external food composition databases from EuroFIR Database Platform (27 databases harmonized with EuroFIR technical annex)

use of e-Search function

nutritional recommendation dataset : NutriRecQuest web tool (micronutrient recommendations), WHO /other recommendations and nutrition population goals

InputsInputs:: - nutritional questionnaires (24HDR, FFQ, standards food record)

- nutrition planning (recipes, meals, menus)

OutputOutputss: variable functions that use data from FCDB and micronutrient recommendations to compute

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EC projects and CENM link with Nutritional tools

2006-2010 - EuroFIREuroFIR- European Food Information Resource Network (NoE), FP6, www.eurofir.net

2011-2013- EuroFIR –EuroFIR – NexuNexus- EuroFIR Food Platform: further integration, refinement and exploitation for its long-term self-sustainability, FP7, www.eurofir.org

2007-2012- EURRECCAEURRECCA - Harmonising nutrient recommendations across Europe with special focus on vulnerable groups and consumer understanding (NoE), FP6, www.eurreca.org

2012- EFSAEFSA-- “Updated food composition database for nutrient intake”

CENMCENM - Centre of Research Excellence in Nutrition and Metabolism, Institute for Medical Research, University of Belgrade, Serbia, www.srbnutrition.info

Results:

DIET-ASSESS is connected with Serbian FCDB and EuroFIR-Nexus Regional FCDB (with traditional recipes) - Balkan platform, both using web based Food Comp Data Management (FCDM) application. On the other side, it retains NutriRecQuest- web tool, to enable nutritional assessment of planned menu/diet or dietary intake based on 24HRD.Outputs are reports (on personal, population, national level) on nutritive values of energy, macronutrients and micronutrients; food consumption etc.It allows graphic review and export to Excel format for further statistic analysis in SSP, SPSS, SPSS, etc.

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Data overview through the websites:

www.nutricascience.org www.nutricascience.org/

foodsearch (for mobile devices)

Food Comp Data Management (FCDM)- software web based application for creation of FCDB (national/regional) :EuroFIR Technical Annex and recommendationsLanguaL EFSA FoodEx2

Value

Method

Reference

Web based application-Food Comp Data Management (FCDM)

Food Comp Data Management (FCDM) – Recipe calculation

Input of composite dishes -recipes

PROCEDURE

PROCEDURE

INGREDIENTS INGREDIENTS & COOKING & COOKING METHODSMETHODS

EuroFIR AISBL - www.eurofir.org

13 food groupsEuroFIR eSearch

23 languages

EuroFIR - FoodBasket

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37 European & 8 non-European countries/organizations/regions USA/Canada,

Mexico, Brazil, Japan, China, South-Korea, South East Asia and Australia/New-Zealand

Current micronutrient recommendations for 29 Micronutrients:• Vitamin A, C, D, E,

•Thiamine, Riboflavin, Niacin, •Pyridoxine, Cobalamin, Folic acid,

•Sodium, Potassium, Calcium, Magnesium,• Iron, Zinc, Copper, Phosphorus, Selenium, Iodine

More then 20,000 20,000 recommendations recommendations for

micronutrients!www.eurreca.org www.serbianfood.info/eurreca

Nutritional toolsNutritional tools

Free available

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Nutri-RecQuestNutri-RecQuest data basedata baseWeb application with underling Standard Query Language (SQL) database

Current micronutrient recommendations for:

- 37 European & 8 non-European countries/organizations/regions

- 29 Micronutrients

In total, over 20,000 recommendations concerning micronutrients

The following measures and concepts are included:

1. Recommended intake levels: Individual Nutrient Levels (INL97,5) a.k.a. Recommended Daily Allowances-RDA,

Population Reference Intakes and Reference Intakes Adequate Intakes (AIs) a.k.a. Acceptable Intake and Safe Intake, Adequate ranges a.k.a. Acceptable Range and Safe Intake Range

2. Average Nutrient Requirements (ANRs)*

3. Upper Limits (ULs).*

* For selection of countries/organisations only: i.e. USA, Canada, the Netherlands, Nordics, Dach, EC, WHO/FAO, France, UK;

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Functionality: Search & Compare; Display & Print & Export

Before use read help and info!

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Nutri-RecQuest Nutri-RecQuest offers valuable and comprehensive

data on micronutrient recommendations from European and key non-

European countries, for bodies responsible for setting recommendations

and for users of recommendations i.e. scientists, policy makers, health

professionals and dietary supplements and food industry.

WHO Europe will use in future the data base!

Freely available!

Access via www.eurreca.org & www.serbianfood.info/eurreca

FP7-EURODISH projectFP7-EURODISH project - Study on the need for food and health

research infrastructures in Europe- continuation in data base update

Reference:Cavelaars A E J M, Kadvan A, Doets E L, Tepšić J, Novaković R, Dhonukshe-Rutten R, M Renkema, Glibetić M, Bucchini L, Matthys C, Smith R, Van't Veer P, De Groot C P G M and Gurinović M. Nutri-RecQuest: a web-based search engine on current micronutrient recommendations, Eur J Clin Nutr (2010 ) 64: S43-S47;

Web tool for extraction of data on nutritional adequacy intake, status and its determinants

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• NUTRITIVE VALUES

• NUTRIENT RECOMMENDATIONS

• NUTRIENT ADEQUACY ASSESSMENT

• ENERGY NEEDS

• NUTRIENT INTAKE ASSESSMENT

• DIET MODELING

• FOOD LABELING (SME)

• NUTRITIONAL STATUS ASSESSMENT

NutriRequest

Nutrient Recommendations

FCDBFCDB

FCDBFoods with nutritive values

NUTRITIONAL

STATUS

FOODS

DISHES

MEALS

MENUS

AVERAGE MENUS

PHYSICALACTIVITY

LEVEL

ENERGYEXPENDITURE

NUTRIENTINTAKE

QUESTIONNAIRE

NUTPLAN

NutPlan- user friendly dietary software programme for implementing micronutrient recommendations with multiple functions, such as individual and group nutrition planning.

• REPORTS/PERSON/POPULATION GROUP/NATIONAL LEVEL

• NUTRITIVE VALUES FOR PLANNED RECIPES, MEALS, MENUS

• FOOD GROUPS CONSUMPTION -EuroFIR &FOODEX CLASSIFICATION

• NUTRITIVE VALUES FOR CONSUMED FOODS AND MEALS IN QUESTIONNAIRE

• ENERGY , MACRONUTRIENTS VALUES; MICRONUTRIENTS

• FOOD GROUP CONTRIBUTION IN TOTAL ENERGY, PROTEIN, FAT AND CARBOHYDRATES

• DISTRIBUTON OF PROTEIN AND FAT BETWEEN VEGETABLE AND ANIMAL SOURCE OF FOODS

• LIST AND AMOUNT OF ALL INGREDIENTS

• COMPARING WITH NUTRIENT RECOMMENDATIONS

• NUTRIENT ADEQUACY ASSESMENT REGARDING RECOMMENDATIONS

• +++other reports

• Serbian Food Composition data base (FCDB)*

• Balkan Regional FCDB• Data base of regional traditional

recipes (www.serbianfood.info)- Foods with nutritive values/100g,

Langual & EFSA FooEx2 codes, cooking methods, yield &retention factors, etc

- Harmonized with EuroFIR technical standards

• NutriRecquest – micronutrient recommendation database

(www.serbianfood.info/eurreca)• WHO /other recommendations

and population goals dietary guidelines for individuals

NUTRITION PLANNING (recipes,

meals, menus, average menus)

24h RECALL QUESTIONNAIRE (1

day + 2 day+7ay)

FFQ questionnaire

EuroFIR FCDB•Link to other FCDB with eSearch

Inputs – external databases

Outputs – reports- harmonized with EFSA & guidelines

Diet Assess &Plan tool

Diet Assess tool-Software for dietary assessment

DIET-ASSESS-Data entry (24h recall &FFQ) and dietary assessment tool

Serbian and/or regional FCDBFCDB

DIET ASSESSDIET ASSESS - nutrient intake

questionnaire - nutrition planning

(recipes, meals, menus)- calculate the nutritive values

- compare with recommendations

CENM CENM nutritional tools usage experience in national and international projects

Created the first online Serbian and Regional FCDB harmonized with EuroFIR recommendations - Food Comp Data Management (FCDM) tool

National project of Ministry of Science Republic of Serbia: „Intake, status and biological action of folate and PUFA: Improvement of Nutrition in Serbia“ (No. III 41030 )

Bilateral project with Croatia: “Folate status in populations at risk: young adult women of reproductive age and elderly” (2011-2013)

YUSAD study (Yugoslav study of precursors of atherosclerosis in schoolchildren and adult members) , NUTQ - Version1 of DIETASSESS  programme

CHANCE- FP7- ”Low Cost tecHnologies and traditional ingredients for the production of Affordable, Nutritionally correct, Convenient foods enhancing hEalth in population groups at risk of poverty” 2011-2014 ( http://www.chancefood.eu/)

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Conclusion

DIET-ASSESS and other incorporated nutritional tools were used in national and international projects and they have essential role in future nutritional research in the region for capacity development.

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